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c. If the beneficiary requests retro Medicaid only, process the application. This is an administrative application. The date of application is the date the application is signed or the date the a/b requests assistance. If otherwise eligible, approve case. This will allow the QI1/MQB-E to continue for the remainder of the QI1/MQB-E certification period.

d. If the beneficiary requests retro and ongoing full Medicaid or ongoing Medicaid only, an application is not necessary. This is an administrative application.

e. The MAABD retro C.P. is the 3 calendar months prior to the month the a/b requests assistance. The 6-month or 12-month ongoing certification period begins the month the A/B requests assistance. The MAABD C.P. is not tied to the original QI1/MQB-E date of application.

f. If the QI1/MQB-E beneficiary is ineligible for full Medicaid, document the request and the reason the Medicaid program was not changed.

5. MAABD, MQB-Q, MQB-B, SAAD beneficiary loses eligibility.

When a beneficiary is terminated from a Medicaid program and their income is in the QI1/MQB-E range, take the following action: a. Review the case. b. If the a/b is otherwise eligible and the federal funds have not been exhausted, the beneficiary is not required to make an application. Process an administrative application.

c. QI1/MQB-E coverage cannot begin until the month following the month full Medicaid terminates.

d. The end date depends on the QI1/MQB-E date of application. If the QI1/MQB-E date of application is January 1 through October 31, the end date is 12/31 of the current calendar year. If the QI1/MQB-E date of application is 11/01 or later, the end date is 12/31 of the next calendar year.

IV. RECERTIFICATION

A. Ex-parte process 1. Complete an ex-parte and evaluate for all other Medicaid programs by the 2nd to last business day of December.

2. The caseworker is required to: