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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD If additional information is required during the case processing period, allow 10 days to provide the additional information. Additional information is defined as information needed after the initial request, or as a result of receiving information from the initial request. D-345.1 Future Actions If staff has information about anticipated changes in circumstances that may affect his or her eligibility, they must re-evaluate eligibility at the appropriate time based on such changes. Create a future action for the date of the anticipated change to affect the change timely. D-350 DISPOSITION OF APPLICATION Individually determine eligibility for each month using the policy in effect for each month. When processing applications, authorize assistance for each eligible month. Customers may be determined eligible for some months and ineligible for others. D-350.1 Certification Period Medical assistance is approved for 12 months for all MAABD based eligibility determinations. Individuals receiving Medical assistance must report changes by the fifth (5th) of the month following the month of the change. D-355 MEDICAID, SPECIAL LOW-INCOME MEDICARE BENEFICIARY (SLMB) & QUALIFIED INDIVIDUALS (QI) Medicaid assistance begins with the first (1st) day of the month for which a customer is determined eligible. There is no partial month eligibility. Example: Customer applies November 11 and is approved effective November and ongoing. Medicaid eligibility coverage begins November 1st and ongoing. If all information needed to determine Qualified Medicare Beneficiary (QMB)/SLMB eligibility is received, approve the case as a QMB/SLMB only case and future action the case for determining eligibility under the other category. If the customer is later determined eligible under the other category, the Medicaid is approved with the first month of eligibility. If the customer states in writing they do not want the Medicaid coverage and only want the QMB/SLMB coverage, staff will convert the case to a QMB/SLMB only case (a new application is not needed unless a Redetermination [RD] is due). When the customer is determined ineligible for another category for any reason, the customer may be eligible for QMB/SLMB only coverage as long as all the requirements are met and all the necessary information for QMB/SLMB coverage has been obtained. The QMB/SLMB only coverage CANNOT be denied because the customer did not meet a requirement or did not cooperate in providing verifications specifically needed for another medical category. D-355.1 Medicaid, Qualified Medicare Beneficiary (QMB) Coverage begins with the first (1st) of the month following the month an eligibility decision is made. Examples: D-345 MAABD APPLICATION PROCESSING Division of Social Services Medical Assistance Manual 14 Aug 25 MTL 11/25 PENDING INFORMATION – INTAKE CASES