NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 1061

------------------------------------------------------------------------

X/PTR – REPORT DISTRIBUTION SYSTEM

------------------------------------------------------------------------

EIS 1061 – X/PTR – REPORT DISTRIBUTION SYSTEM

I. GENERAL INFORMATION

II. ACCESS PROCEDURES

III. X/PTR LATEST REPORTS OPTIONS

IV. VIEWING THE REPORTS

V. LOGOFF PROCEDURES

VI. SIGNING ON TO X/PTR FOR THE FIRST TIME

VII. SETTING THE PRINTER DEFAULTS

VIII. MODIFYING YOUR USER PROFILE

IX. REPORT NAMES AND ACCESS CODES-These are the most commonly used reports.

EIS 1061 – X/PTR – REPORT DISTRIBUTION SYSTEM

REVISED 12/01/02 – CHANGE NO. 04-03

I. GENERAL INFORMATION

X/PTR is a report distribution system which contains many reports that are useful for case management. This section describes how to access X/PTR, how to define your User Profile, how to view and print reports, and how to logoff X/PTR.

NOTE: When you see “Press END” on the screen, use PF3 instead.

II. ACCESS PROCEDURES

A. Refer to EIS 4900 Appendix A for an example of the Banner Screen. From the Banner Screen, key NCXPTR. Press Enter.

The L22: Logon to XPTR screen displays:

B. From the L22: Logon to X/PTR screen, key your Security Logon ID(RACF ID), Password, and your Account(Billing Code (dhrmja)). Press Enter.

If this is your first time signing on to X/PTR, refer to VI. below. Otherwise, continue on page 2 if you have signed on to X/PTR before.

REISSUED 12/01/02 – CHANGE NO. 04-03

II.B. (CONT’D)

(Report titles vary depending on your User Profile)

If the V22: Favorites screen does not list all your reports, key AFV in the OPT column to the left of MY DIRECTORIES. Press ENTER. Key LR at the command line. Press ENTER. Now, MY DIRECTORIES is expanded to display all the reports in your profile.

C. Press PF8 to scroll forward or PF7 to scroll backward through the list of reports one page at a time.

D. If you know the name of the report or the prefix of the report you are looking for, you can search the list of reports by entering on the command line, the letter F and the report name or prefix enclosed in single quotes (You must be at the top of the list of reports). Press Enter.

The first report in your list with the prefix or report name you searched for displays at the top of the list. You must still use one of the “Options” to display the report.

REVISED 10/01/01 – CHANGE NO. 05-02

III. X/PTR LATEST REPORTS OPTIONS

A. COMMAND PRO – INITIAL LIST OF REPORTS

This command allows you to add and/or remove report directories from your User Profile. Refer to VIII below for instructions on modifying your User Profile.

B. OPTION B – DISPLAY ON TERMINAL

1. Key B under the “Opt” column to the left of the report you want to view. Press Enter.

2. The message ‘Report report name is not available on disk’ appears if the report must be recalled. Press Enter to request the report. In a few minutes, key B again to the left of the report name. If the report is still not available when you try again, DO NOT PRESS ENTER AGAIN. If you press Enter again, X/PTR generates another request for the report. Multiple requests for the same report slows response time. Press PF3 to exit and return to the V22: Favorites screen.

NOTE: Press PF3 to exit without requesting the report.

C. OPTION S – LIST REPORT VERSIONS

Use this option when you want to view a version of the report other than the current version.

1. Some reports have more than one version available. For example: If a report is produced daily, each different day’s report is a separate “version” of that report. This is useful when you need to view a prior version of a report, such as the SSI Medicaid Straggler Run Register for the day an SSI Medicaid case was created.

2. Key S to the left of the report name to view the versions of the report. Press Enter.

3. The list of available versions of the selected report is displayed on the screen.

4. Key B under the ‘Opt’ field to the left of the version you wish to view. Press Enter.

REVISED 10/01/01 – CHANGE NO. 05-02

III.C. (CONT’D)

5. The message ‘Report report name is not available on disk’ appears if the report must be recalled. Press Enter to request the report. In a few minutes, key B again to the left of the version. If the report is still not available when you try again, DO NOT PRESS ENTER AGAIN. If you press Enter again, X/PTR generates another request for the report. Multiple requests for the same report slows response time. Press PF3 to exit and return to the V22: Favorites screen.

