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Status Future consideration
Categories Social Program Management Platform
Created by Guest
Created on Jul 21, 2016

RELATED IDEAS

Incorrect Check for Medicaid on Newborn

Auto-eligible newborn coverage is for kids born to Mom's who were on full coverage medicaid when the kid was born (couple of extra eligibility requirements). In the customer state this is also when the Mom was on full coverage in the state (not any other state)

OOTB in HCR (CGISS is correct) it is not checking for full coverage medicaid. It is checking for medicaid. This means too many kids are being found eligible.

This does not just impact rules, it impacts IEG (how an applicant indicates Mom is on full coverage Medicaid as opposed to MEC medicaid which is the current question in the script) and evidence as well.

Business impact:
Newborn needed to be offered since 1/1 and is incorrect OOTB

Customer Name North Carolina - Dept of Health and Human Services
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  • Guest
    Reply
    |     Aug 5, 2016

    Hi,

    We acknowledge that this is a valid enhancement request. It will be considered for inclusion in a future release of the product. Thank you for your interest in the Cúram product.

    Thanks,
    Eloise O'Riordan, Cúram SPM Offering Management team