Current through December 10, 2024
Rule 23-101-12.2 - Regular RedeterminationsA. The Division of Medicaid reviews eligibility of every Medicaid and the Children's Health Insurance Program (CHIP) beneficiary at least every twelve (12) months as required by federal and state law.B. During the regular redetermination process, the beneficiary's circumstances are reviewed and each eligibility factor subject to change, such as income and/or resources, is re-evaluated. Beneficiaries are not asked to provide information that is not relevant to ongoing eligibility or that has already been provided and is not subject to change.C. Each child must be provided twelve (12) months of continuous eligibility in his/her eligible category. Prior to the end of the twelve (12) month period, a child cannot be: 1. Terminated, unless an early termination reason exists [Refer to Miss. Admin. Code Part 101, Rule 11.2], or2. Changed from one program to another, such as Medicaid to CHIP or vice versa, unless the parent or other authorized person voluntarily requests early closure in the current program or the original determination was in error.D. Each child must be fully reviewed at the end of their twelve (12) month protected period of eligibility.23 Miss. Code. R. 101-12.2
42 C.F.R. § 435.916; Miss. Code Ann. § 43-13-115.