EE20
Effective Date of Eligibility
CMS-required outcome
Individuals are promptly enrolled with the accurate effective date of eligibility in accordance with the approved State Plan.
Default metrics
- Outcome Attestation
- Possibly: Test results (automated if possible) verifying that the system sets eligibility effective date according to state policy (pass/fail)
- Demonstration of process for assigning correct effective dates in sub- production environment (pass/fail)
Regulatory sources
- For states, District of Columbia, Northern Mariana Islands, and American Samoa:
- - 42 CFR 435.915
- For Guam, Puerto Rico, and the Virgin Islands:
- - 42 CFR 436.901