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interChange & ForwardHealth Portal

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

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interChange & ForwardHealth Portal

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  1. interChange & ForwardHealth Portal Presented by Jennie Carthew, DHS

  2. e-WiSACWIS & iC Interface • e-W sends records to interChange 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. • Very few errors from e-W. Avg. 1-2 day.

  3. 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.

  4. 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 submit the certification, all members listed will update with child’s address information. • Complete a paper 3070 and fax to EDS. • This issue is being worked on and will be fixed soon. • Example following:

  5. Entered Child As Casehead

  6. Example of Multiple Case Members that Display with Child

  7. Member IDs • Member IDs are assigned from the Master Client Index as a permanent ID. e-WiSACWIS assigns MCI IDs and sends to iC, whenever possible. • An MCI ID cannot be assigned unless the child has an SSN. Until then, a pseudo ID is assigned. Pseudos start with 90xxxx. • When an “Add New Case” manual certification type is submitted, a pseudo ID is assigned to the child. An MCI ID is assigned that evening, if possible. • The ID card will go out after the MCI ID is assigned. If the MCI ID cannot be assigned, the card goes out with the pseudo ID. • There are times when 2 IDs are linked and the pseudo ID is kept as active and the MCI ID is made inactive. Report those to EDS/HP so they can reverse the link to make the MCI ID active.

  8. MCI ID Indicator on Manual Certification If child has a permanent (MCI) ID, you will see the MCI box checked on the Eligible Case Members screen in the manual certification. If no checkmark, it is a pseudo ID.

  9. ID Cards • Cards are automatically generated when: • Child has no active ID card. • Previous card was returned undeliverable. If address changes, it generates a card to the new address. • Request cards for: • Name changes • ID changes • Replacements • Need duplicate card for separate households. (Contact Member Services)

  10. ID CardsReplacement 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. • Future enhancement to show name that appeared on the card.

  11. Example of 2 Active Cards Look here for card status.

  12. 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 of changes. • If the child was previously in another case, an update to that case by another certifying agency may cause the child’s information to be changed. • Working on protecting demographic information for FC and SA children.

  13. Contacts • Password Reset or Technical Issues: • Portal Help Desk: 866-908-1363 or wiedi@wisconsin.gov • Paper 3070s: • Fax the form to EDS/HP at 608-221-8815, attn. Pat Wagner • Removing HMO from a child’s file: • Contact EDS/HP Ombuds Staff: 800-760-0001 • For guardians to call for ID card requests, general Medicaid and benefit coverage questions, provider issues: • Member Services: 800-362-3002 • Problems with private insurance on file: • EDS/HP TPL Unit: 608-221-4746 ext. 80058 • Member ID linking (2 active IDs or active pseudo w/ inactive MCI ID): • Jean Smecko - 608-221-4746 ext. 80051

  14. Questions?

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