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If the client does not appeal the decision (timely), or does not provide verification of a timely appeal to OPA within the required 15 days of OPA notice, request sufficient information to determine eligibility under other Medicaid programs (ex parte review). If the client is unsuccessful in the appeal to the Appeals Council and there is no eligibility under any other Medicaid program, close Medicaid and send timely notice of adverse action. TIMELY APPLICATION REQUIREMENTS: Eligibility must be determined with ninety (90) days for applications requiring a disability determination. See CMA 103-1 regarding the availability of extensions. REQUIREMENT TO APPLY FOR BENEFITS: SSDI Benefits: As a condition of eligibility, applicants who have at least 40 work quarters must apply for Social Security Disability Insurance (SSDI) no later than during the Medicaid application process OR within five months of the stated onset of disability, whichever comes later. SSI Benefits: Application for benefits which do not affect Medicaid eligibility is NOT a requirement. SSI income is excluded, so does not affect Medicaid eligibility. Effective Date: January 01, 2017