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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |119 Effective Month: September 2018 email to the Director of the Buy-In Program in Third Party Recovery (TPR) with the A/R’s name, Medicaid ID#. If otherwise eligible, approve the A/R in a COE that allows Medicare with an anticipated effective date for Medicare Part A/B using the month after the month of approval of the application or review as the effective date of both Parts A and B. • No action necessary for Part A. Acceptance of Medicare Part A is not required if a premium is payable. • Acceptance of Part B is not required if A/R is eligible or applying for COE- 045. • If eligible in any other COE other than COE-045, opening Part B is required and is a manual process. Send an email to TPR to have Part B opened (include name, Medicaid ID# and SSN). If A/R has active Part A only OR active Part B only – approve the A/R in a COE that allows Medicare. The Buy-In Program will automatically open or reopen Part A or B as appropriate once eligibility is approved. For applications, enter the effective date for the missing Part A or Part B as the month after the month of approval. For reviews, enter the effective date of the missing Part A or Part B as the current month. Buy-In may override this month – check at the next review to determine if a corrected date is needed in MEDS. If A/R has active Part A and no Part B – Part B will be opened automatically via the Buy-In Program once eligibility is approved in a COE allowing Medicare (including SLMB or QI). Enter eligibility begin date as Part B begin date. If A/R has active Part B and no Part A, approval of eligibility is allowed in any COE other than SLMB, QI or any COE that does not allow Medicare. Income is above 100% FPL – SLMB and QI COE’s A/R must have active Part A that must be verified prior to approval of SLMB or QI. If an individual has previously applied for Medicare and was denied or terminated from Medicare for any reason other than an R, T or W, verify the reason for the denial or termination to ensure the reason does not impact Medicaid eligibility (such as an unsatisfactory immigration status or cessation of disability). Document the record with the reason and the resulting impact on the case. Buy-In cannot override any denial or termination codes other than R, T or W.