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MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL MEDICAL D-400.2 Division of Welfare and Supportive Services REDETERMINATIONS Medical Assistance Manual VERIFICATION AT REDETERMINATION 16 May 01 MTL 02/16 If the individual has an open TANF or SNAP case with verified income information and this verification reflects their current circumstances, consider the income verified and continue with case processing. Note: If the individual does not provide their paystubs, and the information cannot be obtained via an electronic data source, pend the client allowing 10- days to return the necessary verifications. Do not automatically terminate the case for non-cooperation. Tax filing status/Household – accept client statement Authorized representative changes -Assume there is no change in the status of the A/R for the client unless they report a change. Residency – accept client statement D-410 MAABD REDETERMINATIONS Redeterminations for MAABD 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, the MAABD Only Redetermination, Form 2930-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 verifications and form within 30 days. d. Process the redetermination no later than the month it is due, ensuring the correct aid codes, eligibility codes, Medicare claim numbers and buy-in are correct in the system. 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-410.1 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.