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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 | 58 Effective Month: September 2023 101.08.06 COMPLIANCE AFTER DENIAL If a MAGI or ABD applicant provides all needed information to complete the application within 90 days following denial, use the denied application form to establish eligibility using the original application date. Reinstate the application in the system using the original application date.

For example, the application is denied on September 12th. If all needed information is provided on or before December 11th, the application can be reinstated.

If, as a result of new information provided, additional information is needed to complete the application, attempt to handle these issues by telephone contact, if possible. If not possible, issue a DOM-307 (and DOM-309 for ABD, if needed) specifying what is needed to comply. Allow 15 days for the information to be returned.

• If requested information is not provided, no further contact with the individual is required unless the information needed is provided during the remainder of the compliance period. Close the reinstatement contact, delete the time period and document the case narrative. • If all information is provided, take action to approve the application if eligible or deny the application for the appropriate reason if ineligible.

101.09 COMBINATION MAGI AND ABD APPLICATIONS Although MAGI and ABD are separate programs, there are common elements that allow an individual to apply in one program but be determined eligible in the other using available information.

The MAGI application asks specific questions at the individual level regarding possible ABD eligibility. These questions ask if the applying household member:

• is disabled, or • has a physical, mental or emotional condition that limits common activities, or