These instructions outline the process workers follow when completing a Presumptive Eligibility determination and Medical application request in KEES. For additional information on Registering a PE application, see Registering Presumptive Eligibility. To process a PE request only, follow the directions in Processing a Presumptive Eligibility Only Application.
Select Case Summary from Local Navigation. The Case Summary page displays. During Registration KEES created a Presumptive Eligibility program block and MAGI Medical program block. Confirm that both are accurate.
Click Customer Options and expand the Non-Financial options from the left navigation to complete Non-Financial Data Collection - Family Medical (ks.gov).
NOTE: If information needs updated, click the Add button. Using Add preserves historical case data. The Edit button is used to correct existing information and replaces the data, removing chronicled information.
Click Run EDBC to proceed to Running EDBC - Medical (ks.gov) for the Presumptive Eligibility program block. Presumptive Eligibility EDBC results display the determination given through the PE Portal, it does not calculate benefits. Review the EDBC results for accuracy prior to accepting. Review notices for accuracy and delete/append as needed.
NOTE: The Presumptive Eligibility determination process is complete. The following steps are for situations when additional information was requested from the consumer and has been received. Proceed to Step 4.
Click Customer Information and expand the Financial options to complete all Financial Data Collection - Family Medical (ks.gov). Income data maps in from the PE Portal and displays differently if the person is known to KEES and has an existing income record. If existing data is present and different than what was reported on the most recent application, a New indicator displays and data acceptance must be completed. See the Data Acceptance Guide Supplement (ks.gov) for additional assistance.
Once all Non-Financial and Financial records have been added, click Verifications from the left navigation and request all needed Verifications (ks.gov).
When approving Medical coverage, the PE determination must be discontinued in KEES. Follow the steps in Discontinuing a Presumptive Eligibility Determination to appropriately close the PE program block.
Click Run EDBC to proceed with Running EDBC - Medical (ks.gov). The Medical determination is established using the non-financial and financial records in KEES.
NOTE: Contracted staff can approve the Presumptive Eligibility determination. However, if TXIX or Medicaid coverage will be approved/denied, KDHE staff must complete the determination.
Click the Distributed Documents tab to review all NOAs and delete/append as needed. Remember to always delete the Discontinuance NOA printed by the system and append the Medical NOA with text from the SCP. Journal case actions and complete task.
End of process.