Troubleshooting Multi-Month EDBC E&D and LTC

Unable to Run Multi-Month EDBC, Hard Error on Run EDBC

Q: Why am I receiving the error “This Program is not supported by Multi-Month EDBC. All months must be in a Pending status?

A: This means that there is already Active coverage on the Program Block. Single Month EDBC must be used.

NOA displays “N/A” for all Prior Medical Months

Q: After running Multi-Month EDBC, why does the NOA show N/A for all Prior Medical months?

A: The two reasons this may happen are if Prior Medical wasn’t requested or if Prior Medical was requested but not added to the Program Block.

Prior Medical not requested

Note: These instructions presume this was discovered the same day EDBC was ran.

Run Single Month EDBC for the month of Application, Accept and Save if the results are correct. This will delete the Multi-Month NOA and a Single Month NOA will generate for the month of Application only.

If this was not discovered on the same day EDBC was ran, the NOA cannot be changed.

Multi-Month EDBC should only be used when there is a Prior Medical request.

Prior Medical requested but not added to the Program Block

There are two solutions to this depending on whether or not the error was caught on the same day Multi-Month EDBC was ran.

Instructions for same day EDBC ONLY

DO NOT USE IF ERROR WAS NOT CAUGHT THE SAME DAY

Run Negative Action

Negative Action settings:
Benefit Month: Month of Application
Person: All included in determination
Negative Action Reason: Voluntary Withdrawal
Timely Notice Exception: Yes
Reason: Waiver on File
Run, Accept and Save EDBC results to Discontinue if correct.

Rescind the Discontinuance

Add the Retro Month(s) to the Program Block for those requesting Prior Medical

Run Multi-Month EDBC, Accept and Save if the results are correct.

The previous Multi-Month NOA will be deleted and the new Multi-month NOA will display the Prior Medical determinations.

Instructions if not same day EDBC

Add the Retro Month(s) to the Program Block for those requesting Prior Medical

Run Single Month EDBC starting with the earliest Pending Prior Medical month

Accept and Save if the results are correct

Repeat steps b and c for remaining Prior Medical months (if applicable)

Single Month EDBC NOAs will generate for each Prior Medical month. It is not possible to change the generated and mailed Multi-Month NOA.

Unable to Override Multi-Month EDBC

Q: How do I override a Multi-Month EDBC?

A: It is not possible to override a Multi-Month EDBC. In order to override, you must run using Single Month EDBC.

Programs that will not be ran in Multi-Month EDBC

Programs that are not approved in Prior Medical months cannot utilize Multi-Month EDBC.
Example: PACE, HCBS, QMB, or when there will be a program change in a one of the Prior Medical months: Medically Needy eligible for the 1ST Prior Medial month then becomes SSI eligible the 2ND Prior Medical month.
Single-Month EDBC will need to be used for these scenarios.