The individual has the choice of when benefits begin:
On the first day of the month in which the application is received by the CAO.
On the first day of the following month.
If the individual does not say which month to start benefits, the CAO must contact him or her to find out the preferred begin date. If the MAWD individual has a language barrier, translation services will be used to interpret.
Reminder: Because a full monthly premium payment is required for each month of eligibility, it is important that the case record has the correct eligibility begin date.
MAWD eligibility ends on the last day of the calendar month that eligibility conditions are no longer met or when the individual requests that benefits be stopped. (Chapter 377, Notices, for information about notification.)
Example: If the MAWD recipient turns age 65 March 15th, MAWD eligibility would not end until March 31st.
NOTE: When the budget must remain open for extra months to allow for the expiration of the appeal period (which gives the individual an extra month of MAWD eligibility), the CAO must enter code 05 (administrative processing) in e-CIS. This lets the Central Office know that a premium is not required for that time period because of good cause.
The CAO determines whether an individual is eligible every 12 months, using these guidelines:
An office visit is not required, unless the individual requests the visit.
The renewal can be completed by telephone, by mail or online using Compass. The individual may request to complete the renewal using an interpreter if there is a language barrier.
Review the individual’s disability as described in Section 316.211.
For more information on renewals, see Chapter 376, Renewal.
Updated March 10, 2021, Replacing February 14, 2012