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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 | 83 Effective Month: September 2023 must be completed for adverse action by May 15th or the end of May, as appropriate. • The case must have no open contacts or pending time periods by the published deadline in order for the system to generate a pre-populated renewal form. Any cases that are not in the appropriate status as of the date of mailing will be by-passed by the system making it necessary for the specialist to issue a pre-populated renewal form manually. If a renewal form is issued manually, the specialist must pre-populate the form will all known information required by the renewal form. • If a returned form is incomplete, meaning there is missing information or verification needed, attempt a telephone contact with the head of household to explain what is needed. • If a returned form suggests the client may qualify for a different program (e.g., MAGI reports disability, cost sharing indicates nursing home stay), send a 307 to request any additional information needed to evaluate eligibility for that program • If a renewal form (MAGI or ABD) is not returned by the due date, attempt telephone contact with the recipient as a reminder that the form is due for completion and return to the regional office via mail, in-person or electronically. • When the ABD or MAGI recipient or head of household fails to provide all needed information, action cannot be taken to terminate eligibility due to failure to provide information without first attempting a telephone contact to inform the individual of the information needed and when it must be provided to prevent termination. All efforts to contact the individual must be documented in the case record. • When a renewal form or other requested information is not returned, the worker must attempt to use available electronic data sources to complete a renewal. Any beneficiaries who could be renewed ex parte must be renewed ex parte. Any clients who would change from Medicaid to CHIP, CHIP to Medicaid, or to a lower coverage group must be changed to the new coverage. • Monthly and Weekly Redetermination Due Listings for both ABD and MAGI cases are available in the system to track and monitor cases due for review. Cases that are overdue for review are also part of these reports.