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disposition of an application is not made within fifteen (15) working days, the reason for delay must be documented. This time frame, is separate from the fifteen (15) working days that a county is allowed for the review of hospital claims, if it elects to do so. For applicants who are potentially eligible for Medicaid, the MIAP application cannot be approved until the applicant has applied for and been denied Medicaid benefits for a reason other than those identified in the MIAP Manual. The fifteen (15) day time frame does not apply in this situation. H. The designee shall provide written notification to applicants and providers of the decision on MIAP applications. I. If an applicant disagrees with the decision made on his case, he may request a reconsideration at the county level. This reconsideration request must be made within thirty (30) days of the notification of the decision. The reconsideration decision shall be made by an individual(s), other than the person who made the eligibility determination, designated by the county’s chief administrative officer. If the applicant disagrees with the reconsideration decision, he may request a fair hearing from the Appeals Unit of the Department. This request must be made in writing within thirty (30) days of the reconsideration decision. The fair hearing will be conducted in accordance with the Department Appeals and Hearing Regulations, R.126–150 et seq. HISTORY: Amended by SCSR42–5 Doc. No. 4746, eff May 25, 2018. 126–515. Non-Financial Eligibility Requirements. In order to be eligible for assistance from the MIAP, an individual must meet the following non- financial eligibility criteria. A. Residence. The individual shall be a resident of the State. A migrant or seasonal farm worker shall be considered a resident of the State provided he has not established a domicile in another State. For purposes of the MIAP, a financially dependent student is a resident of the State and county in which his parents reside. If the student’s parents do not live in the same home, the financially dependent student is a resident of the State and county where the parent with legal custody resides. B. Citizenship and Alienage. An individual must be a citizen of the United States or an alien admitted for permanent residence or an alien permanently residing in the United States under color of law. C. Institutional Status. Individuals who are inmates or residents of public institutions are not eligible for assistance through the MIAP. This includes inmates of correctional facilities who may be temporarily absent from the facility due to hospitalization. Exception: Inmates of county detention facilities who are awaiting trial or whose cases have not been adjudicated shall be eligible provided they meet all other eligibility requirements. 126–520. Financial Eligibility Requirements. The following elements are considered in determining eligibility for assistance through the MIAP. A. Family Composition. For details, refer to the definition of family at 126-500(D). If the applicant is a minor child, his stepparent is considered a member of the family only if the stepparent claims the child as an income tax dependent. If the applicant is an adult, his parents or siblings who reside in the household are considered in the family only if one claims the other as an income tax dependent. The income and resources of all members of the applicant’s family must be considered in computing the income. B. Financial responsibilities of relatives. Spouses are responsible for spouses and parents are responsible for minor children. Stepparents are responsible for stepchildren only if the stepchildren meet the federal definition of ‘‘dependent’’ for income tax purposes. C. Income Levels. Only those individuals whose gross family income is equal to or less than one hundred percent of the poverty guidelines may qualify for full sponsorship through the MIAP. Only those individual whose gross family income is between one hundred and two hundred percent of the poverty guidelines may qualify for partial sponsorship through the MIAP. D. Computation of income. The gross annual income of the individual and his family is measured against the annual poverty guidelines for the appropriate size family. Gross annual income is determined in accordance with the guidelines found in the MIAP Manual.