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Status Not under consideration
Created by Guest
Created on Feb 9, 2016

No determinations are seen when Eligibility ends in past

When a paper application is submitted such that the eligibility is ending in past, then we observed that the Eligibility Determinations are not being displayed on the Product Delivery Case. This happens when the Product Delivery Case is in 'Approved' state initially when it is created and manually activated later.

Additional comments I am adding additional information on why this issue is observed when the Product Delivery Case is in 'Approved' state initially when it is created, and then manually activated later by case worker. When the PDC is approved, a snapshot determination gets created, and when we Activate manually, no determination gets inserted becuase in the OOTB class , ProgramGroupManagerImpl, there is check whether the cert start year >= current year. For the business scenario reported, this check is preventing the call to method which inserts the determination.

Enhancement will be tracked via HCR-8611

Customer Name Minnesota
  • Attach files
  • Guest
    Reply
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    Jun 2, 2017

    Hi Sigitas,

    We have carefully evaluated your request and have determined that it cannot be implemented at this time as it does not align with our current roadmap strategy and it is therefore not something that we plan to address in-product.

    Your request may be resubmitted for consideration after 12 months from the date of decline.

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

  • Sigitas Jakucionis
    Reply
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    May 30, 2017

    Any updates?

  • Sigitas Jakucionis
    Reply
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    Mar 10, 2017

    Do you have updates?

  • Guest
    Reply
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    Feb 16, 2017

    Thank you for your reply Nikita.

    We require some further analysis into this.
    I will provide another response when our investigation is complete.

    Thank you,
    Eloise O'Riordam, Cúram SPM Offering Management team

  • Guest
    Reply
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    Feb 15, 2017

    Yes we still have requirements to support back-dated applications.

    Some examples of scenarios where applications must be back-dated (this is not an exhaustive list):
    1. The date of application is the date a county, tribal, or sate servicing agency receives a request for coverage or an application for health care. Most applications to these agencies are not made through the Universal Access portal. Agencies often cannot process an application timely due to resource constraints - it is possible a client made contact in November, but the organization processes the application in January. The application date will be the date the request was first received.
    2. For applicants with limited English proficiency, the date of first contact with the Multilingual Referral Line available in service or county agencies is considered the application date. It may take a long time to gather all necessary information from the client, but the date of application is still the date of first contact.
    3. If a client is denied eligibility for Medical Assistance (either at the screening phase, or initial eligibility determination, what have you), but an appeals entity determines that the client should have been MA eligible, he must be granted eligibility from the first date of application, not the time the appeal went through. It's possible that by the time the appeal went through the case would have been closed, so we'd have to re-enter an application.

    The above are a combination of items from the Code of Federal Regulations and Minnesota's own administrative rules, e.g. CFR 42 section 435.907 and Minnesota Rules part 9505.0015 subpart 5

  • Guest
    Reply
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    Feb 13, 2017

    Hi Kelly,

    Given that this request is based on an old PMR, we would like to know if you still have a requirement to support back-dated applications and if so, can you please provide more detail on the business scenarios that continue to require back-dating?

    If we do not receive this information within 30 days, this request will be closed.

    Thank you,
    Eloise O'Riordam, Cúram SPM Offering Management team

  • Guest
    Reply
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    Feb 1, 2017

    Hi Gallardo,

    Thank you for your enhancement request.
    We require some further analysis to determine whether or not this enhancement can be considered in a future release.
    I will provide another response when our investigation is complete.

    Thank you,
    Eloise O'Riordan, Cúram SPM Offering Management team

  • Sigitas Jakucionis
    Reply
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    Jan 4, 2017

    Stated reason why this RFE was declined is "No additional information has been provided to progress this RFE. Closing due to incomplete information."

    However, there is no request for additional information published on this RFE.
    Please tell what additional information is expected to progress?

  • Guest
    Reply
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    Dec 5, 2016

    No additional information has been provided to progress this RFE. Closing due to incomplete information.

    John Sweeney
    Offering Manager

  • Guest
    Reply
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    Jul 8, 2016

    We are currently analyzing 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 - Curam Social Programs