The Medical Detail page displays detailed medical information of a specific case.
Sections of the Medical Detail page include:
View History, Edit, and Close Buttons
Used to view Medical History page, make changes on the Medical Detail page, and return to Case Summary page.
See General Page Functionality for more information.
When selecting the Edit button, the following fields can be edited in the Program Information section: Review Month, Automatically Reassign When Activated, Assign to Medical Only, and Spenddown Met.
You will also be able to select the Add button to the Administrative Roles section. See Add/Update Administrative Role for more information on how to add or update Administrative Roles.
Top Section
Contains the selected view month date and year.
Program Information
*Indicates required fields to display a response.
*Status will show if the case is Pending, Active, Discontinued, or Denied
Status Reason will display the reason case was discontinued or denied
*Application Date is the date the application was received
*Review Due Date is the month and year when the review is due
*Inter-County Transfer will display Yes or No
Automatically Reassign When Active
Assign to Medical Only
Spenddown Status will display if a spenddown is Met, Partially Met, or Unmet
Household Premium Amount will display the premium amount
Delinquent Premiums will display
Delinquent CHIP and WH premiums,
Delinquent Amount
Date
Penalty Period will display
CHIP penalty Start
Penalty End
Penalty Amount
Delinquent Month Starts
NOTE: Dynamically displays based on the View Month. If there are multiple CHIP premium penalties, the earliest delinquent month on or before the View Month displays.
Delinquent Month Ends
NOTE: Dynamically displays based on the View Month. If there are multiple CHIP premium penalties, the earliest delinquent end month on or before the View Month displays.
Status
View Penalty History button- displays Premium Penalties History page. See Manually Updating a Penalty Period for more information on how to manually make updates on the Premium Penalties History page.
Administrative Roles
Displays the name, Administrative Role, Begin Date, End Date, and Action.
This displays all individuals on the Program Block and provides information on their status for the View Month.
Name – Hyperlink to Medical Person Detail in Read-Only mode
Aid Code – Will only display for Applicants receiving Medical Assistance
CE Begin Month – This is the start of the CE period
CE Initial End Month – This is the end of the original CE period
CE Actual End Month – If the new CE date is adjusted, it will display here
NOTE: The CE columns will always display even if the Applicant is not on a program that has CE.
Requested Medical Type – Displays the Requested Medical Type. See Add/Update Requested Medical Type for more information.
Role
Role Reason – Displays if not a MEM
Status
Status Reason – If not currently eligible
Referred to FFM – Yes/No
Action – Not used at this time
Edit button – Medical Person Detail in Edit mode
Displays the Consent, Length, Begin Date, End Date, and Remaining Years.
Secondary Assignment
Displays worker.