Rejecting or Closing FAMIS MHABD Cases for a Denial Notice

There are situations where individuals will request an application to be taken and want a rejection letter to provide to a medical facility to receive assistance in paying their bill. These individuals are not claiming a disability. Follow the steps below to reject and close cases.

TO REJECT AN APPLICATION

    1. Register the application as normal.
    2. Take the application through the controlled flow.
    3. At the DISABLED (FMMX) screen enter MND in the Rsn field as the disability code.
    4. Continue taking the case through the controlled flow until you reach the first Supercase Eligibility Unit Summary (FM30) screen.
    5. Press F18 (Shift + F6) Action Resolution.
    6. Press F20 (Shift + F8) REJECTEU. The message “Do you want to reject this application Y/N” appears. Answer “Y” and press CTRL.
    7. Press F14 (Shift + F2) to Authorize.
    8. Enter a “U” on the Command Line and tab to the Reason field. Enter STR-Rejecting Claimant States No PTD Exists and press CTRL. The message “Successfully Updated” appears at the bottom of the screen. The reason code should now show STR.
    9. Press F24 (Shift + F12) to go to the next month’s authorization.
    10. Follow Steps 8 and 9 for each month of authorization.
    11. At the last month, press F23 (Shift + F11) to authorize the actions.
    12. Press F21 (Shift + F9) to return to the SELAUTH screen. This screen should display a WIRJ action with the code of “STR” (Statement Reject).
    13. The following paragraph appears on the notice.

STR – An individual must meet certain age and permanent disability requirements to be eligible for MO HealthNet for the Aged, Blind and Disabled programs. You claim that you do not have a permanent and total disability and you do not wish to continue the application process. Your application has been rejected. 13 CSR 40.2.200.

TO CLOSE A CASE

    1. Type FAMISPAR on the top command line and press CTRL.
    2. Type in the DCN of the desired individual and press CTRL. The individual’s information displays.
    3. Tab down to the ADM case and select by putting an “S” in the SEL field.
    4. Press the HOME key to move your cursor to the top command line.
    5. Type SELAUTH and press CTRL.
    6. The SELAUTH screen displays.
    7. Tab down to the ADM authorization.
    8. Press F18 (Shift + F6) ADDAUTH. The MHABD Action Authorization (FMD9) screen displays.
    9. On the command line type an “A”.
    10. Tab to the Action Code and type in WICL or prompt (=+F4) to get the code.
    11. Tab to the Reason field and type in STC-Closing Claimant States No PTD Exists or prompt (=+F4) to get the code.
    12. Press CTRL.
    13. The message “Confirm worker closure of EU (Y-Yes or N-No)” displays at the bottom of the screen asking to confirm the closure.
    14. Tab to the space after (Y-Yes or N-No) ==> and enter a “Y” and press CTRL.
    15. Press F23 (Shift + F11) to authorize
    16. Press F24 (Shift + F12) to go to the next month’s authorization.
    17. Follow Steps 9 through 14 for each month of authorization.
    18. At the last month press F23 (Shift + F11) to authorize the actions.
    19. Press F21 (Shift + F9) to return to the SELAUTH screen. This screen displays a WICL action with the code of “STC” (Statement Close).
    20. The following paragraph appears on the notice.

STC – An individual must meet certain age and permanent disability requirements to be eligible for MO HealthNet for the Aged, Blind and Disabled programs. You claim that you do not have a permanent and total disability and you do not wish to continue the application process. Your case has been closed. 13 CSR 40.2.200.

If you have any problems please contact the FAMIS Help Desk at 1-800-663-2647.