MEDS Reconciliation CMS Net User Group Meeting March 1, 2006 Brenda Washington

Meds Recon Topics Overview Affected CMS Net Fields Working with the Recon

Overview Implemented in October 2005 Updates CMS Net monthly with data from the MEDS system Enables providers to view authorizations in the Provider Inquiry Project (PIP)

Affected CMS Net Fields Medi-Cal Coverage Insurance Other Coverage Healthy Families Coverage Patient Registration Face Sheet - SSN

Working with the Recon Duplicate HF / Insurance Coverage  Matches on Carrier Code and Start Date. End date one of the duplicates and make sure CMS Net Start Dates match MEDS. Medi-Cal Number Blank  Some Aid Codes are not counted as Medi-Cal when determining Caseload Counts. (58,69,71, 74,7K,8X,8Y,9A,9G,9H,9J,9K,9M,9N,9R,9U,IE, RR,0C)

Working with the Recon MEDS has active coverage, but CMS Net does not  Recon pulls data once a month, so any updates will not appear until after the first of each month.  MEDS updates historical information. The Recon is working. Check Last Updated date in MEDS.  Run MEDS Inquiry if data cannot wait!

Working with the Recon Narratives  The Recon will add a narrative to each case it changes. The narrative will only list those CMS Net fields that were changed. MEDS Inquiry Display  Check the MEDS Inquiry Display on the Event Tracking menu to view historical MEDS Recon information.

Working with the Recon Reviewing Changed Cases  Management Report: MR MEDS Reconciliation  Select County or Regional Office  Specify Date Range to see all cases modified by the MEDS Recon between the two dates

MEDS Reconciliation Questions?