Multi-Month EDBC

 

Troubleshooting Multi-Month EDBC E&D and LTC

Troubleshooting Multi-Month EDBC FM

 

Running EDBC Medical Multi-Month

  1. Select Eligibility from Global Navigation. Select Customer Information from Local Navigation. Select Run EDBC from Task Navigation.

  2. The Run EDBC page displays.

  1. Click the Run EDBC button on the right side of the page.

  1. From the EDBC List page, click the Medical hyperlink for the first Prior Medical month being determined under Program to navigate to the Medical EDBC Summary page to see why the Auth Amount column shows Details or Failed. Details means the medical criteria passed for an applicant. Failed means the medical criteria did not pass for any applicant. See Reading the Medical EDBC Summary Page for the budget details.

  1. Review the EDBC results the Medical EDBC Summary page:

  1. The Medical EDBC Summary page displays for the next benefit month. Repeat Step 5 until you get to the application month.

NOTE: If the results are not expected, refer to the Ineligibility Status Reason Table for more information. Do not accept or save EDBC results that may be wrong. Select the Cancel button if results are not what the user expected.

  1. Review the EDBC Results for Prior Medical and Application months from the EDBC List page. Click the Save and Continue button which takes the user to the Distributed Document Search page.

  2. Click on the hyperlink of the Multi-Month NOA (Notice of Action) to review for accuracy. Results for Prior Medical and Application month will display on one NOA. See NOAs (Notices of Action)   for more information.

  3. Select Journal from Utility Navigation. Add a journal entry to document all program action. See Journal for more information about journaling functionality.