Retroactive Medicaid Eligibility

Retroactive Medicaid Eligibility A. Retroactive Medicaid is applicable to Supplemental Security Income (SSI) and Medicaid Aged, Blind and Disabled (ABD) and Modified Adjusted Gross Income (MAGI) categories of eligibility except Qualified Medicare Beneficiary (QMB) eligibility. B. The retroactive period is limited to the third (3rd) month before the month of application for Medicaid or SSI. The retroactive period is not a covered category but rather an allowable effective date for Medicaid coverage that is applicable to most covered categories. C. The individual must: 1. Request retroactive Medicaid, 2. Be determined eligible for each month of requested retroactive eligibility, and 3. Have received covered Medicaid services during the month(s) of requested Medicaid or SSI retroactive Medicaid. D. Non-citizens eligible only for emergency medical services must file an application for Medicaid coverage of an emergency medical condition no later than the third (3rd) month following the month the emergency service was received in order for Medicaid to retroactively determine eligibility for the service(s). Mandatory coverage of emergency services for non- citizens is also addressed in Miss. Admin. Code, Title 23, Part 101, Chapter 1, Rule 1.11 and Part 102, Chapter 3, Rule 3.22 – 3.24.