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Eligibility Decisions on Applications An AG and Medicaid eligibility decision must be made on each application and the individual and his representative must be notified of that decision. Possible decisions include: Withdrawal Individual requests that the application be withdrawn. The agency is unable to locate the individual. Denial The agency determines the individual is ineligible based on his failure to meet one or more of the non-financial or financial eligibility requirements. Approval The agency determines the individual meets all eligibility requirements. Withdrawals Voluntary Withdrawal An individual may voluntarily withdraw his application at any time prior to an eligibility decision being made on the application. This may be done by verbal request or by a signed statement indicating the wish to withdraw the application. The worker must: Document the withdrawal in the case record. Send the Notice of Action (for AG) to the individual and his representative to confirm the individual's decision to withdraw. Cite this manual reference.