Topic: Denial
Notice – when an action is taken to open, close, increase, or decrease benefits, the system sends a computer generated notice to a client. When a notice does not generate and should, the worker must issue a hand-generated notice.
Steps to take when processing a certification on Nursing Facility (NF) Applications
Updating Authorization to Denial “2” If found either financially or medically ineligible the AFS worker must code the ACTION BLOCK in the NF authorization In IMS, type EKL <space> case number and press enter. Tab down to the authorization in application status , type aul and press enter. Enter the following Tab to the action […]
The procedure for TEFRA applications
How Timeliness is Calculated for Child Care An application for child care must be completed within two working days once the interview is completed and all needed verification to determine eligibility has been received. Timeliness is tracked and reported for each individual child care authorization. For child care certifications, the computer system compares the authorization […]