Description
This page allows you to check medical assistance eligibility with Spend Down retroactively. When a household member applies for a Medically Needy program with Spend Down, and is determined eligible for coverage for that Spend Down period, and he or she has met the Spend Down amount for the Period, the household member can apply for retroactive coverage for that program. The household member can receive a maximum of 3 months Retroactive coverage, which covers the three month period directly prior to the date of application for the Spend Down program. When checking eligibility retroactively, you must define the date within the retroactive month for which you want to check retroactive eligibility and you must repeat this process for each of the months that a household member has requested retroactive coverage. The retroactive period start date is normally set as the start of the month. Selecting the check eligibility button triggers the system to check for potential retroactive eligibility for the current Medically Needy Program with Spend Down for the date specified. Household members can also apply for Retroactive coverage when there has been a break in program coverage of 30 days or more, and they have not received coverage under any other program (except Cost Sharing) during that period. Retroactive coverage will only be given on a month by month basis during this period, up to a maximum of 3 months. Each month within the Retroactive period is treated as a separate Spend Down period. Household members must meet both the program eligibility requirements and the Spend Down amounts in each individual month, in order to receive Retroactive coverage for that month.
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Fields
Check Retroactive Eligibility
LabelTypeDescriptionMandatory
Retroactive Period Start DateCURAM_DATEDate from which you want to check eligibility retroactively. The workflow process will check eligibility retroactively across all Medically Needy Programs with Spend Down on this date. The retroactive period start date can be no earlier than three months from the date of the initial application.No
Links and Actions
Page Level Actions
LabelDescription
Check EligibilityPress the Check Eligibility button to trigger the Check Eligibility for Medical Assistance Programs with Spend Down workflow.
CloseThe Close action dismisses the page.
Messages
When page is loaded
None
When page is submitted
MessageMessage CatalogConfigurableConfigurable Validation Reference ID
Address data line %1n is not in correct format.LinkNo
Address header information is missing or invalid.LinkNo
An Exception occurred as the timeout has been reached and the transaction has been rolled back.LinkNo
Attempt to map a freeform address as a non-freeform.LinkNo
Cannot request retroactive coverage as the initial SpendDown has not yet been met.LinkNo
Cannot request retroactive coverage for date entered as client was covered under a Medical Assistance Program for date specified.LinkNo
Cannot request retroactive coverage for date entered as the date entered is during a break in coverage period of less than 30 days.LinkNo
Could not do calculation as no duration type provided.LinkNo
Could not do calculation as no increment amount provided.LinkNo
Could not do calculation as no Participant or Date details provided.LinkNo
FailLinkNo
Invalid address layout type %1s specified in address header.LinkNo
NoLinkNo
No name tag specified in address data line %1n.LinkNo
No RuleSet could be found for Product %1s.LinkNo
No rules were present for this product for the calculation date %1d.LinkNo
No security implementation is supported for this transaction type. Please contact an Administrator.LinkNo
Pre-release Eligibility failed with an internal error on case %1s. Please contact an administrator.LinkNo
The Key Server cache and the Key Server database values are out of sync and therefore this record cannot be inserted. LinkNo
The login ID %1s does not map to a user name.LinkNo
The Retroactive Period Start Date cannot be earlier than three months from the date of application. Please check the date of application of the SpendDown period for which retroactive coverage is requested.LinkNo
Unapproved evidence has been found. Eligibility cannot be determined until this evidence has been approved. Please contact the case supervisor.LinkNo
Your search has exceeded the maximum limit for the number of records that can returned. Please narrow your search criteria.LinkNo
Related Entities
Technical Information
Page IDISP_checkSpendDownRetroactiveEligibility
LocationC:\Users\david\dev\src\esystems-inc\Curam_V8_IS\webclient\components\ISProduct\SpendDown\Check Eligibility\ISP_checkSpendDownRetroactiveEligibility.uim
Page Load Interface
Page Submit InterfaceISPSpendDown.checkRetroactiveEligibility
Linked From Pages