Page 61

COMAR 10.09.24.03

360 State of Maryland Medical Assistance Manual Revised July 2012 not permit dual participation for the S06 coverage group. Suppress the CARES notice. If the applicant is not eligible for S06, allow CARES to deny the S06 AU, suppress the CARES notice, and send the manual QDWI denial notice. Next, finalize the S98 case to allow tricking to S99, and allow all CARES notices to be sent for the S AU.

Screening (Option J) In screening on the CIRC screen- place a “Y” in the disabled field (this is to insure the selection of the medical coverage group S98). On the INCH screen, select the MA coverage group S98, and add MA coverage group S06. The MA Coverage Type should a “D” for Disabled or a “B” for Blind. (It should not be an “A‟ because aged individuals don not qualify for this program.)

Interview (Option O) During the interview option, the CM will need specific information from a SOLQ/SVES inquiry in order to complete the Disability/Incapacity Fields on the DEM2 screen. In order to be eligible for S06 MA Coverage, the customer must have been receiving SA benefits due to disability and must still be considered by SSA as disabled. Therefore, the Disability/Incapacity Fields must be completed on the DEM2 screen in CARES. If the AU was screened property with a “D” or “B” as the MA Type of the INCH screen, the required fields will be marked with asterisks during the Interview Option on the DEM2 screen.

DEM2 Screen If the S06 case has the MA Type Code of “D” for Disabled or “B” for Blind, the following should be entered on the DEM2 in the correlated fields; o Disab/Incap Field= “O” for Other Disease if disabled or “K” for Visual Impaired if blind o Disability/Incapacity Approval Source= “RS” for SSA Disability Approval o Disability/Incapacity Approval Date (MM/YY)= the date of disability determined by SSA from the SOLA inquiry o Disability/Incapacity Began Date (MM/YY)= the same as the Approval Date o Disability/Incapacity End Date (MM/YY)= since this is indeterminate, enter 99/99 in this field. o Entitle Med A Field= “T” for Terminated (This valid value works correctly in CARES, but is not currently listed as a useable valid value in the Help text. Updating of the Help text has AU will deny for no eligible members and for failing the age requirement.