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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 | 3
101.10 ELIGIBILITY DATES .............................................................................................. 61 101.10.01 BEGINNING DATES OF MEDICAID ELIGIBILITY.................................... 61 101.10.02 BEGINNING DATES OF CHIP ELIGIBILITY ............................................. 62 101.10.03 TERMINATION DATES ................................................................................. 62 101.10.04 RETROACTIVE MEDICAID ELIGIBILITY ................................................... 62 101.10.04A RETROACTIVE MEDICAID FOR ABD APPLICATIONS ........................ 64 101.10.04B RETROACTIVE MEDICAID FOR MAGI-RELATED APPLICATIONS 64 101.10.05 RETROACTIVE MEDICAID FOR DECEASED APPLICANTS ................ 64 101.10.06 RETROACTIVE MEDICAID FOR SSI ELIGIBLES AND FILLING IN GAPS ................................................................................................................................................... 65 101.11 NOTIFICATION ....................................................................................................... 65 101.11.01 ADVANCE NOTICE ............................................................................................. 66 101.11.02 EXCEPTIONS TO ADVANCE NOTICE ........................................................... 66 101.12 PROCESSING DOM EMPLOYEES/FAMILY MEMBERS CASES ..................... 68 101.13 SERVICE DELIVERY SYSTEMS......................................................................... 69 101.14 CONTINUOUS ELIGIBILITY FOR CHILDREN .................................................. 71 101.14.01 EARLY TERMINATION REASONS FOR CHILDREN ............................. 71 101.14.02 DEEMED ELIGIBLE INFANTS .................................................................... 73 101.14.03 ADULTS ........................................................................................................... 74 101.15 THE REDETERMINATION OR RENEWAL PROCESS ................................... 74 101.15.01 REGULAR REDETERMINATIONS OR RENEWALS – MAGI & ABD ... 74 101.15.01A FREQUENCY OF REVIEWS .................................................................... 75 101.15.01B PROCESSING CHILDREN CURRENTLY DUE FOR REVIEW......... 75 101.15.01C PROCESSING CHILDREN NOT CURRENTLY DUE FOR REVIEW 76 101.15.01D PROCESSING AN APPLICATION AND A REVIEW ............................... 77 101.15.02 ASSIGNMENT OF REVIEW DUE DATES ................................................. 78 101.15.03 ADMINISTRATIVE EX PARTE RENEWALS ............................................. 79 101.15.04 PRE-POPULATED RENEWALS ....................................................................... 82