Page 70

MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |426 Effective Month: December 2016 Procedures for Processing Applications of DOM employees, Members of Their Household or Immediate Family Members Any application or active case involving a DOM employee, household member or immediate family member, as defined above, in any regional office must be processed using the following guidelines: The Applicant is The Person to Process the Application is The Person to Review & Authorize the Action is DOM Employee Bureau Director, Deputy (BDD) Bureau Director (BD) Employee’s Spouse or Minor or Adult Child Bureau Director, Deputy Bureau Director Other Immediate Family or Household Member Division Director Assigned by BDD Bureau Director, Deputy BDD, BDD’s Spouse or Minor or Adult Child Bureau Director Bureau Director Other Immediate Family Member or Household Member of BDD Assistant Supervisor Bureau Director

BD, BD’s Spouse or Minor or Adult Child If case is located in service area directly under the BD’s supervision, the person to process the application and reviews is the Central Office manager. If not, the BDD for the office is the responsible. Central Office Manager Other Immediate Family Member or Household Member of BD If case is located in service area directly under the BD’s supervision, the person to process the application and reviews is the Central Office manager. If not, the BDD for the office is the responsible. Central Office Manager

Prior to authorizing eligibility, the regional Bureau Director, Deputy, Bureau Director, or State Office Manager, as appropriate, will thoroughly review the case and determine the accuracy of the eligibility decision. This may include additional contact with the applicant or others when deemed necessary to make a determination of eligibility. The process described above includes all activity on affected cases at the time of application and review, including special reviews of all such cases.