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We invite you to shape the future of Merative, including product roadmaps, by submitting ideas that matter to you the most. Here's how it works:

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

Program Alignment / Adverse Action - OOTB does not differentiate between public and private programs

Service teams would benefit tremendously from making eligibility logic surrounding adverse actions more configurable. Depending on the shift between programs, and categories within programs, a given PDCs decision may be extended for a certain period of time beyond what would be indicated by evidence. Currently, all of the logic is handled by static methods with little documentation, making customization risky.

Adverse action logic deals with extension of eligibility based on losing eligibility for a program/coverage category; this is different from program alignment because this requirement is a result of an eligibility determination, whereas RFE 83752 is input into eligibility determinations.

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  • Guest
    Reply
    |
    Jun 8, 2017

    We understand how the proposed enhancement could be beneficial to you as part of a Cúram based solution. However, there is insufficient current and anticipated demand for this feature, therefore it will not be addressed in the foreseeable future, it is for this reason that we are rejecting your request.

    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
    You can find more information on the RFE process here.

  • Guest
    Reply
    |
    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