MES Certification Navigator
EE15

Eligibility Category

CMS-required outcome

The system applies an automated eligibility hierarchy that places an individual in the most advantageous group for which they are eligible at initial application and renewal.

Default metrics
  • Outcome Attestation - Possibly the following:
  • Test results (automated if possible) verifying that the system applies an automated eligibility hierarchy to assign individuals to the most advantageous category for which they are eligible.
  • Most recent PERM report and related Corrective Action Plan, if applicable.
  • Demonstration of system functionality to apply the eligibility hierarchy in sub-production environment.
Regulatory sources
  • For states, District of Columbia, Northern Mariana Islands, and American Samoa:
  • - 42 CFR 435.404
  • For Guam, Puerto Rico, and the Virgin Islands:
  • - 42 CFR 436.404

Other Eligibility and Enrollment outcomes