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 23-101-4.3 - Protected Application Dates for Medicaid Applicants
Universal Citation: MS Code of Rules 23-101-4.3
Current through September 24, 2024
A. An applicant who applies for Medicaid on any basis is entitled to have eligibility determined under all available coverage groups.
1. An individual who files a modified
adjusted gross income (MAGI)-related application for an insurance affordability
program does not also have to file a separate application to be evaluated for
potential eligibility in an aged, blind and disabled (ABD) Medicaid program and
vice versa.
2. Any application
received by the regional office is evaluated across program lines to determine
if eligibility exists under any category of Medicaid coverage.
3. Completion of additional forms will be
necessary to complete the eligibility process.
B. The protected date also includes applications filed through another certifying agency, such as the Social Security Administration (for SSI applicants).
1. If an individual is denied SSI, but would
qualify in any available Medicaid-only coverage group, the SSI application date
is the protected filing date for Medicaid benefits.
2. If the individual is eligible for
Medicaid-only, eligibility must be determined using the SSI application date as
the Medicaid application date even if additional information may be needed to
determine eligibility.
42 U.S.C. § 1396a(a) and (b); 42 C.F.R. § 435.909, 435.911.
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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