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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 | 24 Effective Month: September 2023 302C). All such documents must specify that the legally appointed individual has the right to make health care decisions for the applicant or recipient. If an applicant or recipient is deceased, proof that the individual is the executor or administrator of the applicant’s or recipient’s estate is required if eligibility is needed in the month of death and/or retroactive period. The legally appointed representative will act on behalf of the applicant or recipient in all matters with the Division of Medicaid without limitation.

101.03.05 WHO CAN FILE THE APPLICATION An application can be filed by one of the following individuals, as applicable to the case: • Adult applicants; • Certain minor applicants, including; o A pregnant minor of any age requesting coverage solely due to pregnancy; or o A married minor living with a spouse; or o A minor living independently; or o A minor living with his/her parents and applying only for the minor’s own children. • The parent who has primary physical custody of a minor child; • Either parent of a minor child when physical custody is equally divided between legal parents; • The caretaker relative with whom a dependent child is living who has primary responsibility for the child’s care. o A caretaker relative is a relative by blood, adoption or marriage with whom the child is living who assumes primary responsibility for the child’s care. o A dependent child is under the age of 18 and deprived of parental support by reason of death, absence from the home or physical or mental incapacity. • An authorized representative designated in writing by the applicant on the MAGI application or on DOM-302A, Authorized Representative Form, for ABD;