Editing MO Override Eligibility Evidence

Used only when MEDES does not provide proper Eligibility Determination due to technical issues. Should not be used to replace data entry of specific required Evidence.

  • Manual – Added by an Eligibility Specialist
  • System – Added by the DCN Unblocking process

NOTE: A MEDES Incident Ticket must be submitted anytime MOOE is entered to grant or take away coverage if the worker entering the MOOE feels the system is granting incorrect coverage.

Policy Reference: 1805.000.00 Eligibility and Verification

TO EDIT MO OVERRIDE ELIGIBLITY EVIDENCE

    1. Navigate to the Integrated Case > Evidence sub-tab > Dashboard folder
    2. Under Household Evidence ribbon, click MO Override Eligibility hyperlink
    3. Click the toggle to review MO Override Eligibility evidence for participant
    4. Click the List Action menu and select Edit

NOTE: Only the Coverage End Date and Comments fields should be edited. The Coverage End Date should be updated to today’s date to prevent changes to a prior Eligibility Segment. A brief description MUST be entered in the Comments as to why it was necessary to edit the override

    1. Select the specific MO Override Eligibility evidence for the Case Participant
    2. Click Save
    3. Verify all Outstanding Evidence
    4. Apply Changes, Check Proposed Determination, Finalize Proposed Determination

NOTE: MEDES may generate an additional proposed determination, especially in cases with income changes, adding a person, or removing a person. If the system generated an additional proposed determination, you must run the Finalize Proposed Determination again