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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 | 90 Effective Month: September 2023 101.15.10 RECEIPT OF REGULAR REVIEW FORMS MAGI-related and ABD regular reviews may be submitted to a regional office by any of the means allowed for filing an application. Receipt of a redetermination or review form includes pre-populated forms that were issued by the system or manually, SSI review forms, and ABD review forms issued systematically or manually. These forms may be received in any of the following ways:

By mail in any regional office or in the central office. If received in the incorrect RO, forward to the correct RO in the same manner as an application.

By fax. An original signature is not required. In-person in any regional office, out- stationed site or other location where eligibility staff are on official duty. If assistance is requested in completing the renewal form, assistance must be provided on the day the individual comes into the office or other location.

By telephone. Assistance completing the review form must be offered if needed.

The Telephonic signature must be recorded Electronically via email Beneficiaries can upload and submit renewal form via email to the RO. On-line Beneficiaries can utilize the common web portal (CWP) self-service component to complete renewal form and upload needed documents..