8 Change Case Mode Change renewal date to initial renewal date Send notices to customer 9. Notices If ineligible, notify the customer in the comment section the application was sent to the FFM If ineligible, evaluate medical need according to policy (SOC) notify the customer in the comment section the application is pending a medically needy determination and is being considered. Evaluate if a Supplemental form is needed, if so, mail one to the customer. 10. Narrate Case Notes Narrate case notes, including: If Magi eligible, follow approval narratives If ineligible for Magi, narrate denial reason 11. Change Case Mode/ Assignment Un assign self as additional worker if applicable Check mode to see if case is in correct mode Interview mode if medically needy and application is in Magi Queue Change Management if approved or denied PROCESS COMPLETE Renewal- 2015 1 Retrieve and accept the work task “Renewal”
8 9. 10. 11. Change Case Mode Notices Narrate Case Notes Change Case Mode/ Assignment Change renewal date to initial renewal date Send notices to customer If ineligible, notify the customer in the comment section the application was sent to the FFM If ineligible, evaluate medical need according to policy (SOC) notify the customer in the comment section the application is pending a medically needy determination and is being considered. Evaluate if a Supplemental form is needed, if so, mail one to the customer. Narrate case notes, including: If Magi eligible, follow approval narratives If ineligible for Magi, narrate denial reason Un assign self as additional worker if applicable Check mode to see if case is in correct mode Interview mode if medically needy and application is in Queue Change Management if approved or denied PROCESS COMPLETE Magi Renewal- 2015 1 Retrieve and accept the work task “Renewal”
MLTC%20Medicaid%20%20Eligibility%20Processing%20Guide.docx