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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 | 40 Effective Month: September 2023 • If there is sufficient information on the AT file to identify household members and confirm that applying household members are not currently eligible in any active case, the case is auto registered in the system as a pending application. Sufficient information includes an SSN for all applying. • When an AT is received on a non-qualified non-citizen, determine if individual has received an emergency medical service in the application month or prior three months. The FFM assesses the individual for eligibility but not for an emergency service. • If a household member or entire case is closed in the system, the individual or case will have an application contact opened so that an application can be processed for the applying household members. • If an AT lacks sufficient identifying information to auto-register an application or redetermination contact, the AT defaults to a pdf document on Report RJ564. This report is used by the regional office to register the application in the system and is loaded into the electronic record in MEDS.

The regional office assigned the AT will complete the application in the same manner as an application received by DOM.

101.05.04 APPLICATIONS RECEIVED FROM THE COMMON WEB PORTAL (CWP) The Common Web Portal is a common application form shared with DHS. An individual can apply for SNAP, TANF, and/or Medicaid. Applications filed through the Common Web Portal for health benefits are assessed for Medicaid and CHIP eligibility. If a CWP application lacks sufficient information to auto- register an application or redetermination contact, the CWP form defaults to a pdf document on Report RJ568. This report is used by the regional office to register the application and is loaded into the electronic record in MEDS.