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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 | 39 Effective Month: September 2023 Follow policy outlined in 500.10.01 for SSI Eligibles entering Long Term Care who need the LTC per diem payment authorized by DOM. 101.05.02 APPLICATIONS FOR FOSTER CHILDREN AND ADOPTION ASSISTANCE CHILDREN CERTIFIED BY THE DEPARTMENT OF CHILD PROTECTION SERVICES (DCPS) Children who qualify for Medicaid while in the custody of DCPS are certified as Medicaid-eligible by DCPS, including any retroactive months. However, not all children in the custody of DCPS are eligible for DCPS-related Medicaid, usually because the child has income (or resources) of their own that exceeds the limit(s) allowed by DCPS. If a child is not Medicaid eligible through the DCPS, the county Social Worker or foster parent will apply for Medicaid for the child through the Medicaid Regional Office and the RO will handle as a MAGI-related application, unless the child applies based on disability and ABD Medicaid is requested. Follow policy outlined in 500.10.02 for foster children or adoption assistance children certified as eligible by DCPS entering Long Term Care who need the LTC per diem payment authorized by DOM. 101.05.03 ACCOUNT TRANSFERS (AT’S) RECEIVED FROM THE FFM Individuals who apply for health coverage through the FFM are assessed for Medicaid and CHIP eligibility and health coverage through the FFM. If some or all household members appear to be Medicaid or CHIP eligible, the electronic accounts for those household members are transferred to DOM. If some or all household members are not eligible for Medicaid or CHIP but are eligible for health coverage through the FFM through a participating health insurer, those individuals are enrolled in a Qualified Health Plan (QHP) by the FFM. Individuals who are enrolled in a QHP with income between 100% - 400% of the FPL based on family size can qualify for premium credits to purchase insurance or for cost-sharing subsidies that reduce annual cost-sharing expenses of the insurance purchased through the FFM. Individuals referred for Medicaid or CHIP coverage are first evaluated by the system to determine the following: