123 INTERVIEWS (MAM)

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Interviews are official and confidential discussions of household circumstances and only required for individuals applying for:

• non-MAGI medical assistance or services that require a medical determination:

- Aid to the Permanently and Totally Disabled (APTD) medical assistance;

- Aid to the Needy Blind (ANB) medical assistance;

- Medicaid for Employed Adults with Disabilities (MEAD) medical assistance;

- Medicaid for Employed Older Adults with Disabilities (MOAD) medical assistance;

- Long-term care (LTC) services, such as Home and Community-Based Care (HCBC) or Nursing Facility (NF) services; and

• any non-MAGI assistance group that reports having a trust or annuity.

Exceptions:

• Do not require an interview for non-MAGI categories of medical assistance that do not require a disability determination.

• Do not require an interview for non-MAGI re-applications that require a disability determination but a previous approval has a future review date or no review date.

•  An individual who applies for medical assistance plus other programs of assistance still must comply with interview policies of the other programs.

• For individuals with In and Out non-MAGI medical assistance in a category requiring a medical determination, do not require an interview for individuals reapplying because they want to change from a one- to a six-month spenddown period, if the reapplication is made within 6 months of the previous eligibility interview.

• If the information provided for an initial determination of eligibility establishes that the individual is ineligible, the worker may deny the case without an interview.

The worker must do all of the following:

• evaluate all available information, including any existing case record;

• resolve any unclear or incomplete information;

• inform individuals of their rights and responsibilities; and

• provide information about program policies and procedures.

Conduct an interview, if required by the program of medical assistance being requested:

• prior to each initial eligibility determination;

• at regularly scheduled redeterminations of eligibility.

Cases redetermined via the mail-in or online redetermination process are not required to have an interview; however, an interview must be granted if it is requested.

Waiver of an interview does not exempt the individual from the verification requirements.

References: He-W 601.06(l), He-W 636.01, He-W 644.01, He-W 684.01-He-W 685.01, RSA 167:8,I, 42 CFR 435.911