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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 | 45 Effective Month: September 2023 101.06.01 INTERVIEW DISCUSSION In general, during an interview for ABD or MAGI-related applications, the specialist reviews: • Household composition and relationships to explain the individuals who are required to be included in the application and/or budgetary process and those who cannot be included. • The specific programs and services available to the applicant and/or family through the Division of Medicaid, such as non-emergency transportation for individuals eligible for full Medicaid. • Services offered by other agencies with referrals made, as appropriate. The following policy provisions are required for both ABD and MAGI interviews: Provision Required Discussion Points Filing an application The agency must allow individual(s) of the applicant’s choice to accompany and assist the applicant in the application or review process. Coverage groups Eligibility requirements for the coverage group(s) the applicant appears potentially eligible in must be explained. Coverage limited to one source Coverage is limited to only one source of eligibility. If the individual is eligible under another source, that source must terminate before ABD or MAGI-related eligibility begins. Purpose of application The use and purpose of the application, including that the applicant is agreeing to all the rights and responsibilities specified on the application by signing the form. Processing limits The applicable Standards of Promptness (SOP). Conditions of eligibility Discuss critical factors such as age or disability, providing a SSN, citizenship or alien status, assignment of rights, who is authorized to sign the application or act on behalf of the applicant and other factors as applicable as the application is completed or reviewed. QC reviews The Quality Control review process. Computer matching The use of Social Security Numbers in computer matching programs. Appeals Rights to a fair hearing for adverse actions, exceeding SOP, erroneous actions.