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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |376 Effective Month: December 2016 101.10.03 TERMINATION DATES Eligibility for a Medicaid or CHIP recipient will end on one of the following days of the month, unless otherwise noted:

• The last day of the month in which the client was eligible; or • The death date of the recipient. or • The date the recipient entered a public institution. • Hospital Presumptive Eligibility (HPE) termination dates are either the last day of the month of the HPE period or the day of the month that the full application for Medicaid is denied.

101.10.04 RETROACTIVE MEDICAID ELIGIBILITY Retroactive Medicaid eligibility may be available to any Medicaid applicant who received medical care prior to applying for Medicaid. Applicants may qualify for coverage for a 3-month period prior to the month of the application. Retroactive eligibility can cover all 3 months of the prior period or any month(s) in the 3-month period. In addition: • Each applicant must be informed of the availability of retroactive Medicaid coverage. • The applicant’s statement is accepted regarding medical expenses incurred in the retroactive period. • Retroactive Medicaid may also be available to an individual who is added to a case (e.g., child returns home). • The applicant does not have to be eligible in the month of application (or current month) to be eligible for one or more months of retroactive Medicaid. NOTE: Children have continuous eligibility. A child who is eligible only in a retroactive month will receive Medicaid for 12-continuous months beginning with the month eligibility starts. • The applicant or recipient may ask for retroactive Medicaid coverage at any time.