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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews P a g e | 1

Table of Contents 101.01 INTRODUCTION ............................................................................................................. 6 101.02 COVERAGE OF THE CATEGORICALLY NEEDY IN MISSISSIPPI ...................... 7 101.02.01 MANDATORY CATEGORICALLY NEEDY – MAGI RELATED ..................... 8 101.02.02 MANDATORY CATEGORICALLY NEEDY - ABD ......................................... 10 101.02.03 MANDATORY CATEGORICALLY NEEDY – SPECIAL GROUPS .............. 12 101.02.04 OPTIONAL CATEGORICALLY NEEDY – MAGI-RELATED ........................ 13 101.02.05 OPTIONAL CATEGORICALLY NEEDY – ABD .............................................. 15 101.03 HOW TO APPLY .......................................................................................................... 19 101.03.01 APPLICANT .......................................................................................................... 19 101.03.01A DECEASED APPLICANTS .......................................................................... 19 101.03.01B NON-APPLICANTS ....................................................................................... 20 101.03.02 DOM APPLICATION FORM(S) ......................................................................... 20 101.03.03 SIGNATURE REQUIREMENTS ........................................................................ 21 101.03.04 REPRESENTATIVES AUTHORIZED TO ACT FOR AN APPLICANT ....... 22 101.03.05 WHO CAN FILE THE APPLICATION .......................................................... 24 101.03.06 ACCESS AND ACCOMMODATION IN APPLYING ................................. 25 101.03.07 REASONABLE EFFORTS TO ASSIST ...................................................... 26 101.04 FILING THE APPLICATION ........................................................................................ 28 101.04.01 RIGHT TO APPLY .......................................................................................... 28 101.04.02 REQUEST FOR AN INFORMAL MEDICAID ELIGIBILITY OPINION ....... 29 101.04.03 SUBMITTING AN APPLICATION AND APPLICATION FILE DATE ........... 29 101.04.04 PROTECTED APPLICATION DATES FOR MEDICAID APPLICANTS. 31 101.04.05 APPLICATIONS RECEIVED FROM MS RESIDENTS OUT-OF-STATE

31 101.04.06 OUT-OF-STATE APPLICANTS .................................................................... 32 101.04.07 RESIDENCE CHANGE DURING THE APPLICATION PROCESS ........ 32 101.04.08 WHERE TO FILE THE APPLICATION ....................................................... 32 101.04.09 VOTER REGISTRATION ................................................................................... 36