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Status Not under consideration
Categories Social Program Management Platform
Created by Guest
Created on May 16, 2016

RELATED IDEAS

Post Eligibility Processing

Implementation of post-eligibility processing that is needed after an individual is determined eligible for Medicaid. This includes the following:
- Asking questions to determine Medicaid enrollment. Note: Because we do not have this functionality we are asking questions on our application to identify exclusion from Medicaid managed care enrollment—having a terminal illness, having a communicable disease (HIV, AIDS, tuberculosis, hepatitis, etc.) or being diagnosed as Severe Emotional Disturbance (SED) or Serious and Persistent Mental Illness (SPMI)—before someone is determined eligible for Medicaid. CMS continues to remind us that these questions should be post-eligibility.
- Asking questions to determine Medical support referral
- TPL information needed for MMIS
- -Cost-Effective Insurance Determination

Customer Name Minnesota
  • Attach files
  • Guest
    Reply
    |     Sep 8, 2016

    There are no plans on the roadmap to add post eligibility processing. This can be addressed through local configuration by adding attributes to the script.

    Closing request.

    John J Sweeney
    Offering Manager, Social Programs

  • Guest
    Reply
    |     Jul 14, 2016

    Thank you for your enhancement request. 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 - Cúram Social Programs