110: ER / RECERT PENDING

DESCRIPTION

This alert generates in the following circumstances:

  • The day after an Eligibility Review is initiated (for applicable programs).
  • At monthly issuance for mail in Assistance Units (AUs) and the review has not been initiated for the following medical coverage groups:
    • G03 (SSI Related Non-Institutional Alternate Living Facility)
    • K01 (Family Long Term Care)
    • L02 (Categorically Needy Long Term Care (LTC) in a Medical Facility)
    • S03 (Qualified Medicare Beneficiary (QMB))
    • S04 (Qualified Disabled Working Individual (QDWI))
    • S05 (Specified Medicare Beneficiary (SLMB))
    • S06 (Qualified Individual (QI-1))
    • S08 (Healthcare for Workers with Disabilities (HWD))
    • L22 (Categorically Needy Waiver or Hospice Services)
    • L24 (State Funded LTC - SSI Related for Non-Citizens at home or Alternate Living Facility)
  • At monthly issuance for mail in Assistance Units (AUs) and the review has not been initiated for the following Temporary Assistance for Needy Families (TANF) program types:
    • 7 - Non PA FS/AF - Pregnant (State Only)
    • 9 - Child Relinquished for Adoption
    • P - Pregnancy/Family Planning

This alert serves as a tracking tool for pending reviews and recertifications.

PROCEDURE

To complete the review, take the following steps:

  1. From the ALPR or ALCA screen, enter [R] - Interim/Historical Change in the S field.
  2. Press <F15> and the ADDR screen displays.
  3. Update the case with information reported during the review, and re-enter all required verification codes.
  4. On the MISC screen, enter [Y] - Yes in the Elig Review Complete field.
  5. Commit the data and <TRANSMIT> to return to the alert screen.

DISPOSITION

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