Rescind Program - Medical

How to Rescind

Program Person Application and Rescinding

Rescinding CHIP

Unable to Rescind Old Application

 

To undo a denial or discontinuance of a person and/or program without logging a new application use the Rescind button on the Medical Program Detail page to complete the process. The rescind process should always be completed prior to completing the eLinking process.

The Rescind button can only rescind a group of people that share the same application date and event type (denial/discontinuance) and does not display when there is a pending application for ANY persons.

 

Program Person Application and Rescinding

When Rescinding Program Persons, always compare the Program Person Application to the current Program Application. A Program Person Application that comes before the Program Application should never be Rescinded. KEES will allow the Rescind, however it will break the program and prevent EDBC from being run.

 

 

If staff run into this scenario, where a Program Person needs to be Rescinded, but the Program Person Application comes before the Program Application, submit a ticket to the KEES Help Desk before any other action is taken.  The ticket should include the following information:

 

Rescinding CHIP

The CHIP Start in Future Rescind Reason only displays when a child has a Status of Denied and a Role Reason of Future CHIP Start Date.

When clicking the Rescind button, the Application Date and the Effective Date are based on the last valid application and the first available month with no issued benefits. When rescinding CHIP children who were denied for Future CHIP Start Date, the Effective Date displays as the first day of the month of application; however, the program should be reopened starting the first day of the current benefit month.

When a program is denied/discontinued and the CHIP Start in Future Rescind Reason is used, the Rescind Confirmation page displays showing the movement of the Program Status.

Example: An application received on 2/14/2016 is not processed until 4/05/2016. Both children are denied for Future CHIP Start Date. When the program is rescinded, the Rescind Confirmation page displays a Program Status of Denied with a Begin Date of 02/01/2016 and an End Date of 3/31/2016 then, a Program Status of Pending with a Begin Date of 04/01/2016.

 

NOTE: If you have more than one group of Program Persons that require a Rescind, always Rescind the oldest group first.  

    Example: Group 1 needs to be Rescinded back to 12/2017 and Group 2 needs to be Rescinded back to 3/2018.  Rescind Group 1 first.  

How to Rescind

From the Case Summary Page:

  1. Change the Display Date to the month to rescind and click the View button to refresh the page with the new display date.

  2. Click the caret of the collapsed Medical program block to expand the block and review the program details.

  3. Click the View Details button In the Medical program block.

  4. Click the Edit button to make the page editable on the Medical Program Detail page.

  5. Click the Rescind button. The Rescind Detail page displays.

  6. Select a Rescind Reason.

  7. Click the radio button for the group of persons and the Effective Date to Rescind.

  8. Click the Save and Return button. The Rescind Confirmation page displays.

  9. Validate that the Program Status has been updated to Pending and the Begin Date reflects the first of the month benefits should begin. If something is incorrect, click the Cancel button to return to the Rescind Detail page; otherwise click the Save and Return button.

    The Medical Program Detail page displays.

  10. Click the Save and Return button again.

  11. Does the program block need an updated Requested Medical Type?

  12. Does the program block need a worker re-assigned?

  13. If the application is an e-Application continue to Existing Case - eLinking Process to complete the registration process.

Rescind without Review

Is an option in the Rescind Reason dropdown menu on the Rescind Detail page. Workers will need to select the 1st month of coverage that needs to be rescinded as the View month.

  1. Change the Display Date to the month to rescind and click the View button to refresh the page with the new display date.

  2. Click the caret of the collapsed Medical program block to expand the block and review the program details.

  3. Click the View Details button In the Medical program block.

  4. Click the Edit button to make the page editable on the Medical Program Detail page.

  5. Click the Rescind button. The Rescind Detail page displays.

  6. Select Rescind Without Review from the Rescind Reason drop-down.

  7. Click the radio button for the group of persons and the Effective Date to Rescind.

NOTE: Rescind Without Review can only be selected when a case member is in a Reconsideration Period and the worker needs to determine a person’s eligibility, without processing a review during a Reconsideration Period. If there is no person in a Reconsideration Period, the Rescind Without Review will be grayed out and staff cannot select this option.

Examples of when to use Rescind Without Review:

• The program has a review due and has not been received

OR

• The program has a review due that was received but failed to provide information needed to process a review

AND

 

• A person was closed in error

• A person needs to be determined for eligibility on a closed program

• A newly reported pregnancy needs to be added to a closed program  

See Reconsideration Period for more information.

Unable to Rescind Old Application

If this is a new application, click the Cancel button to return to the Medical Program Detail page, then click the Reapply button. If rescinding the application is the appropriate action, an Email should be sent to the KEES Help Desk with the subject line “Rescind Needs Override”.