Eligibility Determination and ACO Status Changes (270 and 271) - greenriver/hmis-warehouse GitHub Wiki

Description

Generate and download Benefit Eligibility Determination files (270/271) for use with MassHealth.

Revision History

  • 4/2020 Re-assign ACOs automatically based on 271 response
  • 1/2020 Expose details for internal eligibility batches
  • 3/2019 Initially Developed in conjunction with Boston Healthcare for the Homeless

Calculation Notes

  • Eligibility calculations are based on the Health Care Eligibility/Benefit Inquiry and Information Response (270/271) format and specification.