Download 2015-06-05 KEES Implementation Instructions
Transcript
RV button and is not available to view. No other access is available through this view. 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. 15