ME02 Enroll Member The system makes Business Results Condition Process is a combination of rules-based decisions automated and manual to determine the processes; manual steps are not program for which an efficient, Rules Engine would individual qualifies; automate some of the process. completion of the process is a collaborative activity ME02 Enroll Member Process requires the Interoperability Condition Ensure that open interfaces are interaction of systems established and maintained. for various stakeholders. Workers in remote offices use KAMES to process application data. ME03 Disenroll Member Decisions on Modularity Standard Separate business rules from programs and levels of core programming. eligibility are initially determined by system rules ME03 Disenroll Member The process is Business Results Condition Automate the process where primarily manual. possible with some data still Disenrollment manually entered. Automate the information is application of business rules to manually entered and increase overall efficiency. automatically updates to the eligibility/ enrollment data store.
ME02 Enroll Member The system makes rules-based decisions to determine the program for which an individual qualifies; completion of the process is a collaborative activity Business Results Condition Process is a combination of automated and manual processes; manual steps are not efficient, Rules Engine would automate some of the process. ME02 Enroll Member Process requires the interaction of systems for various stakeholders. Workers in remote offices use KAMES to process application data. Interoperability Condition Ensure that open interfaces are established and maintained. ME03 Disenroll Member Decisions on programs and levels of eligibility are initially determined by system rules Modularity Standard Separate business rules from core programming. ME03 Disenroll Member The process is primarily manual. Disenrollment information is manually entered and automatically updates to the eligibility/ enrollment data store. Business Results Condition Automate the process where possible with some data still manually entered. Automate the application of business rules to increase overall efficiency.