Ineligibility Status Reason Table

Use the Ineligibility Status Reason Table to troubleshoot the data collection pages that should be checked based on the reason for ineligibility.

NOTE: Household composition and whether the program is being denied or discontinued can impact the consumer’s Role Reason.

Role Reason	Status Reason	Reasons for Ineligibility	EDBC Summary	KEES Page
No Linkage to MA	Doesn’t Meet Program Requirements	Over Income	Check FPL on Failed and Overridden Budgets block Check Individual Eligibility Summary	Check Income Detail/Income Amount Detail page(s)
No Linkage to MA	Doesn’t Meet Program Requirements	Not Disabled	Check Individual Eligibility Criteria Non-Financial Eligibility The Person’s Disability Type	Check Medical Condition List/Detail page
No Linkage to MA	Doesn’t Meet Program Requirements	Over Resources	Check Resource Test block	Check Resource List/Detail page(s)
No Linkage to MA	Doesn’t Meet Program Requirements	Resource pages do not have correct data entry		Check Resource List/Detail page(s) make sure all information (including Description and Value are entered correctly
No Linkage to MA	Doesn’t Meet Program Requirements	No Eligible Child	Check Program Configuration	1. Check All Persons Associated to Case 2. Check Program Block
No Linkage to MA	Doesn’t Meet Program Requirements	CSS Non-Compliance	Select Role Reason No Linkage to MA hyperlink Program Person Status Reason shows CSS Non-Coop – Medical	Non-Compliance List/Detail page
No Linkage to MA	Doesn’t Meet Program Requirements	Failed to Verify Name/Identity	EDBC gives a red warning—Vital Statistics Identity verification is not received—the user must select to Run EDBC without verifications	This requires a Non-Compliance detail or a Refused verification to Fail EDBC
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	None	Failed to Verify Name/Identity	Role Reason hyperlink gives Status Reason	This requires a Non-Compliance detail or a Refused verification to Fail EDBC
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Pursue Resources	Failed to Pursue Resources	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Non-Compliance List/Detail page
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	PMDT Non-Cooperation	Failed to cooperate with PMDT	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Non-Compliance List/Detail page
No Linkage to MA	Doesn’t Meet Program Requirements	Transfer of Property Non-Compliance	Select Role Reason No Linkage to MA hyperlink	Non-Compliance List/Detail page
No Linkage to MA	Doesn’t Meet Program Requirements	Uncertain Requested Medical Type	Check Individual Eligibility Criteria RMT is “uncertain”	See Workaround
No Linkage to MA	Doesn’t Meet Program Requirements	RMT of LTC with no active LTC Data Detail for the month.	Individual Eligibility Criteria Non-Financial Eligibility says “No” for The person is in a Long Term Care Living Arrangement Potential Eligibility shows Yes for Medically Needy	Medical Person Detail/Requested Medicaid Type Detail LTC Data List/Detail
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Unrelated Primary Applicant	Consumer is not related to the Primary Applicant and/or Primary Applicant does not have ability to apply for the consumer	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page: shows Unrelated Primary Applicant and Ineligible Applicant	Relationship List/Detail
None	Ineligible Applicant	Consumer is not related to the Primary Applicant and/or Primary Applicant does not have ability to apply for the consumer	Status Reason	Relationship List/Detail NOTE: In some situations the Primary Applicant can apply for the consumer-however the due to the household composition, the “Ineligible Applicant” may not be compatible with the existing Program Configuration
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Didn’t Request Retro	Consumer did not request Retro Months or Retro Months were not added on the Medical Person Detail	Status Reason	Medical Person Detail page: Retro Months section
State Residence (if all applicants fail for State Residence)	State Residence	Consumer is not a resident of KS or a nonresident with an appropriate Residency Status	Role and Status Reason	Contact Summary/Address Detail &/or Residency List/Detail page
Varied if not all consumers fail residency (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	State Residence	Consumer is not a resident of KS or a nonresident with an appropriate Residency Status	Role and Status Reason	Contact Summary/Address Detail &/or Residency List/Detail page
Spouse of FTP Income	FTP Income	Spouse of a consumer that did not provide needed income verification	Role and Status Reason	Non-Compliance List/Detail page
Child of FTP Income	FTP Income	Child of a consumer that did not provide needed income verification	Role and Status Reason	Non-Compliance List/Detail page
None (if consumer is MEM)	Institutionalized	Consumer is Incarcerated	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page: shows Ineligible Institution	Living Arrangement List/Detail page
Varied if consumer is FRI (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.	None, or Out of the Home (if a HH Status of Permanently Out of the Home exists)	Consumer is Incarcerated	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page: shows Ineligible Institution	Living Arrangement List/Detail page Household Status List/Detail page
Deceased	Deceased	Consumer is deceased	Role and Status Reason	Individual Demographics
	BDA After the Month	Consumer’s Beginning Date of Aid is after the month		Medical Person Detail page
Ineligible Non-Citizen	Doesn’t Meet Program Req.	Consumer is an ineligible non-citizen (no documentation, inappropriate documentation or less than 5 years from date of entry)	Individual Eligibility Criteria Citizenship/Refugee Status	Non Citizenship Status List/Detail page
None	Invalid Primary Applicant	Consumer is less than 18 years of age and not Emancipated	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Individual Demographics
None	Out of the Home	Consumer is coded Permanently Out of the Home	Role and Status Reason	Household Status List/Detail page
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Refused “Verification Value” (examples: Refused Slf-Emp Verif, Refused ID Verif, Refused Residency Verif, etc)	Consumer refused to provide proof of a Requested Verification	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Verification List: Verification Status “Refused”
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	FTP INS Document	Consumer did not provide INS Document	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Non-Compliance List/Detail page
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	FTP Resources	Consumer did not provide requested proof of resources	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Non-Compliance List/Detail page
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	FTP Residence	Consumer did not provide requested proof of residence	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Non-Compliance List/Detail page
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	FTP SSN	Consumer did not provide requested SSN	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Non-Compliance List/Detail page
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	FTP Trust Verif	Consumer did not provide trust verification	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Non-Compliance List/Detail page
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Medical Subrogation	Consumer did not cooperate with Medical Subrogation	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Non-Compliance List/Detail page
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Application Opened in Error	KEES User Runs EDBC with a Negative Action Reason of: Application Opened in Error	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Negative Action Detail
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Failed to Complete Determination	KEES User Runs EDBC with a Negative Action Reason of: Failed to Complete Determination	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Negative Action Detail
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Duplicate Application	KEES User Runs EDBC with a Negative Action Reason of: Duplicate Application	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Negative Action Detail
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Refused Premium	KEES User Runs EDBC with a Negative Action Reason of: Refused Premium	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Negative Action Detail
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Requested Exclusion	KEES User Runs EDBC with a Negative Action Reason of: Requested Exclusion	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Negative Action Detail
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Voluntary Withdraw	KEES User Runs EDBC with a Negative Action Reason of: Voluntary Withdraw	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Negative Action Detail
Varied (examples: Parent, Spouse, Primary Tax Payer, Sibling, etc.)	Whereabouts Unknown	KEES User Runs EDBC with a Negative Action Reason of: Whereabouts Unknown	Status Reason Selecting the Status Reason hyperlink takes the user to the Program Person Status Reasons page	Negative Action Detail
Pending SSN Verif	Doesn’t Meet Program Requirements	SSN Status is set to SSN Provided (Pending Status)	Role and Status Reason	Individual Demographics