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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
1
Ex-Parte/Auto Re-Enrollm
ent
ExEx--Parte and Parte and Auto Auto ReRe--
Enrollment RRR ProcessEnrollment RRR Process
CBMS Project 1805CBMS Project 1805
1
Ex-Parte/Auto Re-Enrollm
ent
Training ObjectiveTraining Objective
• Understand the updates made within this change. This includes:
– Policy
– System Updates
– Correspondence
– Reports
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
ExEx--Parte Parte
3
Ex-Parte/Auto Re-Enrollm
ent ExEx--Parte Policy for Medicaid Parte Policy for Medicaid
ProgramsPrograms• Ex-Parte Automated in CBMS
– CBMS will check other assistance programs from the last 3 months in order to automatically renew eligibility for Medicaid
– 8.100.3.Q.3
– RRR date will reset to 12 months from the other programs RRR due date
• For example, Medicaid uses SNAP RRR information on 6/16/11. Medicaid RRR will be reset to 6/30/12
– CHP+ to implement automated Ex-Parte process at a future date
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
Ex-Parte Process
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Ex-Parte/Auto Re-Enrollm
ent
Prior to ImplementationPrior to Implementation
• If another Program’s redetermination data was received within 3 months of the Medicaid RRR due month CBMS would not use other Programs redetermination to start the Medicaid RRR– Repetitive request for information
– Medical RRR would not be reset based on Ex-Parte
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
4
Ex-Parte/Auto Re-Enrollm
ent
With this ImplementationWith this Implementation
• The Ex-Parte process is automated in CBMS– Automates the receipt of other Programs
redetermination data for use by Medicaid programs, if
received within three months of the Medicaid
redetermination due date.
– Ex-Parte allows a redetermination to occur without
requiring an additional Medicaid redetermination
7
Ex-Parte/Auto Re-Enrollm
ent
With this ImplementationWith this Implementation
• Logic was removed for “eligibility will
automatically be run after batch cut-off”
• The trigger for the FM guaranteed client’s was
moved to the first of the month in which the
guaranteed period ends
• The Medicaid RRR Due Month will be reset 12
months from the other programs RRR Due
Month
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
5
Ex-Parte/Auto Re-Enrollm
ent ExEx--Parte Process Parte Process
in CBMSin CBMS• Ex-Parte is started for Medicaid when another program’s RRR is received or started within 3 months of the Medicaid program’s RRR Due Month– Ex-Parte will not occur when Packet Received date or
RRR start date is in the Medicaid program’s RRR Due
Month
– If multiple RRR’s are started, the most current
received date or start RRR date will be used
9
Ex-Parte/Auto Re-Enrollm
ent ExEx--Parte Process Parte Process
in CBMSin CBMS• The Ex-Parte Process will be used for all Medical programs that require a redetermination– Programs that do not require a redetermination such as
SSI Mandatory, will not be included in the Ex-Parte
process
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
6
Ex-Parte/Auto Re-Enrollm
ent ExEx--Parte Process Parte Process
in CBMSin CBMS• If authorization is completed on-line and the eligibility worker does not have the security to authorize a Medicaid program, CBMS will automatically select and complete the Authorization for the Medicaid program at the time the other program is Authorized
• The Medicaid RRR will be set to 12 months from the other program’s RRR Due Month
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Ex-Parte/Auto Re-Enrollm
ent
View RRR Detail Listing
Window
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
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Ex-Parte/Auto Re-Enrollm
ent
New ExNew Ex--Parte AlertParte Alert
• At the time an Ex-Parte has been initiated a alert will be sent to the primary Medicaid eligibility worker− Informational purposes
– Will automatically resolve after 10 calendar days
