|
MC RD for Intake
There may be instances in which the applicant’s MC eligibility is not determined until after their MC RD is due or in the month before the MC RD is due. In these instances, the EW approving the MC case must also process the MC RD to prevent the client’s case from being discontinued in the month of approval or in the month after approval.
Example:
MC application submitted in 1/2015. The MC application is approved in 11/2015 with an effective begin date of 1/2015. The MC RD is due 12/2015. Since the EW approved the case one month before the MC RD is due, the EW must also process the MC RD for this case.
Example:
MC application submitted in 12/2015. The MC application is approved on 12/2016 with an effective begin date of 12/2015. The MC RD is due 11/2016. Since the EW approved the case after the MC RD due date, the EW must also process the MC RD for the case.
Note: If the MC case is approved more than one year after the application date and the client has medical bills during that timeframe, the LOA must be followed.
Related Topics