e-WiSACWIS – iC Interface e-W sends records to iC nightly, M-F. iC processes the file the following business day and updates member records that evening.

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Presentation transcript:

e-WiSACWIS – iC Interface e-W sends records to iC nightly, M-F. iC processes the file the following business day and updates member records that evening. If there are errors, EDS/HP staff resolve the errors and update the records. This may take up to 2 additional days.

Manual Certification Eligibility should always be processed through e- WiSACWIS, if possible. Manual cert. is good for urgent eligibility cases. Information submitted using a manual cert. updates immediately. Current certification issues: – Cannot cancel eligibility, unless DOD. – All previous eligibility is submitted along with the new changes. Causes multiple error messages. – Unable to remove C/O names from child’s file.

Multiple Case Members When completing a manual certification and multiple case members appear along with the child in the Eligible Case Members panel; do NOT continue with the manual cert. If you continue, all members listed will update with child’s address information. Complete a paper 3070 and fax to EDS. This issue is being worked on. Example following:

Entered Child As Casehead

Example of Multiple Case Members that display under his case

Member IDs If child has a permanent (MCI) ID, you will see the MCI box checked on the Elig. Case Members screen across from the ID. If no checkmark, it is a temporary ID. Temp. IDs start with 90xxxxxxxx. Temporary ID is assigned until an MCI ID can be assigned that evening. The ID card will go out with the MCI ID. MCI ID cannot be assigned unless the child has an SSN. Once the SSN is applied to iC, a permanent ID is assigned from MCI. ID cards are sent with the new MCI ID whenever possible.

Example of MCI ID Checked

ID Cards Cards are automatically generated when: – New eligibility is applied. Child has no record on iC. – Previous card was returned undeliverable. If address changes, it generates a card to the new address. Request cards for: – Name changes – ID changes – Lost or damaged – Need duplicate card for separate households. (Contact Member Services)

ID Cards Replacement Requests If ID card replacement request is not successful through e- WiSACWIS, or the Portal; the child may have 2 active cards. Must contact member services to request a replacement card. e-WiSACWIS will only show cards requested through that system. Can check ID card status through the portal. Will give full ID issuance history, including addresses cards were sent to.

Example of 2 active cards Look here for card status.

Other Known Issues If the child has SSI benefits, updates from SSA are changing names, SSNs &/or addresses back to previous. SSA should be notified. If the child was previously in another case, an update to that case may cause the child’s information to be changed. This happens most often with CARES or manual certs. submitted by county workers. Working on protecting demographic information for FC and SA children.

Contacts Password Reset or Technical Issues: – Portal Help Desk: or Paper 3070s: – Fax the form to EDS/HP at , attn. Pat Wagner Removing HMO from a child’s file: – Contact EDS/HP Ombuds Staff: For guardians to call for ID card requests, general Medicaid and benefit coverage questions, provider issues: – Member Services: Problems with private insurance on file: – EDS/HP TPL Unit: ext

Questions?