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
8
Ex-Parte/Auto Re-Enrollm
ent
Ex Parte AlertEx Parte Alert
15
Ex-Parte/Auto Re-Enrollm
ent New ExNew Ex--Parte Case Parte Case
CommentsComments• A system generated case comment will be created when an Ex-Parte has been initiated on the Medicaid Program
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
9
Ex-Parte/Auto Re-Enrollm
ent
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Ex-Parte/Auto Re-Enrollm
ent
Ex-Parte Approval Notice
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
ExEx--Parte Approval NoticeParte Approval Notice
• At the time an Ex-Parte is completed, if the Medicaid case is approved, a Notice of Action will be generated and mailed
• Each High Level Program Group’s NOA will contain the basic text as follows:
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Ex-Parte/Auto Re-Enrollm
ent
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
Ex-Parte Examples
21
Ex-Parte/Auto Re-Enrollm
ent Packet Received Date is Packet Received Date is
Greater Than Three MonthsGreater Than Three Months
22
FM RRR due date is not set 12 months from the FA RRR due date because the Packet Received Date is not within 3 months of the Medicaid RRR due date
FA RRR 06/2011
FM RRR 09/2011
FA Packet Received date 05/17/2011
FA RRR 12/2011
FM RRR 09/2011
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
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Ex-Parte/Auto Re-Enrollm
ent
2424
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
13
Ex-Parte/Auto Re-Enrollm
ent Packet Received Date is Packet Received Date is
Within Three MonthsWithin Three Months
25
FM RRR due date is set 12 months from the FA RRR due date because the Packet Received Date is within then 3 months of the FM RRR Due Month
AF RRR 08/2011
MSP RRR 09/2011
AF Packet Received date 8/5/2011
AF RRR 08/2013
MSP RRR 08/2012
Ex-Parte/Auto Re-Enrollm
ent
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
14
Ex-Parte/Auto Re-Enrollm
ent
27
Ex-Parte/Auto Re-Enrollm
ent Packet Received Date in the Month Packet Received Date in the Month
of the Medicaid RRR Due Monthof the Medicaid RRR Due Month
28
AF RRR Due month is set to 7/2013 and the MSP Due Month remains 7/2011
FA RRR 07/2011
MSP RRR 07/2011
FA Packet Received date 7/5/2011
FA RRR 07/2013
MSP RRR 07/2011
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
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Ex-Parte/Auto Re-Enrollm
ent
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
Ex-Parte and Guaranteed
Programs
31
Ex-Parte/Auto Re-Enrollm
ent ExEx--Parte and Guaranteed Parte and Guaranteed
ProgramsPrograms• Medicaid cases with a guaranteed program
– If the end of the guaranteed period is within 3 months
of the FM RRR Due Month, the next FM RRR Due
Month is set to 12 months from the other programs
RRR due month
– If the end of the guaranteed period is greater then 3
months from the FM RRR Due Month, then the next
FM RRR Due Month is set to the reassessment due
month
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
17
Ex-Parte/Auto Re-Enrollm
ent Guaranteed Period is Greater Guaranteed Period is Greater
Than Three MonthsThan Three Months
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FA RRR 8/2011
Guaranteed end date 02/28/2012
FM RRR 10/2011
Needy Newborn guaranteed period ends 2/28/2012 and RRR Ex-Parte initiated 8/05/2011
FM RRR due date is 02/2012 because the end of the guaranteed period greater than 3 months of the FM RRR Due Month
FA Packet Received date 8/5/2011
FA RRR 02/2012
FM RRR 02/2012
Ex-Parte/Auto Re-Enrollm
ent Guaranteed Period is Within Guaranteed Period is Within
Three MonthsThree Months
34
FA RRR 8/2011
Guaranteed end date 10/31/2011
FM RRR 09/2011
Needy Newborn guaranteed period ends 10/31/2011and RRR Ex-Parte initiated 8/05/2011
FM RRR due date is 8/2012 because the end of the guaranteed period is within 3 months of the FM RRR Due Month
FA Packet Received date 8/5/2011
FA RRR 02/2012
FM RRR 08/2012
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
Questions?Questions?
