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When the worker determines the individual is ineligible based on his failure to meet one or more of the non-financial or financial eligibility requirements the case must be closed. Closure Procedures The worker must: Document the closure and the reason for it in the case record. Assure substantiation of ineligibility is included in the case record. Example: If the individual is ineligible due to excess income, the case record must include verification of the income and the calculations used to determine ineligibility. Evaluate Medicaid eligibility based on the Medicaid Manual. If eligible for Medicaid Document the approval in the case record assuring that each eligibility factor is addressed Assure that all supporting verifications are in the case record. Close the individual’s coverage in the MMIS system as an AG individual and reopen it under the individual’s new covered group. Send a “Notice of Action (for AG)” to the individual and his representative to notify them that Medicaid eligibility continues. If ineligible for Medicaid Document closure and reason in the case record Assure substantiation of ineligibility is included in the case record. Example: If the individual is ineligible due to excess income, the case record must include verification of the income and the calculations used to determine ineligibility. Send a “Notice for Action (for AG)” to the individual and his