271 Eligibility response change


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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.

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.

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