KEES implemented 10 COA codes that were added from the Department of Homeland Security. CMS created policy surrounding 8 COA codes that must meet the five-year bar if the applicants entered the United Stated after September 30th, 2023.
When an applicant reports they are one of the following:
CQ1 (Conditl Afghani Employed Usg Princ)
CQ2 (Conditl Afghani Spouse of CQ1)
CQ3 (Conditl Afghani Child of CQ1)
OAR (Operation Allied Refuge - Parole)
PAR (USCIS Hab Parcis - Parole)
UHP (Ukrainian Humanitarian Parole)
DT (Parolee, district/poe Authorized)
U4U (Uniting for Ukraine)
The workaround must be applied in KEES.
Navigate to the case.
Navigate to Eligibility, then Customer Information.
Navigate to the Non-Citizenship page and then click Edit.
What the USCIS Document type is will determine the Section Code:
USCIS Document is ‘Permanent Resident Card (“Green Card,” I-551)’
Navigate to Section Code: and select the following from the dropdown:
EC7
USCIS Document is ‘Arrival/Departure Record (I-94, I-94A)’
Navigate to Section Code and select the following from the dropdown:
Public Interest Parolee
Run EDBC for the first pending month.
Ensure that the applicant’s Status Reason is Ineligible Non-Citizen.
Accept EDBC results.
Review the generated NOA for accuracy.
Ensure the denial reason for the applicant matches the EDBC determination.
Journal the actions taken.
WA### was used to deny coverage for <applicant>.
The COA codes regarding NHP (Nicaraguan Humanitarian Parolee) and VHP (Venezuelan Humanitarian Parolee) must meet the five-year bar prior to receiving medical benefits. Workers must apply the work around in KEES.
Navigate to the case.
Navigate to Eligibility, then Customer Information.
Navigate to the Non-Citizenship page and then click Edit.
What the USCIS Document type is, will determine the Section Code:
USCIS Document is ‘Permanent Resident Card (“Green Card,” I-551)’
Navigate to Section Code and select the following from the dropdown:
EC7
USCIS Document is ‘Arrival/Departure Record (I-94, I-94A)’
Navigate to Section Code and select the following from the dropdown:
Public Interest Parolee
Run EDBC for the first pending month.
Ensure that the applicant’s Status Reason is Ineligible Non-Citizen.
Accept EDBC results.
Review the generated NOA for accuracy.
Ensure the denial reason for the applicant matches the EDBC determine.
Journal the actions taken.
WA### was used to deny coverage for <applicant>.