Error Codes
Qualifiers
Overall Documentation Requirements/Verifications
States
Element
100

ER1 and ER 2 are this kind of error

What is missing doc errors?

100

This error code has the least amount of possible qualifiers

What is an ER9?

100

Pass/fail

Verified/Not Verified

Check box

What are examples of system indicators to show verification occurred?

100

This RY20 state has the most issues related to undocumented immigrants

What is California?

100

This element is the basis of MAGI

What is Income?

200

This error code covers $0 claims 

What is ERTD1?

200

This error code has the largest number of citations but the least amount of possible qualifiers

What is an ER3?

200

For FFE-D cases, we request states to send this type of documentation to ensure that the determination was correct

What is an AT file?

200

This state has the most number of cases left to review

Who is Massachusetts?

200

This element cannot be re-verified per 42 CFR 435.956(a)(4)(ii).

What is citizenship?

300

This error code captures all "others"

What is ER10?

300

This error code has the largest number of possible qualifiers

What is an ER2? (51 possible)

300

Maintenance of this type of signature was the most common cause of errors in states in RY19 and RY20. 

What is telephonic signatures?

300

What RY19 state had the lowest CHIP eligibility error rate?

What is Pennsylvania?

300

A beneficiary must meet the 5 year bar

What is immigration status?

400

This error code is used when a wrong category leads to a service package difference

What is ER8?

400

“Resources incorrectly calculated” is a qualifier for this many error codes

What is 4? (ER4, ER6, ER7, ER8)

400

We accept SSA determinations of eligibility for Medicaid in 1634 states for these types of cases

What are SSI cases?


400

This RY19 state had the highest Medicaid eligibility error rate

What is Ohio?

400

This is the only element where all states must accept self-attestation and cannot request further verification documentation. 

What is pregnancy?

500

ER7 is a wrong category error where the correct category has this difference

What is FMAP?

500

“Other error” is a qualifier for this many error codes?

What is 2? (ER9 & ER10)

500
  • Bank Accounts/Financial Resources
  • Property
  • Vehicle
  • Trusts/Annuities
  • Life Insurance
  • Funeral/Burial Trusts/Plots

What are resources/assets documentation example types?

500

This state had the highest combined (Medicaid and CHIP) eligibility sample

What is Ohio?

500

A beneficiary eligible for CHIP cannot have this.

What is TPL?