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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 | 19 Effective Month: September 2023 for individuals who do not receive SSI or foster care/adoption assistance Medicaid through Child Protection Services. The Division of Medicaid offers 1915(i) State Plan services to individuals with an intellectual and/or developmental disability that need the services offered under 1915(i), specifically; day habilitation services, prevocational services and supported employment services. If a Medicaid recipient in a full services at-home category of eligibility has the clinical qualifications needed, the recipient can qualify for 1915(i) services without being placed on the ID/DD waiver program provided their income does not exceed 150% of the federal poverty level. Individuals enrolled in a Medicare cost-sharing group (QMB, SLMB or QI) or recipients in a full-service COE with income above 150% FPL can qualify for the 1915(i) services only by qualifying for the ID/DD waiver.

101.03 HOW TO APPLY This chapter provides guidelines on the process of applying for eligibility determinations for all coverage groups. 101.03.01 APPLICANT An applicant is someone whose signed application form has been received by the Division of Medicaid (DOM) and is requesting an eligibility determination. An applicant is also someone whose signed application is received by another agency or entity authorized to make Medicaid certifications. An applicant includes someone who applies for coverage in MS through the Federally Facilitated Marketplace (FFM) and has their electronic application information transferred to DOM via a process referred to as an Account Transfer (AT). 101.03.01A DECEASED APPLICANTS An application for Medicaid may be made on behalf of a deceased individual. The application must be filed before the end of the third month following the