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Ex-Parte/Auto Re-Enrollm
ent
Auto Re-enrollment
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
Auto ReAuto Re--enrollment Policyenrollment Policy
• Automatic Re-enrollment– Workers are still responsible to review upcoming
RRR’s and request any needed verification through
the Verification Checklist
– 8.100.3.Q.4 (Effective 8/29/11)
– 42 CFR Part 435.916
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Ex-Parte/Auto Re-Enrollm
ent
Auto ReAuto Re--enrollment Policyenrollment Policy
• Automatic Re-enrollment– The Redetermination Notice will now direct clients
to review current information and to take no action if
there are no household changes to current
information
– CBMS will automatically run eligibility if no changes
are reported prior to the RRR date
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
Auto Re-enrollment
Process
39
Ex-Parte/Auto Re-Enrollm
ent
Prior to ImplementationPrior to Implementation
• Clients were terminated for not returning their RRR
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
21
Ex-Parte/Auto Re-Enrollm
ent
With this ImplementationWith this Implementation
• The Auto Re-enrollment process is automated in CBMS– The new Redetermination Notice will be pre-populated
with current case data
41
Ex-Parte/Auto Re-Enrollm
ent Auto ReAuto Re--enrollment Processenrollment Process
in CBMSin CBMS• Auto Re-enrollment RRR will run on the 15th
of the month for all Medical programs whose RRR Due Date or Reassessment Date is in the current month− The Data Entry Complete field will be set to Yes
− Auto Re-enrollment RRR will run during the nightly
batch process
− EDBC and Authorization will be also run in the same
nightly batch process
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
22
Ex-Parte/Auto Re-Enrollm
ent Auto ReAuto Re--enrollment Process enrollment Process
in CBMSin CBMS• If the Ex-Parte is not completed at the time the Auto Re-enrollment RRR is started, the Ex-Parte Date will be removed and the case will run for Auto Re-enrollment RRR– The next RRR Due Date for the Medical case is
determined based on the Medical case’s current RRR
Due Month
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Ex-Parte/Auto Re-Enrollm
ent
44
View RRR Detail Listing
Window
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
23
Ex-Parte/Auto Re-Enrollm
ent
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Ex-Parte/Auto Re-Enrollm
ent
New Auto ReNew Auto Re--enrollment Alertenrollment Alert
• At the time that Auto Re-enrollment has been initiated an alert will be sent to the primary Medical eligibility worker− Informational purposes
– Will automatically resolve after 10 calendar days
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
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Ex-Parte/Auto Re-Enrollm
ent
Auto Re-enrollment Alert
47
Ex-Parte/Auto Re-Enrollm
ent
New Auto Re-enrollment
Case Comment
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
25
Ex-Parte/Auto Re-Enrollm
ent New Auto ReNew Auto Re--enrollment Case enrollment Case
CommentsComments• A system generated case comment will be created when an Auto Re-enrollment has been initiated on the Medical Program
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Ex-Parte/Auto Re-Enrollm
ent
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
26
Ex-Parte/Auto Re-Enrollm
ent
New Auto Re-enrollment
Approval Notice
51
Ex-Parte/Auto Re-Enrollm
ent Auto ReAuto Re--enrollment Approval enrollment Approval
NoticeNotice• At the time an Auto Re-enrollment RRR is completed, if the Medical case is approved, a NOA will be generated and mailed
• Each HLPG’s NOA will contain the following:
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
27
Ex-Parte/Auto Re-Enrollm
ent Auto ReAuto Re--enrollment Approval enrollment Approval
NoticeNotice
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Your Medicaid redetermination dated [Auto Re-enrollment Date] has been approved beginning [Current Eligibility - Eligibility Begin Date]. You will continue to receive Medicaid benefits. We determined your benefits based on the current information we have on file. Your Medicaid redetermination packet was not returned so we understand that there were no changes to the information.
Please use your current Medicaid card for services; you will not receive another one automatically. If you need a replacement card, please call your worker.
Ex-Parte/Auto Re-Enrollm
ent
Medical Redetermination
Notice
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
28
Ex-Parte/Auto Re-Enrollm
ent
Redetermination NoticeRedetermination Notice
• A new Redetermination Notice has been created
for the Medical Programs. The Redetermination
Notice will be used in place of the RRR Packet
and the Recertification Letter
• The Redetermination Notice is pre-populated with
the current case data for all case members
– Medical HIPPA Notice will be included with the
Redetermination Notice.
