Healthcare Update - April 2019

Key Highlights This Month:  
The METS 19.1.1 release was deployed April 6-7, 2019.  Some highlights are below, see attached for more details:

• METS will systematically deny pending MA program eligibility when applicants do not provided requested verifications
• Two new notices generated – pending MA denial notice and ROP extension notice
• Ability for workers to remove and add participants back into a household using Application Details evidence – this eliminates the need for workers to close and re-enter a case each time a previous member returns to the household
• Ability for workers to have the ability to change an applicant to a non-applicant
• Address Change wizard to help streamline the change in circumstances (CiC) process for address changes
• When an MA eligibility determination is made on a CiC, the system will create or update Financially Responsibility Agency (FRA) evidence, eliminating the need for the worker to do so
• In-Edit Evidence wizard allows workers to discard or update multiple pieces of in-edit evidences at the same time
• Interface improvements
• Corrections to the Standard Eligibility Notice (SEN)
• Update to latest version of Verify Lawful Presence (VLP)

 The Social Security Act has a work incentive provision for people whose earnings reduce or eliminate their SSI cash benefit.  People who are eligible for SSI under this section (1619) are eligible for Medical Assistance without regard to their income or assets.  Instructions have been created in ONEsource on how to determine if members meet this status or if they no longer qualify.

 The Health Insurance Recovery Unit presented a Third Party Liability (TPL) Refresher PowerPoint on March 13^th to the PIX meeting.  It includes an outline of trends on TPL policies entered in MMIS, resulting issues and problems, and impacts on the unit.  Presentation is attached.

 Requested Actions Needed From MACSSA:  

New Trends in This Area:  

Issues/Concerns Regarding This Topic:  

DHS is working with lead agencies and waiver service providers in preparation and response for areas of MN that are at a higher risk of flooding.  Information on eligible reimbursements for relocating people who receive waiver (DD, CAC, CADI, BI and EW) and Alternative Care program services, see here:  DHS announces community emergency and disaster assistance protocols for people who receive waiver services

 Legislative Impacts:  

Supporting Materials:  
19.1 Release Notes
Third Party Liability

Contact(s):  Kari Ouimette