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Status Not under consideration
Categories Income Support for Medical Assistance
Created by Guest
Created on Nov 17, 2017

RELATED IDEAS

Event on Coverage Category Change in Medical Assistance

In Cúram Income Support for Medical Assistance (HCR), clients eligible for Streamlined Medicaid may be eligible under a variety of coverage categories including Infant, an Auto (Deemed) Newborn, Pregnant Woman, etc. When a client transitions out of a given coverage category, the system must take actions that may include:
• Notifying the client of a change in coverage category
• Interfacing information to external systems such as MMIS
• Triggering other processes in Cúram

We are requesting functionality to be available:
• A configurable number of days prior to a transition from one coverage category to another in Medical Assistance
• The configuration must be available for each coverage category (e.g. I may want a system action 30 days prior to a Pregnant Woman's coverage category ending, but 90 days prior to a Deemed Newborn's category ending)
• The ability to execute custom processes at the time the date is reached
• A configuration option that can be set to either trigger a reassessment at the time the date is reached, or not

Customer Name Minnesota
  • Attach files
  • Guest
    Reply
    |     Apr 24, 2019

    Hi Nikita,

    We have evaluated your request and have determined that it cannot be implemented at this time .

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

    Thank you for your interest in the Cúram SPM product.
    Shane McFadden, Cúram SPM Product Management team

  • Guest
    Reply
    |     Jan 8, 2018

    I agree that workflows, milestones, events etc. could be configured to achieve this. However, the same could be said for most system processes, but OOTB Curam does provide implementations of certain processes such as ROP, straight through authorization for applications, and verification deadline processing using workflows, milestones, events etc.

    If the product team recommendation to achieve the business requirements is through the use of workflows/milestones/events, our request would be to have this available OOTB as it is for other processes.

  • Guest
    Reply
    |     Dec 8, 2017

    The Curam infrastructure, specifically workflow, milestones and events can be configured to support this functionality. Is there something about this that is not supported through configuration?

  • Guest
    Reply
    |     Nov 28, 2017

    Hi Nikita,

    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