Remove Eligibility from a Person on an IC

When an Integrated Case member no longer wishes to receive health care coverage but remains in the MAGI household.

See: 13.8.1 Removing a Person from a MO HealthNet Household 

Related Evidence: Application Details

TO REMOVE ELIGIBILITY FOR A PERSON ON AN INTEGRATED CASE

If completing this task as part of a returned IM-1U, or if the case is Under Renewal, you must first follow steps to To Create a Manual Renewal and To Complete Manual Renewal.

    1. Navigate to the Integrated Case > Evidence sub-tab > Dashboard folder
    2. Click on Application Details hyperlink
    3. Toggle open the participant requesting coverage be removed. Copy the Application ID. This will be used later in step 12.
    4. Click the List Actions menu
    5. Click Edit
    6. Enter End Date with previous day’s date
    7. Select End Reason from the drop down box
    8. Click Save Save Button
    9. Click the Page Actions menu
    10. Select New
    11. Select Participant (eligibility just removed from) from the drop down box
    12. In the Application Details section, complete the following:
      1. Application ID (copied in step 3 above)
      2. Application Date (must be the day following the date Application Details were ended and match the Received Date)
      3. DO NOT check the Applicant check box

NOTE: If the participant being added back to the Integrated Case was the Head of Household, check the Primary Applicant check box

    1. Click Save Save Button
    2. Close the Application Details tab
    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.

    1. Make a comment on the HoH Person Page to include:
      1. Person removed
      2. Any Coverage Changes
    2. 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 changes
      3. IM-33C: Case Action Notice