Coverages
Processing Policies
Processing VaCMS
Income Determinations
100

This individual meets the definition of a parent/caretaker relative.

LIFC- Low Income Families with Children

100

Eligibility must be determined in 7 days

Pregnancy 

100

This date is always used when adding a newborn. 

newborns date of birth 

100

Income declared by the client.

Attested Income

200

This covered group is often referred to as CHIP.

FAMIS

200

Timeframe to process changes. 

30 days. 

200

This secondary program houses Medicaid eligibility. 

MMIS- Medicaid Management Information System 

200

Reasonable Compatibility is found acceptable when it is within this percentage

20%

300

This covered group allows children to be eligible for full coverage Medicaid in addition to private insurance. 

FAMIS PLUS

300

These can be completed in one of four ways

Applications and Renewals

300

Client requests coverage 3 months prior to application/renewal date

Retroactive coverage
300

This system provides confirmation of income reported to the IRS.

HUB

400
Individual meets the definition of a pregnant person but their income exceeds 143% FPL.

FAMIS MOMS

400

An internal review of eligibility

Ex Parte

400

This eligibility factor is not evaluated with Families and Children (unless for a Spenddown).

Resources & Expenses

400

Data from online sources

Electronic Data Verification Source

500

If the individual has excess income for all full coverage covered groups and is between ages 19 and 64

Plan First

500

This process needs to be completed BEFORE MN Spenddown Coverage.

GAP Filing

500

This screen will be completed if other insurance is reported

Third Party Liability

500

Most attested income verifications will be listed as this verification sources

Not Verified

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