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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page 119

Effective Month: March 2018 ACTION POLICY REQUIREMENT PROCEDURAL REQUIREMENTS eligibility is reestablished for all HH members. are not permitted.

Special Reviews due to Reported Changes Reported changes that result in a negative action for adult(s) in the case cannot affect eligibility for children in the case. Reported changes that will not affect eligibility for the household must be acted on, but do not terminate eligibility if a request for information yields no response. Children must be reviewed at the end of their 12-month review period; no future closure dates are permitted. Changes from CHIP to Medicaid must be acted on. Reported changes resulting in updated information on all household members can result in a new annual review period for the HH.

Reinstatements Due to Failure to Issue Advance Notice If advance notice was not issued as required to reduce benefits or terminate eligibility, reinstate eligibility for all affected months then issue advance notice to terminate or reduce benefits. Reinstate regardless of whether HH or individual is eligible to remedy failure to issue advance notice. 90-Day Reinstatement Period for MAGI & ABD Compliance within 90-days following effective date of closure to return the signed renewal form and/or provide requested information will result in reinstatement back to the date of closure. If additional information is needed, attempt telephone contact 1st, then use 307 (MAGI/ABD) and 309 (ABD). • If information not provided, no further action required except to close the reinstatement contact & delete time period. This rule is not applicable for the return of unsigned renewal forms.