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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 | 79 Effective Month: September 2023 The system sets the review due date based on the beginning month of the time period entered. When completing MAGI and/or ABD redeterminations, the time period must be set as follows: Overdue for Review Set the time span for the month following the month the pre- populated renewal form is received. Children who are approved will have a new review due date 12 months from the time period begin date.

Ineligible children must have a full review at the end of their 12-month protected period.

Current Reviews Set the time span for the month following the earliest redetermination due date for the case. This is the starting point to begin the eligibility assessment. If all children are approved again in the same program, the new review dates will be 12 months from the time period begin month.

101.15.03 ADMINISTRATIVE EX PARTE RENEWALS An administrative ex parte renewal allows eligibility to be renewed based on reliable information contained in the case record and other more current information available to the regional office, such as current data secured from electronic data sources.

• An ex parte review must be attempted on every client due for review. An ex parte review is required annually for SSI-only cases in Long Term Care in COE-005. SSI-only reviews must be completed, or, at a minimum, a redetermination contact must be registered, prior to the scheduled mailing of a pre-populated renewal form for the SSI-only case to prevent a pre-populated renewal form from being issued. For SSI-only reviews, the action needed is to verify the individual remains in the facility, check the SDX for any changes and attempt verification of any resources, such as a patient account or other type(s) of resources available to the SSI recipient.