Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 101 - Coverage Groups and Processing Applications and Reviews Redetermination Processes
Chapter 4 - Filing the Application
Rule 23-101-4.1 - Right to Apply
Universal Citation: MS Code of Rules 23-101-4.1
Current through September 24, 2024
A. Individuals inquiring about program eligibility requirements are informed of their opportunity to apply and informed about the various means of applying.
1. If a hardcopy application is requested, it
will be provided or mailed, as applicable.
2. If another person or agency refers the
name of an individual in need of medical assistance to the regional office, the
individual will be contacted, if possible, and the various means of applying
will be explained. Otherwise, an application will be mailed if an address is
available.
B. Individuals wishing to file an application are afforded the opportunity to do so without delay.
1. When an individual inquires about
making an application, an application form will be provided and the person
offered the opportunity to file that day.
2. The agency allows an individual or
individuals of an applicant's or beneficiary's choice to accompany and assist
them is the application or redetermination process; however, in order to
officially represent the applicant or recipient, an individual must become an
authorized, self-designated or legal representative.
C. The application of a clearly ineligible person wishing to file will be accepted and then denied.
D. An individual seeking assistance from other social service agencies may be required to obtain a statement from the Division of Medicaid that he is not eligible for Medicaid in order to obtain that agency's services.
1. If the individual
indicates through questioning that none of the categorical requirements would
be met including, but not limited to, the individual is not aged, blind,
disabled, pregnant, under age nineteen (19) or part of a family with dependent
children, the regional office may provide the individual with a form developed
by the Division of Medicaid for this purpose advising that he or she is not
eligible based on the self-declared information.
2. This form is not an official denial and
cannot be appealed.
3. If an
official denial notice is required, an application must be filed and a decision
rendered after all eligibility factors have been examined according to rule.
4. If the individual appears
categorically eligible, an application must be filed to obtain an eligibility
decision.
42 C.F.R. § 435.906 and 42 C.F.R. § 435.907.
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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