COMAR 10.09.79.03. Requirements

A. A correctional facility based in Maryland is eligible to participate as a presumptive eligibility entity.

B. The eligibility worker shall:

(1) Using the Department’s eligibility verification system, verify the individual is not actively enrolled in the Maryland Medical Assistance Program; and

(2) Complete the full Medical Assistance application process;

C. Unless the individual is enrolled in the Maryland Medical Assistance Program, the eligibility worker shall:

(1) Fill out the presumptive eligibility application based on information supplied by the applicant;

(2) Make a presumptive eligibility determination based on the following information:

(a) Residency;

(b) Citizenship;

(c) Family size and composition; and

(d) Gross family income;

(3) Sign the application; and

(4) Inform the applicant in writing of the presumptive eligibility determination, which includes an explanation of the presumptive eligibility coverage span.

D. In order to ensure the applicant has temporary Medical Assistance coverage, the eligibility worker shall submit the presumptive eligibility application to the Department on the date the application is completed.

E. After the application has been submitted, the correctional facility shall:

(1) Keep all written and signed presumptive eligibility applications on file for 6 years; and

(2) Make the file available to the Department on request.

F. On finding that a qualified correctional facility has failed to meet the requirements of §§A—E of this regulation, the facility shall take reasonable corrective action measures, as determined by the Department, to address the noncompliance.