– The RRR Checklist forms can be selected to be sent
with the Redetermination Notice
55
Ex-Parte/Auto Re-Enrollm
ent
Redetermination NoticeRedetermination Notice
• The Redetermination Notice will now direct clients to review current information and to take no action if there are no household changes to current information
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
29
Ex-Parte/Auto Re-Enrollm
ent
57
Ex-Parte/Auto Re-Enrollm
ent Redetermination Notice Redetermination Notice
GenerationGenerationIdentifying and suppressing overlapping RRR and
Redetermination Notices
– If the Ex -Parte is completed prior to the scheduled
mailing date, the Redetermination Notice will not be
generated
– If the Ex- Parte is started, but not completed, the
Redetermination Notice will be generated and mailed
on the scheduled mailing date
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
30
Ex-Parte/Auto Re-Enrollm
ent Redetermination Notice Redetermination Notice
GenerationGeneration
• If the Ex-Parte is completed and the
Reassessment Date:– Less than 90 days from the RRR Due Date, the
Redetermination Notice will be suppressed
– Greater than 90 days, the Redetermination Notice will
be generated
59
Ex-Parte/Auto Re-Enrollm
ent Suppression of Redetermination Suppression of Redetermination
Notice for Guarantee ClientNotice for Guarantee Client
60
Case has FA RRR; FM RRR; Guaranteed client RRR
On 8/12/2011 FA RRR received; This kicks off the Ex Parte process for the FM RRR because the FM RRR is within 3 months of the FA RRR. The Redetermination for the Guarantee Client will be generated because the due date of the Redetermination for the Guaranteed Client is greater than 3 months of the FA RRR
FA RRR due 8/31/2011
Guaranteed Client Redetermination due 12/31/2011
FM RRR due 9/30/2011
Guaranteed Client Redetermination will be generated 60 days prior to 12/31/2011
FM RRR set to 8/2012
FA RRR set to 8/2012
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
31
Ex-Parte/Auto Re-Enrollm
ent Suppression of Redetermination Suppression of Redetermination
Notice for Guarantee ClientNotice for Guarantee Client
61
Case has FA RRR; FM RRR and a Guaranteed client RRR
On 8/12/2011 FA RRR received; This kicks off the Ex Parte process for the FM RRR because the FM RRR is within 3 months of the FA RRR. The Redetermination for the Guarantee Client will not be generated because the due date of the Redetermination for the Guaranteed Client is due within 3 months of the FA RRR
Guaranteed Client Redetermination will be suppressed.
FA RRR due 8/31/2011
Guaranteed Client Redetermination due 11/30/2011
FM RRR due 9/30/2011
Ex-Parte/Auto Re-Enrollm
ent Suppression of Redetermination Suppression of Redetermination
Notice Notice
62
Case has FA RRR; FM RRR
FA RRR due 8/31/2011
FM RRR due 9/30/2011
In order for the medical RRR to be suppressed the EX Parte must be completed and authorized prior to the generation of the medical RRR. The medical RRR is generated 60 days prior to the due date.
RRR generated for FM on 8/1/2011. Therefore the RRR for FM was not suppressed.
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
32
Ex-Parte/Auto Re-Enrollm
ent Suppression of Redetermination Suppression of Redetermination
Notice Notice
63
Case has FA RRR; FM RRR
FA RRR due 8/31/2011
FM RRR due
11/30/2011
In order for the medical RRR to be suppressed the EX Parte must be completed and authorized prior to the generation of the medical RRR. The medical RRR is generated 60 days prior to the due date.
RRR for FM is scheduled to generate on 10/1/2011. Therefore the RRR for FM will be suppressed.
