<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.09.41.05" title_num="10" subtitle_num="09" chapter_num="41" heading="Application Requirements — Determination and Redetermination of Eligibility.">
  <paragraph num="A.">
    <text>Application.</text>
    <paragraph num="(1)">
      <text>To any individual requesting information, the Department shall provide oral or written information about:</text>
      <paragraph num="(a)">
        <text>EID eligibility requirements;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The coverage, scope, and related services of the Medical Assistance Program; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Applicants' and recipients' rights and obligations under the Medical Assistance Program.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department shall issue an EID application form to any individual upon request.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>An applicant or recipient may apply for a determination or a redetermination of eligibility for the EID coverage group by submitting to the Department:</text>
      <paragraph num="(a)">
        <text>The application form designated by the Department and signed in accordance with the signature requirements of COMAR 10.09.24;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The social security numbers of each member of the assistance unit, in accordance with §A(5) of this regulation; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Signed consent forms as specified in §A(4) of this regulation.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Consent Forms. An applicant or recipient, or, if necessary and consistent with the signature requirements specified in COMAR 10.09.24, a representative or other individual acting on behalf of the applicant or recipient, shall sign consent forms as needed to authorize the Department's verification of information needed to establish eligibility through sources such as employers, banks, and public or private agencies.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Social Security Number.</text>
      <paragraph num="(a)">
        <text>As required in COMAR 10.09.24 for each assistance unit member requesting benefits under this chapter, an applicant or recipient shall:</text>
        <paragraph num="(i)">
          <text>Provide the Department with the individual's Social Security number; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Verify that the individual has applied to the Social Security Administration for a Social Security card.</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>An applicant's or recipient's failure to meet the requirements of §A(5)(a) of this regulation shall result in a determination of ineligibility under this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>An applicant or recipient shall provide to the Department information and verifications needed for the determination of all elements of nonfinancial, income, and resource eligibility, including but not limited to information relating to health insurance coverage or potential third-party payments.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Additional Information Requirements. An applicant or recipient shall, at the Department's request:</text>
      <paragraph num="(a)">
        <text>Be available for and participate in an interview; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Answer questions and provide information relevant to:</text>
        <paragraph num="(i)">
          <text>The applicant's eligibility for the EID coverage group; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>The recipient's continuing eligibility for the EID coverage group.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>An individual temporarily absent from the State who intends to return to the State:</text>
      <paragraph num="(a)">
        <text>May apply to the Department by mail for the EID coverage group; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>To establish eligibility for the EID coverage group, shall:</text>
        <paragraph num="(i)">
          <text>Demonstrate continued residency in the State; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Meet all technical and financial requirements of eligibility under this chapter.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>An applicant or recipient shall cooperate and assist with the Department's eligibility determination or redetermination process under this chapter, including but not limited to the requirements of §A of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The Department shall:</text>
    <paragraph num="(1)">
      <text>Maintain a case record for the applicant or recipient, including documentation of all required elements of eligibility;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Conduct a wage-screening inquiry to determine wages, benefits, and claimant history for each assistance unit member;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Verify all factors of eligibility under this chapter for each assistance unit member applying for the EID coverage group; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Restrict disclosures of information concerning applicants and recipients to purposes directly connected with the administration of the EID coverage group of the Medical Assistance program.</text>
    </paragraph>
  </paragraph>
</regulation>