1. (a) A personal interview between the individual or authorized representative (AR) and a department staff member or contracted employee shall be required for:

   1. (1) Each initial determination of eligibility for adult category medical assistance; and

   2. (2) Each regularly scheduled redetermination of eligibility for all adult category individuals except for:

      1. a. Individuals who receive in and out medically needy medical assistance pursuant to He-W 878.01;
      2. b. Individuals residing in independent living arrangements and not receiving SNAP benefits; and
      3. c. Individuals residing in nursing facilities or swing-bed hospitals, as defined in 42 CFR 413.114(b), and receiving payments for nursing care or who are only eligible for medical services other than a payment for nursing care.

2. (b) When required for nursing facility, choices for independence (CFI), home and community-based care for the developmentally disabled (HCBC-DD), home and community-based care for individuals with an acquired brain disorder (HCBC-ABD), and home and community-based care for in-home supports (HCBC-IHS) cases, a department staff member shall conduct a personal interview with one or more of the following:

   1. (1) The individual;
   2. (2) A representative of the nursing facility or swing-bed hospital as defined in 42 CFR 413.114(b); or
   3. (3) The individual’s relative or AR.
3. (c) A personal interview shall be conducted for all adult category cases, including those exempted above in (a)(2), as a result of reported changes or the discovery of conflicting information related to eligibility.
4. (d) A personal interview shall be required once during a 12-month period for any adult category case on a more frequent redetermination of assistance schedule pursuant to He-W 684.02(d).

5. (e) The individual or the individual’s AR shall review the summary of the information provided during the interview with the department’s representative who conducted the interview, and:

   1. (1) Make any corrections to the information; and
   2. (2) Sign the summary attesting to the truthfulness and accuracy of the information provided.

Source. #12714, eff 1-23-19