Enrollment Eligibility Record

Details

QI enrollment eligibility records:

• can be entered and edited in ProviderConnect, and in the Enrollment and Eligibility form (Avatar PM).

• filed in ProviderConnect are sent to Avatar PM, and from Avatar PM to the Michigan state agency.

• record information is managed in ProviderConnect by the contracting provider. QI information is display-only for ProviderConnect administrators.

Steps

1. In the Main Menu click Lookup Client.

• The Search Criteria screen displays.

2. Enter the client's name, ID, social security number.

3. Click Search By Criteria.

• The Search Results screen displays.

4. Click a client ID number.

• The ProviderConnect Demographic screen displays for the client and agency.

5. In the Client Sidebar menu click QI Forms.

• The QI Forms screen displays.

Create an Enrollment Eligibility Record

1. In the Enrollment Eligibility section click Add Enrollment Eligibility Record.

• The Enrollment Eligibility Information screen displays.

2. Enter the enrollment eligibility date in the format m/d/yyyy.

• The current date populates and can be edited.

3. Select whether the client is eligible for the program

• Selecting Yes disables multiple fields on this screen.

4. Apply other selections and information as appropriate.

5. Click Save Record.

• The enrollment eligibility record displays in the Enrollment Eligibility section.

View, Edit an Enrollment Eligibility Record

1. In the Enrollment Eligibility section, click a record date.

• The client's enrollment eligibility information shows display-only.

2. Click Edit Record.

• The screen can be edited. Edit selections as appropriate, click Save Record.

Generate the Audit Log Report to view information traffic sent from ProviderConnect to Avatar MSO.