MA FFM Referrals

Use this procedure to submit an HIM referral request.

Process Steps:

The FFM Referral Details page displays.

1. Enter the Case #.

2. Click Search.

3. Review the FFM Referral Details including:

   • Case Name: Indicates the case name.

   • Case #: Indicates the case number.

   • Case Status: Displays the status of the case currently opened.

   • Client #: Indicates the Client Number.

   • Individual Name: Displays the first name and last name of the individual.

   • Type of Assistance: Indicates the Program / Type of Assistance (for example,  MA-LIFC).

   • Coverage: Displays the coverage type (for example, Full Scope, Restricted, N / A) of the Medical Assistance, the individual is eligible for in the ongoing month.

   • FFM Referral Send Date: Displays the date, the last HIM Referral was sent for the individual.

4. To send an HIM referral:

   • Check the Send FFM Referral checkbox for all applicable cases.

5. Click Submit.

For CoverVA CPU or Hospital Based Workers: Be sure to print and mail all Verification Checklists and Notices of Eligibility prior to transferring. Once the referral to the FFM is complete and there are no pending customers on the case, click the Transfer to LDSS button to transfer the case to the local department.

Results of the Procedure

The FFM Referrals are sent for clients.

Updated 10/03/2016