1 Eligibility Process

Medicaid and CHIP Program (MACPro) (CMS-10434)

QSSI-MACPro-PRA-S94

GenIC #15 (Transition from 0938-1148) - Medicaid State Plan Eligibility

OMB: 0938-1188

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Centers for Medicare & Medicaid Services
CMS eXpedited Life Cycle (XLC)

Medicaid and CHIP Program (MACPro)
S94-Eligibility Process PRA document
Version 1.0
08/21/2017

Document Number: 234-QSSI-MACPro-PRA-S94-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. S94-Eligibility Process – Screenshots ................................................................... 1
1.1

Eligibility Process ............................................................................................ 1

List of Figures
Figure 1: Eligibility Process – 1 ....................................................................................... 1
Figure 2: Eligibility Process – 2 ....................................................................................... 2
Figure 3: Eligibility Process – 3 ....................................................................................... 2
Figure 4: Eligibility Process – 4 ....................................................................................... 3
Figure 5: Eligibility Process – 5 ....................................................................................... 3
Figure 6: Eligibility Process – 6 ....................................................................................... 4
Figure 7: Eligibility Process – 7 ....................................................................................... 4

S94-Eligibility Process PRA document Version 1.0

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S94-Eligibility Process – Screenshots

1. S94-Eligibility Process – Screenshots
1.1

Eligibility Process

Figure 1: Eligibility Process – 1

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S94-Eligibility Process – Screenshots

Figure 2: Eligibility Process – 2

Figure 3: Eligibility Process – 3

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S94-Eligibility Process – Screenshots

Figure 4: Eligibility Process – 4

Figure 5: Eligibility Process – 5

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S94-Eligibility Process – Screenshots

Figure 6: Eligibility Process – 6

Figure 7: Eligibility Process – 7

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