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10.09.79.00.htm 10.09.79.00. Title 10 MARYLAND DEPARTMENT OF HEALTH Subtitle 09 MEDICAL CARE PROGRAMS Chapter 79 Presumptive Eligibility for Correctional Facilities Authority: Health-General Article, §15-103(b) Annotated Code of Maryland
10.09.79.01.htm 10.09.79.01. 01 Purpose and Scope.. This chapter establishes requirements for qualified State and local corrections facilities to make presumptive eligibility determinations effective July 1, 2017.
10.09.79.02.htm 10.09.79.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Applicant” means an individual who has applied for presumptive eligibility at a participating qualified correctional facility.2) “Application” means the presumptive eligibility application.. 3) “Correctional facility” has the meaning stated in Correctional Services Article, §1-101, Annotated Code of Maryland, and includes:a) Correctional facilities under the direction of
10.09.79.03.htm 10.09.79.03. 03 Requirements.. A. A correctional facility based in Maryland is eligible to participate as a presumptive eligibility entity.B. To participate as a presumptive eligibility entity, the correctional facility shall enter a memorandum of understanding with the Department.C. The memorandum of understanding required under §B of this regulation shall require correctional facilities to:1) Comply with Departmental policies and procedures supplied by the Department at the time of applic
10.09.79.04.htm 10.09.79.04. 04 Presumptive Eligibility Criteria.. A. An individual shall apply for presumptive eligibility through a participating correctional facility.B. An individual who applies for presumptive eligibility shall attest to:. 1) The citizenship requirements in COMAR 10.09.24.05;. 2) The residency requirements in COMAR 10.09.24.05-3;. 3) The individual’s pregnancy status;. 4) The individual’s family size; and. 5) The individual’s household’s gross monthly income..
10.09.79.05.htm 10.09.79.05. 05 Eligible Populations.. If an incarcerated inmate in a Maryland-based correctional facility is determined to be eligible for one of the following coverage groups, the individual may qualify for presumptive eligibility for correctional facilities:A. Parents and other caretaker relatives whose household income is equal to or less than 133 percent of the federal poverty level;B. Pregnant women whose income is equal to or less than 250 percent of the federal poverty level;.
10.09.79.06.htm 10.09.79.06. 06 Limitations.. Presumptive eligibility may not be granted to an individual who:. A. Is currently enrolled in the Maryland Medical Assistance Program or Medicare;. B. With the exception of pregnant women, had a prior presumptive eligibility period during the last 12 months;C. Does not meet the residency requirements stated in COMAR 10.09.24.05-3; or. D. Does not meet the citizenship requirements stated in COMAR 10.09.24.05..
10.09.79.07.htm 10.09.79.07. 07 Coverage Span.. A. Presumptive eligibility begins on the day the presumptive eligibility worker determines the individual is presumptively eligible.B. Presumptive eligibility ends on the earlier of:. 1) The day the individual is determined eligible for Medical Assistance; or. 2) The last day of the month following the month in which the correctional facility determined presumptive eligibility, if an individual:a) Is found ineligible for Medical Assistance; or.
10.09.79.08.htm 10.09.79.08. 08 Presumptive Eligibility Appeal Rights.. An individual or an organization does not have appeal rights for presumptive eligibility determinations.
10.09.79.9999.htm 10.09.79.9999. Administrative History Effective date: December 18, 2017 (44:25 Md. R. 1180).
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