Household Status - Family Medical

 

The Household Status Detail page records whether a consumer is in or out of the home (temporarily or permanently) for budgeting purposes. Every person associated with the case must have a household status.  If no record exists, KEES assumes the consumer is in the home.  A consumer should be coded in the home if he/she is part of the budgeting unit, needs allocated income and/or a division of resources.

 

NOTE: This page uses Continuous Dating, meaning there can be no gaps or overlaps between the records. If needing to make a change to information on this page, users must Add a new record. When the new record is saved, effective dating occurs in order to maintain historical data.

 

Complete the following steps:

  1. Select Eligibility from Global Navigation. Select Customer Information from Local Navigation. Select Household Status from Task Navigation. The Household Status List page displays.

  2. Click the Add button.

  3. Select a Name from the drop-down menu.

  4. Select a status from the drop-down menu in the Living In Home Status field.

    NOTE: Inmates are In the Home for an Inmate Medical program. Inmates remain Permanently Out of the Home on cases which they exist with other programs/members.

NOTE: If Temporarily Out of the Home is selected, the user is required to select a Reason from the drop-down menu.

 

  1. Enter the Begin Date using the <mm/dd/yyyy> format or the calendar icon.

  1. Enter an Expected Return Date, if applicable, using the <mm/dd/yyyy> format or the calendar icon.

  1. Click the Save and Add Another button to add additional records. Otherwise, click the Save and Return button.

  1. Verify the dates are correct, then click the Save button.

 

 

Primary Applicant Permanently Out of Home - Family Medical

  1.  

  2. When the Primary Applicant is given a status of Permanently Out of the Home and the case is not denied or discontinued the remaining program persons are allowed to be approved or continue with coverage.  When this occurs, the worker needs to take negative action to deny the case.

  3.  

  4. Within the context of the case, beginning on the Case Summary page:

    1. Click Negative Action from Task Navigation.

    2. Select the Benefit Month.

    3. Check Run EDBC for this program on the block you want to negative action.

    4. Select the check box for the case person(s).

    5. Select Voluntary Withdrawal for the Negative Action Reason.

    6. Click the Run EDBC button.

    7. Click the Medical hyperlink on the EDBC List page.

    8. Click Accept on the Medicaid EDBC Summary page.

    9. Click Save and Continue on the EDBC List page.