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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 | 8 Effective Month: September 2023 Certification Responsibilities Medicaid is certified or authorized by the following entities: 1. The Social Security Administration or SSA, 2. The Mississippi Department of Child Protection Services or DCPS, 3. The Mississippi Division of Medicaid or DOM, 4. Qualified Hospitals that certify Hospital Presumptive Eligibility or HPE 5. Qualified Providers that certify Presumptive Eligibility for Pregnant Women or PEP

101.02.01 MANDATORY CATEGORICALLY NEEDY – MAGI RELATED The following are MAGI-related coverage groups that must be covered, as required by federal law: Mandatory Coverage of Parents and Other Caretaker Relatives Coverage is mandatory for parents and other caretaker relatives who have a dependent child or children under the age of eighteen (18) living in the home whose household income is below the applicable limit established by the state for coverage. The limit established by the state is a MAGI-equivalent standard based on household size. The Division of Medicaid certifies eligibility for this group. • Extended Medicaid coverage for twelve (12) months is mandatory for a family whose eligibility is based on family coverage if the family loses Medicaid coverage solely due to increased income from employment or increased hours of employment provided the family received Medicaid in any three (3) or more months during the six (6) month period prior to becoming ineligible, as determined by the Division of Medicaid. Mandatory Coverage of Pregnant Women Coverage is mandatory for pregnant woman whose household income is at or below the income standard established by the state, not to exceed 185% of the federal poverty level converted to a MAGI-equivalent standard. The Division of Medicaid certifies eligibility for this group.