Evaluating FAMIS Results-MHABD

Step 1

Supercase Eligibility Unit Summary

• From the Supercase Eligibility Unit Summary screen, select the specific month, including PQ, you wish to review on the Supercase Eligibility Unit Summary screen and press F6=MHABD.

Step 2

MHABD Assistance Group Summary

• Select the Coverage Type you wish to review (in this case there is only one coverage type) and press F14=AGTECH (Assistance Group Technical).

Step 3

MHABD AG Technical Eligibility Detail

• Ensure to resolve any technical factor displaying an ISD (Insufficient Data) or an unexpected PEND. DO NOT leave any action in ISD status.
• Select the Eligibility Factor and press F6=DETAILS to make any changes.
• Press F8=FORWARD to move to the next screen if a plus sign displays to the right of the plus sign in the lower right corner of the screen.

Step 4

• Press F21=RETURN to the MHABD Assistance Group Summary screen.

STEP 1

MHABD Assistance Group Summary

• Review Resources by (S)electing the month in which you wish to review and press F15=AGFRED (Assistance Group Financial Resource Eligibility Determination) to the Financial Resource Detail Summary.

Step 2

Financial Resource Detail Summary

• Ensure all resources reported by Eligibility Unit (EU) display. Review the Considered Amount field to ensure the correct amount is considered
• Review the Reason for the exclusion

Questions to ask yourself:

• Are these all the resources declared by household?
• These exempt reasons are different than they were for Food Stamp Program. Are the Exempt Reasons correct?
• The couple identifies their checking account is part owner. Did the couple indicate being part owner of any other resources?

STEP 3

• If resource information is questionable, (S)elect a specific resource and press F6=DETAILS to review resource details.
• Press F21=RETURN back to the Supercase Eligibility Unit Summary.

Note: Update all resource information on Select Financial Resource screen (SELFRES).

• Press F21=RETURN to the MHABD Assistance Group Summary

Step 1

MHABD Assistance Group Summary

• Select the Coverage Type you wish to review and press F16=AGBUDSUM (Assistance Group Budget Summary).

Step 2

Adult MO HealthNet Spenddown/Non Spenddown Budget Summary

• Review the Gross Earned Income displayed, ensure this amount is what you expected. If not, press F17=INCSUM to review the income entered.

Step 3

ADM AG Income Summary Detail

• Use Income Summary Detail screen to review the specific income details entered on the Income Amount screen.

Select the EI and press F16=INCAMT to review the income entered for March
Questions to ask yourself:

• When entering the income, is this the monthly amount you esitimated? And do you agree with the amount?

Step 4

Income Amount

• Review income and ensure information, including; Frequency, Calculation Method, and Income amounts, is entered correctly.

Questions to ask yourself:

• Is the income entered reflective of what the participant states s/he receives?
• Have you entered enough income information to calculate the most accurate income monthly amount?
• Is additional information needed to determine an accurate monthly income amount?
• Have you entered a comment addressing the income entered, including why you used the income, a statement of what the participant declared, and what verification used for this income?

• Press F21=RETURN to the Adult MO HealthNet Spenddown/Non Spenddown Budget Summary screen.

Step 5

Adult MO HealthNet Spenddown/Non Spenddown Budget Summary

• Review the Expenses declared and allowed by pressing F18=EXPSUM.

Step 6

ADM AG Expense Summary

• Review the type of expense displayed to ensure all expenses declared are displayed.
• Review the Monthly Amount, Maximum Amount and Exclude Reason fields to ensure correct results display, and you agree with the results.
• If the information displayed is questionable or you need to make changes, select the Type of Expense and press F6=DETAILS.

Questions to ask:

• Did you expect this Health Insurance to be an allowable expense for MHABD Programs?
• Is the Monthly Amount what you expected to see in the results?

• Press F21=RETURN to the Supercase Eligibility Unit Summary

Supercase Eligibility Unit Summary

Step 1

• Continue completing the action either by
  • Pressing F9=FLOWFWD if still in the controlled flow or
  • Pressing F18=SELAUTH when out of the controlled flow.
• Do Not leave actions in Ready to Authorize (RTA) status or Insufficient Data (ISD) status.

Step 2

• Best practice, press F21=RETURN, after all actions have been processed, to ensure all actions have been completed and you confirm Authorization Restriction field displays Authorized.