Signature on SAR/LIN, PMA18905376 (Published May 2, 2018)
A renewal is a periodic review of Medical Assistance (MA) eligibility which can be completed by:
Ex Parte Review (See Chapter 376.22)
Fax
COMPASS
Telephone
An MA renewal can be completed whenever one is needed, but they must be completed at least every twelve months.
Certain households are open in MA categories that may require a Semiannual Review (SAR) which requires a review date of six months after the MA budget opening or six months from the last renewal (See Section 376.3 Semiannual Reporting).
For all MA eligibility groups, an application (PA 600 or PA 600HC), renewal form (PA 600-R or PA 600HCR), or COMPASS renewal may be required, but a face-to-face or individual interview is not.
Note: If an individual turns in the wrong application or renewal form, he or she does not need to complete another one. If information is missing, the County Assistance Office (CAO) can get it by letter or phone or by using pages of the PA 600 or a different application.
For households that get payment of the Medicare Part B premium (SLMBs or QI-1s), the PA 600M or COMPASS renewal may be used, but an interview is not required.
For people getting MA under MAWD, the PA 600WD or COMPASS renewal may be used, but an interview is not required.
The CAO must decide when to review eligibility on the basis of expected changes in an individual's situation and on the required time frame for each type of program and category of MA.
If an individual no longer meets the eligibility conditions for MA, the CAO must take action to discontinue benefits and refer the individual to other medical or health programs, including the Children's Health Insurance Program (CHIP) and the Federally Facilitated Marketplace (FFM).
A renewal of MA eligibility may be completed at the same time as renewal of other programs as long as all information necessary for the MA determination is available with the renewal for the other program.
Updated May 2, 2018, Replacing April 20, 2017