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270/271 Real Time Eligibility Enhancements - Cal-PM

This article describes a 2024 planned feature delivered through the myAvatar Product Roadmap. This information is subject to change.

What are we doing?

Updating the 270/271 Real Time Eligibility screen to include information from a 271 response.

Why are we doing it?

A 271 response file contains a lot of information related to an individual’s eligibility that would be beneficial to see as soon as the response posts. These items, such as Aid Code, may help a user determine whether a specific program or funding source is applicable for an individual.

How are we doing it?

By adding the ability to display the following information when a real time eligibility response is posted:

  • Active Coverage status
  • County Code
  • Primary Aid Code
  • Secondary Aid Code
  • Gender
  • Date of Birth
  • OHC Plan Name

 

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