241: DELINQUENT PAYMENT RECEIVED - REINSTATE AU

DESCRIPTION

This alert generates when a F07 – Children’s Health Insurance Program (CHIP) delinquent premium payment is paid in full and received in the same month the delinquent amount was reported.   

For example: Financial Services Administration (FSA) notifies ACES that the premium is delinquent and the AU closes with a paid through date of 11/30/10. FSA notifies ACES that the premium is paid in full on 11/23/10 and alert 241 generates. If the payment is received after 11/30/10 the alert is not generated.

 

PROCEDURE

1.    Review the case and determine what the correct procedure is for the household’s circumstance. For additional information, see Worker Responsibilities in EA-Z Apple Health (Medicaid) Manual WAC 182-505-0225 Premium requirements for premium-based healthcare coverage under programs included in apple health for kids. 

 

DISPOSITION

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