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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 101 – Coverage Groups and Processing Applications and Reviews Page | 99 Effective Month: September 2023 • Reported changes that would change a child from CHIP to Medicaid must be acted on. Children cannot be switched from Medicaid to CHIP during the child’s 12 months of continuous eligibility Documenting the Case Record The case record/case narrative must reflect the following information about the reported change:

• Who reported the change. • When the change was reported. • How the change was reported. • When action was initiated on the change. • What was used to verify the change. • What action was taken regarding the verified information.

101.17 REINSTATEMENTS Certain situations require a reinstatement of services, which means either eligibility is restored, or Medicaid income is corrected for a prior period. Both types of reinstatements are completed without requiring that a new application be filed on behalf of the recipient. A reinstatement is in order in the following situations, as applicable, to ABD and MAGI recipients via a Reinstatement contact in the system. 101.17.01 INFORMATION PROVIDED PRIOR TO EFFECTIVE DATE OF CLOSURE If the recipient provides information that changes the adverse action decision or fully complies with unmet requirements prior to the effective date of the closure, benefits must be reinstated to ensure no loss of benefits, if the recipient remains eligible. If the information provided does not change the adverse action decision, no further action is required. If advance notice of Medicaid and/or CHIP benefit reduction or termination was not issued as required, benefits must be reinstated back to the date of closure