ONE System Case Management Tools

ETOPs

Protocols for taking specific actions to determine financial eligibility.

Medicaid Financial Eligibility and LTC/ONE Training

• Session 1 - Overview
• Session 2 - Service Eligibility
• Session 3 - Payment Systems
  
• Session 4 - DQs, RAs and ICTs
• Session 5 - Medical Deductions and Liability
  
• Session 6 - Forms, Notices and Reports
• Session 7 - Medical Related Payments
• Session 8 - Series Wrap-up
  

Operational Impacts

See ONE system status information. Interim business processes for a known issue or outage are available on the Operational Impacts Dashboard.

QRGs 

Guidance and training on program-specific ONE topics.

• Death of Medicaid Recipient 
• Medicaid provider payment troubleshooting
• MSERV, NMSERV and LTCSERV Denials Report
• Program payments and supports
• Service Categories and Types of Assistance

Other tools

• Background, talking points and templates to help individuals receiving LTSS renew their OHP coverage.
• Types of Assistance in ONE and OA LTSS Benefits tool