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Status Future consideration
Categories Income Support for Medical Assistance
Created by Guest
Created on Feb 10, 2016

RELATED IDEAS

Incorrect determinations in CP for future eligibility start dates.

C8HCR 15. The system does not allow an individual who currently has minimum essential coverage (MEC) that is ending to apply and be determined eligible for MinnesotaCare or APTC.

In addition the State of Minnesota has not authorized closure of the PMR from a the State of Minnesota.

The case was separated from the 05435,379,000. The system does not allow an individual who currently has minimum essential coverage (MEC) that is ending to apply and be determined eligible for MinnesotaCare or APTC. As a result, it will guarantee an individual will have at least a one month gap in coverage. For example, if an individual has employer insurance that is ending in January, the individual will need to apply in February in order to be determined eligible for MinnesotaCare or APTC. Since that coverage does not begin until after payment is received, the soonest coverage could begin would be March. This must be fixed asap by January 2) 'The Enable Special Enrollment Shopping functionality will then allow the applicant to enroll on plans through the citizen account.' does not meet fully our needs as client in Minnesota needs to: 2.1. a) a case worker needs to be informed that the ESI is ending b) a citizen needs to be informed to come back to the Exchange and enroll c) Citizen should be able to review new eligibility determination in Citizen Portal based on current/ or near future date and the most recent evidences recordings and take decision step to elect a health plan d) Citizen needs to be able to enroll into QHP/BHP Question: Can Case worker enable a link for Special Enrollment before the end of the non-ESI/ESI that allows enrolling into plans when citizen is not yest eligible for APTC? Answer: No. If the applicant is currently eligible for APTC/UQHP and if the open enrollment period is over, then the special enrollment shopping link can made available on Universal Access though the 'Enable Special Enrollment Shopping' link. If the answer is no , then the solution proposed does not meet Minnesota needs. Please provide business process that allows the customer to enroll into plans when the ESI/non-ESI are not yet ended. The time period when thy are allowed to enroll will be a configuration variable.

Customer Name Minnesota, IBM CORP
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  • Guest
    Reply
    |     May 18, 2017

    Hi Kelly,

    Apologies for the delay in responding to your request.

    We acknowledge that this enhancement request has been accepted for consideration. It may not be delivered within the release currently under development however the theme is aligned with our current multi-year strategy and will be considered for a future release.

    IBM may consider and evaluate any RFE Community feedback for this request through activities such as voting.

    IBM will update this request in the future.

    Thank you for your interest in the Cúram product.
    Sherry Byerly, Cúram SPM Offering Management team

  • Guest
    Reply
    |     Jul 7, 2016

    We are currently analysing the requirement and will provide another update when that analysis is complete to confirm whether or not the enhancement will be considered in a future functional release.

    John Sweeney
    Offering Manager - Social Programs

  • Guest
    Reply
    |     Feb 23, 2016

    Due to processing by IBM, this request was reassigned to have the following updated attributes:
    Brand - Watson Health
    Product family - Cúram Social Program Management
    Product - Income Support for Medical Assistance
    Component - Functionality
    Source - Other

    For recording keeping, the previous attributes were:
    Brand - Watson Health
    Product family - Cúram Social Program Management
    Product - Social Program Management Platform
    Component - Functionality
    Source -