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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 | 78 Effective Month: September 2023

101.15.02 ASSIGNMENT OF REVIEW DUE DATES A regular review must be completed on each recipient at intervals not to exceed 12 months. The system automatically sets a 12-month review at application and redetermination as follows:

APPLICATIONS REVIEWS MAGI applications – a Medicaid application month starts the 12-month count. (Application month + 11 months = review due date.)

For CHIP, the benefit month starts the 12- month count (Month after month of application + 11 months = review due date.) MAGI and ABD review due dates are determined using the time period begin month to start the 12-month count. (Begin month of time period + 11 months = review due date.)

Pregnant Woman’s due date is set to the 12th month of post-partum. 12 months after the end of the pregnancy.

ABD applications – the month the supervisor authorizes eligibility starts the 12-month count. (Supervisor authorization month + 11 = review due date.)

The reviewing supervisor is responsible for ensuring the proper review due date is assigned to each individual and for correcting or adjusting system-assigned dates at authorization when needed. No individual’s review due may be adjusted to exceed 12 months.

Setting Correct Time Spans to Ensure a Child’s 12-Months Continuous Eligibility

Because children (MAGI or ABD) can be added to a case at different times (birth of a child or addition of a child to a case), not everyone within a case may have the same review due date. As stated previously, all children under age 19 (MAGI and ABD) are entitled to 12-months of continuous eligibility.