501 MEDICAID RECIPIENT IDENTIFICATION CARD
501 A. ISSUING MEDICAID TO ELIGIBLE RECIPIENTS
There are four ways that the Department issues written documentation that a recipient is eligible for APA -related Medicaid coverage in a given month. These documents inform the recipient and their health care provider of the recipient’s Medicaid identification number (e.g., 060000000 / 060100000), which is needed by the provider when submitting a claim for payment to Medicaid. Many medical providers require written proof of Medicaid eligibility before they will provide service to an individual. Any of the following documents will serve as proof of Medicaid eligibility:
1. Standard System Issued Recipient Identification Card
Cards can also be reissued for the following circumstances:
2. Non-Standard System Issued Recipient Identification Card
A non-standard Recipient Identification card has similar recipient and medical resource information as the standard Denali Care or Denali KidCare card, but is used for a recipient whose Medicaid coverage is restricted to certain services, such as an exam for a blindness or disability determination, waiver screening or Chronic and Acute Medical Assistance (CAMA ). This ID card contains a statement of the service limitation. A provider may photocopy this card and submit it with their claim for reimbursement.
Once Medicaid coverage has been authorized in ARIES or EIS a Field Benefit Issuance can be printed at any DPA office. A Field Benefit Issuance contains similar recipient and medical resource information as a standard system issued Denali Care or Denali KidCare ID card. A Field Benefit Issuance is provided when the Denali Care or Denali KidCare Card is needed immediately and the recipient cannot wait for mail delivery. A Field Benefit Issuance printed from ARIES looks different than a Field Benefit Issuance printed from EIS .
Note:
Do not F9 out of the MEMC screen on EIS unless you want to cancel the issuance. You must always type in the "F" issuance indicator and press "Enter" to record the issuance so the recipient’s medical claims will be paid.
501 B. AUTHORIZED REPRESENTATIVE
If an authorized representative (e.g., a public guardian) requests the Recipient Identification card and notices to be sent to him or her, the caseworker must enter the authorized representative's address in the mailing address field on the EIS Address (ADDR ) screen. To have the Medicaid ID cards mailed to the recipient and the notices mailed to the representative, the authorized representative's address must be entered in the mailing address field on the ADDR and the recipient's address in the Medicaid benefit address field on the ADD2 screen.
501 C. USING THE ID CARD OR MANUAL COUPON
The caseworker must advise the recipient that it is the recipient’s responsibility to:
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