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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |102 Effective Month: December 2016 Certification Responsibilities Medicaid is certified or authorized by the following entities: 1. The Social Security Administration or SSA, 2. The Mississippi Department of Child Protection Services or DCPS, 3. The Mississippi Division of Medicaid or DOM, and 4. Qualified Hospitals that certify Hospital Presumptive Eligibility or HPE.

101.02.01 MANDATORY CATEGORICALLY NEEDY – MAGI RELATED The following are MAGI-related coverage groups that must be covered, as required by federal law: Mandatory Coverage of Parents and Other Caretaker Relatives Coverage is mandatory for parents and other caretaker relatives who have a dependent child or children under the age of eighteen (18) living in the home whose household income is below the applicable limit established by the state for coverage. The limit established by the state is a MAGI-equivalent standard based on household size. The Division of Medicaid certifies eligibility for this group. • Extended Medicaid coverage for twelve (12) months is mandatory for a family whose eligibility is based on family coverage if the family loses Medicaid coverage solely due to increased income from employment or increased hours of employment provided the family received Medicaid in any three (3) or more months during the six (6) month period prior to becoming ineligible, as determined by the Division of Medicaid. • Extended Medicaid for a maximum of four (4) months is required if a new collection or increased collection of child support (prior to January, 2014) or spousal support under title IV-D of the Social Security Act results in the termination of Medicaid for a family whose eligibility is based on family coverage described above, as determined by the Division of Medicaid.