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Over 4000 DDA waiver participants will need to complete the Medicaid Check-In Redetermination process. Redeterminations are being completed by both the Maryland Department of Human Services (DHS) and the MDH’s Eligibility Determination Division (EDD).
- It is important to wait for a letter from DHS or EDD before submitting redetermination information. Information submitted prior to the DHS or EDD request letter will not be processed as they are not due at that time.
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It is important for you to look for communication related to redeterminations and respond directly to either the DHS or EDD caseworker as noted in the letter within the required timeframe.
People will receive several letters or notifications about their redetermination.
1st Letter - The 1st letter will be sent 90 days before the redetermination due date. The letter is to alert people that their redetermination is coming up. This 90-day alert letter can help people to start to prepare and gather information.
2nd Letter - The 2nd letter that is sent includes information about the actual redetermination due date. The letter includes a link to the MDThink system where people can complete their redetermination process online. The letter will also include a person-specific dedicated access “pin” number to use when completing the process in the MDThink system.
3rd Letter - If the Redetermination has not been completed in the MDThink system, another letter is sent, again noting the due date and also including a paper Redetermination application. The redetermination application can still be completed in MDThink OR the person can complete the paper application. When completing the paper application, it is important for the paper application to be sent to the DHS or EDD caseworker noted in the letter.
4th Letter - If the Redetermination has not been completed, then a 10-day closing letter alert is sent. The letter provides a warning that the Medicaid (including DDA Waiver) eligibility is ending soon if not submitted by the due date.
5th Letter - If the Redetermination is not completed by the due date, then a Denial/Closure Letter with appeal rights is sent. Once the person’s waiver eligibility is closed, people can not access Medicaid services, including seeing their doctors, accessing medication, seeing specialists, and accessing waiver services paid with Medicaid funding.
Tardy Redeterminations
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If people do not complete the redetermination process by the due date, they can still send in the application and submit all supporting documents up to 120 days after the due date. These cases are considered as a Tardy Redetermination.
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If the process and all supporting documents are submitted in this timeframe, the waiver enrollment will be reinstated.
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If the process and all supporting documents are NOT submitted in this timeframe, then the person will have to reapply and go through the DDA Waiver application process again in order to receive services.
Currently, Coordinators of Community Services are following up with people with overdue redetermination that were not completed. For some people, the information is due today. These individuals will lose their waiver eligibility if immediate actions are not taken.
For more information, visit the Maryland Medicaid Check-in Website.
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