The user will receive this task the first day of the month the spenddown base period is ending. The user needs to determine if the consumer will continue on a spenddown, switch to MSP only, or discontinue as appropriate. This action must be taken prior to the MMIS monthly file run.
Please review the instructions and follow when processing cases with spenddown base periods.
There are a number of different components to this and it is important to understand the full process. The new base period must be sent to the MMIS prior to the MMIS monthly run each month. If this doesn’t happen, eligibility is set in the MMIS and cannot be changed.
Every month, two tasks are generated that tell you about the end of the base period.
Work the first task prior to the MMIS monthly file deadline to avoid problems.
This task is created the first day of the month the Spenddown Base Period is ending. Use the guidelines in KDHE Policy Memo 2015-06-05 #1, to determine if a new spenddown base is needed. If so, follow the directions below to reset. If a new base period is not appropriate and at least one beneficiary is eligible for MSP, change the RMT to MSP only and rerun EDBC for the come up month. If not, discontinue the case and send proper notice.
This task is created when the MMIS monthly file runs and the consumer noted in the task did not have a Spenddown Base Period set up for the following month. This means the Medically Needy eligibility did not go to MMIS because there was no Medically Needy Spenddown Base Period created for that month. If Medically Needy coverage is discontinued, there is no additional action necessary. But, if it was not discontinued, correct coverage will not be in the MMIS. Note that coverage for any MSP programs will be sent as expected, just not the Medically Needy.
The user must confirm all necessary records are current/updated appropriately for the consumer’s ongoing eligibility. At that point, the KEES user should set up the correct base period in KEES and then contact the KEES Help Desk at 1-844-723-5337 Option 2 – Business Support to have the Medically Needy eligibility sent to MMIS.