Family and Children's Medicaid MA-3425 CERTIFICATION AND AUTHORIZATION

REVISED 10/1/05 – CHANGE NO. 20-05

I. POLICY RULES

A. Certification Periods

1. A certification period (c.p.) is a period of time for which eligibility is determined. In cases with deductibles, the deductible is determined for the entire c.p. of six months.

2. When the c.p. ends, eligibility is redetermined for a new c.p., or the case is terminated.

3. During the c.p. for MAF Medically Needy cases all eligibility factors must be met, except:

a. Income: Excess income may be reduced by incurred medical expenses or meeting a deductible. See MA-3315, Medicaid Deductible.

b. Reserve: For prospective c.p.’s, excess reserve may be reduced to allowable limits during the 45 day application processing time. Refer to MA-3320, Resources.

NOTE: Refer to MA-3320, Resources, for instructions on rebutting property value. Also, refer to MA-3210, Verification Requirements for Applications and MA-3215, Processing the Application, for procedures regarding the use of declarations.

4. During a c.p. for MAF-C, N, D or W, MPW, and MIC, all eligibility factors must be met.

B. Authorization

The period authorized is the portion of the c.p. when all factors of eligibility are met and the individual receives Medicaid benefits.







For questions or clarification on any of the policy contained in these manuals, please contact your local county office.