SUBJECT: MQB-E Certification Period Extension to 6/30/2008
DISTRIBUTION: County Directors of Social Services
Medicaid Eligibility Staff
The State previously had extended MQB-E from October through January based on past experiences with the federal government passing legislation in the final hours to extend the program. This program has now been extended by Congress through June 30, 2008.
EIS automatically will extend the certification through date for MQB-E cases to June 30, 2008. This update will occur on the night of January 22, 2008. A list of the cases that are updated will be available the next day in a report on XPTR. The XPTR report name is “DHREJ QI1 Cert Period Extended.” To view this list, select the version with the most current date.
Do not key any changes to MQB-E cases or transfers to MQB-E until January 23, 2008. You can continue to key approvals through January 18 with a certification through date of January 31. EIS will automatically extend the certification through date on these cases to June 30, 2008. Hold any other approvals for keying until January 23 and enter them with a certification through date of June 30, 2008.
On January 23, 2008, an automated DSS-8108, Notification of Benefits, will be mailed to recipients whose certification period was updated automatically notifying them of their continued eligibility through 06/30/2008. These cases will be included on the Notice Register.
MQB-E cases with an 8125 pending the day the certification period extension runs will not be updated automatically. These cases will require you to key a DSS-8125 to update the certification period to 06/30/2008. If your county has any of these cases, your MPR will e-mail you a list.
Pull the cases from the list and key the DSS-8125 to update the certification period. Enter the redetermination code (01). By using code 01, the recipient will be mailed an automated DSS-8108, Notification of Benefits, notifying him of his continued eligibility through 06/30/2008. Do not override the notice.
Beginning January 23, 2008, enter a certification through date of 06/30/2008 for changes and transfers to MQB-E.
Effective January 23, 2008, counties can approve ongoing MQB–E cases with a certification through date of 06/30/2008 unless the case is terminating earlier.
If you have any questions regarding this information, please contact your Medicaid Program Representative. For any issues that are not able to be handled through that venue, Mrs. Angela Floyd, Assistant Director for Recipient and Provider Services, will be your point of contact and can be reached at (919) 855-4000.
William W. Lawrence, Jr., M.D.
(This material was researched and written by William Appel, Policy Consultant, Medicaid Eligibility Unit.)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.