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West Virginia Income Maintenance Manual Chapter 10
West Virginia Income Maintenance Manual Page 82 Chapter 10 The Case Maintenance Process
The chart below shows the commonly found results of the match between the eligibility system information prior to the COLA updates and the information from the SSA COLA update file. Match Result Definition RECORD NOT UPDATED – $0 RSDI AMOUNT This individual exists in the eligibility system with an RSDI amount that is greater than zero, but the same individual exists in the COLA file with a zero RSDI amount. Check SOLQ. RECORD NOT UPDATED – $0 SSI AMOUNT This individual exists in the eligibility system with an SSI amount that is greater than zero, but the same individual exists on the COLA file with a zero SSI amount. Check SOLQ. FUTURE BEGIN DATE – NO UPDATE This individual’s income in the eligibility system has a begin date for RSDI or SSI of later than February. No update occurs in this situation. MANUAL OVERRIDE An AG containing an override is open and ongoing. Mass Change will not run on this case. MULTIPLE RECORDS FOR A TYPE This individual is receiving multiple types of RSDI according to the eligibility system, and the COLA file only shows one amount. No update occurs with this match result. Check SOLQ. NO COLA FOR RSDI This individual exists in the eligibility system but was not found on the COLA file. Check SOLQ. PENDING CASE This case is pending in the eligibility system, and therefore no update occurs. CASE HAS PENDING AG There is an unconfirmed AG with no previously open confirmed AG. The case is skipped. No updates occur. PERSON IS NOT PART B ENTITLED This individual has a Medicare, Part B, premium amount greater than zero, and the COLA file shows that the individual has a zero amount. No update occurs. UPDATED PART B PAYER The Payer in the eligibility system differed from the Payer found on the COLA tape. The Payer on the COLA file is not Self. An update occurs with this match. COLA RECORD HAS PAYER AS SELF The Payer on the Medicare screen in the eligibility system was 510 (Buy In). The Payer found on the COLA tape was Self. An update does not occur with this match. NOTE: If an AG was overridden to fail for the ongoing month, the case will still run in a mass change.