Denying the First & Second Months of Benefits

 

To process a case when the first and second months of an application need denied, Run EDBC for the application month. KEES EDBC denies the application and a NOA is created.  If the consumer is also ineligible for the month following the month of application for the same reason, append the NOA to include the month following the application month, then return to the Case Summary page to rescind the denied application following the steps below.

 

NOTE: If the user is unsure if the month following the month of application should be denied, complete Denying the First Month of Benefits, then run EDBC for the month following the month of application. If the consumer is denied for the month following the month of application, use the steps for Denying the First & Second Months of Benefits.

 

Rescinding a program reinstates an existing application date to Pending status after the application had been denied or discontinued. Rescinding sets a program to Pending without logging a new application date.

 

To undo a denial or discontinuance of a person and/or program use the Rescind button on the ‘Medical’ Detail page.

 

 

Deny the First and Second Months of Benefits

  1. Change the Display Date to the month of application and click the View button to refresh the page with the new display date.

  2. Click the ‘caret’ of the collapsed ‘Medical’ program block to expand the block and see the program details.

  3. In the ‘Medical’ program block, click the View Details button. The ‘Medical’ Detail page displays.

  4. Click the Edit button to make the ‘Medical’ Detail page editable.

  5. Click the Rescind button. The Rescind Detail page displays.

  6. Select the radio button for the group of persons and the Effective Date to Rescind.  The selection defaults to the most recent application event.

  7. Select 2nd Month Ineligible from the Rescind Reason drop-down menu.

  8. Click the Save and Return button. The Rescind Confirmation page displays.

  9. If the information is correct click the Save and Return button. The ‘Medical’ Detail page displays.

  10. Click the Save and Return button. The Case Summary page displays.

  11. Continue processing the benefits for the second month following the month of application.