Page 56

MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews P a g e | 56 Effective Month: September 2023 • Department of Employment Security – verifies wages reported to the agency as the State Wage Information Collection or SWICA agency. Also verifies Unemployment Compensation benefits paid. • TALX or FDSH – commercial database that verifies wages reported by employers that utilize this service. • EVVE or Electronic Verification of Vital Events – verifies birth and death records for births and deaths in all states that utilize this service. • Office of Child Support Enforcement (through the Department of Human Services) – verifies compliance with child support requirements for adults subject to this provision as a post-eligibility requirement. • PERS or Public Employees Retirement System (in MS) – verifies benefits paid by PERS. • MDHS Data History-provides income, household composition, and eligibility data that the Mississippi Department of Human Services has on file from their SNAP and TANF programs. Income verified by SNAP (but not TANF) can be used to verify income for MAGI.

101.08.03B ELECTRONIC DATA SOURCES UTILIZED BY THE FFM The FFM utilizes electronic data sources such as the Social Security Administration, TALX, and the Department of Homeland Security to determine eligibility for participation in a qualified health plan or potential eligibility for MAGI-related Medicaid or CHIP. Verified information is passed to DOM through the Account Transfer (AT) record along with attested information from the application filed with the FFM. AT records are then matched or are available for matching with DOM utilized data sources. 101.08.04 SUPERVISORY REVIEW Each ABD and MAGI-related eligibility determination must be authorized by a supervisor, who is responsible for the accuracy, completeness and consistency of information contained in the case record. The supervisor is attesting to the validity of the action taken on the case when it is authorized in the system. The exceptions to supervisory review include childless adult denials, the addition of a deemed infant to a case, family planning and pregnant women approvals. Secondary supervisory review of a case processed by designated experienced