NOTE: Press PF3 to exit without requesting the report.

D. OPTION PRT - PRINT

1. Key PRT under the “Opt” field to the left of the report name or version you wish to print. You may also use this command at the top of the report you are viewing. Press Enter. The following screen displays:

(Your default printer should have already been set. If not, please refer to VII below to set your default printer.)

2. To print the whole report, press Enter – continue to #4.

REVISED 11/01/00 – CHANGE NO. 02-01

III.D. (CONT’D)

3. Enter the page ranges for the report in the FROM PAGE and TO PAGE fields. You may also enter specific line numbers on the given pages to have a more detailed printout (Line numbers are not required). Press Enter and the following screen displays:

NOTE: If you get an ABEND message while trying to print, call DHR Customer Support at (919) 733-9100 and ask them to restart the X/PTR program.

4. Verify your destination printer. If correct, press PF3 and your report prints to the printer designated. To verify the report has printed, look for the word “Printed” in the upper right corner of the screen.

IV. VIEWING THE REPORTS

There are options for moving around inside a report on X/PTR. ALL OPTIONS ARE NOT AVAILABLE IN ALL REPORTS. Some reports are county specific, meaning you only get the report for your county, and some are not. X/PTR will search the entire report for the criteria entered on the command line (There is no 200 page limit). If you receive the message “NOT FOUND IN REPORT”, then the search criteria does not exist in the entire report version.

REVISED 11/01/00 – CHANGE NO. 02-01

IV.(CONT’D)

NOTE: The find command is a literal search. You MUST format your search criteria exactly like it is formatted on the report. For example, the case id might be 12345678, but the report has it formatted as 12345-6-78. Your command would be f 12345-6-78.

A. To find your county's section of a report key F followed by a space and 'County 01' on the COMMAND line. (Single quotation marks are only needed if a space exists in the search criteria) Press Enter.

Example: F ‘County 01’ - Single Quotes needed

F Yancey - No Single Quotes needed

B. To find your district within a report key F followed by a space and 'DISTRICT 001' on the COMMAND line. (Single quotation marks are only needed if a space exists in the search criteria) Press Enter.

C. To find a page in a report key PA followed by a space and the page number you wish to view on the COMMAND line. Press Enter. (A report page may require several screens.)

D. To find a name, word, or number in a report, key F followed by a space and XXXXXX on the COMMAND line. Key single quotation marks only if a space exists in the name, word, or number you wish to find. Press Enter. For example, to find a certain EIS Case ID within a report, key F followed by a space and 12345678. Press Enter.

E. If more than one match for the search criteria exists, press PF5 to find the next occurrence.

F. To scroll forward through a report, press PF8. The next screen of the report displays. (A report page may require several screens.)

G. To scroll backward through a report, press PF7. The previous screen of the report displays. (A report page may require several screens.)

H. Press PF11 for the right side of a report.

I. Press PF10 to return to the left side of a report.

J. To return to the list of reports, press PF3.

V. LOGOFF PROCEDURES

To logoff NCXPTR, press PF3 until you get back to the State Banner Screen. You must press PF3 many times to exit completely.

REVISED 12/01/99 – CHANGE NO. 04-00

VI. SIGNING ON TO X/PTR FOR THE FIRST TIME

A. Use these instructions ONLY the first time you signon to NCXPTR. Once you have signed on, the G:33 Initial Report Lists screen displays. Press Enter.

B. The G31: Select Reports From Directory Screen displays.

REVISED 12/01/99 – CHANGE NO. 04-00

VI. (CONT’D)

C. Key ? to the left of the directory /DHR to display the sub-directories within the DHR directory. Press Enter.

D. Press PF8 to scroll to the next page, key S to the left of the sub-directory /DHR/EJA to select the list of reports that begin with “DHREJ”(You can key an S beside more than one sub-directory if needed). Press Enter.

REISSUED 10/01/08 – CHANGE NO. 01-09

VI.(CONT’D)

E. The following screen displays: (The only difference in these two screens is the “S” is now capitalized if you used a lower case “s” above, otherwise, there is no difference).

