Using MMIS

Using MMIS

April 17, 2014Train the Trainer

Sharon Arrington & Colleen Wing

Logging into MMIS• User Name: OR #• If you no longer know your password, contact the Service

Desk to reset it (503-945-5623)• Must log in every 6 weeks or password will expire

Setting Up User Preferences

• Setting up preferences will make it so that all necessary windows for determining a client’s eligibility will populate at every initial search.


• After logging into MMIS, place your cursor over the Recipient drop down menu and then click search.

• In order to set preferences up, you will need a prime to search by.


• Copy/paste a prime into the prime field in the search window, and press “search”


• Click on any of the resulting search lines to open the client’s “Recipient Information” screen.

Setting Up User Preferences• This will bring you to client’s eligibility window.


• In order to fully see the type of benefits a client is receiving, you will need three more windows that do not automatically populate. Setting up the preferences will make it so the necessary windows will automatically populate.


• Scroll down to the Recipient Maintenance window, and click “Prefs” button.


• Within the same window, mark the boxes for Base Information and Benefit Plan, followed by Save.

Setting Up User Preferences• From this point on, every time a Recipient Search is

completed, the following windows will automatically populate along with the Recipient Information.


• Helpful Tips:• User preferences will need to be set up on

each new computer being used. • For some APD workers wanting to see Service

Eligibility, “Level of Care” can also be checked within the Recipient Information Prefs section to automatically populate as well.


• Setting up preferences can also be done within the Managed Care screens in order to search for CCO enrollment – Select “Recipient Case Enrollment” within “Prefs” in order to bring up the search window for CCO enrollment.


How to View Client Eligibility

• Hover cursor over “Recipient” and click on “Search”

How to View Client Eligibility• Enter any of the following search criterion:– Prime, SSN, case number, and name of client

• Prime will be the most helpful and accurate way to search


• After clicking on one of the lines, it will bring you to the client’s Recipient Information window.

• There will be drop down windows of both eligibility and managed care in the upper right corner, but these are not fully accurate and should not be relied upon when determining what benefits a client has.

• If you have not set up user preferences, you will have to always click on the “Benefit Plan” to open the needed panel.



• Scroll down to the “Benefit Plan” Window• In the “Status” drop down box, select “Active

Only”– Active Eligibility – All correct eligibility, past &

present. – History Eligibility – Incorrect eligibility that has

been removed and cannot be billed on.• Click Search or press Enter to activate the

filter.


• Current eligibility will have an infinity end date – 12/31/2299

• Prior eligibility will have an end date (ex. 10/31/13)


• Click “End Date” twice to sort by the most recent eligibility

• The carrot will point downward


• Click on the benefit plan that is most recent or is for the time frame you are inquiring about.

• Once selected, scroll down to the subsequent “Aid Category Data” panel that will give more details about the eligibility for that time period.– Information provided includes branch, worker ID,

program, case number, case descriptors, and address


How to Identify MAGI Cases

• MAGI cases in MMIS will have one of these agency codes:– HIX (Health Insurance Exchange) – Eligibility

determined by Cover Oregon– FST (Fast Track) – Eligibility determined through

based on other program eligibility (ex. SNAP)– MOD (Modernization) – Eligibility originating in

Stateside Siebel, usually due to changes to the original HIX or FST determination


• MAGI cases can be identified in the Aid Category Data panel looking at the case number. The agency code will be at the end of the case number.


The Necessity of Using MMIS

• Some clients will show medical eligibility in WEBM FIND

• MAGI clients can have eligibility in MMIS, but eligibility will not be found in WEBM FIND – this is what is referred to as a “ghost case”


• Same client with open eligibility in MMIS but only a ghost case in WEBM FIND


• It is now necessary to determine if a client has active medical benefits.

• Please check MMIS before giving a client eligibility to determine if he/she is already receiving.

Questions?

• If you have any questions as to whether a client has eligibility already in the system, please contact CMU.

• Phone: 503-378-4369• Outlook: Maintenance Client• Outside network: [email protected]• Colleen Wing – CMU Lead Worker:

503-378- 4004; [email protected]• Sharon Arrington – CMU Policy Analyst:

503-378-3304; [email protected]

mailto:[email protected]



Using MMIS

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