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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page | 95 Effective Month: September 2023 action, causing the recipient to receive benefits to which he is not entitled, the specialist will take steps to report an overpayment. 101.16.02 CHANGE REPORTING REQUIREMENTS - ABD The following types of changes must be reported by ABD recipients within 10 days of the date the change becomes known: • Changes in address in or out of state. • Changes in marital status. • Changes in income for the recipient and/or spouse. • Change in any type of policy that would pay for medical services, such as health insurance, indemnity policies, major medical policies, CHAMPUS or legal settlements. • Changes in a recipient’s disability which would affect his Medicaid eligibility. • Changes in living arrangements, such as a long-term care (LTC) recipient entering a hospital or a nursing home, leaving a hospital or a nursing home, moving from one medical facility to another. • Changes in resources, i.e., recipient buys, sells, gives away or receives an asset or any part of an asset. • Changes in health insurance premiums for LTC recipients.
101.16.03 CHANGE REPORTING REQUIREMENTS – MAGI PROGRAMS The following changes must be reported by MAGI-related recipients within 10 days of the date the change becomes known. All MAGI Recipients • Changes in address in or out of state. • Changes in any type of policy that would pay for medical services, such as health insurance, indemnity policies, major medical policies, CHAMPUS or legal settlements.