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Trickle and Sprout

Revised October 28, 2007

Purpose:

Medical Extension Sprout Results of Trickle. Sprout, and Spawn Charts ABD LTC Track Chart ABD SSI Related Track Chart ADATSA Track Chart Family LTC Track Chart Family Track Chart General Assistance Track Chart Pregnant Woman Track Chart Refugee Track Chart Spawning Tracks - Jumping Trickle and Sprout

Medical Extension Sprout See  Results of Trickle, Sprout, and Spawn Charts. TANF AUs that are closed during the adverse action period have a paid through date of the end of the following month unless the user waives adverse action. If this action is taken during the adverse action period, but before monthly issuance  runs, the third month (first month of the medical extension) is not in the system, so the medical extension AU is not created on-line at the time the action is taken. The medical extension AU will be created by the system when the month begin job runs for the month following the month the action is taken to close the AU.

EXAMPLE Today is 10/23. You close a TANF case and do not waive adverse action. The paid thru date in ACES is 11/30. Currently only benefit months October and November are in the system so the medical extension AU is not created. When monthly issuance runs on 10/25 benefit month December is in the system. When the month begin job runs on 11/1, ACES will automatically create the MA extension AU. The user will be able to see the AU on-line on 11/2.

Results of Trickle, Sprout, and Spawn Charts   ABD LTC Track ABD SSI Related Track ADATSA Track Family LTC Track Family Track General Assistance Track Pregnant Woman Track Refugee Track ABD LTC Track Original Medical Coverage Group Condition Trickle, Sprout, and Spawn L01: SSI LTC Ineligible for SSI None L02: ABD LTC CN Closed / denied excess resources Trickles MA L99 Closed / denied excess income Trickles MA L95 Closed / denied fails citizenship Trickles MA L04 L04: ABD LTC Undocumented Alien Closed / denied excess resources Trickles MA L99 Closed / denied excess income Trickles MA L95 L95: ABD LTC MN - No Spenddown Closed / denied excess resources Trickles MA L99 Closed / denied excess income Trickles MA L99 L99: ABD LTC MN - with Spenddown N/A None ABD SSI Related Track Original Medical Coverage Group Condition Trickle, Sprout, and Spawn S01: SSI Recipients Ineligible for SSI None S02: CN Medical Closed / denied excess resources Trickles MA S99 Closed / denied excess income Trickles MA S95 Failed citizenship Trickles MA S07 S03: QMB Income over 100% of FPL Trickles MA S05 Denied ' QMB Start Date' and income over 100% FPL None S04: QDWI Under age 65 Spawns (trickles up) MA S03 S05: SLMB N/A None S07: Undocumented Alien Closed / denied excess resources Trickles MA S99 Closed / denied excess income Trickles MA S95 S95: ABD MN - No Spenddown Closed / denied excess income Trickles MA S99 S99: ABD MN - with Spenddown N/A None ADATSA Track Original Medical Coverage Group Condition Trickle, Sprout, and Spawn G01: ADATSA If disability type W and approval code AW - denied closed reason code 239 Sprouts MA W02 Family LTC Track Original Medical Coverage Group Condition Trickle, Sprout, and Spawn K01: Family LTC CN Medical Closed / denied excess resources N/A Resources not a factor Closed / denied excess income K95 Closed / denied fails citizenship K03 or K95 K03: Family LTC Undocumented Alien Closed / denied excess resources N/A Resources not a factor Closed / denied excess income K95 K95: Family LTC MN - No Spenddown Closed / denied excess resources N/A Resources not a factor Closed / denied excess income None K99: Family LTC MN - with Spenddown N/A None Family Track Original Medical Coverage Group Condition Trickle, Sprout, and Spawn F01: AF / TANF Closed due to excess income and qualifies for 12 month transitional medical Sprouts MA F02 Closed due to receipt of excess child or spousal support and qualifies for transitional medical Sprouts MA F03 Closed / denied due to excess gross or net income Sprouts MA F04 Closed / denied due to no eligible dependent child(ren) Sprouts MA F06 for childr(ren) Closed / denied as fails citizenship Sprouts MA F08 Closed / denied ineligible striker Sprouts MA F04 Closed / denied ineligible due to transfer of resources Sprouts MA F04 F02: Transitional Medical - AF Closed Due to Increased Hours N/A None F03: Transitional Medical - AF Closed Due to Child / Spousal Support Pregnant woman only AU closes increased child / spousal support Spawns MA P02 for pregnant woman F04: AF / TANF CN Medical Closed / denied excess income Trickles MA F95 for eligible child(ren) Closed / denied excess income Trickles MA F99 for eligible child(ren) Closed / denied excess resources Trickles MA F06 for eligible child(ren) Closed / denied no eligible dependent child(ren) Trickles MA F06 for eligible child(ren) Closed / denied fails citizenship Trickles MA F08 Closed due to excess income and qualifies for 12 month transitional medical Sprouts MA F02 F05: Newborn Medical PN / RE client not receiving medical when baby born Trickles MA F06 for newborn PN / RE child is greater than 12 months old Trickles MA F06 for child F06: Children's Medical Closed due to excess income Trickles MA F95 or F99 F08: Undocumented Alien Children's Medical Closed due to excess income Trickles MA F95 or F99 F09: Undocumented Alien Medical Closed due to excess income Trickles MA F95 or F99 F95: MN - No Spenddown Closed due to excess income Trickle to MA F99 Closed due to excess resources Trickle to MA F99 F99: MN - With Spenddown N/A None General Assistance Track Original Medical Coverage Group Condition Trickle, Sprout, and Spawn G01: GA-U Closed / denied excess resources None Closed / denied excess income None G02: GA with CN ABD Medical Closed / denied excess resources and HOH living arrangement = ALF Sprouts MA G03 Closed / denied excess net income and HOH living arrangement = ALF Sprouts MA G03 Closed  SSA Sprouts MA S02 G03: GA ALF CN Medical Closed / denied excess resources Trickles MA G99 Closed / denied excess net income Trickles MA G99 G95: GA ALF MN - No Spenddown Closed / denied excess resources Trickles MA G99 Closed / denied excess gross or net income Trickles MA G99 G99: GA ALF MN - Spenddown N/A None Pregnant Woman Track Original Medical Coverage Group Condition Trickle, Sprout, and Spawn P01: GS-P Pregnancy Medical Closed / denied excess resources Sprouts MA P02 Closed / denied over gross or net income Sprouts MA P02 Closed / denied fails citizenship Sprouts MA P04 Closed pregnancy extension expires Sprouts MA P05 P02: MA-P Pregnancy Medical Closed / denied excess income Trickles MA P99 Closed / denied fails citizenship Trickles MA P04 Closed pregnancy extension expires Sprouts MA P05 P04: MA-P Undocumented Alien Pregnancy Medical Closed / denied excess resources Trickles MA P99 Closed / denied excess gross or excess net income Trickles MA P99 Closed pregnancy extension expires Sprouts MA P05 P05: MA-P Family Planning Extension Medical N/A None P99: MN with Spenddown N/A None Refugee Track Original Medical Coverage Group Condition Trickle, Sprout, and Spawn R01: Refugee Closed excess income and meets criteria to qualify for transitional medical Sprouts MA R02 R02: Transitional Medical N/A None R03: CN Medical Only N/A None

