End Pregnancy on an Integrated Case

Follow the steps below to end an existing pregnancy. Use the same steps whether a pregnancy ends with or without the birth of a child.

If appropriate refer to Newborn.

 

When Active Pregnancy Evidence Exists

    1. Navigate to the Integrated Case> Evidence sub-tab > Dashboard folder
    2. Click on Pregnancy hyperlink
    3. Toggle open participant to access List Actions menu
    4. Select Edit
    5. Review and update the Received Date field.
        1. If the pregnancy ended the same month it was reported, use the date it was reported.
        2. If the pregnancy ended in a month before it was reported, use the date the pregnancy ended.
    6. Enter Pregnancy End Date with the date the existing pregnancy ended.
    7. DO NOT use the End Date field
    8. Review and update the Start Date if needed:
      1. Use the 1st day of the month the pregnancy was reported.
      2. If PQ was requested and eligible, use the 1st day of the PQ month the pregnancy began, or the 1st day of the month conceived, whichever is later based on the due date.
    9. The Postpartum End Date field is only to be used when the participant:
        1. Voluntarily requests their coverage be closed
        2. Moved out of state.
        3. Was incorrectly determined eligible due to agency error, fraud or abuse.
        4. Is in their postpartum period under a CHIP LOC and is opting to be transitioned to a non-CHIP LOC.
    10. Click Save 
    11. Verify all Outstanding Evidence
    12. Apply Changes, Check Proposed Determination, Finalize Proposed Determination
    13. Make a comment on the HoH Person Page to include:
        1. Pregnancy ending
        2. Any Coverage Changes
    14. Review Notice Queue to make sure appropriate forms generated:
        1. IM-80PRE: Generates in the event coverage is closing and not eligible for any other MAGI coverage
        2. IM-80: Generates in the event of coverage changes
        3. IM-33C: Case Action Notice

 

When A Pregnancy Is Not Reported Until After It Has Ended

    1. Navigate to the Integrated Case> Evidence sub-tab > Dashboard folder.
    2. Hover over Pregnancy evidence.
    3. Click the Create Evidence icon.
    4. Received Date field is the date the pregnancy was reported.
    5. Click the dropdown in the Case Participant field.
    6. Select the participant the pregnancy is being reported for.
    7. Start Date field is the first day of the month the pregnancy ended.
        1. NOTE: If the pregnancy ended on the first day of the month, use the last day of the prior month as the start date.
    8. Pregnancy End Date is always the date the pregnancy ended.
    9. Postpartum Details field.
        1. If the Pregnancy was not reported timely, check the box next to Pregnancy Not Reported Timely.
    10. DO NOT use the End Date field.
    11. The Postpartum End Date field is only to be used when the participant:
        1. Voluntarily requests their coverage be closed.
        2. Moved out of state.
        3. Was incorrectly determined eligible due to agency error, fraud or abuse.
        4. Is in their postpartum period under a CHIP LOC and is opting to be transitioned to a non-CHIP LOC.
    12. Click Save.
    13. Verify all Outstanding Evidence
    14. Apply Changes, Review Proposed Determinations, Finalize Proposed Determinations
    15. Make a comment on the HoH Person Page to include:
        1. Pregnancy reported date
        2. Pregnancy ending date
        3. Any Coverage Changes
    16. Review Notice Queue to make sure appropriate forms generated
        1. IM-80PRE: Generates in the event of coverage changes
        2. IM-80: Generates in the event of coverage change
        3. IM-33C: Case Action Notice