Alerts

271 Eligibility response change

4/20/2018

PDF Version

TO: All Providers

Alabama Medicaid is proposing to make a small change in the 271 Eligibility response, but we would like to gauge impact to vendors before making the change. If you utilize the 271 Eligibility response, either real-time or batch, please have your software vendor or clearinghouse fill out the following brief survey so that we can determine the potential impact of the proposed change.

https://www.surveymonkey.com/r/335DYBW

The survey needs to be completed by Wednesday, May 9, 2018.

Below is a description of the proposed change:
Currently, Alabama Medicaid returns an EB*6~ in Loop 2110C for recipients with inactive coverage for the requested dates. The proposed change will add a Service Type code of 30 (Health Benefit Plan) in element EB03 when the EB01 value is 6.

Example:
EB*6~           (current)
EB*6**30~    (proposed)