The primary function of the Eligibility Determination Associate (Medical Care Program Associate I and II is to accurately interpret, analyze, and apply federal and State Medicaid regulations and policies when reviewing and verifying Non-MAGI and MAGI Medicaid applications, verifications, and data to render eligibility determinations. Eligibility Determination Associate are responsible for accurately reviewing and verifying verifications including but not limited to applications, technical verifications, income, asset, resource, financial verifications, and clearances for accuracy, completeness, and compliance prior to rendering an eligibility decision. Additionally, the review and verification process may encompass contact with applicants, recipients, or authorized representatives to secure missing eligibility verifications required to render accurate eligibility decisions.
