360-6.2 Authorization of MA.
(a) When a social services district finds an applicant eligible, it
will prepare an authorization for MA for the applicant and eligible applying members of
the applicant's household. No initial authorization may be effective for more than one
year from the date of application. No reauthorization will be effective for more than one
year.
(b) Identification cards.
(1) The department will issue an MA
identification card to each of the following eligible persons:
(i) an adult member of
a household eligible for ADC, HR, or SSI:
(ii) an adult member of
a household eligible for MA;
(iii) a person who is a
single-person household and who is eligible for ADC, HR, or SSI;
(iv) a person who is a
single-person household and is eligible for MA;
(v) a child eligible
for ADC, SSI, or MA in a case with no eligible head of household;
(vi) a child in the
State receiving Title IV-E foster care maintenance payments, unless the child is receiving
MA per diem payments and the social services district requests that an MA identification
card not be issued;
(vii) a child in the
State on whose behalf a Title IV-E adoption assistance agreement is in effect regardless
of whether adoption assistance payments are provided under the agreement or are being
made;
(viii) a pregnant woman
eligible for MA; and
(ix) a child 13 years
of age or older who is eligible for ADC, HR, SSI or MA and who requests his/her own MA
identification card.
(2) If the authorization for MA is limited to a
specific care or service, an MA identification card will not be issued.
(3) A recipient must present the MA
identification card or a department approved equivalent to the MA provider before
receiving medical services or supplies.
(4) If the authorization for MA is limited
because of utilization thresholds or improper use, the MA provider will be informed of the
limitations when he/she verifies the recipient's MA eligibility.
(5) The social services district may make
provisions for obtaining surrender of the MA identification card when a recipient is no
longer eligible for MA.
(c) An initial authorization will be made effective for inpatient and
outpatient care and services provided to a recipient during the three- month period
preceding the month of application for MA, if the recipient was eligible in the month in
which the care and services were provided. An authorization can never be issued for care
or services provided prior to this three-month period.