Spawning See Results of Trickle, Sprout, and Spawn Charts.  Spawning is when the system will deny a case and set up a higher priority AU.  Spawned AUs will have a new AUID assigned.  The system is programmed to spawn only in certain situations.

Tracks - Jumping See Results of Trickle, Sprout, and Spawn Charts. When the system will and won't trickle and sprout depends on the track your AU is in at the time a change takes place that requires a different medical AU be opened. Tracks refer to types of medical coverage groups. These medical coverage groups are most easily identified by the coverage group number.

EXAMPLE F = Family Related, includes Children's H and H Medical S = SSI recipient or Categorically Related to SSI P = Pregnancy L = LTC SSI Related

The program code, type, and medical coverage group chart  has the groups separated by category of assistance.  See Program Codes. Each category of assistance is its own separate track. In most situations, an AU will only sprout or trickle within the same track.

EXAMPLE TANF cash AU that includes a pregnant mom and her 2 children is terminated due to excess earned income. The household is not eligible for the 12-month medical extension because they have not been on TANF three of the previous six months. When the change is processed in ACES the system will terminate the AF-R-F01 cash AU and sprout an MA-R-F06 AU for the children. ACES will not open a medical extension for the pregnant mom. This is because the medical coverage group she was receiving assistance under was F01. The medical coverage group of the medical extension should be MA-P-P02 (S medical). The system cannot "jump tracks" from F01 medical coverage group (F track) to P02 (P track). For the mom to get extended medical coverage the worker must screen Add a Program for P02 medical, interview, process and finalize the case.

EXAMPLE GA-U-G01 AU is denied, ACES will not sprout an MA-R-M99 (MI) AU even if the Emergent Condition information is completed on the (ALAS).

Trickle and Sprout See Results of Trickle, Sprout, and Spawn Charts.   Trickles and sprouts occurs when ACES starts with one program and/or medical coverage group, then after eligibility runs, the system determines the AU is eligible for a different assistance type. When an AU trickles it stays in the same track and keeps the same AUID. When an AU sprouts, it also stays in the same track, but ACES assigns it a new AUID. The trickled or sprouted assistance unit is usually a medical AU and is generally a lower priority program than what the original AU was. ACES is programmed to trickle and sprout only in certain situations.

EXAMPLE An AF-R F01 cash AU is terminated due to excess earned income. The user makes changes to the AF-F01 AU and runs eligibility. ACES closes the AF AU and if eligible, opens an MA-R-F02 AU for the medical extension.

If an AU is not eligible for a specific medical coverage group ACES will trickle through the entire family or track looking for a program for which the AU is eligible. If it finds one, the AU is approved; if not, the AU is denied or closed. Trickling happens at an AU level and once ACES finds a program for which one or more of the clients in the AU are eligible, the trickle ends. To get any other programs the user must screen Add a Program. Trickling and sprouting only happens if ACES closes or denies an AU. If the user denies or closes TANF for certain 500 level reason codes, a pending medical will sprout.

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Modification Date: October 28, 2007

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