DMAS MMIS Quarterly Training

Agenda  Retro-active Cancel Reinstate functionality  TPL-ending and deleting  Questions/Comments  Contact Information  After this Presentation:  Enrollment Issues  Q/A on other areas of concern 06/01/20112

Retro-Cancel Reinstate  Accessible from the Enrollment menu  Two cancel reasons 024 moving from limited coverage to greater limited coverage or full benefit 032 moving between AG and LTC or moving from FAMIS to Medicaid  Correcting coverage more than a year in the past requires DMAS assistance 06/01/20113

Use cancel reason 024 to move from Plan First to full Medicaid 06/01/20114

Use cancel reason 024 to move from Plan First to full Medicaid continued… Select row to be canceledEnter cancel reason /01/20115

Use cancel reason 024 to move from Plan First to full Medicaid continued… Key new aid category, application date, begin date, and reinstate reason then select ENTER to validate data 06/01/20116

Use cancel reason 024 to move from Plan First to full Medicaid continued… Select Update to navigate to the Benefits screen 06/01/20117

Use cancel reason 024 to move from Plan First to full Medicaid continued… Screen shows the shortening of the benefit plans that existed under the previous AC and the newly created benefit plans under the new AC. Use Update to save. Shortened benefit plans 06/01/20118

Use cancel reason 024 to move from Plan First to full Medicaid continued… Saved benefit plans under the newly created eligibility segment 06/01/20119

Use cancel reason 024 to move from Plan First to full Medicaid continued… 1. Newly created eligibility segment 2. Shortened eligibility segment 3. Voided history row showing the coverage prior to the retro cancel reinstate transaction /01/201110

Use cancel reason 032 to move between AG and LTC Medicaid 06/01/201111

Use cancel reason 032 to move between AG and LTC Medicaid cont… Select row to be canceledEnter cancel reason /01/201112

Use cancel reason 032 to move between AG and LTC Medicaid cont… Key new aid category, application date, begin date, and reinstate reason then select ENTER to validate data 06/01/201113

Use cancel reason 032 to move between AG and LTC Medicaid cont… Select Update to navigate to the Benefits screen 06/01/201114

Use cancel reason 032 to move between AG and LTC Medicaid cont… Screen shows the shortening of the benefit plans that existed under the previous AC and the newly created benefit plans under the new AC. Use Update to save. Shortened benefit plans 06/01/201115

Use cancel reason 032 to move between AG and LTC Medicaid cont… Saved benefit plans under the newly created eligibility segment 06/01/201116

Use cancel reason 032 to move between AG and LTC Medicaid cont… 1. Newly created eligibility segment 2. Shortened eligibility segment 3. Voided history row showing the coverage prior to the retro cancel reinstate transaction /01/201117

Use cancel reason 032 to move from FAMIS to Medicaid continued… 06/01/201118

Use cancel reason 032 to move from FAMIS to Medicaid Select row to be canceledEnter cancel reason /01/201119

Use cancel reason 032 to move from FAMIS to Medicaid continued… Key new aid category, application date, begin date, and reinstate reason and select ENTER to validate data 06/01/201120

Use cancel reason 032 to move from FAMIS to Medicaid continued… Select Update to navigate to the Benefits screen 06/01/201121

Use cancel reason 032 to move from FAMIS to Medicaid continued… Screen shows the shortening of the benefit plan that existed under the previous AC and the newly created benefit plans under the new AC. Use Update to save. Shortened benefit plan 06/01/201122

Use cancel reason 032 to move from FAMIS to Medicaid continued… Saved benefit plans under the newly created eligibility segment 06/01/201123

Use cancel reason 032 to move from FAMIS to Medicaid continued… 1. Newly created eligibility segment 2. Shortened eligibility segment 3. Voided history row showing the coverage prior to the retro cancel reinstate transaction /01/201124

TPL Updates  End date any coverage and or policy when no longer valid. When the policy is no longer valid, all coverage lines and the policy must be ended.  Delete any coverage or policy if either was added in error. 06/01/201125

TPL Updates End dating a policy Select TPL Resource Select Change 06/01/201126

TPL Updates End dating a policy continued… 06/01/201127

TPL Updates End dating a policy continued… Key Member ID and select ENTER 06/01/201128

TPL Updates End dating a policy continued… 06/01/201129

TPL Updates End dating a policy continued… Key policy end dateKey coverage end dates 06/01/201130

TPL Updates End dating a policy continued… Screen after selecting ENTER to validate data. Select Update to save changes. 06/01/201131

TPL Updates End dating a policy continued… Screen shot after data is saved. 06/01/201132

TPL Updates End dating a policy continued… End dated coverage as seen on the TPL Summary screen. 06/01/201133

TPL Updates Deleting a policy Select TPL Resource Select Delete 06/01/201134

TPL Updates Deleting a policy continued… Key Member ID and select ENTER 06/01/201135

TPL Updates Deleting a policy continued… 06/01/201136

TPL Updates Deleting a policy continued… Key “..” in policy begin date Key “..” in coverage code 06/01/201137

TPL Updates Deleting a policy continued… Screen shot after selecting ENTER to validate the data. Use Update to save. 06/01/201138

TPL Updates Deleting a policy continued… After saving the changes the policy is set to a retired status. 06/01/201139

TPL Updates Deleting a policy continued… Policy now appears on the TPL Retired Policies screen 06/01/201140

Who to contact…  Policy Questions-the VDSS regional consultants  Enrollment issues-  Patient Pay issues-  Questions regarding MMIS WebEx or suggestions for future training- 06/01/201141

Questions or Comments 06/01/201142