F. Press PF3 until you have returned to the G30: List of Reports screen.

G. Key S to the left of “Exit saving any list updates”. Press ENTER.

H. Press PF3. Key LR at the command line. Press ENTER. (This refreshes the screen with your profile changes.)

VII. SETTING THE PRINTER DEFAULTS

Use these instructions to set your printer default to a network printer for printing large reports or multiple pages at once. You can still screen print the current screen, one page at a time.

A. When you signon to NCXPTR again, the following screen displays. Key PRO on the command line. Press Enter.

REISSUED 10/01/08 – CHANGE NO. 01-09

VI.(CONT’D)

B. The G01: Profile for /DHR/USR/HRSS… screen displays. Key PRT on the command line. Press Enter.

C. The P01: Standard print Profile for /DHR/USR/HRSS… screen displays.

REISSUED 10/01/08 – CHANGE NO. 01-09

VII.(CONT’D)

D. On the command line key DVR. In the Banner page name field, key MJA and the first five letters of your last name. Press Enter.

E. Key S in the “Opt” column to the left of the name PBNS. Press Enter.

REISSUED 10/01/08 – CHANGE NO. 01-09

VII.(CONT’D)

F. You MUST have the name/code for your network printer, then complete the following:

1. Key the printer name/code to the right of the * in the DEST field.

2. Press PF8 and the following screen displays.

REISSUED 10/01/08 – CHANGE NO. 01-09

VII.(CONT’D)

G. Complete the above fields as follows:

1. Enter DHRMJA to the right of the * in the ACCOUNT field.

2. Enter DHHS to the right of the * in the ROOM field.

3. Enter your First and Last name to the right of the * in the JOBPROGRAMMER field.

4. Press Enter to update the printer default, then press PF3 to return to the “P30: Drivers” screen.

NOTE: Press PF3 until the V22: Favorites screen displays if you do not have a network printer or do not know the name/code for your network printer.

H. Press PF3 again to return to the “P01: Standard Print Profile” screen. Key NO in the “Combine Print Requests” field. Key YES in the “Confirm Print Request” field.

REISSUED 10/01/08– CHANGE NO. 01-09

VII.(CONT’D)

I. Press PF3 twice to return to the “V22: Favorites” screen. You are now ready to browse and print reports. Refer to III. above.

VIII. MODIFYING YOUR USER PROFILE

A. From any screen that displays the command PRO, you may key pro on the command line at the top of the screen. Press Enter.

B. The “G01: Profile for /DHR/USR/HRXX000 screen displays:

C. Key FAV on the command line. Press Enter. The G30: List of Reports” screen displays:

REISSUED 02/01/11 – CHANGE NO. 03-11

VIII.(CONT’D)

D. Key S to the left of “Select reports and directories to add to the list”. Press Enter. The “G31: Select Reports From Directory” screen displays. From here, refer to VI.B-D above selecting the different directory or subdirectory you wish to add/delete.

