9531 - Third Edwards Month - Check Medi-Cal Determination Status - Critical

This MEDS Renewal message is generated at the end of the 2nd month in which a recipient has received 38 Aid Code Medi-Cal benefits. Edwards benefits are continuing for a 3rd consecutive month.

The alert indicates that the EW:

• Has not yet completed the SB87 Medi-Cal redetermination; or
• Did not successfully update MEDS on the outcome of the SB87 redetermination.

Sample Alert

Possible Screens to Resolve This Alert

The INQM screenThe INQM screen indicates 3 months of Edwards exception eligibility. The INQE screen displays the original aid code, which is the latest aid code prior to the Edwards exception eligibility.

Action Required

The EW must take IMMEDIATE action to complete the SB87 process and either:

• Establish client’s eligibility for Medi-Cal under another Aid Code, or
• Terminate eligibility under Aid Code 38 (if ineligible for ongoing Medi-Cal).

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