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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page |506 Effective Month: December 2016 ADMINISTRATIVE RENEWALS (Continued)

• If an administrative review does not result in an approval in the same program, a pre-populated form must be issued to allow the recipient to provide current information. It is possible to move a child from one Medicaid program to another Medicaid program based on an administrative review; however, a child cannot go from Medicaid to CHIP or CHIP to Medicaid.

• If a MAGI or Medicare cost-sharing recipient reports a change in response to an administrative renewal approval, document all changes on the “Administrative Review Contact Documentation” form located in the Appendix page by the same name. Attempt verification of a reported change through electronic data sources before requesting information directly from the recipient.

• Handle reported changes as a redetermination contact in the system. The appropriate approval or denial notice will be issued based on the outcome of the reported change.

• Automated mailings of pre-populated review forms take place on a schedule that is published annually and is based on the review due month. Administrative renewals must be registered as a redetermination contact with a time period pending before the scheduled mailing of a pre-populated form.

Every regional office must have a process in place to ensure administrative renewals are attempted as required prior to the scheduled mailing date for the system to issue a pre-populated review form.