Business Process for CE for non-MAGI Children
When a Deceased Person is the Case Head with Active Dependents
Aid Code to EDBC Crosswalk ED LTC
Aid Code to EDBC Crosswalk Family Medical
Aid Code to EDBC Crosswalk Misc.
Approving Deemed Newborn and Pregnant Woman at The Same Time
Deny or Discontinue a Program or Person
Discontinuing Benefits Due to Death
Denying the First Month of Benefits
Denying the First & Second Months of Benefits
Suspending a Month during a Spenddown Base Period
Troubleshooting - Eligibility Determination
Workarounds - Eligibility Determination
Other Helpful Information - Eligibility Determination
Discontinuance During Continuous Eligibility (CE) Period
WA61 - Spenddowns for Pregnant Women and Children
Medical programs are supported by online Eligibility Determination and Benefit Calculation (EDBC). EDBC uses rules aligned with policy to determine eligibility. A case can be approved, denied or discontinued by running EDBC. A user can also make a decision to deny or discontinue a program without using EDBC rules. This is known as Negative Action. Also see Deny or Discontinue a Program Using Negative Action for more information.