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Status Delivered
Categories Income Support for Medical Assistance
Created by Guest
Created on Jul 21, 2016

RELATED IDEAS

Income threshold and FPL calculations should use rate tables instead of using ERA

Income threshold and FPL calculations need to use rate tables instead of using ERA.
PMR 67294,379,000 is for configuring tax filing threshold values in rate tables. HCR currently uses ERA for manitaning tax filing thresholds and FPL thresholds. All of these have to be moved to use Rate Tables, rather than just the tax filing threshold.

Current Version: 6.0.5.3 iFix7

Problem title:
IRS Tax Filing Thresholds should be in Rate Tables

Problem description:
Per ACA regs, in order to determine if certain household members income should be counted in the household income for Streamline Medicaid, these members income should be above the threshold to file taxes.
Currently, the thresholds used in the eligibility rules are based on the 2012 tax filing thresholds only.

The IRS publishes new thresholds every year so the values used in the eligibility rules should be stored in a rate table to account for the new values being released each year. The 2013 rates have already been published and currently, the product does not account for this.

Business impact:
Income will be counted incorrectly for some members resulting in incorrect eligibility for the household

Customer Name Minnesota, District of Columbia – Washington, Nebraska Health and Human Service System, South Carolina
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  • Guest
    Reply
    |     Jan 3, 2018

    Hi Abirami,

    We are happy to inform you that your enhancement request has been delivered in the new release of IBM Cúram Social Program Management, version 7.0.2.0.

    To enable simplified configuration, the tax filing threshold rates for dependents are now stored in rate tables. Two new rate tables are provided:
    • CER tax filing thresholds for dependents
    • CER tax filing thresholds for dependents rate table for gross income

    For more information on this, see the Knowledge Center at: https://www.ibm.com/support/knowledgecenter/SS8S5A_7.0.2/com.ibm.curam.content.doc/whats_new/spm_702_whatsnew_sols.html

    We hope that this addition to the product will meet your requirements sufficiently.

    I will now close this ticket as delivered.

    Thank you for your interest in the Cúram product.
    Eloise O'Riordan, Cúram SPM Offering Management team

  • Guest
    Reply
    |     Nov 13, 2017

    Hi Abirami,

    We acknowledge that this enhancement will be delivered in a future generally available (GA) release.

    IBM's statements regarding its plans, directions, and intent are subject to change or withdrawal without notice at IBM's sole discretion.

    IBM will update this request to reflect any changes.

    Thank you for your interest in the Cúram product.
    Eloise O'Riordan, Cúram SPM Offering Management team

  • Guest
    Reply
    |     Aug 5, 2016

    Hi,

    We acknowledge that this is a valid enhancement request. It will be considered for inclusion in a future release of the product. Thank you for your interest in the Cúram product.

    Thanks,
    Eloise O'Riordan, Cúram SPM Offering Management team

  • Guest
    Reply
    |     Jul 29, 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 - IBM User Group

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