Description
This page allows you to enter household medicaid evidence record.
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Page Flow Diagram
Click the diagram to manipulate and zoom. Traverse the diagram using Click-and-Drag motions. Fullscreen
Fields
LabelTypeDescriptionMandatory
Household MemberCONCERN_ROLE_NAMEHousehold member whom the Medicaid evidence concerns. Note that you can access the member's person home page by clicking on the member's name.No
Newborn to Medicaid MotherCURAM_INDICATORThis selection box indicates whether or not the household member is a newborn to a mother receiving Medicaid. Note that a newborn is eligible up to 1 year of age if the mother is receiving Medicaid at the time of birth and if the child lives with the mother.No
Lost Medicare Part ACURAM_INDICATORThis selection box indicates whether or not the household member lost Medicare Part A. Depending on the member's age, disability, income, resources, and reason for the loss of Medicare Part A, the member may still be eligible for Medicaid.No
Action
LabelTypeDescriptionMandatory
Links and Actions
Page Level Actions
LabelDescription
AssistanceThis button provides a link to the Emergency Assistance Evidence page. From here, you can modify the emergency assistance needs of the household.
BenefitsThis button provides a link to the list of household benefit evidence. From this list, you can view, add, and modify household benefit details.
EditClick the Edit link on the appropriate row to modify the medicaid evidence record.
EligibilityThis button checks the household's potential eligibility for income support.
ExpenseThis button provides a link to the list of the following: medical, shelter, and dependent care expenses. From each list, you can view, add, and modify the relevant details.
HomeThis button provides a link to income support screening case home page for the household.
IncomeThis button provides a link to the list of household income evidence. From this list, you can view, add, and modify household income details.
MedicaidThis button provides a link to the list of household medicaid evidence. From this list, you can view, add, and modify household medicaid details.
MembersThis button provides a link to the list of household members. From this list, you can view, add, and modify household member details.
New MedicaidPress the New Medicaid button to create a new household medicaid evidence record.
RelationshipsThis button provides a link to the list of household relationships. From this list, you can add, modify, or delete household relationship details.
ResourceThis button provides a link to the list of household resource evidence. From this list, you can view, add, and modify household resource details.
ViewClick the View link on the appropriate row to view the medicaid evidence record.
Messages
When page is loaded
MessageMessage CatalogConfigurableConfigurable Validation Reference ID
An Exception occurred as the timeout has been reached and the transaction has been rolled back.LinkNo
No security implementation is supported for this transaction type. Please contact an Administrator.LinkNo
System configuration error - Unable to retrieve system user details from the database. Please contact your system administrator.LinkNo
The login ID %1s does not map to a user name.LinkNo
When page is submitted
None
Related Entities
Technical Information