IMS: Medical Codes for Creating Cases

The following are codes that are used for the RN CD field when creating cases using the ps1b transaction in IMS:

A
ADvantage Waiver
B
Breast/Cervical Cancer
C
Personal Care (no disability determination required – already eligible for SSP, QMBP or in Online Enrollment)
D
(Disability to be established by SSA)
F
SSP or disability has already been established by SSA
H
Home and Community Based Waivered Services for DDS cases
K
Custody Case
L
SLMB
N
Nursing Care
P
Pregnancy Related Services
Q
QMB Plus
S
Medical benefits not otherwise listed (such as OHCA Online Enrollment)
T
Optional TB Coverage Only
V
DDS case
X
Qualifying Individuals Group 1 (QI-1)
Y
Family Planning Waiver (FPW)

Note: The processing deadline and timeliness count are set by the type of application and reason code used.

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