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MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD MAABD D-301.1 Unsigned Application An application which is not signed by the customer or A/R is an inquiry only. Staff should make a reasonable attempt to contact the Head of Household (HOH), or A/R to obtain a signature telephonically via all phone number(s) available on the application and the AMPS system. If no contact is made, do not date stamp the application, it is an inquiry only. The application is incomplete and should not be retained. NOTE: Unsigned applications received for a case with open benefits must be retained and evaluated for changes only. D-301.2 No Program Selected If the application is signed but no program is selected, staff must register and evaluate all applicable Medicaid programs for all listed household members, using prudent person principle. If any household member is over age 65 and/or lists any disability, impairment, need for additional services, or institutionalization, the Division must evaluate for MAABD. D-301.3 No Mailing Address Provided If the application is new, with no open programs, and no mailing address is provided, staff must not date stamp nor register the application until the mailing address is obtained. Staff must attempt to contact the household via all available phone number(s) to obtain the mailing address. If contact is not made, it is an inquiry only and should not be retained. For redeterminations, the address is pre-printed on the form. If the customer does not state their address has changed and there is no reason to question the mailing address on file, including for individuals who have previously used General Delivery, the mailing address on file is considered valid and the redetermination should be evaluated following normal eligibility guidelines. This includes redeterminations where the customer chooses to use other application methods instead of the Redetermination of Medical Eligibility Form - NRD1 Form, as they are known to the system, and they currently have an open and ongoing case. NOTE: It is not allowable to simply enter General Delivery for a mailing address when the information is missing on the application. A General Delivery address should only be entered when provided by the customer or A/R. Staff should make a reasonable attempt to collect the information, but if unsuccessful, it is an inquiry only and should not be retained. D-301.1 MAABD APPLICATION PROCESSING Unsigned Application Division of Social Services Medical Assistance Manual 14 Aug 25 MTL 11/25