Page 59

MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews P a g e | 59 Effective Month: September 2023 • lives in a medical facility or nursing home.

An affirmative response to any of these questions requires further development as quickly as possible during the MAGI application process to follow up on possible ABD eligibility if it is unlikely that the individual will qualify for MAGI based on application information. For example, an applying household member is over the age of 18 and is not a parent or caretaker of a minor child in the home, or the parent/caretaker has income over the limit for adult coverage, or a disabled child’s family income is over the Medicaid and CHIP limit. In all these situations, if a disability is alleged for an applying MAGI household member, that individual must be allowed the opportunity to apply for ABD in an expeditious manner.

MAGI Application Filed with DOM Indicates Possible ABD Eligibility

To fulfill the requirement for a MAGI applicant to apply for ABD when a MAGI application indicates possible ABD eligibility, do the following:

• Issue the ABD application form (DOM-300) via DOM-307 requesting only the information that is not available as part of the MAGI application process. The types of verification needed to establish ABD eligibility may be:

o Requesting disability information for a DDS decision if disability cannot be established using electronic verification from SSA on the SVES. o Verification of any income not counted for MAGI purposes, such as VA benefits, that will not be verified during the MAGI application process. o Verification of resources for the individual, couple, or parent(s) of a disabled child, which are not considered for MAGI eligibility.

• A signed ABD application form is required to formalize receipt of an ABD application. If a signed (complete or incomplete) ABD application