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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page 116

Effective Month: March 2018 ACTION POLICY REQUIREMENT PROCEDURAL REQUIREMENTS the birthing hospital.

Assigning Review Due Month at Application MAGI – Medicaid application month starts the 12-month count. MAGI – CHIP benefit month starts the 12-month count. MAGI application month (Medicaid) or benefit month (CHIP) + 11 months = review due date. MAGI -Pregnant Post-Partum review will be set for 12 months after the pregnancy ends.

ABD – month of supervisor authorization starts the 12-month count ABD authorization month + 11 months = review due date. Assigning Review Due Month at Redetermination MAGI and ABD are determined using the time period begin month to start the 12-month count. Begin month of time period + 11 months = review due date. Administrative Renewal Processing If eligibility can be approved in the same program (Medicaid or CHIP or ABD in the same COE) based on updated data from electronic data sources and reliable case record information, then the recipient is notified of the approval and asked to report any changes. Any changes reported are acted on as part of the redetermination process. ABD cases with an asset test can be renewed through this process. Adm. renewals must be initiated before scheduled mailings of pre- populated forms. Processing Renewals Using Pre-Populated Review Forms Pre-populated renewal forms are issued by MEDS for MAGI & ABD cases. Due date for return of the signed form MAGI and ABD form is 30- days from date form is issued. Returned forms with missing information require the use of a309 for ABD and telephone contact for MAGI. New or Refer to the Reinstatement policy for compliance after termination.