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COMAR 10.09.24.03

361 State of Maryland Medical Assistance Manual Revised July 2012 ERN1 and ERN2 Screens In order for a customer to be eligible for S06 QDWI, the customer must be Employed. Therefore, the CM should have earnings information to key onto ERN1 and ERN2 screens in CARES, following the general procedures.

UINC Screen This screen is not required to process the AU eligibility on CARES. However, a SSA Claim Number with the proper BIC must be entered on the UNIC screen in order to transmit the Medicare number to DHMH. In the claim number Fields: o Enter the Social Security claim number In the BIC Fields: o Enter the BIC associated with the A/R claim number In the Unearned Income field and In the Social field: o Enter “SA” for a Social Security benefit or “RR” for a Railroad benefit In the Amount Field: o Enter $1.00 Complete all other required fields The application Type, State, and Date fields must be completed at the bottom of the screen. In the Appl Type: o Enter “SA” In the State Field: o Enter „T” for termination In the Date field: o Enter the end date of the SSA eligibility

NOTE: The CM should remember that if the eligibility is ever overscale by $1, they will need to view the income and adjust it accordingly by deducting $1 to offset the $1 entered on the UINC screen.

Unscheduled Redeterminations When notification is received that CMS had approved State payment of premium payment for Medicare Part A, an unscheduled redetermination is necessary to reset the effective date for a new 12- month certification period. A new application is not necessary, because all eligibility factors remain the same. Upon notification of the effective premium payment date, the CM is to initiate a redetermination by selecting option “N” (initiate Redet) from the AMEN screen on CARES. Select option “R” and complete all necessary eligibility requirements to maintain eligibility. On the MAFI screen, review the Redet End Date to ensure the proper certification