Completing Renewal
Process/Authorized Representatives
Process/Authorized Representatives
A state must send advance notice informing the beneficiary of the change in eligibility
When is before moving the individual to a new Medicaid eligibility group with a reduced benefit package
States must provide MAGI beneficiaries at least this many days to return the form and additional documentaion.
What is 30 days?
Beneficiaries can submit renewals via these methods. (List one or more)
What are the state website, call centers, mailing address, physical drop off location, or other electronic means?
Although one renewal form can be sent to all household members, renewals must be conducted at this level.
What is the individual level?
After a form is not returned and the state does not have data or sufficient information to determine that the individual is eligible for any Medicaid eligibility group
What is the state must provide advance notice, fair hearing rights and terminate coverage for procedural reasons
From the day the electronic renewal notice is sent out, beneficiaries have this many days to request a paper form.
What is a reasonable timeframe as defined by the state?
Through these submission modalities, beneficiaries must have the ability to sign their renewal form under this penalty.
What is the penalty of perjury?
Information to verify financial eligibility for MAGI beneficiaries includes household composition, expected tax filing status and this.
What is income from jobs and other sources of unearned and unearned income?
An individual or organization who would act on a beneficiary’s behalf in completing renewals and other ongoing agency communication.
What is an Authorized Representative
If a beneficiary does not request a paper form within the state's reasonable time frame, the state does not restart this deadline.
What is the 30-day deadline to return the form?
States must provide the option to receive notice through these formats.
What is electronic or mail format?
In addition to allowing the beneficiary to provide missing information, the form must allow them to validate or correct this.
What is prepopulated information?
Must be signed by the applicant or beneficiary and must be accepted through all the modalities required for submitting an application
What is the designation of an authorized representative
States must accept renewal forms and complete a redetermination prior to taking any adverse action for any beneficiary that returns their renewal form prior to the end of this period.
What is the end of the beneficiaries eligibility period?
What is a pre-populated renewal form?
The renewal form is provided to beneficiaries who cannot be renewed base on this basis
What is ex parte