When to Update Default Data from MMIS Conversion |
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When converting cases from MMIS, there may be some instances where the values that converted do not have any corresponding options in the VaCMS or the data was unavailable in the legacy system. In these instances, the field will display default data or values such as Unknown, Not Verified, Other, Conversion, or the field will be left blank. During the renewal process or upon the first case change, you will need to update these fields with the information provided by the customer or already filed in the case record.
MMIS Conversion does not bring over information on income, resources, expenses or additional household members. When updating a converted case for the first time, it is important to visit each summary and detail page of the case to enter missing information and update the converted data. The VaCMS will calculate eligibility based on the information entered, and will utilize the converted data values if left unchanged.
Examples of default data include the following:
Alien Verification: Verification source for Alien may default to Other and will need to be updated by the worker.
Residency Verification: Verification source for Residency will default to Conversion and will need to be updated by the worker.
Third Party Resources – Overall Coverage Type: MMIS does not map a value to this field and will appear blank. It will need to be updated by the worker, or eligibility may pend or calculate incorrectly. For example, omitting Medicare Part A or B information for an ABD enrollee may result in an incorrect evaluation for an MSP group.
During case merge, any missing relationships across cases will be marked as Unknown. When a case is updated at renewal or when there is a reported change, you will need to determine the appropriate relationship codes for any merged cases. Relationships are an important factor for accurate eligibility determinations and need to be modified as needed for any merged or converted cases. Therefore, you need to evaluate the relationships for merged cases and modify as needed.
Default Data Fields That May Require Worker Updates
Field |
Page |
Default |
Worker Action or Updated Needed |
Effective Begin Date |
All pages |
First of the conversion month |
Update Date |
End Date |
All pages |
Blank |
Enter End Date when applicable |
Reported On |
All pages |
First of the conversion month |
Update Date |
Date Change Occurred |
All pages |
First of the conversion month |
Update Date |
Verification Received Date |
All pages |
First of the conversion month |
Update Date |
Relationship Code |
Relationship page |
Defaults to Unknown if the relationship between the individuals cannot be derived from legacy system |
Establish relationships between individuals |
Alien Verification |
Alien page |
Defaults to Other |
Edit Verification if applicable |
SSN verification DOB verification |
Client Information page |
Defaults to blank |
Enter verification |
Consent |
Consent Details page |
Defaults to blank |
Select Consent Response |
Registered to vote Like to apply to register to vote |
Voter Registration page |
Defaults to blank |
Select Vote Response |
Veteran or Dependent of a Veteran |
Client – Veteran Information |
Defaults to blank |
Select Veteran Response |
SSI Applied |
Disability - Details |
Defaults to blank |
Select SSI Response |
Disability Verification |
Disability - Details |
Defaults to “Conversion” |
Select Disability Verification |
Tax Filing Status |
Client Demographics page |
Defaults to blank |
Select Tax Filing Status |
ID verification |
Client Demographics page |
Value mapped from MMIS |
Review value mapped from MMIS and update if needed |
Residency Verification |
Client Demographics page |
Defaults to “Conversion” |
Select Residency Verification |
Facility data |
Living Arrangements |
Defaults to blank |
Update if entering record |
Overall Type of Coverage |
Third Party Resources - Details |
Defaults to blank |
Update Overall Type of Coverage |
Medicare Part A & B Premium Amount |
Medicare Premium - Details |
Defaults to blank |
Update |
Medicare Part A & B PACE |
Medicare Premium - Details |
Defaults to blank |
Update |
Has client signed work agreement |
Medicaid Covered Group - Details |
Defaults to blank |
Update |
Has the client established WIN account |
Medicaid Covered Group - Details |
Defaults to blank |
Update |
CBC / PACE |
MA Institutionalized Information - Details |
|
Update if CBC customer |
Updated 05/31/2016