Family and Children's Medicaid MA-3300 Income
VII. Base Period for MIC and NCHC Re-enrollments
A. Definition of Base Period
An ex parte process is used for MIC and NCHC re-enrollments. Refer to MA-3420, Re-enrollment, for re-enrollment procedures for MIC/NCHC cases. Use current income verification that is available in another active agency file (e.g. FNS, Daycare, WFFA, or another Medicaid program case) including pending applications within the DSS agency. Refer to MA-3410, Terminations, Deletions and Ex Parte Reviews.
1. Current means:
a. The information was obtained and verified by the other program within the time frames allowed for income verification during re-enrollment of eligibility for the Medicaid coverage group being considered, unless there is reason to believe it is an inaccurate time frame. These time frames apply to all sources of information.
b. If a recipient is being evaluated for MIC/NCHC and the certification period is 12 months, the information must have been verified within the last 12 months. The other program must be an active case at the time the information is obtained, or
c. Information provided for a pending application for another DSS program (e.g. FNS, Daycare, WFFA, or another Medicaid program case).
2. For self-employment income, use income verification obtained within the last 6 calendar months or 12 calendar months if annualized income, that is available in another active agency file. See X.C. for definition of self-employment income.
3. If current income verification obtained in the last 12 months, or 6 months for self-employment, is not available, send the DMA-5097 to request income verification for the month prior to the date the DMA-5097 is sent. Allow 12 calendar days for the information to be returned.
C. Computation of Changes
REISSUED 11/01/12 - CHANGE NO. 13-12