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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page | 104 Effective Month: September 2023 101.17.06 WHEREABOUTS UNKNOWN As indicated previously, eligibility must be terminated if a client’s whereabouts remain unknown after the agency has (1) received returned mail with no forwarding address and (2) made reasonable efforts to locate the recipient. Reasonable effort means: • At least two attempts to contact beneficiary • Attempt to contact through at least 2 modalities (such as, mail, phone, email) • If there are not two ways to contact the client on file, document in the case narrative why 2 modalities couldn’t be attempted. • Allow at least 30 days for the beneficiary to respond. If the client’s location subsequently becomes known during the time he is eligible, benefits will be reinstated. For a child who has continuous eligibility, Medicaid and/or CHIP benefits must be reinstated with no loss. For an adult, the specialist must determine eligibility for each month that the adult recipient’s whereabouts were unknown and reinstate for any period he would have been eligible.
101.18 OTHER CHANGES – ABD PROGRAMS
101.18.01 CHANGES IN MEDICAID INCOME The amount of income an institutional client must pay to the nursing facility toward the cost of his care is known as Medicaid Income. Changes in income, marital status or non-covered medical expenses will either increase or decrease Medicaid income. The effective dates of such changes are determined as follows: