23 Miss. Code. R. 101-7.1 - MAGI-Related Application Indicates Possible Aged, Blind, Disabled (ABD) Eligibility

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.

Notes

23 Miss. Code. R. 101-7.1

42 C.F.R. §§ 435.907, 435.911.

Amended 4/1/2018