Page 8

UPDATED: JANUARY 2012

464

OTHER ELIGIBILITY REQUIREMENTS APPLICATION, CERTIFICATION AND RENEWAL

FACILITATED ENROLLERS

the local department of social services the FE or health plan electronically fills out an application, the applicant may provide his/her signature on an electronic keypad which transmits the signature to the application to be printed and sent to the LDSS.

NOTE: If a recipient wants to add a child to his/her case between authorization periods, the recipient may seek application assistance at an FE. Facilitated enrollers will assist the individual in completing an application for the child and submit it to the appropriate LDSS.

When an applicant completes an application on his/her own, and then submits the application to the FE, or asks the FE to review the application, the FE must review the application to ensure that it is complete and all necessary documentation has been presented. Such applications become FE applications. The FE must have the applicant resign/date the application and collect current documentation. The FE must date stamp the application on the day he/she meets with the applicant, which will start the 15 day clock.

If the applicant goes to an FE to present his/her original documents, but does not submit the completed application to the FE, and the FE does not provide application assistance, the FE must make copies of the original documents, stamp the copy indicating the date the original was seen, add the lead name and the FE name on the copy, and return the original documents and copies to the applicant for submission to the LDSS.

NOTE: Local departments of social services may not require that individuals apply through an FE, nor may they require that the applicant seek application assistance from an FE. In addition, LDSSs cannot forward applications submitted directly by an applicant to an FE and require the FE to follow up in obtaining necessary documentation.

When an application is mailed directly to a Child Health Plus (CHPlus) plan that is not an FE, the application (whether it is complete or incomplete) will be mailed by the plan directly to the LDSS if the child appears Medicaid eligible. In this situation, the date of application is the date that a signed and dated application is received by the LDSS. Non-FE CHPlus plans will not refer these applicants to an FE for application assistance. In situations where the CHPlus plan is an FE, the plan must review the application to ensure it is complete and all necessary documentation has been provided before it is forwarded to (MRG)