NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 3101

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CHANGES TO MEDICAID CASES

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EIS 3101 – CHANGES TO MEDICAID CASES


I. COMPLETING THE DSS-8125

II. SIGNATURES AND DATE

III. KEY THE DSS-8125.

IV. OUTPUTS

V. FOR ANY CHANGES NOT LISTED, SEE ”OTHER CHANGED DATA”.

VI. AUTOMATED NOTICES


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CHANGE IN MEDICAID CLASSIFICATION

REVISED 08/01/98 - CHANGE NO. 03-99

MQB-E

The Medicaid classification of a MQB case can not be changed to “E” if the funding for this classification is exhausted for the calendar year. The case must be terminated, changed to another aid program/category, or changed to another Medicaid classification.

When funding is exhausted, EIS stops accepting additional MQB-E cases, therefore pending timely forms that are waiting to process that are changes in Medicaid classification to “E” are put on hold. The following message appears on the Error and Attention Report for the forms put on hold: “FORMS ON HOLD - FUNDING FOR MQB-E EXHAUSTED”. Also, the following online message is displayed: “MQB-QI FUNDS EXHAUSTED. CAN ONLY DELETE/RESCIND FORM”, if you redisplay the form in Function 8 and press <enter>. You must either delete or rescind the forms that are put on hold. Since the case can not be changed to MQB with a Medicaid classification of “E”, determine eligibility for another Medicaid classification or another aid program/category.

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I. COMPLETING THE DSS-8125

REISSUED 08/01/98 - CHANGE NO. 03-99

I. A. 8. b. (CONT'D) (CHANGE IN MEDICAID CLASSIFICATION)

REVISED 10/01/12 - CHANGE NO. 01-13

I. B. (CONT'D) (CHANGE IN MEDICAID CLASSIFICATION)

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II. SIGNATURES AND DATE

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III. KEY THE DSS-8125.

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IV. OUTPUTS

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V. FOR ANY CHANGES NOT LISTED, SEE ”OTHER CHANGED DATA”.

REISSUED 10/01/012 - CHANGE NO. 01-13

(CHANGE IN MEDICAID CLASSIFICATION CONT’D)

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VI. AUTOMATED NOTICES

REVISED 10/01/09 - CHANGE NO. 01-10

VI. C. 4. (CONT'D) (CHANGE IN MEDICAID CLASSIFICATION)

REISSUED 10/01/09 - CHANGE NO. 01-10

VI. C. (CONT'D) (CHANGE IN MEDICAID CLASSIFICATION)

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