Page 44

MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |44 Effective Date: June 2020 State Office Responsibilities: When the information is received in state office, it is submitted electronically to the Department of Homeland Security, using the FDSH or SAVE process, as appropriate. When a response is received back, it is reviewed initially at the state level. The reviewer notes the following: • Whether or not the alien is qualified, and • If he is a qualified alien, whether the 5-year disqualification or 7-year eligibility time limit appears applicable. • If either the 5- year ban or 7-year eligibility period appears applicable, the reviewer notes the beginning and ending dates and forwards the information to the regional office. • If additional documentation is needed, such as for a battered alien or victim of trafficking, the RO will be notified of the need for additional documents. Medicaid Specialist Responsibilities Following State Office Review • When the INS verification sheet is received from state office and the alien is not in a qualified alien classification, he is eligible only for Emergency Services. • When the INS verification sheet is received from state office and the alien is in a qualified status, review it and compare the INS information and case record information with the chart in Section 102.05.15 to determine alien eligibility and correct level of Medicaid eligibility. • The state reviewer does not have access to all information in the case record; therefore, it is very important that the specialist considers information from all applicable sources and applies the correct policy to make an eligibility determination. Example: The SAVE verification sheet from the Department of Homeland Security verifies an alien was Lawfully Admitted for Permanent Residence and is in the 3rd year of the 5-year ban. The state reviewer specifies the full 5-year period on the form. However, the case contains verification that the alien is the pregnant spouse of an honorably discharged veteran. The specialist determines the qualified alien is exempt from the 5-year disqualification and eligible for Medicaid as a pregnant woman in a full-service COE.