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COMBINED MEDICAID 1502-1 REDETERMINATIONS Supersedes: CMA 1502-1 (04/01/2023) Reference: 42 CFR 435.916,.919; 42 CFR 431 Subpart E, MCA 53.6.113, .142, P.L. 119-21 Overview: All Medicaid cases must be redetermined at least annually. A Medicaid redetermination consists of reviewing both financial and non- financial eligibility factors to determine ongoing eligibility. A timely closure notice is mailed if the updated information is not received by the due date. Appropriate notices must be sent when the redetermination is completed. See CMA 1503-1 Timely and Adequate Notice. Interviews cannot be required to complete a redetermination. However, if the client requests an interview, it must be scheduled. SSI Recipients: The Social Security Administration completes an SSI recipient’s annual Medicaid review. A renewal is not required if the individual is receiving or requesting additional coverage, such as Nursing Home, Waiver, QMB or SLMB and SSI/State Supplement is verified via SDX interface (IN). ACA/ABD/Family Medically Needy: Redetermined annually. All available electronic data sources are automatically queried; if there are no discrepancies between the queried and existing data, the program is automatically renewed. An approval notice is sent letting the household know benefits will continue. If a discrepancy is discovered or the auto-renewal process cannot run, a pre-populated -redetermination form is mailed to the household, allowing at least 30 days for the form to be returned. The client is required to respond and provide necessary information; they must either return the signed redetermination form, process the redetermination online, via the PAHL or in person.