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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page 114

Effective Month: March 2018 ACTION POLICY REQUIREMENT PROCEDURAL REQUIREMENTS MAGI Application Indicates Possible ABD Eligibility If a MAGI applicant indicates possible disability, issue the ABD DOM-300 & request only information not available through MAGI process. A signed ABD application is required. If ABD application is not received, process the MAGI application. FFM applicants indicating disability are sent a non-MAGI letter that must be signed & returned to start ABD process. Determining Beginning Dates of Medicaid Eligibility If all factors of eligibility are met, the begin date is: • 1st of month of application, or • 1st day of the 1st, 2nd or 3rd month prior to the month of application. • QMB eligibility begins no earlier than the month following the month of approval. • HPE and PEP eligibility begins on the day of the month the hospital determines an individual to be eligible for HPE and providers/entities determine an individual to be eligible for PEP. Retroactive Medicaid does not have to be authorized at the time of application. It can be requested and added at any point in time. Determining Beginning Date of CHIP Eligibility • 1st of month following month of application eff. 12/01/2016 • If a newborn application is taken within 31 days of birth and approval is authorized within 60 days of application, CHIP eligibility is retroactive to the date of birth. There is no retroactive eligibility for CHIP eligible children, except newborns. Determining End Dates of Eligibility For Medicaid and CHIP, the end date of eligibility is either: • The last day of the month that eligibility ends, • The death date of the recipient,