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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual

CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |401 Effective Month: December 2016 101.11.02 EXCEPTIONS TO ADVANCE NOTICE Unless noted, the following actions require notification to the recipient; however, 15-day advance notice is not required. Death When the agency has factual information verifying the death of a recipient, the date of death and verification source must be recorded in the record. A notice is not generated by the system if the termination reason is death. Some acceptable sources to verify the death date are: • SVES or SDX; • Report from recipient’s representative or the MAGI Head of Household; • Viewing the death certificate, • Contact with the funeral home or the attending physician; • DOM-317 from the nursing home or contact with the hospital or nursing home where the patient died; • Dated newspaper clippings. Loss of State Residence When the agency establishes that a recipient has moved from the state through information received from the recipient or because another state reports the client has been accepted as a resident for Medicaid in that state, advance notice of closure is not required. Resident of a Public Institution When the agency has established that the recipient has been admitted to a public institution, such as a prison or a state hospital in a non-Title XIX facility, advance notice of termination is not required.

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Page 67

Official source

MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual

CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |401 Effective Month: December 2016 101.11.02 EXCEPTIONS TO ADVANCE NOTICE Unless noted, the following actions require notification to the recipient; however, 15-day advance notice is not required. Death When the agency has factual information verifying the death of a recipient, the date of death and verification source must be recorded in the record. A notice is not generated by the system if the termination reason is death. Some acceptable sources to verify the death date are: • SVES or SDX; • Report from recipient’s representative or the MAGI Head of Household; • Viewing the death certificate, • Contact with the funeral home or the attending physician; • DOM-317 from the nursing home or contact with the hospital or nursing home where the patient died; • Dated newspaper clippings. Loss of State Residence When the agency establishes that a recipient has moved from the state through information received from the recipient or because another state reports the client has been accepted as a resident for Medicaid in that state, advance notice of closure is not required. Resident of a Public Institution When the agency has established that the recipient has been admitted to a public institution, such as a prison or a state hospital in a non-Title XIX facility, advance notice of termination is not required.