Eligibility Non-Compliance Table
Updating or Ending a Non-Compliance Record
Non-Compliance is most frequently a failure to provide, failure to cooperate, or a penalty record. This record is used by EDBC to deny or discontinue a consumer or a program. Rules use the non-compliance record when determining eligibility.
NOTE: If using the Eligibility Non-Compliance Detail page to indicate failure to provide, you must update the Verified field from Pending to Refused* for any requested information not returned.
Select Eligibility from Global Navigation. Select Customer Information from Local Navigation. Select Non-Compliance from Task Navigation. The Eligibility Non-Compliance List page displays.
Click the Add button. The Eligibility Non-Compliance Detail page displays.
Select the consumer from the Name drop-down menu.
Select the Type of Non-Compliance from the drop-down menu. After the type is selected a Reason drop-down displays.
Select the appropriate Reason related to the type of non-compliance.
Enter the Begin Date using the <mm/dd/yyyy> format or the calendar icon. The begin date is the first day of the month the non-compliance needs to start.
Click the Save and Add Another button to add additional records. Otherwise, click the Save and Return button.
* Please follow the verification status below based on the situation. *
Verification status of ‘Refused’ should be used when the consumer fails to provide information needed for a medical determination.
Verification status of ‘Pending’ should be used when the consumer is not categorically eligible for any KanCare program.
Verification status of ‘Not Applicable’ should be used when a consumer fails to provide information needed for a prior medical determination, but the information for the application month is verified.
Verification status of ‘Refused’ or ‘Pending’ that was used previously and not needed for the current medical determination, keep the verification status the same.
NOTE: If consumer has current coverage on the case an Override End Date will need to be added to the non-compliance record using <mm/dd/yyyy> format so their current coverage is not affected.
Non-Compliance Type |
Reason |
Who is Closed |
Failure To Cooperate |
Medical Subrogation |
Person Only |
Child Support Non-Cooperation |
Person Only |
|
Failure to Provide |
Information Needed for Medical Eligibility |
Person Only |
Name and/or Identity |
Person Only |
|
Non-Citizenship Documents |
Person Only |
|
Proof of Income |
Everyone on Program |
|
Proof of Trust |
Everyone on Program |
|
Residence |
Person Only |
|
Social Security Number |
Person Only |