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MISSISSIPPI DIVISION OF MEDICAID Eligibility Policy and Procedures Manual CHAPTER 102 – Non-Financial Requirements Page |91 Effective Month: September 2018 Medicaid-only application) or if any other missing months of eligibility exist prior to the time the SSI payment began. If Medicaid coverage is needed, reinstate the denied Medicaid-only application to determine eligibility for any needed months. Refer to 101.05.01 and 101.10.06 for additional information on filling in gaps of needed Medicaid eligibility for SSI recipients. • If disability is approved for Title II benefits (with no SSI dates of eligibility), reinstate the Medicaid-only application using the original application date and determine eligibility in the normal manner. Evaluate the need for retroactive Medicaid benefits for up to 3 months prior to the Medicaid-only application. If the individual is ineligible due to financial or other factors, deny the application for the appropriate reason. If disability is denied by DDS for SSI and/or Title II benefits, it is not possible for Medicaid to be approved for the same period. One possible exception is a disability denial by SSA due to earnings above the substantial gainful employment limit that prevents SSI or Title II from being paid. In such a case, review the individual’s Medicaid eligibility under the Working Disabled coverage group. 90-Day “No Decision” by DDS A “No Decision” response by DDS, usually issued at the end of the 90-day disability processing time for Medicaid, indicates a federal appeal is pending on a DDS denial or a federal review of the DDS decision is pending. In either instance, DDS is not permitted to issue a disability decision for Medicaid purposes that may be contrary to the federal finding. When the regional office receives a “No Decision” response from DDS, a disability denial must be issued as the Medicaid decision with remarks on the denial notice advising the individual to let the regional office know if disability benefits are later approved by SSA. If disability is later approved for SSI and/or Title II, reinstate disability approvals as outlined above for 90-day disability denials by DDS.