Check the ED screen to obtain Medical Assistance Information.
To view this screen:
- Login to IMS
- Clear the screen
- Type ED (space) and the case number
- Press ‘Enter’
Field Descriptions
Status
O = Open
Section Detail Status
V = Vending
D1 – Application Date
D2 – Certification Date
Field Descriptions
Status
O = Open
Section Detail Status
V = Vending
D1 – Application Date
D2 – Certification Date
D3 – Type Action Taken
- 1 = Certified
- 2 = Denied
- 4 = Suspended
- 5 = Reinstated
- 6 = Closed
- A = Application
- C = Change
- R = Reopened
D4 – Reason
D5 – Effective Date
D6 – Effective Number of Months
- 1 = Compute one month’s vendor payment using this information
- 2 = Compute two month’s vendor payment using this information
- 3 = Compute three month’s vendor payment using this information
- 99 = Compute vendor payment using this information indefinitely
D7 – Certification Period
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- 12 months (LTC, ABD, QMBP, QI-1, SLMB, Optional TB coverage)
- 98 months (AFDC Related ineligible for Online Enrollment)
- 99 months (DHS Legal Custody with placement outside own home or child(ren) receiving an adoption subsidy)
- 1-8 months (Refugee Medical Assistance (RMA))
- 1-12 months (Phenylketonuria (PKU))
D8 – Child Support Indicator
- N = Medical Only Child Support Services Requested
- Y = Full Child Support Services Requested
D9 – Notice Indicator
D10 – Date of Last Redetermination
D12 – Source of Application
- CD = Department of Corrections
- CH = Head Start
- Co = County Office
- HT = Other Health Department – TB Only
- LV = OKDHS Live!
- MS = Muskogee Public Schools
- PC = Private Contractors
- TT = American Indian Tribe Administering TANF
- XT = Oklahoma City / County Health Department – TB Only
- ZT = Tulsa City / County Health Department – TB Only
D16 – Number of Child(ren)
D17 – Number of Adult(s)
D26 – Medical Evaluation Date
D28 – Continued Medical Begin Date
D29 – Continued Medical Expiration Date
D30 – Resource Transfer Begin Date
D31 – Uncompensated Resource Value
D32 – Self-Employment Income
D33 – Business Expense
D35 – Earned Income
D38 – Work-Related Expense
D41 – Dependent Care Expense
D44 – Net Earned Income
D47 – Unearned Income
D50 – General income Exclusion
D54 – Total Diverted
D56 – Total Net Income
D59 – Total Countable Resources
D60 – Medical App Reason
- A = ADvantage Waiver
- B = Breast / Cervical Cancer
- C = Personal Care (no disability determination required)
- D = Disability to be established by SSA or TEFRA
- F = SSP or disability has already been established by SSA
- H = Home and Community Based Waiver Services (DDS)
- K = Custody Case
- L = SLMB
- N = Nursing Care
- P = Pregnancy Related Services
- Q = QMBP
- S = Medical benefits (not otherwise listed OHCA Online Enrollment)
- T = Optional TB Coverage
- V = DDS Case
- X = Qualifying Individuals Group (QI-1)
- Y = Family Planning Waiver (FPW)
D61 – Spenddown Computation Period
D62 – Standard (MN Only)
D65 – Total Unencumbered Income (MN Only)
D68 – Total Medical Expense (MN Only)
D71 – Total Amount to Vendor Paid by Client
D79 – Family Size
D80 – Own Home Indicator
D81 – Own Home Standard
D83 – Medicare Premium Amount
D84 – Monthly Medical Expense
D86 – NH Monthly Vendor Payment
D87 – NTMC Vendor Payment
D88 – Waivered Services Vendor Payment
D92 – Children with Special Health Care Needs (CSHCN) Total Income
D136 – Benefit Report Date
D137 – Benefit Report Status
- A = Annual Reporter
- S = Semi-Annual Reporter
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