IMS: ED Screen

Check the ED screen to obtain Medical Assistance Information.

To view this screen:

  1. Login to IMS
  2. Clear the screen
  3. Type ED (space) and the case number
  4. Press ‘Enter’

ED IMS Screen

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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