Ex-Parte/Auto Re-Enrollm
ent
Auto Re-enrollment
Examples
64
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
33
Ex-Parte/Auto Re-Enrollm
ent
Auto ReAuto Re--enrollment Exampleenrollment Example
65
Night batch 8/15/2011
FM RRR 8/2011
Auto Re-enrollment RRR will run in the nightly BATCH on the 15th
of the month for all Medical programs whose RRR Due Date or Reassessment Date is in the current month
FM RRR 8/2012
Ex-Parte/Auto Re-Enrollm
ent
Auto Re-enrollment and
Guaranteed Programs
66
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
34
Ex-Parte/Auto Re-Enrollm
ent Auto ReAuto Re--enrollment and enrollment and
Guaranteed ProgramsGuaranteed Programs• Medicaid cases with a guaranteed program
– If the end of the guaranteed period is within 3 months
of the FM RRR Due Month, the next RRR Due
Month is set to 12 months from the other programs
RRR due month
– If the end of the guaranteed period is greater then 3
months from the FM RRR Due Month, the next RRR
Due Month is set to the reassessment due month
67
Ex-Parte/Auto Re-Enrollm
ent Guaranteed Period is Greater Guaranteed Period is Greater
than Three Monthsthan Three Months
68
Guaranteed end date 02/28/2012
FM RRR 10/2011
Needy Newborn guaranteed period ends 02/28/2012 and Auto Re-enrollment initiated 10/15/2011
FM RRR due date is 2/2012 because the end of the guaranteed period is not within 3 months of the FM RRR Due Month
FM RRR 2/2012
Night batch Run 10/15/2011
Trigger will run on 2/1/2012 to reveal ongoing eligibility
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
35
Ex-Parte/Auto Re-Enrollm
ent Guaranteed Period is Within Guaranteed Period is Within
Three MonthsThree Months
69
Guaranteed end date 12/31/2011
FM RRR 10/2011
Needy Newborn guaranteed period ends 12/31/2011 and Auto Re-enrollment initiated 10/15/2011
FM RRR due date is 10/2012 because the end of the guaranteed period is within 3 months of the FM RRR Due Month
FM RRR 10/2012
Night batch Run 10/15/2011
Trigger will run on 12/1/2011 to reveal ongoing eligibility
Ex-Parte/Auto Re-Enrollm
ent
CBMS Reports
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
36
Ex-Parte/Auto Re-Enrollm
ent
Ex Ex ––Parte ReportsParte Reports
• Three new reports where created for the Ex-Parte
Process
– CBMS Authorized Ex -Parte RRR Detail List Report
– CBMS Ex-Parte RRR County/Med Site Summary
Report
– CBMS Ex-Parte RRR State Summary Report
– These reports will run on the 7th of every month and
report the prior month’s data.
71
Ex-Parte/Auto Re-Enrollm
ent CBMS Authorized ExCBMS Authorized Ex--Parte Parte
RRR Detail List ReportRRR Detail List Report• Purpose:
– Create a listing of all CBMS individuals that have an
Ex-Parte RRR processed and authorized.
• Location:– Reports are located in the RRR folder within Cognos
• Security Access:– County/Med site workers have access to their county
only
– State workers have access to the entire report
72
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
37
Ex-Parte/Auto Re-Enrollm
ent
73
Ex-Parte/Auto Re-Enrollm
ent CBMS ExCBMS Ex--Parte RRR County/Med Parte RRR County/Med
Site Summary ReportSite Summary Report
• Purpose:– Report will include a summary of the Ex-Parte RRR
records that have been processed and authorized
• Location:– Reports are located in the RRR folder within Cognos
• Security Access:– County/Med site workers have access to their county
only
– State workers have access to the entire report
74
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
38
Ex-Parte/Auto Re-Enrollm
ent
75
Ex-Parte/Auto Re-Enrollm
ent CBMS ExCBMS Ex--Parte RRR State Parte RRR State
Summary ReportSummary Report• Purpose:
– Report will include a summary of the individuals
processed and authorized by an Ex-Parte RRR, by
Medical County/Med Site, HLPG and authorized
result
• Location:– Reports are located in the RRR folder within Cognos
• Security Access:– State workers only
76
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
39
Ex-Parte/Auto Re-Enrollm
ent
CBMS Ex Parte RRR State Summary Report
77
Ex-Parte/Auto Re-Enrollm
ent CBMS Auto ReCBMS Auto Re--enrollment enrollment
