Examples of Childless Adult Members Sample Clauses

Examples of Childless Adult Members. CASE SCENARIO 1 – Childless Adult member is SMI and is transferred from the Childless Adult program to SSI MAO effective July 1, 2011. AHCCCS has a unique identifier for SMI members in our PMMIS system. This information is supplied by the Arizona Department of Health Services (ADHS), who is responsible for diagnosing and serving this population. Household consists of Xxxx Xxxxx, age 55, who has been identified by the Department of Health Services as SMI. Xxxx earns $400 monthly. A notice is sent to Xxxx in June 2011 informing him that his eligibility has been transferred from the Childless Adult program to SSI MAO. Xxxx will be contacted by SSI MAO staff to complete a redetermination for that program, based on the redetermination date he would have had in Childless Adults. On November 1, 2011 an SSI MAO eligibility specialist tries to contact Xxxx to start the redetermination process. The Eligibility Specialist phones Xxxx and his phone has been disconnected. Xxxx is sent a redetermination notice to complete the redetermination process, and is informed that he has until January 31, 2012 to respond. The redetermination notice is returned by the U.S. Post Office as undeliverable. His SSI MAO eligibility is discontinued effective February 1, 2012. Xxxx is ineligible for SSI MAO. • CASE SCENARIO 2 – Childless Adult member fails to comply with the redetermination process after the freeze is in effect and is diagnosed with HIV/AIDs. (We will identify and track these individuals before they lose coverage) Xxxx earns $400 monthly. A notice requiring Xxxx to send a renewal application was sent to Xxxx on November 1, 2011. Xxxx was required to respond by December 31, 2011. No renewal application was received from Xxxx. His Childless Adult eligibility is discontinued effective January 1, 2012. But Xxxx is transferred to SSI MAO effective January 1, 2012 and will be contacted by SSI MAO staff to complete a redetermination for that program. Xxxx is sent a notice that he has been transferred to SSI MAO and that he will need to complete the redetermination process and meet the requirements for SSI MAO in order to remain eligible for that program. On February 1, 2012 an SSI MAO eligibility specialist telephones Xxxx to start the redetermination process. The eligibility specialist then sends Xxxx a disability packet to complete and answers questions for Xxxx after he reviews it. Xxxx returns the requested information and the disability packet is sent to the DES Disability ...
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