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LAMI Interface Consolidation


Current ProcessingThe LAMI Interface currently performs one of 5 actions for each input record by calling one of 5 separate programs There are significant similarities between all of the programsActio

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Document on Subject : "LAMI Interface Consolidation"— Transcript:

1 LAMI Interface Consolidation Current Pro
LAMI Interface Consolidation Current ProcessingThe LAMI Interface currently performs one of 5 actions for each input record by calling one of 5 separate programs. There are significant similarities between all of the programs: Action Process Set up a new case with an autoeligible LAMI certification period. (MEILAMN1)Suspend existing MEDS AU Members (complete & inprogress) and create new LAMI Certification Period.(MEILAMN2)Add LAMI Cert Period and suspend any AU Members in progress who are included on LAMI cert, if any. In either instance, send workflow to worker for MEDS case.(MEILAMN3)Update LAMI Certification Period, and AU Members.(MEILAMN4)Create new LAMI Certification Period for existing MEDS case.(MEILAMN5)Current Module Logic follows. Action #1 Create New MEDS AutoEligible Case & Cert from LAMIMODULE: MEILAMN1 (& MEILAMNE) No LAMI CID found and client does not have a category 003,005, 013 or 016 MEDS case in effect. Set up a new case with an auto eligible certification.Add CaseAdd ApplicationAdd Eligibility Determination for LAMI certAdd APTCAdd Cert PeriodRead person detail records for current case / runnum by extcaseseqIf person detail thenAdd / update PersonAdd Case MemberAdd AU MemberSet Person Num and call MEILAMNE to check for MEDS AUMs to suspend.If the Person is an active AU Member on anoth

2 er MEDS Cert this will find and suspend
er MEDS Cert this will find and suspend him from the MEDS Cert (using a separate MEDS Elig Deter detailed in MEILAMPX). If an AUM is suspended who had a Hospice segment, notify the Hospice Review Group HSPCSTAF to check the new LAMI AUM HSPCREPL . Else if income detail then /* not currently usedAdd / update Person IncomeUpdate Person Ownership Certify LAMI CertClose any open MEDS Eligibility Determinations (detailed in MEILAMPX)Close LAMI Eligibility DeterminationSend workflow to Case worker if not all AU Members on a MEDS Cert were suspended Review Cert LAMI Closed some AU Membrs” ILAM000&#x-110;2 Action #2 Add LAMI Cert Period; Suspend MEDS Cert Period MODULE: MEILAMN2 (& MEILAMNE) No open LAMI cert found, Open MEDS cert exists in case with LAMI CID or Category 003, 005, 013 or 016 for client Set up the certification for the LAMI auto eligible and suspend the MEDSowned AU Members that are also in the LAMI case. If not all AU Members in the MEDSowned certification are suspended, set up a workflow for the worker to review the certification. If any In Progress AU Members are found for the MEDS Cert Period the worker is notified via MEILAMPO which is passed back from MEILAMNE.Add / update PersonsAdd Case Members if applicableAdd ApplicationIf MEDS Cert in open elig determination,Add Eligibility Determi

3 nation for LAMI certElseAdd Eligibility
nation for LAMI certElseAdd Eligibility Determination for LAMI cert and MEDS certAdd APTCAdd Cert Period (LAMI)Add AU Members (LAMI)Set Person Num and call MEILAMNE to check for MEDS AUMs to suspend.If the Person is an active AU Member on another MEDS Cert this will find and suspend him from the MEDS Cert (using a separate MEDS Elig Deter detailed in MEILAMPX). If an AUM is suspended who had a Hospice segment, notify the Hospice Review Group HSPCSTAF to check the new LAMI AUM HSPCREPL耀. Update Person Ownership Add / update Person Income Certify LAMI cert; close LAMI Eligibility DeterminationSend workflow to case worker ONLY if:Parish of Residence is different from MEDS (update MEDS cert period parish to match)Not all AU Members on the MEDS cert were suspended Review Cert LAMI Closed some AU Membrs” ILAM0002ကIf there’sa Pending MEDS Application, send workflow message to Case worker “New LAMI Cert has been addedreject MEDS” ILAM0003က Action #3 Add LAMI Cert; Workflow if open Eligibility Determination without any defined AU Members MODULE: MEILAMN3(& MEILAMNE) Noopen LAMI cert found, MEDS case with CID or category 003, 005, 013 or 016 found with open Eligibility Determination in progress, but with no AU Members defined. (If there are AU Members, use action #2) Create the auto eligi

