cover image: DATE:  December 7, 2020 OPERATIONS MEMORANDUM #20-12-03 SUBJECT: TO:

20.500.12592/zwmwr0

DATE: December 7, 2020 OPERATIONS MEMORANDUM #20-12-03 SUBJECT: TO:

1 Feb 2021

• Presumptive Eligibility (PS17 and MG17) – the CAO will allow MA to close at the end of the presumptive eligibility period if the individual is not eligible for ongoing MA. [...] • MA for lawfully residing non-citizens turning age 21 and pregnant women at the end of the postpartum period – the CAO will allow MA to close if the individual is not eligible for another MA category. [...] When a category override is needed, the CAO must suppress the client notice and enter a narrative in the Case Comments to explain that the reason for maintaining MA eligibility is due to the provisions of the FFCRA. [...] • If the individual is not eligible for MA in a category that offers the same MA coverage, the individual should remain in Suspended SSI. [...] • If the CAO receives an appeal with an expedited fair hearing request, the CAO will continue MA benefits even if the appeal was received after 15 days of the date an advance notice is sent and follow the normal appeal process as outlined in the Supplemental Handbook Chapter 870.

Authors

dpwuser

Pages
8
Published in
United States of America