Medical Assistance (MA) Mass Update

“EDBC will automatically be run on these cases and results authorized in order to generate the following med span information that is required for budget/funding purposes and federal reporting:

• Income Rating Code – this code is generated based on the client’s household size and income and is used to identify enrollment fees and co-pays for CHP+ clients.
• FPL Bracket Code – this code is generated based on the client’s net countable income and is used to identify claims associated with target populations and to allocate the expenditure to the proper federal match rate for all MA clients.
• Benchmark Identifier Code – this code is generated based on the client’s demographics and is used to identify which clients fall into federally required benchmark-related categories in order to be in enrolled in the appropriate benchmark benefit plan for MAGI Adult and MAGI Parent/Caretaker clients.

The mass update will run in the evening and will begin on 3/5/2014 and be completed by 3/9/2014.

If a case is not successfully authorized by the system, the case will be included within the Mass Update Exception report.  This report should be reviewed and MA cases authorized.

Questions regarding this communication may be directed to medicaid.eligibility@hcpf.state.co.us.”  [Source:  HCPF]