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Revised December 31, 2012 |
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Who is eligible for Retro medical?
How long is the Retro medical certification period?
How do I initiate Retro medical?
How do I process the Retro medical benefit months?
How do I finalize Retro medical benefits?
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Who is eligible for Retro medical?
· Clients who are eligible for certain medical programs. See EAZ Manual – WAC 388-416-0010 Medical certification periods for recipients of cash assistance programs, WAC 182-504-0020 Certification periods for the noninstitutional medically needy (MN) program, and WAC 182-519-0110 Spenddown of excess income for the medically needy program #3. How long is the Retro medical certification period?
· Retro medical can be approved for up to three months prior to the application month. See EAZ Manual – WAC 182-504-0015 (#9) Certification periods for categorically needy (CN) scope of care medical assistance programs and WAC 182-504-0025 Medicare savings program certification periods. How do I initiate Retro medical?
To initiate Retro medical, take the following steps:
1. On the AMEN screen, enter Option W – Retro Medicaid Copy . o Enter the AUID in the AU ID field. Press <Transmit> and the Retroactive Medicaid Copy - RMCO screen displays.
2. On the RMCO screen, enter [Y] in the Continue field. Press <Transmit> and the AMEN screen displays.
How do I process the Retro medical benefit months?
To process a retroactive Medicaid application, take the following steps:
1. On the AMEN screen:
o Select Option R – Interim/Hist Change.
o Enter the AUID in the AU ID field.
o Enter one of the retro months [MM YY] in the Benefit Month field.
o Press <Transmit>.
o Review and update case information as needed. Confirm and commit data.
2. Repeat Step 1 for the remaining Retro months.
How do I finalize Retro medical benefits?
1. On the AMEN screen:
o Select Option X – Finalize RETRO Medicaid.
o Press <Transmit> and the Finalize Retroactive Medicaid - FRME screen displays.
o Press <Transmit> and the ELIG screen displays. Confirm eligibility for all benefit months and finalize. Press <Transmit>.
· The user must screen in a new AU with a three month spenddown base period to cover the retro medical months. See Spenddown Processing.
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Modification Date: December 31, 2012