Medical

Created on: 
Jul 31 2018
See ACES Screens and Online Pages for an example of pages or screens used in this chapter.

Tailored Supports for Older Adults (TSOA) Assistance Units (AUs) approve if over income and resources - Transportation for Disabled (TD) vehicle coded (PR 432636)

Situation:

In some situations TSOA AUs approve when over the income and resource standards and a TD vehicle type is coded. ACES incorrectly allows resource deductions even though the initial resource test fails. When this occurs, the system ignores the income and doesn't deny the AU for Reason Exceeds Income Standard (301).

Workaround:

At this time, please call IT Solutions Customer Support at (360) 664-4560, Option 2 for an appropriate workaround.

Medicare Buy-In Unit Cannot Update or Modify TPL Screen in ACES 3G (PR 422917)

Situation:

After the January 2018 ACES promote of Change Request 387494 - MEDICARE BENEFICIARY IDENTIFIER (MBI) - 3G/ACESONLINE MBI NUMBER FIELD, staff in the Medicare Buy-In Unit (MBU) could not update Third-Party Liability (TPL) information in ACES 3G. This adversely effects staff trying to process Medicare Savings Program (MSP) Assistance Units (AUs) when there is outdated or incorrect Medicare TPL begin or end dates that have a source code of MMIS/P1 Interface (MM).  This situation also affects staff who are trying to process Modified Adjusted Gross Income (MAGI) AUs. 

Workaround:

At this time, please call IT Solutions Customer Support at (360) 664-4560, Option 2 for an appropriate workaround.

S02 Incorrectly Approves With SSI Recipient Spouse When the SSI-Related Applicant is Not Eligible for Special Income Disregard (CR 391840)

Situation:

When processing an SSI Related Categorically Needy (S02) Assistance Unit (AU) where there is a Supplemental Security Income (SSI) recipient spouse on the AU, S02 medical incorrectly approves for the SSI-related applicant when:

  • Their income is less than the 1-person SSI-related Categorically Needy Income Limit (CNIL) standard; and

  • They are not eligible for an SSI-related special income disregard.

S02 should only be approved when there is an SSI recipient spouse if the SSI-related applicant is deemed eligible for SSI with one of the special income disregards.

For more information about eligibility for SSI-related special income disregards, see Apple Health Manual – Income Special Disregards.

Workaround:

At this time, please call IT Solutions Customer Support at (360) 664-4560, Option 2 for an appropriate workaround.

 

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.