Medicare Advantage and Prescription Drug Plans December 28 ...

Plan Communications User Guide Appendices, Version 6.3
Code Type Title Short Definition Definition
715 M Medicaid
Change
Accepted
716 I UI changed
the Number
of Uncovered
Months
717 I UI changed
only the
Application
Date
MCAID CHG
ACEPT
UI CHGD
NUNCMO
UI CHGD APP DT
A CMS User changed the beneficiary’s Medicaid status. This may or may not have changed the
beneficiary’s actual status since multiple sources of Medicaid information are used to determine the
beneficiary’s actual Medicaid status.
The Plan will see the result of any changes to the beneficiary’s actual Medicaid status included in
the next scheduled update of Medicaid status.
Plan Action: Update the Plan’s records accordingly.
A CMS User or Plan User with Update Authority updated the beneficiary’s Number of Uncovered
Months.
Plan Action: Update the Plan’s records accordingly. Ensure that the Plan is billing the correct
amount for the LEP. Take the appropriate actions as per CMS enrollment guidance.
A CMS User updated only the Application Date of a beneficiary's enrollment, which results in a
blank TC on the DTRR, Field 16.
Plan Action: Update the Plan’s records accordingly.
December 28, 2012 I-81 Transaction Reply Codes (TRCs)