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Call <strong>Center</strong> <strong>Family</strong> <strong>Medicaid</strong> <strong>Phase</strong> 2 PG February 29, 2008<br />

TMA<br />

MISC – Andrew Knolls in the Call <strong>Center</strong>/County Office<br />

Note: Due to system limitation the following two actions cannot be performed in<br />

the training region, however in the Call <strong>Center</strong>/County Office you must complete<br />

these actions in order to establish the correct first month of TMA. This way the<br />

MISC Screen should look in the Call <strong>Center</strong>/County.<br />

‣ “11 06” would be coded in the “Extended Start Dt” field as this will be Mr. Knolls’s<br />

first month of TMA<br />

‣ “Y” must be coded in the “MA COA Cor” field to ensure Ms. Nelson will receive a<br />

correct notice<br />

CHANGE AU NON-FINANCIAL MISCELLANEOUS - MISC MISC A<br />

Month 11 06 0071 10 05 06<br />

HOH Name ANDREW KNOLLS Client ID 771006009<br />

AU ID 969544313 Prog MA<br />

Pre Pre AU ATP ATP QRF QRF Pre- Calc Trial Pro Exp SLAM -Extended MA<br />

Issn EBT Issn Prnt Cyc Status Ctr sump Elig HH Ovr Svc Cd Start Dt COA<br />

Card Mode Cnty Num Code Elig Ind Ind Cor<br />

E 11 06 Y<br />

----- Review ---- Auto ------- Lump Sum Remainder ------ Delay QMB RSM<br />

Compl Mand Last Reasgn Amount 100 % 133 % 185 % Rsn Ovr Elig<br />

Std Type Ovr Ovr<br />

N<br />

Sched Interview<br />

QC Penalty End Date<br />

Del Unit Number 170002 Inquiry Date 10 16 96 Load ID<br />

Next Review<br />

Appt Begin Time (HH:MM) :<br />

Appt Date Appt Type<br />

Appt End Time (HH:MM) : Appt Letter Print Location L<br />

L Name/Appt Remarks<br />

Message<br />

13-note 14-schd 15-lett 20-schs 23-alau<br />

PG-17

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