After discussing the individual’s situation and describing his options, the individual will need to decide whether he wants to continue with the application process or stop.
If the individual decides at any time prior to signing the application or the base document used to determine eligibility that he does not want to apply for assistance, complete an inquiry. Always explain to the individual his right to apply on that day and if he decides not to apply that he may apply at any time. Document that this explanation was given.
The following must be included with each inquiry:
If the individual decides to wait and apply for retroactive assistance because of the ongoing deductible amount, explain the timeframes for requesting retroactive assistance and the residence and resource requirements during the retroactive period. Clearly document the record that this explanation was given.
Document on the DMA-5095/DMA-5095S, Medicaid/Work First Notice of Inquiry any other programs that were discussed or to which the individual was referred. Include information regarding the Medicare Low Income Subsidy program, (LIS). See MA-2309, LIS Application For Medicaid, in the ABD Medicaid Manual.
REISSUED 12/01/10 – CHANGE NO. 16-10
The date of the application is the date the application form or base document is signed. This rule applies regardless of where the interview takes place (in the county DSS, at an outstation, or in a county DSS outside of the individual’s county of residence). See MA-3207, Receiving Mail-in Applications, regarding the date of application for mail-in applications.
Key the application into EIS within three workdays of it being signed.
REVISED 11/01/11 – CHANGE NO. 18-11
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.