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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 | 61 Effective Month: September 2023 the individual has already been determined disabled by SSA. The letter instructs the individual to sign, date and return the letter to DOM by mail, in person, by fax or email if he/she wants to continue with an application for ABD Medicaid or, if needed, the individual can contact the agency by phone to continue the process.

If an individual signs and returns the “non-MAGI letter” to the agency via any means acceptable for filing an application, an ABD application must be issued to the individual and the steps described above in “MAGI Application Filed with DOM Indicates Possible ABD Eligibility” must be followed for processing the ABD application.

If a signed non-MAGI letter is not returned to the agency, no further action is required. 101.10 ELIGIBILITY DATES The following discussion addresses Medicaid and CHIP beginning dates of eligibility, ending dates of eligibility, and retroactive Medicaid eligibility.

101.10.01 BEGINNING DATES OF MEDICAID ELIGIBILITY Medicaid applicants, including an applicant who dies prior to filing an application or dies prior to completion of the application process, may qualify for Medicaid on one of the following dates:

• The first day of the month of the application, provided all eligibility factors are met for the first day of the month. • The first day of the month after the month of application in which all eligibility factors are met. • The first day of the first, second or third month prior to the month of application when conditions are met for retroactive Medicaid. • The first day of the month following the month of approval for QMB-only (Qualified Medicare Beneficiary) eligibility. There is no retroactive Medicaid possible for a QMB-only. • The Hospital Presumptive Eligibility (HPE) beginning date of eligibility is the date the HPE application is approved by authorized hospital staff.