RRR ReportsRRR Reports• Four new reports were created for Auto Re-
enrollment
– CBMS Authorized Auto Re-enrollment RRR Detail List
Report
– CBMS Auto Re-enrollment Pending Results RRR Detail
List Report
– CBMS Auto Re-enrollment RRR County/Med Site
Summary Report
– CBMS Auto Re-enrollment RRR State Summary Report
– These reports will run on the 7th of every
month and report the prior month’s data
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
40
Ex-Parte/Auto Re-Enrollm
ent CBMS Authorized Auto ReCBMS Authorized Auto Re--
enrollment RRR Detail List Reportenrollment RRR Detail List Report
• Purpose:– Report will include a listing of all CBMS individuals
that have an Auto Re-enrollment RRR processed and
authorized
• Location:– Reports are located in the RRR folder within Cognos
• Security Access:– County/Med site workers have access to their county
only
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Ex-Parte/Auto Re-Enrollm
ent
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
41
Ex-Parte/Auto Re-Enrollm
ent CBMS Auto ReCBMS Auto Re--enrollment Pending enrollment Pending
Results RRR Detail List ReportResults RRR Detail List Report
• Purpose:– Report will include a listing of all CBMS individuals
that have an Auto Re-enrollment RRR processed but
the case is Pending due to Mass Update Exceptions
• Location:– Reports are located in the RRR folder within Cognos
• Security Access:– County/Med site workers have access to their county
only
81
Ex-Parte/Auto Re-Enrollm
ent
82
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
42
Ex-Parte/Auto Re-Enrollm
ent
CBMS Auto ReCBMS Auto Re--enrollment RRR enrollment RRR
County/Med Site Summary ReportCounty/Med Site Summary Report
• Purpose:– Report will include a summary of the Auto Re-
enrollment RRR individuals that have been processed
and authorized or processed and are pending due to
Mass Update Exceptions
• Location:– Reports are located in the RRR folder within Cognos
• Security Access:– County/Med site workers have access to their county
only
83
Ex-Parte/Auto Re-Enrollm
ent
84
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
43
Ex-Parte/Auto Re-Enrollm
ent CBMS Auto ReCBMS Auto Re--enrollment enrollment
RRR State Summary ReportRRR State Summary Report• Purpose:
– Report will include a summary of the individuals
processed and authorized or processed and pending
due to Mass Update Exceptions by an Auto Re-
enrollment RRR, by Medical County/Med Site and
High Level Program Group
• Location:– Reports are located in the RRR folder within Cognos
• Security Access:– State workers only
85
Ex-Parte/Auto Re-Enrollm
ent
CBMS Auto Re-enrollment RRR State Summary Report
86
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
44
Ex-Parte/Auto Re-Enrollm
ent
Implementation TimelinesImplementation Timelines
Action Date
Implementation of Ex-Parte RRR
Process
August 28, 2011
Ex-Parte logic available August 29, 2011
Implementation of Auto Re-
enrollment RRR Process
August 28, 2011
NewRedetermination Notice sent
to clients
September 1, 2011
Auto Re-enrollment logic available October 15, 2011
87
Ex-Parte/Auto Re-Enrollm
ent
Questions?
88
Medical Ex-Parte and Auto Re-enrollment Process
August 2011
45
Ex-Parte/Auto Re-Enrollm
ent
Reminders
• Add detailed case comments each time there is an
update made to your cases
• Review and resolve all Alerts timely
• Follow the field definition guide and all data entry
documents located on the Department of Human
Services Web Portal or by using Shift + F1 within
CBMS
• Read all CBMS Communications
– If you are not signed up for communications,
contact PC.HELPDESK@state.co.us
89
Ex-Parte/Auto Re-Enrollm
ent Where to Get More
Information
• HCPF Website -Colorado.gov/hcpf
• Medicaid Eligibility Email Address -
Medicaid.eligibility@hcpf.state.co.us
• CHP+ Eligibility Email Address -
CHP+.eligibility@hcpf.state.co.us
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Medical Ex-Parte and Auto Re-enrollment Process
August 2011
46
Ex-Parte/Auto Re-Enrollm
ent
Thank You
for
Your Time!
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