9549 - New Burman Eligible - MEDS Eligibility Update Needed - Action

This alert is generated the FIRST month that a beneficiary is placed in a forced eligible status from a MEDS Hold and the EW has not yet taken action to resolve the problem that generated the Hold.

A forced eligibility status indicates that MEDS is continuing the questionable eligibility on MEDS until a pending EW update is processed to report the correct current eligibility.

Action Required

• The EW must check prior alert messages to determine why the MEDS record was placed in a Hold status. Resolution of the alert depends on what caused the Burman Hold. Below are some examples of why a record is placed in a Hold status:
  • The client exceeded the allowable age for an aid category.
  • Eligibility update was rejected due to a file clearance problem and no action has taken to resolve the associated alert(s).
  • Duplicate eligibilities were reported to MEDS on the county reconciliation file and no action has taken to resolve the associated alert(s).
• Resolve the problem identified in the original alert message(s) and then verify that eligibility for the client is reestablished on MEDS and the Hold status is released.
• Submit an SCD 1296 requesting an MEDS online transaction to release the Hold if necessary.

Related Topics