2064 - Invalid History Change - Elig to Ineligible Status - Reject

This alert is generated when an attempt is made to change a recipient’s eligibility status from eligible to ineligible for a month in which Medi-Cal benefits have already been approved. This is never allowable.

Action Required

Review EDBC Results in CalSAWS to ensure the eligibility results for the recipient are correct.

  • If it shows a PASS result and benefits (aid code) match what is shown on MEDS, no further action is required.
  • If it shows a FAIL result:
    • Review Data Collection to ensure all relevant data and the Effective Begin and End Dates are entered correctly.
    • Re-run EDBC. If appropriate, do not evaluate benefit discrepancy for the affected month(s) or Bottom Line Override (BLO) should be required to match MEDS. If the correct eligibility should be a PASS result and all relevant date is updated in CalSAWS, re-evaluate the affected month(s).

Related Topics

2031 - MEDS-ID Change Not Permitted for Validated SSAN - Priority Reject

2032 - SSAN-Ver Change Not Permitted for Validated SSAN - Accept

2038 - ICT Pending - Requesting County is Not Pending County - Accept

2042 - Valid Month/Year Less than 13 Months Prior to Current - Reject

2046 - Inappropriate Update - MEDS Shows Active SSI/SSP - Urgent

2060 - Incomplete Address on Transaction - Action

2070 - Recipient Not Currently in Hold Status - Reject

2072 - Inappropriate Negative Action Update to Eligible Client - Urgent

2078 - Recipient Already Active in Another County - Priority Reject