Article 9 Section 02 IDX System Table of Contents TITLE PG CITE General 090201A Recording of Case Activity 090201B MediCal Status Codes 090201C CHRONIC Indicator 090201D CMSPG LTR 25 0513 090201 IDX System 090201A Recording of case activity including some of the different types of General commentsalert entries and status codes entered on the IDX system assist staff with the processing of CMS cases Refer to Appendix A These historical IDX commentsalerts have been added and are now found on the Main Page of the CMS IT System AuthMed under the Member Alerts tab Refer to Appendix 0901B Prior to issuing benefits the worker shall Check for these alerts and entries entered in the Member Alerts tab in AuthMed and Document the action taken in case comments CMSPG LTR 25 0513 090201B Case Activity Recording Disposition The disposition of every CMS application and recertification is automatically communicated from AuthMed to IDX each night IDX CommentAlert Entries Historical IDX member commentsalerts and new Member Alerts have been added to AuthMed and can now be found on the Main Page under the Member Alerts tab Refer to Appendix 0901B CMSPG LTR 25 0513 090201C IDX status codes are used to track the progress of MediCal referrals MediCal and applications When beneficiaries are approved MediCal Status Codes 090201D CHRONIC Indicator retroactively CMS bills MediCal for reimbursement and notifies the hospitals and clinics that they need to bill MediCal for services rendered MediCal Pending AP This status code identifies beneficiaries who have applied for MediCal and have a case pending in CalWIN or when beneficiaries have an SSI application or SSI appeal pending The worker writes the MediCal application date or the SSI applicationfiling date and level of the SSI appeal in case comments When the beneficiary has a record on MEDS the SSI appeal information is on the MEDS QP screen Workers must document that they asked the beneficiary for an updated status of their MediCal Social Security application or appeal at every interview If there is a change an entry must be made in the case comments If the beneficiary is approved for MediCal Social Security disability benefits or SSI the worker must immediately forward this information to CMS Recovery by email or fax If an award letter is available a copy of the letter should be attached to the email or fax If the award letter is not available the worker must ask the beneficiary to provide a copy of the award letter to forward to CMS Recovery when received NOTE Workers must not approve CMS benefits for a beneficiary that has been determined disabled who has a pending MediCal case SSISocial Security Disability application or SSA appeal at the Hearing level MediCal Approved NA This status code identifies beneficiaries whose MediCal eligibility has been verified on MEDS The ASO has the responsibility of entering a CHRONIC indicator on the IDX Eligibility Enrollment Summary Screen for CMS beneficiaries whose chronic medical condition has been identified and verified by claims data in IDX Before recertifying a CMS case eligibility staff must check the IDX Eligibility Enrollment Summary Screen for the CHRONIC indicator CMS beneficiaries who have the Chronic indicator on the IDX Eligibility Enrollment Summary Screen are to be recertified for twelve months if all program requirements are met Refer to 0803 for recertification instructions for chronics