157.05 Processing Redeterminations (MAM)

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To prevent delays in the redetermination/renewal process, the medical assistance (MA) case must do the following by the 15th day of the last month of the redetermination/renewal period:

Categories of MA that are subject to a non-passive MA renewal must:

-         provide all requested proofs as listed in the CS0006/CS0027; and

-         correct the information in the CS0006/CS0027 that DHHS used to review continued eligibility for MA, sign and date the information, and return or electronically submit this information to DHHS.

When verification is not sufficient or not provided in the online or mail-in redetermination process for the non-passive MA renewal process:

•         send New HEIGHTS-generated AE0055, Proof Needed to Determine your Assistance. Or, if New HEIGHTS is unavailable, use paper backup BFA Form 808, Proof Needed to Determine Your Assistance. For non-passive MAGI MA renewals, ensure the due date in the AE0055 reflects the 90-day grace period allowed in the MAGI MA renewal process; and

•         allow individuals 10 additional calendar days to provide the needed verification.

References: He-W 606.01; He-W 606.100-606.101; He-W 844.01; He-W 883.01; He-W 884.01-.02; RSA 161:4-a, X(a) & (g); 42 CFR 435.914(a); 42 CFR 435.916; 45 CFR 206.10(a)(9)