Download 2015-06-05 KEES Implementation Instructions

Transcript
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h. Ks Driver’s License
This interface through the Dept of Revenue provides Driver’s License information. It is
not built into KEES and staff will continue to access using current processes.
i. PARIS
This interface provides information regarding potential VA income and persons who
may be living out of state. KEES will provide files to DCF EES Central Office in order to
produce the master input file. EES CO will compile and send to the Feds. EES will
then sound out the actual PARIS reports to both EES and Clearinghouse staff in the
same manner as today.
j. Death Records
This interface provides information on persons who may be deceased. KDHE – Vital
Statistics sends a list of persons with a date of death. DCF conducts a match against
KAECSES and KEES and provides two lists to staff – one with matching individuals and
another suspect list. These reports will continue to be routed to the Clearinghouse and
DCF as currently occurs. It is not built into KEES. Follow existing processes.
k. Kansas Department of Corrections - Inmate
This interface provides information on inmates through the Dept of Corrections. KDOC
is sending a monthly file and if a match results, a task will be produced..
l. MMIS - Alerts
The MMIS will continue to provide information received from claims and other
processes back to eligibility staff. These are generally considered leads, with the
exception of Medicare Buy-In and Spenddown information. These will be create tasks
and staff will work them according to existing rules. See Interface Task guide
m. Premium Billing – Alerts
The Premium Billing system will continue to provide information regarding the status of
the Premium Billing account. These will be presented as tasks. Use of these tasks is
covered in Section13 regarding CHIP premiums.
5. Eligibility Verification
The impact of the Tier Verification process for all eligibility components is outlined below. Staff
must keep in mind the basic rule of the Tiers is to ask for verification from the client as a final
step.
Client statement or attestation is sufficient for several items. Although it is acceptable to verify
those items with a Tier 1 or Tier 2 interface, the individual is never asked to provide
verification. An exception exists if the information reported is discrepant or inconsistent.
Again, the test for this varies dependent upon the context of the information in question as well
as the other information in the case. It is really a case by case test.
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