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.
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