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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 | 2

101.05 MEDICAID APPLICATIONS FILED THROUGH ANOTHER AGENCY OR ENTITY ......................................................................................................................................... 37 101.05.01 APPLICATIONS FOR SSI APPLICANTS ........................................................ 38 101.05.02 APPLICATIONS FOR FOSTER CHILDREN AND ADOPTION ASSISTANCE CHILDREN CERTIFIED BY THE DEPARTMENT OF CHILD PROTECTION SERVICES (DCPS) ..................................................................................... 39 101.05.03 ACCOUNT TRANSFERS (AT’S) RECEIVED FROM THE FFM .................. 39 101.05.04 APPLICATIONS RECEIVED FROM THE COMMON WEB PORTAL (CWP) ................................................................................................................................................... 40 101.05.05 LOW INCOME SUBSIDY (LIS) APPLICATIONS RECEIVED FROM SSA 41 101.05.06 HOSPITAL PRESUMPTIVE ELIGIBILTY (HPE) ............................................ 42 101.05.07 PRESUMPTIVE ELIGIBILITY FOR PREGNANT WOMEN (PEP) ............... 43 101.06 INTERVIEWS WITH DOM ........................................................................................... 44 101.06.01 INTERVIEW DISCUSSION............................................................................... 45 101.06.02 CONCLUDING THE INTERVIEW ................................................................... 49 101.07 STANDARDS OF PROMPTNESS ............................................................................. 49 101.07.01 REGIONAL OFFICE RESPONSIBILITIES ................................................. 49 101.07.02 EXCEPTIONS TO TIMELY PROCESSING ............................................... 50 101.07.03 ABD STANDARDS OF PROMPTNESS ..................................................... 50 101.07.04 MAGI-RELATED STANDARD OF PROMPTNESS .................................. 50 101.08 PROCESSING APPLICATIONS ................................................................................. 51 101.08.01 MAKING AN ELIGIBILITY DECISION ......................................................... 51 101.08.02 USE OF COLLATERAL CONTACTS .......................................................... 53 101.08.03 REQUESTING INFORMATION FROM THE APPLICANT ...................... 54 101.08.03A ELECTRONIC DATA SOURCES UTILIZED BY DOM ......................... 55 101.08.03B ELECTRONIC DATA SOURCES UTILIZED BY THE FFM ................. 56 101.08.04 SUPERVISORY REVIEW ............................................................................. 56 101.08.05 APPLICATION ACTIONS .............................................................................. 57 101.08.06 COMPLIANCE AFTER DENIAL ................................................................... 58 101.09 COMBINATION MAGI AND ABD APPLICATIONS ........................................... 58