FAA6.A Changes : 06 FAA Initiated Changes - Overview : A NA Mid Approval Contact - Overview : .02 NA Mid Approval Contact Process – Compliance - A Change is Reported
.02 NA Mid Approval Contact Process – Compliance - A Change is Reported
(01/01/19 - 12/31/19)
When the MID APPROVAL CONTACT FORM (X027) notice is received, signed, and one or more of the questions are answered with a yes, then consider the participant reporting a change.
When the X027 is uploaded to OnBase with the MID APPROVAL CONTACT (FAA1108A, X027, or F027) Document Type, AZTECS automatically completes the following:
Displays a Y in the MAC RECD field on INDA
Generates the MAC CHANGE PROCESS (MACC) ACTS Alert. The ACTS Alert assigned by AZTECS is due three workdays(g) from the date the alert is generated
Effect changes reported during the Mid Approval Contact (MAC) by following the procedures as outlined in Changes.
When enough information is available to act on the change, affect the change for all open programs. (See Effecting Benefit Decreases or Benefit Increases.
When a one-time only medical expense is reported during the MAC, see Averaging Medical Expenses.
When verification is needed, send the INFORMATION NEEDED – NA (F011) notice and allow the budgetary unit 10 calendar days to return the verification. Use collateral contact when possible to obtain needed verification. When a request for verification is sent, extend the alert to the work day after all requested verification is due.
When the budgetary unit fails to provide the requested mandatory verification, use the appropriate Denial Closure Reason code allowing for NOAA. Send the Appropriate notice and document the case file(g).
When the budgetary unit fails to provide verification of allowable expenses do not stop the benefits. Determine the benefits without the deduction allowing for adequate notice.