| TO: | ALL COUNTY OFFICES |
| FROM: | JANEL R. LUCK, DIRECTOR |
| SUBJECT: | CHANGES TO SUPERCASE RESIDENT MAINTENANCE, ELIGIBILITY UNIT MEMBER ROLE, APPLICATION REQUEST, AND APPLICATION DETAIL SCREENS |
DISCUSSION:
The following screen changes and additions are being made as a result of the implementation of the Family Medical Assistance Programs in FAMIS:
- SUPERCASE RESIDENT MAINTENANCE (INHOME OR FM0L)
- ELIGIBILITY UNIT MEMBER ROLE (EUMEMROL OR FM3Z)
- APPLICATION REQUEST (REQUEST OR FM0G)
- APPLICATION DETAIL
SUPERCASE RESIDENT MAINTENANCE (INHOME OR FM0L)
A code has been added to this screen to identify individuals residing outside the Supercase who are practicing joint custody. The “JTC” (“Joint Custody - Living Outside Supercase”) code is a system generated code which displays on this screen when an individual is identified as participating in a joint custody situation and residing outside the Supercase address. FAMIS updates the code to “JTC” after this information is added to the IM Joint Custody screen. This code is only valid for the Temporary Assistance and Family Medical Assistance programs.
After the joint custody information has been entered on the IM Joint Custody screen, FAMIS enters “JTC” in the “End Reason” field and makes an entry of “CS” in the “Ver End” field. This code and the verification of the code cannot be updated on this screen. Changes to joint custody must be made on the IM Joint Custody screen and FAMIS will update the entries accordingly on the Supercase Resident Maintenance screen.
ELIGIBILITY UNIT MEMBER ROLE (EUMEMROL OR FM3Z)
The “Joint Custody” indicator has been added to the Eligibility Unit Member Role screen. This indicator displays a “Y” when joint custody information is entered on the IM Joint Custody screen. As the IM Joint Custody screen only applies to the Temporary Assistance and Family Medical Assistance programs, this indicator only reflects joint custody situations for these programs. Although this indicator displays on the Eligibility Unit Member Role screen for all programs, it only reflects joint custody situations for the Temporary Assistance and Family Medical Assistance programs.
The F20=MEDHIST function has been added to this screen to allow staff to access the Medicaid Category History screen to view Medicaid eligibility information for individuals listed in the MA Eligibility Unit. The Medicaid Category History screen provides information similar to that provided on the IXIX screen. The F20=MEDHIST function displays on the Eligibility Unit Member Role screen regardless of the Eligibility Unit type displayed. However, it only accesses the Medicaid Category History screen if the Eligibility Unit type is “MA.”
APPLICATION REQUEST (REQUEST OR FM0G)
The “CA” code has been added to the “How Received” field. Enter this code when the Family Medical Assistance application was accepted by an agency contracted with the Family Support Division to accept applications on our behalf. When the “CA” code is entered in the “How Received” field, an entry is required in the “Contracted Agency” field on the Application Detail screen. See the next section of this memo for more information on this process.
The “MA” code is now a valid entry for the “Pgm” field. The “Sub Pgm Class” codes that are valid for the “MA” program are:
- FAM - Family Medical (MAF, MC+ For Kids)
- MPW - MC+ For Pregnant Women
- NBN - Newborn (Automatic Eligibility)
The “NBN” sub program is a system generated code only. FAMIS will create a “NBN” application on this screen when a child under the age of one is added to the Supercase Member Clearance screen, the relationship of the child shows s/he resides with his/her mother, and the mother was active Medicaid at the time of the child's birth.
The Medicaid Application Detail screen has been developed to capture details about the Family Medical Assistance applications registered. The following fields are added and dynamically display based on the program type being requested, the method the application was received, and the type of application (add-a-person, initial, etc.):
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“Contracted Agency” field displays and requires an entry when “CA” is entered in the “How Received” field on the Application Request screen. A code table listing all of the contracted agencies is available by prompting on this field.
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“Authorized Rep” and “Signed By” fields display for all Family Medical Assistance applications.
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The question, “Do you want us to Explore Prior Quarter Eligibility?” field and the “Did You Have Income?” questions display for application types where prior quarter eligibility could potentially exist. For example, these fields will display for the “FAM” and “MPW” applications, but will not display for “NBN” applications.
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The “Benefit Requested” field captures information for each Supercase member as to whether s/he is requesting benefits and/or is included in the Eligibility Unit. The options for this field are
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“Y” - Individual is requesting benefits. The individual's needs, income, and expenses are included in the budget(s). Individual will display throughout the controlled flow.
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“N” - Individual is not requesting benefits but is either a mandatory or potentially optional assistance group member. Individual's income and expenses are included in the budget. Individual will display throughout the controlled flow.
- “E” - Individual is not requesting/eligible for benefits and is not a mandatory or potentially optional assistance group member. Individual will NOT display in the controlled flow. The message, “Excluded individual may be optional. Continue (Y/N)?” displays if “E” is entered in this field.
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A new function has been added to this screen:
- F16=VIEWREL - this accesses the View Relationship Information (VIEWREL or FM6T) screen. This screen provides an at-a-glance view of all established relationships between Supercase members.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.