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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 | 62 Effective Month: September 2023 • Presumptive eligibility for pregnant women (PEP) beginning date of eligibility is the date the PEP application is approved by provider/entity staff.

101.10.02 BEGINNING DATES OF CHIP ELIGIBILITY The benefit start date for CHIP is the first day of the month following the month of application, provided all eligibility factors are met. There is no retroactive eligibility for CHIP-eligible children, other than the newborn exception described below. Newborn exception: The start date for a CHIP-eligible newborn may be retroactive to the date of birth if the application is filed within 31 days of birth. The 31-day count for the application to be filed begins the day following the infant’s date of birth.

101.10.03 TERMINATION DATES Eligibility for a Medicaid or CHIP recipient will end on one of the following days of the month, unless otherwise noted:

• The last day of the month in which the client was eligible; or • The death date of the recipient. or • The date the recipient entered a public institution. • Hospital Presumptive Eligibility (HPE) termination dates are either the last day of the month of the HPE period or the day of the month that the full application for Medicaid is denied. • Presumptive Eligibility for Pregnant women (PEP) termination dates are either the last day of the month of the PEP period or the day of the month that the full application for Medicaid is denied.

101.10.04 RETROACTIVE MEDICAID ELIGIBILITY Retroactive Medicaid eligibility may be available to any Medicaid applicant who received medical care prior to applying for Medicaid. Applicants may qualify for