Communicating with MEDS/CDB

General Information

In order to communicate with MEDS/CDB and instruct the system to activate Medi-Cal and/or CalFresh records, issue and/or reactivate BICs and change existing data on the database, communication (or interface) must be done in MEDS/CDB understood language. This is accomplished through one of the following methods:

CalSAWS nightly batch process, or
Direct MEDS/CDB transactions via online entries completed by the MTOs.

The first method requires CalSAWS programming to look at all the input, decide what has changed, and translate this change into MEDS/CDB understood language or transactions.

MEDS Transactions Generated by CalSAWS and CalHEERS

As CalSAWS and CalHEERS interfaces with MEDS, there are certain transactions initiated in CalSAWS and CalHEERS that will trigger an action in MEDS.

The following transactions are generated by actions taken in CalSAWS:

Transaction	Description
AP18/AP20	Report new applicant or new application for existing client
AP19	Report Citizenship Status/Identity Verification and request automatic California birth record match.
AP34	Modify application/Appeal information
EW05	Transfer county of responsibility
EW10	Social security number change
EW12	Update client information
EW20	Add new client record
EW25	Update case level information
EW40	Terminate/Hold status change
EW45	Request replacement BIC
EW60	Modify Pickle status for potential Pickle eligibles
FX10	MEDS-ID number change for CalFresh only recipient
FX20	Add/Update CalFresh eligibility
FX30	Modify individual CalFresh record
FX60	ABAWD CalFresh 36-month calendar
HA20	Report Homeless Assistance
HI37	Report private health insurance information
HI40	Report Third Party Liability
HX05	Change county of responsibility
HX10	MEDS-ID number change
HX11	MEDS record consolidation for COV/CA member only
HX12	Modify client information
HX18	Report a pending application
HX19	Citizenship status identity verification
HX20	Add new eligibility or update eligibility
HX34	Update pending application
HX40	Termination (individual)

Note: Only the CalHEERS or Covered California can submit all “HX” transactions for clients active/pending in programs (APTC, CCHIP or MCAP).

The following table lists these transactions and provides the CalSAWS trigger conditions, buttons names and page names.

Trans-action	Trigger Condition	Button/Field Name	Page Name
AP18 AP20	New application for existing client	All Buttons	Case Member LIst
AP18 AP20	Report new applicant	Request New CIN	New Person Detail, Client Index Number (CIN) Search Results [Search Results Summary page section]
AP19	Report citizenship/identity information at initial Intake when EDBC is authorized.	All Buttons	Individual Demographics Detail, Vital Statistic Detail, Citizenship Status Detail
AP19	Report citizenship/identity information at RE or to request birth record match	U.S. Citizen/Source/ Doc #, Identification/Source/ Doc #	Individual Demographics Detail, Vital Statistic Detail, Citizenship Status Detail
AP34	Client’s eligibility is denied	Save and Continue (Authorize)	EDBC List
EW05	ICT client authorized for the first time	Save and Continue (Authorize)	EDBC List
EW10	SSN changed	SSN	Individual Demographics Detail, [SSN Status page section]
EW12	Ethnicity changed	Ethnicity	Individual Demographics Detail, [Race/Ethnic Origin page section], Contact Summary
	Language changed	Language
	Home phone changed	Home Phone
	Work phone changed	Work Phone
	Message Phone changed	Message Phone
	U.S. citizenship changed	U.S. Citizen Y/N
	DOB changed	Birth Information/Date
	Deceased	Death Information
	Physical address/Care of changed	Address Type, Number, Street Name, City, State	Contact Summary, Address Detail
	Mailing address changed	Address Type, Number, Street Name, City State	Contact Summary, Address Detail
	Alien/refugee status changed/added	Document	Citizenship Status Detail
	U.S. entry date changed/added	Date of Entry
	Country of Origin changed/add	Country of Citizenship
	SSA Alias Name changed/added	Previous Names, Previous Social Security Numbers	Individual Demographics Detail [Previous Names, Previous Social Security Numbers page sections]
	Case Flag (Confidential Special Indicator added)	Title	Case Flag Detail
	Authorized Representative changed/added	Type/Individual Name	Authorized Representative Detail
EW20	Client is authorized for the first time or when an eligibility change is authorized	Save and Continue (Authorize)	EDBC List
EW25	Case Address changed	Address	Contact Summary, Address Detail
	Case Mailing Address changed	Address	Contact Summary, Address Detail
	Case Worker changed	Worker ID	Worklist Summary
	Case Name changed	Name, Administrative Role	Case Summary, Program Detail [Administrative Roles page section]
EW40	Client is discontinued	Begin Month, Save and Continue (Authorize)	EDBC List
EW45	Replacement BIC requested	Request New BIC	Program - Person Detail
FX05	ICT client authorized for the first time for CalFresh	Save and Continue (Authorize)	EDBC List
FX20	Client is authorized for the first time or when eligibility changed is authorized for CalFresh	Save and Continue (Authorize)	EDBC List
FX30	Ethnicity changed	Ethnicity	Individual Demographics Detail, [Race/Ethnic Origin page section], Contact Summary
	Language changed	Language
	Home phone changed	Home Phone
	Work phone changed	Work Phone
	Message Phone changed	Message Phone
	Ethnicity changed	Ethnicity
FX40	Client is discontinued for CalFresh	Begin Month, Save and Continue (Authorize)	EDBC List
FX60	ABAWD time clock changed/added	Participant's name [Name hyperlink], Begin Month, End Month	Time Limit Summary, ABAWD Time Limit Month List, ABAWD Time Limit Month Detail
HA20	Homeless Assistance authorized	Save and Continue (Authorize)	EDBC List
HI37	Individual added to a Health Insurance Policy	Beneficiary	Other Health Care Detail
HI40	Third Party Liability added	All fields	Third Party Liability Detail

Communicating with MEDS/CDB

General Information

MEDS Transactions Generated by CalSAWS and CalHEERS

Related Topics