HCBS to Independent Living - No Other Medical Program

 

  1. Select Eligibility from Global Navigation. Select Customer Information from Local Navigation. Select LTC Data from Task Navigation.

  2. Click the Edit button for the HCBS record that is ending. The LTC Data Detail page displays.

  3. Complete the HCBS Information section:

  4. Click the Save and Return button. The LTC Data List page displays.

  5. Select Run EDBC from Task Navigation to run EDBC for the month HCBS ends through the come-up month. See Running EDBC for detailed steps.

  6. Select the Benefit Month the HCBS ends from the drop-down menu then click the Select button.

  7. Select the program using the check box. Click the Run EDBC button.

  8. Click the Medical hyperlink with a Run Status of Not Accepted on the EDBC List page. The Medical EDBC Summary page displays.

  9. Click the Eligible Budgets hyperlink to check that the LTC Details have accurate start and end dates. If the dates are incorrect the user needs to correct the LTC Data Detail page.  

  10. Click the Close button. The Medical EDBC Summary page displays.

  11. Click the Accept button if the EDBC Result is correct. The EDBC List page displays.

  12. Click the Save and Continue button.

  13. Run EDBC through the come-up month to end the LTC detail in MMIS. Use a Timely Notice Exception and a Reason of LTC Late Change through the come up month.

    NOTE: KEES does not send negative eligibility to MMIS. Running a paid month could create an “Ineligible” status. When this occurs, MMIS retains the T19 coverage, but the LTC details are end dated.

  14. Send Notices. See Manual NOA Generation and Generating a Form for an Institutional Care Facility for detailed steps on sending notifications.

  15. Select Journal from Utility Navigation.  Record a Journal entry of the actions taken on the case.  See Journal for more information about journaling functionality.