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

RELATED IDEAS

Emergency MA is not determining eligible when emergency period is before the application date in the month of application

When the emergency period is before the application date, the eligibility period should be set to emergency period before the application date. The emergency can be up to 3 months before the application date (including in the current month before the application date). The decision should display as eligible even if the period is before the application date.
Currently if the emergency period ends before the application date, decision displays as ineligible. The Summary page shows all Pass for the decisions. The eligibility period dates is not being set to a period before the application date even though the coverage period dates display correctly on the Decision Summary tab. If the emergency period starts before the application date, but ends on the application date, the client is found eligible for the one day. The client should be eligible from the emergency begin date.

To test:
Enter a child age 2.
Citizenship = Undocumented
SSN = applied

Emergency period = earlier in the application month (prior to the application date); ending before the application date, Approval - Emergency Condition, Approval Department - Medical Claims Department, Application Date and Approval Date the same as the application date.

Customer Name North Carolina - Dept of Health and Human Services
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  • Guest
    Reply
    |     Aug 6, 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