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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |502 Effective Month: December 2016 PROCESSING CHILDREN NOT CURRENTLY DUE FOR REVIEW (Continued) When a program change is involved for a child with a future review date, the change cannot be made until the end of the child’s current eligibility period unless the parent or other authorized person voluntarily requests early termination in the current program. The request must be made in writing by the parent or other authorized person and filed in the case record. Retract eligibility and cancel the redetermination contact for any children affected by a program change that has not been approved in writing 101.15.01D PROCESSING AN APPLICATION AND A REVIEW As previously indicated, when an application is filed to add a new child or adult (MAGI or ABD) to an active case, a review is completed for existing case members at the same time the application for the new member is processed. However, the same policy requirements apply for an application and a review as exists for processing an active case with children not currently due for review:
• Do not request any information on any children with a future review due date. • If updated information is provided for the applicant that results in eligibility for all case members, eligibility can be extended for existing case members, including children with a future review due date. • If updated eligibility results in ineligibility for any child with a future review due date, the child or children must be fully reviewed at the end of their 12-month protected period. • A program change for a child with a future review date is prohibited unless the parent or other authorized person requests early termination in the current program. • If a finding of ineligibility or a program change results for existing children in the case who are not due for review, retract eligibility and cancel the redetermination contact for the child(ren) with a future review due date.