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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 | 55 Effective Month: September 2023 the latest date that can be allowed to submit information or take necessary action to avoid a denial for failure to provide requested information. Assist the applicant as needed or requested to secure needed information. Failure to provide requested information – if the applicant has not fully complied by the due date on the 307 (for MAGI) or on the 309 (for ABD) and has not requested additional time, the application will be denied due to the failure to provide needed information or take required action. (NOTE: for ABD disability applications subject to the 90-day processing period, a denial cannot be issued prior to securing the DDS decision, which may allow additional time for the ABD applicant to provide other needed information.) Document the denial notice to inform the applicant of the missing verification or action that is the basis for the denial.

101.08.03A ELECTRONIC DATA SOURCES UTILIZED BY DOM For MAGI-related applications, all available electronic data sources are utilized and evaluated to attempt an eligibility determination. If information provided on the application is not consistent with electronic data source verification, the head of the household for the MAGI application must be contacted by telephone for a reasonable explanation of any relevant discrepant information. If a reasonable explanation is not provided, paper verification is requested using the DOM-307, Request for Information, as outlined above.

ABD applications utilize the same electronic data sources shown below except MDHS Data History. ABD resource tested applications also use the Fraud and Abuse Module (FAM) for resources. See 303.05 for FAM procedures.

Electronic data sources utilized by the agency include the following: • Social Security Administration – verifies non-financial factors of eligibility such as SSN verification, U.S. citizenship verification, age verification, disability onset date, if appropriate, and financial verification of benefits paid through SSA. • Department of Homeland Security – verifies immigration status of immigrants in possession of immigration or naturalization papers that can be used to match with Homeland Security.