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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL • Pregnancy – Accept customer statement for pregnancy. When the customer does not provide an expected due date (EDD) on the application, contact the customer to obtain the EDC. If unable to obtain an EDC via phone, staff should update the PREG record and the unborn’ s MEMB screen with a due date eight months out from the date of application and process the case. Medicaid Assistance Applications received from the Exchange will not have an EDC on the PDF as the Exchange does not ask this question. The Division systems require an EDC entered to process correct eligibility for pregnant women. A default date of 12/31/9999 will be entered and must be updated by staff during processing. Note: Currently the system does not create an AMPS task when the EDC has passed, however staff should still receive an alert in AMPS/NOMADS. When subsequent applications are received, staff should review and verify the PREG record and unborn’ s MEMB details are accurate and update if necessary. • Caretaker Relative – Accept customer statement for verification of relationship. • Domestic Partnership – Accept customer statement for verification of relationship. D-140.2 Financial Verify current monthly income using available electronic data sources. When an open TANF/SNAP case exists, always use that data source as a primary verification. If new income is reported on the application, follow TANF/SNAP verification rules. If no data source is available, request verification of current monthly income from the applicant/household. The request should include the 30-day period beginning with the day prior to the date of application and extending back 30 calendar days. Note: When a 30-day best estimate does not provide a clear presentation of the household’s income, a 60 day best estimate should be evaluated. D-145 POST ELIGIBILITY VERIFICATION If all factors of eligibility (Financial & Non-Financial) required during the Pre-Eligibility process are verified, staff must complete case processing and determine Medicaid eligibility. When there is additional information reported on the application but not required for a Medicaid determination, send an Insufficient Information Form after posting the case and allow the applicant 10 days to provide the requested information. Post Eligibility Verifications can include: • Third Party Liability – when the application indicates insurance coverage is available at no cost to the customer send an Insufficient Information Form requesting the customer to enroll. D-140.1 MAGI APPLICATION PROCESSING Division of Social Services Medical Assistance Manual 25 July MTL 07/25 NON-FINANCIAL