CSS Non-Coop with CTM WA678

We are aware of the non-compliance record of ‘CSS Non-Coop’ is not discontinuing an individual receiving CTM/PA/N/N coverage. Please follow the steps below to correctly discontinue benefits.

1. Remove the medical non-compliance record of CSS Non-Coop.

2. Create a new medical non-compliance record of FTP- information for medical eligibility.

   1. Ensure the override date is entered.

   2. Add comment FTP record added due to CSS Non-Coop record unable to be use.

3. Run EDBC for the KEES Come-Up Month.

4. Ensure PA’s CTM coverage is discontinued.

5. Ensure that the child(ren)’s coverage continues through their CE period.

   1. Delete the system generated NOA and create a manual NOA.

6. Journal actions taken.

   1. WA678 was used to discontinue CTM coverage for PA.