Cases should only be Discontinued in the Come-Up Month. If the MMIS Monthly File has run, the coverage is in MMIS and the case cannot be closed until the following month. For example, September 2015 eligibility has been sent to MMIS. You can now only discontinue coverage by running 10/2015 EDBC to end benefits 09/30/2015.
Unless the user is selecting a Timely Notice Exception of Yes and a Reason value—KEES will not allow the user to Discontinue or give worse coverage in a Paid Month. The EDBC is a Read Only. A Read Only EDBC is just that—it is for view only. It is used to determine if an overpayment has been made.
If the user does use the Timely Notice Exception and discontinue a month already sent to MMIS, KEES will give a Program/Person Status of Ineligible. We do not remove coverage from MMIS.
The exception to this is when a user is closing an LTC case where there is no other coverage being approved. Running Paid Months is required to send the IL/NA to MMIS. This will not end medical eligibility.
Never Accept and Save a ‘Failing’ EDBC that shows any person as ‘Ineligible’. Back out of the EDBC and reassess what month you are attempting to run EDBC in. You should not be ‘Denying’ benefits in a month that has already been paid.
If you happen to have a case with a person who has an ‘Ineligible’ status that has not already been sent to the KEES Help Desk, you needs to send it. We hope to provide a formal workaround in the near future.