financial services administration (FSA)
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financial services administration (FSA)


Revised March 25, 2011



financial services administration (FSA)

What is the Financial Services Administration (FSA) interface?

 

How often is information exchanged?

 

What happens when ACES receives delinquent premium information?

 

What happens when ACES receives notice that the client has paid their delinquent premiums?

 


 

What is the Financial Services Administration (FSA) interface?

 

·         The FSA interface is the exchange of information regarding premium data for the following medical programs:

 

o    F02 – CN 12-month Extension

 

o    F07 – Children’s Health Insurance Program (CHIP)

 

o    S08 – HWD

 

How often is information exchanged?

 

·         ACES sends data to FSA once per month during the Monthly Issuance weekend. For specific dates of Monthly Issuance, see the Production Calendar.  

 

·         FSA sends ACES delinquent premium information on the 16th of each month. The file contains AUs with an outstanding balance for each of the past three months.

 

·         FSA sends ACES a daily interface that includes households that have paid their delinquent premiums.

 

What happens when ACES receives delinquent premium information?

 

·         F02 AUs AUTO close and sprout an F06 AU for the children through the end of the original F02 certification period. For more information, see Premiums – What happens to the F02 AU if the premiums are not paid?

 

·         F07 AUs AUTO close for Reason Code 342 – TERMINATION/DENIAL DUE TO NON-PAYMENT OF PREMIUM and system will post the delinquent premium amount to the PREM screen. If the child’s SANC screen has a sanction reason of 200 – Delinquent Premium Amount and exception code of DE – Departmental Error, FH – Fair Hearing or MD – Mandatory (System Generated), the following will occur;

 

o    DE – The system will reset the field to blank and AUTO close.

 

o    FH – The system will not reset this code and the child will remain active.

 

o    MD – The system generated code when mandatory conditions apply such as pregnancy or when the client has a Race Code of 597 (Native American), 935 (Eskimo) or 941 (Aleut), system will not AUTO close.

 

o    For more information, see Premiums – What happens if a premium is not paid?

 

·         S08 AUs with a delinquent premium paying for 120 days, AUTO generates Alert 235 – PREMIUM PAYMENT 120 DAYS OVERDUE. For more information, see Premiums – What happens if the S08 premium is not paid?

 

What happens when ACES receives notice that the client has paid their delinquent premiums?

 

·         For information on what happens when delinquent premiums are paid, see:

 

o    F02: Premiums – What happens if late F02 premiums are paid after the AU closes?

 

o    F07: Premiums – What happens when a delinquent payment is received late?

 

Modification Date: March 25, 2011