32 Miss. Code. R. 1-6.6
If the individual does not have Medicaid coverage, their case record will be reviewed by the Division of Medicaid to determine if they meet the medical criteria for the waiver. If approved, the Division of Medicaid will forward notification to the Medicaid regional office that the applicant has met medical certification for participation and would like to apply for coverage under the Home and Community based services Special Income Category (300% of SSI).
Division of Medicaid, Home and Community Based Services Division, will forward a cover letter to the OSDP Counselor stating that the individual's application for waiver services has been determined to meet the medical criteria for the waiver and will be certified pending approval for Medicaid coverage.
The IL Counselor will inform the individual in writing or by phone that he/she will need to go to their Medicaid Regional Office within 10 days to apply for Medicaid eligibility through the Special Handicapped Coverage Group.
The HCBS Division will maintain a case record in a pending status for 60 days from the date it was processed. If the applicant and/or their representative do not initiate appropriate action to obtain eligibility process, failure to comply will result in closure of their case.
After the applicant completes the application at the Regional Office, they have 45 days to provide all requested information to complete the eligibility process. Failure to comply will result in closure of their case.
Medicaid will inform the IL Counselor that he/she client has been approved.
Examples:
Case record is approved 5/01/06, the applicant takes no action toward obtaining Medicaid eligibility by 07/01/06, case record will be disapproved and returned to the IL Counselor.
Case record approved 5/01/06, applicant waits until 06/29/06 to fill out application at the Regional Office, the "clock" restarts time allow applicant 45 days to complete the eligibility process.
No services can be initiated under the waiver program until eligibility has been established. The Division of Medicaid will send a cover letter with a certification date to the IL Counselor.
32 Miss. Code. R. 1-6.6