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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Division of Child and Family Services Medicaid Specialized Groups Breast and Cervical Cancer; Aged Out of Foster Care; Children in the Custody of a Public Agency, Justice Involved Re-Entry MAABD Medical Assistance to the Aged, Blind & Disabled When moving a customer to another household, do not post downgrades to eligibility after cut-off for the next month, Medicaid Management Information System (MMIS) cannot recognize this action, and the eligibility will not be terminated. Note: A system notification is sent to Healthcare.gov when an individual is enrolled in Medicaid. Healthcare.gov will notify the individual of disenrollment in Advanced Premium Tax Credits (APTC) received through Healthcare.gov. D-135 TIME FRAMES (42 CFR 435.912) Process MAGI based eligibility determinations no later than the 45th day from the application date. D-140 PRE-ELIGIBILITY VERIFICATION If customer statement indicates ineligibility, deny the application based on customer statement and notify the household. There is no need to verify the information. D-140.1 Non-Financial • Citizenship – Citizenship or immigrant status must be verified prior to approval. Citizenship is verified electronically through the federal hub or using current case information. Refer to Medical Assistance Manual (MAM) C-400 Citizenship and Identification Requirements for citizenship verification requirements including additional procedures on case approvals using the “Reasonable Opportunity” policy when electronic information is unavailable to the Division. • Social Security Number – Verified via NUMIDENT. When a discrepancy exists follow procedures outlined in MAM C-200 Social Security Numbers for SSN discrepancies. • Residency – Accept customer statement for residency. When a discrepancy exists in the current case file, contact the household or a collateral contact to clarify circumstances and document the information. See MAM C-100 Residence Requirements for residency verification requirements. • Age/Date of Birth (DOB) – Verified via NUMIDENT. Follow MAM C-200 Social Security Numbers if a NUMIDENT discrepancy exists. If no data source is available accept customer statement for age. • Household Composition – Accept customer statement for verification of household composition. D-130 MAGI APPLICATION PROCESSING DUPLICATE ASSISTANCE SCREENING Division of Social Services Medical Assistance Manual 25 July MTL 07/25