1402 Proof Needed at Renewal 

 

 

Revised 12/17/2024

Policy

Some requirements are not verified again at renewal as they do not generally change. Any eligibility requirement that could have changed may need to be reviewed and current proof provided. See the table below for more details:

Requirement

Instructions

Programs

Age (MA501)

Does not need to be verified again at renewal.

NOTE     If the customer is in a program that has an age limit, age must be reviewed to see if the customer still meets the age requirement for the program.

Adult

BCCTP

Child

Deemed Newborns

FTW

KidsCare

SSI-MAO

YATI

Blindness (MA504)

Does not need to be verified again at renewal, unless Social Security has determined that the person is no longer blind.

SSI-MAO

Disability (MA509)

Does not need to be verified again at renewal, unless Social Security has determined that the person is no longer disabled.

ALTCS

SSI-MAO

FTW

U.S. Citizenship (MA507)

Does not need to be verified again at renewal.

All programs

Residency (MA531)

Does not need to be verified again at renewal unless it is questionable.

All programs

Valid Social Security Number (MA532)

Does not need to be verified again at renewal unless the customer:

  • Provided proof of application for an SSN, but has not yet provided the SSN; or

  • Is exempt from providing a valid SSN.

All programs

Non-Citizen Status (MA524)

Does not need to be verified again at renewal unless there has been a change in the customer’s immigration status.

NOTE     For qualified non-citizen who only gets emergency services due to the 5-year bar, the status date must be reviewed to see if the bar period has ended.

All programs

Not in an IMD (MA514)

Only verify if it is reported that the child is residing in an IMD.

KidsCare

Medicare Entitlement (MA523)

Does not need to be verified again at renewal unless there is a discrepancy with hub data source information.

MSP

Adult

SSI-MAO (DWW)

No Creditable Coverage (MA515)

Does not need to be verified again at renewal unless the customer reports a new source of insurance coverage.

BCCTP

KidsCare

Ineligible for other MA programs (MA522)

Must be verified at each renewal.

FTW

BCCTP

KidsCare

Good Cause for not cooperating with DCSS (MA503)

The requirement to cooperate with DCSS in establishing the identity of a child’s parents and in obtaining medical support is suspended under a temporary waiver from 09/01/2023 through 06/30/2025.

If the customer claims good cause for not cooperating, it must be verified at each renewal.

All programs except KidsCare

Insurance Coverage for Dependent Children (MA518)

Must be verified at each renewal.

NOTE     Verification should be available from the hub data sources. If the child is receiving MA, this requirement is verified.

Adult

Not eligible for State employee health benefits (MA517)

Does not need to be verified again at renewal unless the customer reports employment with a State Agency.

KidsCare

Income (Chapter 600)

Must be verified at each renewal.

See Verifying Income at Renewal for details

All programs except BCCTP and YATI

Resources (Chapter 700)

All countable resources that can be expected to change and could affect eligibility must be verified at each renewal.

Resources are not expected to change when the customer:

  • Has no resources and no income in the most recent approved application and no income is found by the hubs.

  • Receives SSI Cash or IVE payments and is verified.

  • Is under age 18 and has less than $1000.00 in resources.

  • Has less than $1000.00 in resources and only income is Social Security in the most recent approved application, and no other income is found by the hubs.

  • Is in a Nursing facility and their only resource is a Patient Trust Account.

When AVS returns an account value that does not put the customer over the resource limit, it is reasonably compatible and verified. Otherwise, request proof.

See Response Required Renewals for detailed instructions for processing a renewal.

ALTCS

Trusts

(Chapter 800)

How trusts are reviewed at renewal depends on whether the trust is a:

  • Non-Special Treatment Trust; or

  • Special Treatment Trust.

See Verifying Trusts at Renewal for details.

ALTCS

Cancer Treatment Status (MA505)

Must be verified at each renewal.

See How to Verify BCCTP Treatment Status for details.

BCCTP

Employed (MA510)

Must be verified at each renewal.

FTW

Caretaker Relative of a Dependent Child (MA506)

Does not need to be verified again at renewal unless questionable.

Caretaker Relative

Transitional Medical Assistance (TMA)

Continued Coverage (CC)

Pregnancy (MA527)

Must be verified at each renewal. However, the woman’s statement that she is pregnant is accepted unless there is strong reason to question it.

Pregnant Woman

Living Arrangement (MA521)

Does not need to be verified again at renewal unless questionable.

 

ALTCS

Student Status

Only verify if the only child living with the caretaker relative is 18 years old (MA506).

Caretaker Relative

Must be verified at each renewal.

ALTCS

SSI-MAO

MSP

FTW

 

Definitions

Term

Definition

Renewal

A periodic review of financial and non-financial eligibility factors.

 

Legal Authority

Program

Legal Authorities

All Programs

42 CFR 435.916

42 CFR 435.940 to 435.956