Suspending a Month during a Spenddown Base Period

KEES does not suspend eligibility for the month(s) a consumer is ineligible. In this scenario, do NOT run EDBC for the months the consumer is not eligible for benefits.

For example, a consumer had a spenddown from 08/14 – 01/15. The consumer reported a move out of state in October. The case was closed 10/31/2014. The consumer returns to Kansas in December and reapplied for benefits. The user enters any updated information and runs EDBC for December. The user would NOT run EDBC for November as the consumer was not eligible that month.

NOTE: If the user did run EDBC for November the case would be “Discontinued” for no state residency. The user would rescind the application and run EDBC for the month of December.

To Process:

Enter appropriate data collection records (residency record, address record, etc. effective December).
Process the application; Run EDBC for the first month the consumer is eligible. Rules will set a new SD base period (ex. 12/14-05/15) and amount. This spenddown is incorrect since we have a previously established spenddown base period and amount.
On the Medical EDBC Summary page click the Override Medical Summary button at the bottom right corner to manually set the correct spenddown amount and base period start and end dates.
On the Medical EDBC Override List page, select the Override button for the Medically Needy Test Category.
On the Medical EDBC Override Detail page, enter the correct spenddown amount and base period start and end dates. Then click the Save and Return button.
On the Medical EDBC Override List page, select the EDBC Override Reason of Administrative Decision. Then click the Save and Return button.
On the Medical EDBC Summary page the updated information shows in the Eligible Budgets section of the page. Click the Accept button if the result is correct. The EDBC List page displays.
Select the Save and Continue button.

NOTE: The override process is followed for each month through the come-up month or until a new spenddown base period begins. Once a spenddown is set using the override process any changes to that spenddown base period and/or amount are completed with an override.

Since the EDBC result is overridden a notice is not created. The user is navigated back to the Case Summary page. From the Case Summary page select Document Control in the Global Navigation tab to send a V700 form.

Enter the appropriate information explaining the benefits, including suspended month(s) or month(s) with no eligibility and the KEESM/KFMAM references. Then click Save and Print Centrally. The form is mailed to the consumer.