Beginning Nov. 15, the PASRR Comprehensive Services Plan (PCSP) form will display a new Medicaid Eligibility (ME) field, A0810 Medicaid Eligibility. Providers will not be able to update this field. It will always remain disabled.

When providers click the Submit Form button on the PCSP form, the ME will automatically validate before the form is submitted. The new field will be pre-populated with any one of the following values:

• 0. ME Not Found
• 1. ME Confirmed
• 2. ME Undetermined

ME Not Found

When a PCSP form is submitted with A0810 status “ME Not Found”, the user will be prompted with the following message: “The person does not have Medicaid Eligibility for the Date of Meeting or later. Do you want to continue processing? Please click on ‘Cancel’ to return to the meeting without submitting or click ‘OK’ to continue with the meeting submission.”

• If the user presses ‘Cancel’, the user will be returned to the unsubmitted form. That form will remain in draft status.
• If the user presses ‘OK’, the form will be submitted. The note added to the history will match ’Medicaid Eligibility not found for the person for the Date of Meeting or later.’

ME Confirmed

When the user presses submit, a confirmation dialogue will not be opened. The form will be allowed to submit. The note added to the history will match ’Medicaid Eligibility found for the person for the Date of Meeting or later.’ The added note from submission will be imported by portal history process

ME Undetermined

When PCSP form is submitted with A0810 status “ME Undetermined”, the user will be prompted with the following message: ‘’Medicaid Eligibility is unable to be determined based on the Medicaid Number, SSN, and/or Date of Birth. Do you want to continue processing? Please click on ‘Cancel’ to return to the meeting without submitting or click ‘OK’ to continue with the meeting submission.”

• If the user presses ‘Cancel’ in the confirmation, the user will be returned to the unsubmitted form. That form will remain in draft status.
  
• If the user presses ‘OK’, the form will be submitted. The note added to the history will match ’Medicaid Eligibility is unable to be determined.’ The added note from submission will be imported by portal history process.

Questions?

If you have any questions, please contact the SimpleLTC Support Team.