Administrative Ex Parte Renewals

Administrative Ex Parte Renewals A. A renewal of eligibility is processed without requiring information from the beneficiary if the Division of Medicaid is able to do so based on reliable information contained in the beneficiary’s case record and other more current information available to the Division of Medicaid, such as data secured from data matches with other state, federal and commercial databases as required by the Affordable Care Act (ACA). B. If a beneficiary’s eligibility can be renewed ex parte, based on available information, the recipient will be notified of the approval and the basis for the approval. C. The beneficiary must inform the Division of Medicaid, through any of the modes permitted for submission of applications listed in Miss. Admin. Code Part 101, Rule 4.2, if any information reported in the renewal process is inaccurate. The individual is not required to sign and return the approval notice if all information on the notice is accurate. D. If an administrative ex parte review does not result in an approval in the same program, Medicaid or the Children’s Health Insurance Program (CHIP), then it is not possible to complete the administrative review. A pre-populated renewal form is issued to allow the beneficiary to provide current information.