Legacy System Process (ACM and IPACS)
(FCRC) Approve or deny the application through the Integrated Eligibility System (IES).
(System) Sends (or syncs) the approval or denial data from IES to the Client Data Base.
(System) Within 2 workdays of when an application is approved or denied, automatically issues and sends Form 360C.
(FCRC) Completes and mails Notice of Decision on Application for Medical Assistance - Regular MANG (Form 458) , when a decision is made to approve or deny an initial application as regular Medical via IPACS; or
(FCRC) Complete and mail a Notice of Decision on Application for Medical Assistance - MANG Long Term Care (HFS 458LTC) , when a decision is made to: authorize a nursing home (NH) or supportive living facility (SLF) Medical case with or without a spend down, or deny the application and a central notice is not wanted. Enter code 80 in Item 39. Send a Nursing Home/Supportive Living Facility Resource Calculation (HFS 2500) with the notice. NOTE: For a community case at application, or for backdated months that are before the case became NH or SLF, use HFS 458LTC to notify the client of the application decision and the change in case status. Send HFS 2500 with the notice.
(FCRC) Complete and mail a Notice of Limited Approval of Medical Assistance Application (Form 458D) , when: a All Kids Assist/Moms and Babies case is not eligible for the month of decision or any backdated month, and spenddown exists for each month eligibility exists.
(FCRC) Complete and mail a Notice of Decision on Applications for Payment of Medicare Premiums, Deductibles and Coinsurance (Form 458M) , to inform AABD Medical applicants of: eligibility/ineligibility for Medicare cost-sharing benefits as a QMB, or payment of Medicare Part B SMIB premiums as an SLIB.
(FCRC) Complete and mail a Notice of Decision on Application (MANG) for a MediPlan Card (Form 458SP), with Form 458SPA/SPB attached, if needed, to inform an applicant they are eligible for spenddown enrollment.