4 ble certification. Send a workflow to th
ble certification. Send a workflow to the worker to review the application in light of the auto eligible certification.Update case Add / update PersonsAdd Case MembersAdd ApplicationAdd Eligibility Determination (for LAMI Cert)Add APTCAdd Cert PeriodAdd AU MembersSet Person Numand call MEILAMNE to check for MEDS AUMs to suspend.If the Person is an active AU Member on another MEDS Cert this will find and suspend him from the MEDS Cert (using a separate MEDS Elig Deter detailed in MEILAMPX). If an AUM is suspended who had a Hospice segment, notify the Hospice Review Group HSPCSTAF to check the new LAMI AUM HSPCREPL耀. Update Person OwnershipAdd / update Person IncomeCertify LAMI certClose any open MEDS Eligibility Determinations (detailed in MEILAMPX)(Do not close the original MEDS open Eligibility Determination in progress)Close LAMI Eligibility DeterminationIf Action was invoked because there’s a Pending MEDS Application, send workflow message to Case worker “New LAMI Cert has been addedreject MEDS” ILAM0003ကSend workflow to Case worker if not all AU Members on a MEDS Cert were suspended Review Cert LAMI Closed some AU Membrs” ILAM000&#x-110;2 Action #6 Update LAMI Cert PeriodMODULES: MEILAMN4 (& MEILAMNE & MEILAMNR) LAMI open Cert exists and LAMI sends open, eligible update. Add / update

5 PersonsAdd Case Members, if applicableU
PersonsAdd Case Members, if applicableUpdate Cert PeriodAdd / update AU MembersIf adding LAMI AU MemberSet Person Num and call MEILAMNE to check for MEDS AUMs to suspend.If the Person is an active AU Member on another MEDSCert this will find and suspend him from the MEDS Cert (using a separate MEDS Elig Deter detailed in MEILAMPX). If an AUM is suspended who had a Hospice segment, notify the Hospice Review Group HSPCSTAF to check the new LAMI AUM HSPCREPL耀. If closing LAMI AU MemberIf there's an open nonFIWO Sanction on the LAMI AUM being closed, retain the detail of that sanction to transfer to any reinstated MEDS AUM ( the closed LAMI AUM can still have zero Sanction End Date) SetClosing LAMI individualflag and Person Num and call MEILAMNR to check for suspended MEDS AUMs.If the Person is a suspended (not closed) AU Member on another MEDS Cert this will find and reinstate him on the MEDS Cert (using a separate MEDS Elig Deter detailed in MEILAMPX). Update Person Ownership Add / update Person IncomeCertify LAMI CertClose any open MEDS Eligibility Determinations (detailed in MEILAMPX)Close LAMI Eligibility DeterminationSend workflow to Case worker if not all AU Members on a MEDS Cert were suspended Review Cert LAMI Closed some AU Membrs” ILAM000&#x-110;2 Action #7 Create New LAMI Cert Period for Existin

6 g Case (With No Cert Period Currently Ac
g Case (With No Cert Period Currently Active) MODULE: MEILAMN5 (& MEILAMNE)Open an auto eligible certification in the existing case.Add / update PersonAdd Case Members, if necessaryAdd ApplicationAdd Eligibility DeterminationAdd APTCAdd Cert PeriodAdd AU MembersSet Person Num and call MEILAMNE to check for MEDS AUMs to suspend.If the Person is an active AU Member on another MEDS Cert this will find and suspend him from the MEDS Cert (using a separate MEDS Elig Deter detailed in MEILAMPX). If an AUM is suspended who had a Hospice segment, notify the Hospice Review Group HSPCSTAF to check the new LAMI AUM HSPCREPL耀. Update Person Ownership d / update Person IncomeCertify LAMI CertClose any open MEDS Eligibility Determinations (detailed in MEILAMPX)Close LAMI Eligibility DeterminationSend workflow to Case worker if not all AU Members on a MEDS Cert were suspended Review Cert LAMI Closed some AU Membrs” ILAM000&#x-110;2If there’s a Pending MEDS Application, send workflow message to Case worker “New LAMI Cert has been addedreject MEDS” ILAM0003က The 5 programs will be consolidated into one. The main benefits include:Efficiency and speed in making interface changes. At present, we may have to add identical code in 5 places.Removing the danger of “missing” a piece of code or logic

