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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL Division of Welfare and Supportive Services D-400 Medical Assistance Manual REDETERMINATIONS 16 May 01 MTL 02/16 MAGI REDETERMINATIONS REDETERMINATIONS D-400 MAGI REDETERMINATIONS (435.916) Redeterminations for MAGI medical assistance groups must: a. have eligibility renewed once every 12 months; and b. be completed without requiring information from the individual when all information needed to redetermine eligibility is available via electronic data sources; or c. When data sources are unavailable, a pre-populated Redetermination Form 2006-EM is mailed to the recipient and if applicable the AR, at least 60 days prior to the redetermination date. Request the client to provide any required verifications and to sign and return the form within 30 days. Evaluate eligibility under all medical assistance programs when processing a redetermination. If a signed redetermination and requested verifications are not returned, medical assistance may terminate, allowing adverse. Note: D-400.2 contains specific guidance in verifications due at redetermination. If an unsigned redetermination is received without the Head of Household’s, or AR’s signature, the case manager should attempt to contact the Head of Household or AR to obtain a verbal signature over the telephone. If the case manager is unable to reach the Head of Household or AR, terminate the case allowing adverse. If the individual subsequently submits the signed renewal within 90 days after the termination notice date, use the RD in lieu of a new application to evaluate ongoing eligibility. Prior medical may be evaluated if requested during the 90 day grace period. After the 90 day grace period a new application is required. A medical redetermination may be completed between regular renewals any time DWSS receives information about a change in circumstances that may affect eligibility. See D-440 for more information. D-400.1 Reserved D-400.2 Verification At Redetermination Verify the following eligibility factors at redetermination:  Income:  If the individual returns verification of income and a 30/60 day be st estimate of their pay history accurately reflects their current circumstances, consider the income verified and continue ca se

processing.