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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews P a g e | 13 Effective Month: September 2023 immediately enroll patients in Medicaid who are determined eligible for Medicaid by authorized hospital staff. HPE provides temporary Medicaid eligibility but also allows access to continuing Medicaid coverage provided the HPE decision includes filing a full Medicaid application.

Medicaid coverage groups eligible for HPE decisions include children up to age 19, pregnant women, low-income parents or caretaker relative(s), former foster children and certain women with breast or cervical cancer. The Division of Medicaid is responsible for HPE Medicaid in conjunction with qualified hospitals that certify HPE eligibility.

Mandatory Coverage of Refugees Under the Refugee Resettlement Grant Medicaid is provided to certain refugees under a Refugee Resettlement Grant administered by the Department of Child Protection Services (DCPS). Refugees that meet the eligibility requirements for assistance under the grant are eligible for time limited Medicaid. DCPS certifies the eligibility for all qualified refugees that receive assistance and reimburses DOM with funds from the grant for all medical assistance provided by DOM to eligible refugees.

101.02.04 OPTIONAL CATEGORICALLY NEEDY – MAGI-RELATED Optional Coverage of Foster and Adoption Assistance Children The Department of Child Protection Services (DCPS) certifies eligibility for the following optional groups of children who are in the custody of DCPS: • Children under the age of 21 for whom the Department of Child Protection Services (DCPS) assumes full or partial financial responsibility who are in foster homes or private institutions are certified for Medicaid coverage by DCPS if the child’s income is within state established standards, converted to a MAGI-equivalent standard. • Children under age 21 in adoptions subsidized in full or part by DCPS and children in adoption assistance who cannot be placed for adoption without medical assistance due to special needs of the child are eligible for Medicaid regardless of the child’s income, as determined by DCPS.