429: DISENROLL FROM MANAGED CARE CLIENT NOT CN ELIGIBLE

DESCRIPTION

This alert generates when a managed care client trickles from categorically needy (CN) to a medically needy (MN) coverage group.

 

PROCEDURE

  1. In ACES 3G, review the case to determine if the trickle was correct.
  2. Notify the managed care provider the client is no longer CN eligible and must be disenrolled from managed care.
  3. If the client is also receiving Long Term Care (LTC) services, contact the social services worker to determine if the client is functionally eligible for a different LTC program.

 

DISPOSITION

In ACES 3G, to delete an alert place a checkmark next to the alert on the Case Actions page. In ACES Mainframe, enter [Y] in the D field and <TRANSMIT>.