POL M1403:  REVIEWS 

1.    Eligibility Factors Must Be Periodically Reviewed

• • The Department will conduct ex parte renewals when eligibility can be fully verified based on reliable information available to the Department.

    • • All household members who are age 14 or older must be run through the Workforce Services interface.

  • If eligibility cannot be verified by the ex parte process, a pre-populated renewal form will be mailed.

2.    Clients Must Complete The Renewal Process When An Ex Parte Renewal Cannot Be Completed

• • Medicaid Eligibility Renewal/Review Form - Aged, Blind or Disabled Programs for Long Term care Programs, and Medicare Savings Programs.

  • Medicaid Renewal Form for the Family and Children's Programs

3.    Social Workers Must Complete The Review Process When An Ex Parte Renewal Cannot Be  Completed For a Foster Care Program

4.    Clients Must Provide Verification For Reported Changes In Circumstances When The Change Cannot Be  Verified Electronically

5.    Periodic Reviews Are Not Required For Certain Groups

The following groups do not require periodic reviews:

• • SSI recipients

  • Subsidized Adoption