Alert 245

ACES ALERTS


245: AUTO-OPEN NOT POSSIBLE REVIEW FOR MEDICAID/MEDICARE ELIGIBILITY


DESCRIPTION

 

This is a two-tier alert that displays for active and closed AUs. The alert generates for the following reasons and displays in the second line of the alert:

 

·         A DOB MISMATCH

 

·         A SSN MISMATCH

 

·         A NAME MISMATCH

 

·         THE DEATH OF A CLIENT ACTIVE IN OTHER THAN AN SSI MEDICAID AU BUT WHO IS ELIGIBLE FOR A PERIOD OF SSI MEDICAID ELIGIBILITY

 

·         THE MEDICAID EFFECTIVE DATE ON SDX IS IN THE FUTURE

 

·         THE SDX ADDRESS IS INVALID

 

PROCEDURE

 

1.    Enter a [Y] in the S field and press <F13> to view the second tier.

 

2.    Review for any errors in client information.

 

3.    Take appropriate action or send request for verification as needed.

 

DISPOSITION

 

Enter [Y] in the D field and <TRANSMIT>.