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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 | 4

101.15.05 RETURNED MAIL FROM REDETERMINATIONS ........................................ 84 101.15.06 TIMELY PROCESSING ................................................................................. 85 101.15.07 TIMELY AUTHORIZATION .......................................................................... 85 101.15.08 EX PARTE REVIEWS .................................................................................... 86 101.15.09 SSI REVIEWS REQUIRED FOR SSI TERMINATIONS ........................... 89 101.15.10 RECEIPT OF REGULAR REVIEW FORMS .............................................. 90 101.15.11 DISPOSITION OF A REGULAR REVIEW – ABD AND MAGI ................ 91 101.15.11A APPROVAL OF A REGULAR REVIEW ..................................................... 91 101.15.11B REDUCTION OR TERMINATION OF BENEFITS .................................... 91 101.15.12 REQUESTED INFORMATION PROVIDED AFTER CLOSURE ............. 93 101.16 SPECIAL REVIEWS ..................................................................................................... 94 101.16.01 RECIPIENT REPORTING REQUIREMENTS ............................................... 94 101.16.02 CHANGE REPORTING REQUIREMENTS - ABD .................................... 95 101.16.03 CHANGE REPORTING REQUIREMENTS – MAGI PROGRAMS ......... 95 101.16.04 PROCEDURAL CHANGES – ABD and MAGI ................................................ 96 101.16.05 TAKING ACTION ON REPORTED CHANGES .............................................. 97 101.17 REINSTATEMENTS ..................................................................................................... 99 101.17.01 INFORMATION PROVIDED PRIOR TO EFFECTIVE DATE OF CLOSURE ................................................................................................................................................... 99 101.17.02 90-DAY REINSTATEMENT PERIOD FOR MAGI AND ABD RENEWALS ................................................................................................................................................. 100 101.17.02A RENEWAL CLOSURES REQUIRING REINSTATEMENT ................... 100 101.17.02B RENEWAL REINSTATEMENT NOT REQUIRED .................................. 102 101.17.03 CORRECTIVE ACTION .................................................................................... 102 101.17.04 CONTINUATION OF BENEFITS AND HEARING DECISIONS ................. 103 101.17.05 TEMPORARY CASE CLOSURE .................................................................... 103 101.17.06 WHEREABOUTS UNKNOWN ......................................................................... 104 101.18 OTHER CHANGES – ABD PROGRAMS ................................................................ 104 101.18.01 CHANGES IN MEDICAID INCOME ................................................................ 104