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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 | 46 Effective Month: September 2023 Provision Required Discussion Points Covered services Available services such as the EPSDT program and the annual physical for adults. Verification of eligibility Verification requirements and methods to be used to establish eligibility, including the use of electronic databases, collateral contacts, and documentary verification. Reporting changes The change reporting requirements. Voter registration Voter registration opportunities. Managed care Enrollment in MississippiCAN for mandatory populations.

The following explanations are specific to ABD institutional applications (LTC and HCBS) and must be addressed as applicable: Provision Required Discussion Points

Estate Recovery Estate recovery as it applies to excluded resources, such as the home or income producing property. Provide copy of Estate Recovery Fact Sheet from DOM website. Income Trust If applicable, provide copy of LTC or HCBS Income Trust document and repayment requirements, either through payment of Medicaid Income or direct payment to DOM of overage or both. If payment is due for month of entry for LTC, explain option to delay Medicaid coverage to following month to avoid payment of amount that is above the institutional limit. Discuss setting up a separate bank account for funding HCBS & if applicable, LTC IT’s. Annuities If applicable, provide copy of ABD handout on annuities and discuss verification and annuity requirements, such as making DOM the beneficiary of the annuity if required. Transfer of Assets Discuss prohibition of transfer of assets within 5-year lookback period and as an ongoing prohibition. Provide the ABD Transfer of Assets handout to all institutional applications (LTC & HCBS). Asset Verification System (AVS) Explain the authorization for financial institutions to disclose financial account information is a condition of eligibility (AVS matching).