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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page 112

Effective Month: March 2018 ACTION POLICY REQUIREMENT PROCEDURAL REQUIREMENTS LTC facility. Rights are not limited. Applicant must be incapable of designating authorized rep. 3) Legal Rep – legally appointed by court or other legal document (such as POA) and must be legally authorized to make healthcare decisions for applicant/recipient. Can be an executor of deceased applicant’s estate. Legal rep requires DOM-302C.

Filing Date of an Application The date a signed application is filed or received by the agency (RO or CO) by any means of submission for filing an application. The date received by DOM or the FFM is the date filed Medicaid Applications Filed Outside of DOM 1) SSI applications, 2) Children in the custody of DCPS who are certified as eligible by DCPS, 3) Medicaid or CHIP applications filed with the FFM and transferred to DOM, 4) LIS applications filed with SSA and transferred to DOM, 5) HPE applications filed with qualified hospitals and PEP applications filed with providers/entities and transferred to DOM. DOM determines eligibility for FFM, LIS, HPE, and PEP applications.

RO with Responsibility RO that serves the county where at-home recipients live is responsible for the case. Long term care cases are handled by RO that serves the county where the facility is located. Combo MAGI/ABD cases with one in a facility is handled by RO