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5.5.2 Reversed or Delayed Disability Decision ........................................................................................ 77 5.6 Medical Exam Cost ................................................................................................................................ 77 5.7 Redetermination ................................................................................................................................... 77 5.7.1 Redetermination Introduction ....................................................................................................... 77 5.7.1.1 Example of Medicaid Disability Cessation Case Notice Text ................................................... 79 5.7.2 Members Exceeding the Substantial Gainful Activity Level ........................................................... 79 5.8 Conflicting Claims .................................................................................................................................. 79 5.9 Presumptive Disability .......................................................................................................................... 80 5.9.1 Presumptive Disability Introduction .............................................................................................. 80 5.9.2 Presumptive Disability Determined by the IM Agency .................................................................. 80 5.9.2.1 Definition of Urgent Need ....................................................................................................... 81 5.9.2.2 Impairments ............................................................................................................................ 81 5.9.2.3 Presumptive Disability Certification Process .......................................................................... 82 5.9.3 Presumptive Disability Determined by DDB .................................................................................. 83 5.9.4 Deceased Applicants ...................................................................................................................... 83 5.9.5 Eligibility ......................................................................................................................................... 84 5.9.6 Disability Application Denials ......................................................................................................... 85 5.9.6.1 DDB Returns a Negative Presumptive Disability Decision ...................................................... 85 5.9.6.2 Ineligible for Non-Medical Reasons ........................................................................................ 85 5.9.6.3 DDB Reverses Presumptive Disability Decision Made by DDB or by the IM Agency .............. 85 5.10 Medicaid Purchase Plan Disability ...................................................................................................... 85 5.10.1 MAPP Introduction ...................................................................................................................... 85 5.10.2 Medicaid Applicants and Members Who Convert from Social Security Disability to Social Security Retirement ................................................................................................................................ 86 6.1 Residency Eligibility ............................................................................................................................... 86 6.1.1 Residency Eligibility Introduction ................................................................................................... 86 6.1.2 Migrant Workers ............................................................................................................................ 86 6.2 Intent to Reside ..................................................................................................................................... 87 6.3 Determining State Residency ................................................................................................................ 87 6.3.1 Under Age 21 ................................................................................................................................. 87 6.3.2 Age 21 and Over ............................................................................................................................. 88 6.4 Special Situations .................................................................................................................................. 89 6.4.1 State Supplementary Payment ...................................................................................................... 89 6.4.2 Foster Care Medicaid ..................................................................................................................... 89 6.4.3 Homeless Persons .......................................................................................................................... 89