Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 101 - Coverage Groups and Processing Applications and Reviews Redetermination Processes
Chapter 7 - Combination Modified Adjusted Gross Income (MAGI) and Aged, Blind, Disabled (ABD) Applications
Rule 23-101-7.1 - MAGI-Related Application Indicates Possible Aged, Blind, Disabled (ABD) Eligibility

Universal Citation: MS Code of Rules 23-101-7.1

Current through September 24, 2024

A. The Modified Adjusted Gross Income (MAGI) application asks the following specific questions at the individual level regarding possible aged, blind, disabled (ABD) eligibility if the applying household member:

1. Is disabled,

2. Has a physical, mental or emotional condition that limits common activities, or

3. Lives in a medical facility or nursing facility.

B. An affirmative response to any of the questions in Miss. Admin. Code Part 101, Rule 7.1.A. requires further development during the MAGI application process to follow up on possible ABD eligibility if it is unlikely that the applying household member will qualify for MAGI-related Medicaid or the Children's Health Insurance Program (CHIP) based on the application information. If possible ABD eligibility is indicated:

1. An ABD application form is issued requesting only information that is not part of the MAGI application process, such as disability information or resource ownership verification.

2. A signed ABD application is required to formalize receipt of an ABD application.

3. If the ABD applicant follows through with needed ABD application requirements, the ABD application is processed and approved regardless of the action taken on the MAGI-related application.

C. For MAGI applications filed with the Federally Facilitated Marketplace (FFM) and referred to the Division of Medicaid as an Account Transfer (AT), the system recognizes any affirmative responses to the questions that indicate a request for an applying household member to apply for ABD Medicaid.

1. A letter to the individual is systematically issued, informing the applying household member that additional information will be needed if the individual wants to pursue applying for Medicaid on the basis of disability.

2. If the individual signs and returns the letter to the Division of Medicaid via any means listed in Miss. Admin. Code Part 101, Rule 4.2, an ABD application is issued and the regional office will follow up as described in Miss. Admin. Code Part 101, Rule 7.1.B.

42 C.F.R. §§ 435.907, 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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