To correct an error within 60 days after an initial award, denial, or fully favorable
or unfavorable hearing decision, take the following actions:
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1.
Access the beneficiary's DWMP screen in MAPS. (or detailed information on the DWMP
screen see MS 03206.002.
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2.
Select Manual Correction - From the Development Worksheet, select the “Manual Correction
“button. The user then goes to the MCOR screen and completes this screen. (For additional
MCOR MAPS instructions see MS 03204.004).
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3.
Make corrections - the system will create a new application by propagating all data
from the prior application. Data may be over keyed as appropriate. If you change the
SSN, some data will not propagate.
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4.
Over-key the “Report Date” field with a date equal to the month before the month of
the effective date for the subsidy determination, if the correction will result in
an increase in the subsidy amount,
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5.
Return to the DWMP screen. Review the determination effective date and ensure the
date is equal to the first month of Extra Help entitlement. If the date is incorrect,
use the “Edit” button.
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6.
Input the proper date in the “Report Date” field on the SCE/Manual Applications (DEDS)
screen. See MS 03206.022 for additional information regarding the DEDS screen.
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8.
Submit corrected information to the Subsidy Determination process.
The new application stays in pending status until it goes through the Subsidy Determination
process.
NOTE: MAPS processes manual corrections cases as new applications. As a result, the system
will request updated IRS data, which may create new verification issues and delay
processing. To avoid this, show income and resources as verified. For additional MAPS
instructions see MS 03206.006.
EXAMPLE 1: Effective date of a manual correction
Saul Jones' application was approved. Saul receives a 75 percent subsidy, effective
January 1, 2014. In February 2014, a CS realizes that because of a scanning error,
a large pension was not included in the income calculation. Saul should be receiving
a lower subsidy amount. The CS accesses the MCOR screen via DWMP screen and completes
the screen(s) using the correct income information. The “Report Date” is equal to
the date of the input, and then the CS submits the corrected application for Subsidy
Determination.
The 75 percent subsidy will terminate on February 28. The new subsidy amount of 50
percent will be effective on March 1. The system will issue a Notice of Planned Action
to Saul.
NOTE: When using the manual correction process, a change to a lower subsidy amount is effective
with the month after the month shown in the “Event Report Date” field of the MCOR.
EXAMPLE 2: Effective date of a manual correction
Mary Martin's application was approved and reflects a 25 percent subsidy, effective
March 1, 2014. In April 2014, the CS realizes they entered earned income on the application
in error. The CS accesses the MCOR screen via the DWMP screen, inputs February 1,
2014 in the “Report Date” field, selects “Continue”, and updates the screens using
the correct income information. After reviewing the DWMP screen to ensure that the
determination effective date is equal to March 1, 2014, the CS submits the new data
to Subsidy Determination.
Mary will receive a Notice of Change and the new subsidy amount will increase to 75
percent effective March 2014.
NOTE: When using the manual correction process, an increase in the subsidy amount must be
effective with the first month of Extra Help eligibility. Be sure that the “Report
Date” field on the MCOR screen is equal to the month prior to first month of Extra
Help eligibility.
EXAMPLE 3: A manual correction for a change to income information
Lolly Williams' application for Extra Help was denied effective January 1, 2014. On
February 5, 2014, the CS recognizes that a scanning error posted the same income as
earned and unearned income, resulting in the denial. Lolly has not filed an appeal.
The CS accesses the MCOR screen via the Development Worksheet, enters December 1,
2013, in the “Report Date” field, and checks the DWMP screen to ensure that the determination
effective date is equal to January 1, 2014. The CS then enters the correct information,
saves the application, and submits the case to Subsidy Determination. MAPS will issue
a notice to Lolly containing the subsidy award information.
EXAMPLE 4: A manual correction for a change to resource information
Sherry Williams applied for Medicare Part D Extra Help and was denied effective November
2013 because of excess resources. Sherry filed an appeal.
After denying the appeal, the Subsidy Determination Reviewer (SDR) realizes that the
resource information is incorrect. In MAPS, the SDR accesses the Development Worksheet
and selects the MCOR screen. The SDR keys November 1, 2013, in the “Report Date” field,
corrects the erroneous information, and submits the application for Subsidy Determination.
MAPS will issue a Notice of Award to Sherry.