Access the case through Person Search or enter the Case Number in the quick search field from Task Navigation and click Go. The Case Summary page displays.
Click the View Details button in the Medical Programs block. The Medical Program Detail page displays.
Click the Edit button. The Medical Program Detail page redisplays in editable format.
Click Edit in the Program Persons section. The Medical Person Detail page displays.
Click the Add button in the Requested Medical Type section. The Requested Medical Type Detail page displays.
Select PPS from the Requested Medical Type drop-down menu.
Enter the month following the month of discharge in the Begin Month field using the <mm/yyyy> format or the calendar icon.
Click the Save and Return button. The Medical Person Detail page displays.
Click the Save and Return button. The Medical Program Detail page displays.
Click the Save and Return button. The Case Summary page displays.
Select Eligibility from Global Navigation. Select Customer Information from Local Navigation. Select LTC Data from Task Navigation. The LTC Data List page displays.
Click the Edit button on the Institutional Care record that is ending. The LTC Data Detail page displays.
Select Yes from the Discharge Information drop-down menu.
Enter the Discharge Date as reported on the MS-2126 using the <mm/dd/yyyy> format or the calendar icon.
Enter any other necessary information from the MS-2126 Notification of Nursing Facility Admission/Discharge.
Click the Save and Return button. The LTC Data List page displays.
Select Run EDBC from Task Navigation. The Run EDBC page displays.
Select the month the child was discharged from the Benefit Month drop-down menu. Then click the Select button.
Select the check box for the Medical program. If the Benefit Month is prior to the come-up month:
Select Yes from the Timely Notice Exception drop-down menu.
Select LTC Late Change from the Reason drop-down menu.
Click the Run EDBC button. The EDBC List page displays with Status of ‘Not Accepted’.
Click the Medical hyperlink for the benefit month run. The Medical EDBC Summary page displays. Review the Eligible Budgets section:
Test = Adoption Subsidy Medical
Results = Pass
FPL % = 0%
Premium/LTC Liability/Spenddown = $0.00
Aid Code = ASM/DC/N/N
LTC Detail = IC/BF/MH
Members Tested = child’s name
Role = Mem
Click the Adoption Subsidy Medical hyperlink in the Eligible Budgets section. The Requested Medical EDBC – Adoption Subsidy Medical page displays. Review the LTC Details block to verify the Start Date and End Date are correct.
Name = Child’s name
Type = IC
Living Arrangement = BF
Waiver =
Start Date = Admission date as shown on MS-2126 or the first date of the month.
End Date = Discharge date as shown on MS-2126
If the information is correct, click the Close button and proceed to STEP 23.
If the information is incorrect, click the Close button. Click Cancel on the EDBC Summary page and correct the LTC Data Detail page.
Click the Close button. The Medicaid EDBC Summary page displays.
Click the Accept button if the EDBC results are correct. The EDBC List page displays with a Status of ‘Accepted-Not Saved’.
Click the Save and Continue button. The Distributed Documents page displays with the Notice of Action (NOA) generated.
Select the check box for the NOA. Click the Delete button. The NOA is removed from the Distributed Documents page.
Select Run EDBC from Task Navigation and authorize Medical through the come-up month to ensure the medical program is high-dated, if the Benefit Month is before the come-up month.
Use a Reason of LTC Late Change for each month requiring a Timely Notice Exception
Verify there is no aid code in the LTC Details on the EDBC Medical Summary page
Delete notices which are generated.
Select Journal from Utility Navigation. Record all actions taken on the case. See Journal for more information about journaling functionality.