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Status Not under consideration
Created by Guest
Created on May 16, 2016

Introduction of Presumptive Eligbility into HCR

Presumptive eligibility: In reference to hospital presumptive eligibility (PE). This is part of the ACA. It allows qualified hospitals to determine a persons eligibility for temporary Medicaid using preliminary information provided by the applicant. If a hospital approves a person for PE, the hospital must help the person file an application for ongoing Medicaid. This has to do with initial applications. The high-level functionality that is needed is an application script and rules engine available to certain users (designated qualified hospital staff) that can make a Medicaid determination and interface eligibility to MMIS.

Customer Name Minnesota
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  • Guest
    Reply
    |
    Jul 27, 2016

    This enhancement request can be addressed through State Sharing of assets. The NC project has the basis for this asset which can be reused across projects.

    John Sweeney
    Offering Manager - Curam Social Programs

  • Guest
    Reply
    |
    May 17, 2016

    Due to processing by IBM, this request was reassigned to have the following updated attributes:
    Brand - Watson Health
    Product family - Cúram Social Program Management
    Product - Income Support for Medical Assistance
    Component - Functionality
    Source - Other

    For recording keeping, the previous attributes were:
    Brand - Watson Health
    Product family - Cúram Social Program Management
    Product - Social Program Management Platform
    Component - Functionality
    Source -