Medicaid Applications Filed Through Another Agency or Entity

Medicaid Applications Filed Through Another Agency or Entity Certain applications for Medicaid are filed through other agencies or entities as follows: A. Supplemental Security Income (SSI) applications are filed with the Social Security Administration (SSA). No separate application for Medicaid is necessary unless the SSI applicant needs to apply separately for retroactive Medicaid or for Medicaid to evaluate coverage for any missing month(s) of SSI coverage. B. Children in the custody of the Mississippi Department of Child Protection Services (DCPS) who are certified as Medicaid-eligible by DCPS receive Medicaid with no separate application required. C. Applications filed with the Federally Facilitated Marketplace (FFM) are reviewed for possible Medicaid or the Children’s Health Insurance Program (CHIP) eligibility before enrolling the applicant in a qualified health plan. 1. If applicants are potentially eligible for Medicaid or CHIP, their FFM account is transferred to the Division of Medicaid for further development and a decision regarding eligibility. 2 Referrals from the FFM require a Division of Medicaid decision to approve or deny eligibility for Medicaid or CHIP. D. Low-Income Subsidy (LIS) applications are filed as part of an application for Medicare coverage through the SSA. LIS applications referred to the Division of Medicaid by SSA require a decision to approve or deny eligibility for one of the Medicare cost-sharing coverage groups Qualified Medicare Beneficiary (QMB), Specified Low - Income Medicare Beneficiary (SLMB), or a Qualifying Individual (QI). E. Hospital Presumptive Eligibility (HPE) applications are filed by qualified hospitals to place time-limited Medicaid eligibility on file for certain individuals qualifying for HPE. The Division of Medicaid places the presumptive eligibility on file and monitors the submission of a full Medicaid application that can shorten the HPE eligibility originally placed on file or, if eligibility is approved, place full eligibility on file. F. Presumptive Eligibility for Pregnant Women (PEPW) applications are filed by qualified providers. 1. Providers must inform the Division of Medicaid within five (5) working days after the determination is made. 2. Providers must inform the woman that a full application must be submitted prior to the end of the presumptive period. G. Applications submitted by individuals through the Common Web Portal (CWP) are loaded directly into the information processing system to be processed by the Division of Medicaid. Applications from the CWP require a decision to approve or deny eligibility for Medicaid or CHIP from DOM.