Review Guidelines includes basic information regarding Review Due dates for each program.
LTC or E&D – Person Level review date will be 12 months from your approval month.
Example: EDBC was run for the benefit month 12/2022 and coverage was approved. The consumer’s Review will be due 11/30/2023.
MAGI – Person Level review date will align to your CE end date.
NOTE: When processing a New Determination or Review expect a Person Level review date for every person approved except for SOBRA
Person Level Review Due Dates
and
Program Level Review Due Dates