WA598 LTC with MSP Pre-Tax deductions

This WA is to be utilized when applying Pre-Tax deductions for a consumer that is currently active LTC/WH and MSP/LMB. If the consumer should be eligible for MSP/QMB coverage due to the newly entered Pre-Tax deduction staff should follow the following steps.

This assumes the worker has filled out all appropriate screens in KEES and is ready to run EDBC:

1. Run EDBC in the appropriate month allowing for timely notice.

2. Click on the EDBC result for the month running.

3. Click the Override Medicaid Summary button at the bottom of the Medical EDBC Summary Page.

4. On the Medical EDBC Override List Page, click the checkbox next to the incorrect or MSP budget. Click the Override button.

5. Under Start Date and End Date, enter the start date and end date of the EDBC month.

6. Under Aid Code, select the aid code for Qualified Medicare Beneficiary. Click Save and Return.

7. On the Medical EDBC Override List Page, click the checkbox next to the appropriate MSP budget.  

8. Under EDBC Override Reason dropdown, select Administrative Decision. Click Save and Return.

9. On the Medical EDBC Summary Page, review the Medical Summary to ensure the appropriate QMB budget is listed. Click Accept.

10. On the EDBC List Page, click Save and Continue.

Run EDBC for the following months through the come-up month using the override outlined in steps 1-10. These must be run in order.