7 when attempting to add identical code t
when attempting to add identical code to more than one program. DetailsThe programs in questionare MEILAMN1, MEILAMN2, MEILAMN3, MEILAMN4, AND MEILAMN5. The table at the end of this document details overlaps between the modules. A suggested approach to consolidating them is:Taking the largest module (MEILAMN4), insert logic for all other Actions/Modules.Subroutines common to most or all of the modules can be combined, with Actionspecific logic in each one.Subroutines that call the same object subprogram can be combined. Example: Combine subroutines ADDCASE and UPDATECASE into one subroutine: AUPDATECASE. Subroutine GETSTARTDATERULE is inline in N13, and coded as a subroutine in N45, and can most likely be inline in the new module.LAMI no longer accepts Income Records (they are rejected in MIESDUZ1 in the first step of the LAMI batch job), so the UPDATEINCOMEVALUESsubroutines should be consolidated and then commented out, with a comment that the records are currently being rejected. We shouldn’t delete the code, as you never know when they might want to accept Income Records again…NOTE: Subroutine SETSANCTIONINFO is not in Production as of the date of publication of this document (10/09/02). The following chart lists the Subroutines in all the modules. An ‘X’ in the columns indicates where th

8 e Subroutine is included in a particular
e Subroutine is included in a particular module. SUBROUTINE N1 N2 N3 N4 N5 ESCAPE - PROG X X X X X VALIDATE - INPUT X X X X X SUBROUTINE PROCESS - ACTION X X X X X SUBROUTINE VALIDATE - INPUT X X X X X PROCESS - ACTION X X X X X ADD - CASE X ADD - PERSON X UPDATE - PERSON - OWNERS HIP X X X X X CALL - PERSON - OBJSUBP X X X X X ADD - CASE - MEMBERS X X X X X ADD - APPLICATION X X X X CALL - APPLICATION - VALIDATION X X X X CALL - APPLICATION - OBJSUBP X X X X CALL - CASE - LOAD - OBJSUBP X X X X ADD - ELIG - DETER X X X X X CALL - ELIG - DETER - VAL IDATION X X X X X CALL - ELIG - DETER - OBJSUBP X X X X X ADD - CERT - PERIOD - IP X X X X CALL - CERT - IP - VALIDATION X X X X X CALL - CERT - IP - OBJSUBP X X X X X ADD - AU - MEMBERS X X X X X UPDATE - INCOME - VALUES X X X X X PARISH - CROSSWALK X X CHECK - FOR - MEDS - AUM S - TO - SUSPEND X X X X X CLOSE - MEDS - DETERMINATIONS X X X X X CLOSE - DETERMINATION X X X X X CERTIFY - CERT X X X X X S

9 END - WORKFLOWS - IF - NECESSARY X X
END - WORKFLOWS - IF - NECESSARY X X X X X GET - CASE - WORKER X X X X X ERROR - PROCESSING X X X X X SET - SANCTION - INFO X X X X X UPDATE - CASE X X X X ADD - UPDATE - PERSON X X X X CALL - APPLICATION - VALIDATION X CHECK - IF - DUAL - CERT - IP X SEND - APPL - REV - WORKFLOW X X X CALL - CASE - VALIDATION X CALL - CASE - OBJSUBP X CALL - WORKER - OBJSUBP X GET - APPLICATION - NUM X CALL - CERT - OBJSUBP X GET - LAST - ELIG - DETER X SUBROUTINE N1 N2 N3 N4 N5 UPDATE - CERT - PERIOD - IP X ADDUPDATEMEMBERS X REINSTATEMEDSMEMBER X CALL - AUM - IP - VALIDATION X CALL - AUM - IP - OBJSUBP X UPDATEMEMBERS X EPSDT - EXTRA - PROC X GET - START - DATE - RULE X X DETERMINEDATE X GET - CLOSE - DATE X FINDMEMBERANDCLOSE X RELEASEPERSONTOMEDS X CHECK - FOR - SUSPENDED - MEDS - AUMS X CHECK - FOR - HOSPICE