Product Delivery Case not Generating when All Members are Found Ineligible

Currently, OOTB Curam does not generate a Product Delivery Case when all members are found ineligible on an Integrated Case. The South Carolina Department of Health and Human Services (SCDHHS) needs to be able to generate a Product Delivery Case whether a member is eligible or not to appease to CFR §435.914 The agency must include in each applicants case record facts to support the agency's decision on his application. There are three main reasons we may need to generate a Product Delivery Case when all members are found ineligible in a household.

A. There is no way to see how the system is calculating Household Size, Household Income, and FPL % when all members are found ineligible on a case in a Production environment.

B. If the user is relying on the system to make a correct eligibility decision, the user could assume that a member is not eligible when they truly qualify for coverage.

C. PERM (Payment Error Rate Measurement) relies on each state to report the Household Size, Household Income, and FPL % for each Test Case that is distributed. CMS (Centers for Medicare & Medicaid Services) includes Test Cases where all Household members are found ineligible. While this information can be retrieved later through a testing environment, there is no current way to retrieve this information in Curam in Production.