E. Press PF3. Key S beside “Exit saving any list updates”. Press Enter. The “G01: Profile…” screen displays.

F. Press PF3. The “V22: Favorites” screen displays.

G. Key LR at the command line. Press ENTER and profile changes display.

REVISED 02/01/11 – CHANGE NO. 03-11

IX. REPORT NAMES AND ACCESS CODES-These are the most commonly used reports.

XPTR Access Code

English Report Name

DHREHC CAR ACC ENROLL RPT NCHC

CAROLINA ACCESS ENROLLMENT REPORT NCHC

DHREHC CAROLINA ACCESS CNTY NCHC

CAROLINA ACCESS COUNTY NCHC

DHREHC HLTH CHOICE ELIG TOTALS

HEALTH CHOICE ELIGIBILITY TOTALS

DHREHC MONTHLY NCHC ACT APPS EXC

MONTHLY NCHC ACTUAL APPLICATIONS EXCLUDED

DHREHC MONTHLY NCHC ACT APPS INC

MONTHLY NCHC ACTUAL APPLICATIONS INCLUDED

DHREHC MONTHLY NCHC ACT REP CARD

MONTHLY NCHC ACTUAL REPORT CARD

DHREHC MONTHLY NCHC ADJ APPS INC

MONTHLY NCHC ADJUSTED APPLICATIONS INCLUDED

DHREHC MONTHLY NCHC ADJ REP CARD

MONTHLY NCHC ADJUSTED REPORT CARD

DHREHC MONTHLY NCHC ADJ REP SUM

MONTHLY NCHC ADJUSTED REPORT SUMMARY

DHREHC NCHC ACTIVE RECIPIENTS

NCHC ACTIVE RECIPIENTS

DHREHC NCHC APPLICATIONS REACTIV

NCHC APPLICATIONS REACTIVATED

DHREHC NCHC APPS DENIED/WITHDRAWN

NCHC APPLICATIONS DENIED/WITHDRAWN

DHREHC NCHC/BCCM TPR COUNTY REP

NCHC/BCCM TPR COUNTY REPORT

DHREHC NCHC/BCCM TPR STATE REP

NCHC/BCCM TPR STATE REPORT

DHREHC NCHC BY FAM AGE SEX RACE

NCHC BY FAMILY AGE SEX AND RACE

DHREHC NCHC CWKR/SUPERVISOR RPT

NCHC CASEWORKER/SUPERVISOR REPORT

DHREHC NCHC CWKR/SUPERVISOR SUMM

NCHC CASEWORKER/SUPERVISOR SUMMARY RPT

DHREHC NCHC DETAIL PREMIUM RECON

NCHC DETAIL PREMIUN RECON

DHREHC NCHC EXTENDED COVERAGE

NCHC EXTENDED COVERAGE

DHREHC NCHC INDIV WITH MEDICARE

NCHC INDIVIDUAL WITH MEDICARE

DHREHC NCHC-INSURANCE DROPPED

NCHC-INSURANCE DROPPED

DHREHC NCHC INTERFACE

NCHC INTERFACE

DHREHC NCHC LIMITED FUNDING

NCHC LIMITED FUNDING

REVISED 05/01/09 – CHANGE NO. 03-09

IX. (CONT’D)

XPTR Access Code	English Report Name
DHREHC NCHC APPR APPS BY SOUR	NCHC/MEDICAID APPROVAL APPLICATIONS BY SOUR
DHREHC NCHC APPS APPR 10/1/98	NCHC/MEDICAID APPLICATIONS APPROVAL 10/1/98
DHREHC NCHC OUTCOME OF REACTIVAT	NCHC OUTCOME OF REACTIVIATION
DHREHC NCHC PREMIUM RECON	NCHC PREMIUM RECON
DHREHC NCHC PULL ERRORS	NCHC PULL ERRORS
DHREHC NCHC RECON CERT NONMATCH	NCHC RECON CERTIFICATION NON MATCHING
DHREHC NCHC RECON DEMOGRAPH DATA	NCHC RECON DEOMGRAPHIC DATA
DHREHC NCHC RECON GRP/INC NONMAT	NCHC RECON GRP/INC NON MATCHING
DHREHC NCHC RE-ENROLLMENT	NCHC RE-ENROLLMENT
DHREHC RE-ENROLL NCHC RPT SUM -1	RE-ENROLLMENT NCHC REPORT SUMMARY-1
DHREHC RE-ENROLL NCHC RPT SUM -2	RE-ENROLLMENT NCHC REPORT SUMMARY-2
DHREHC WEEKLY NCHC ACT APPS EXC	WEEKLY NCHC ACTUAL APPLICATIONS EXCLUDED
DHREHC WEEKLY NCHC ACT APPS INC	WEEKLY NCHC ACTUAL APPLICATIONS INCLUDED
DHREHC WEEKLY NCHC ACT REP CARD	WEEKLY NCHC ACTUAL REPORT CARD
DHREHC WEEKLY NCHC ADJ APPS INC	WEEKLY NCHC ADJUSTED APPLICATIONS INCLUDED
DHREHC WEEKLY NCHC ADJ REP CARD	WEEKLY NCHC ADJUSTED REPORT CARD
DHREHC WEEKLY NCHC ADJ REP SUM	WEEKLY NCHC AJDUSTED REPORT SUMMARY
DHREJ $50 PENALTY REGISTER	$50 Penalty Register
DHREJ AAF AUTO TRANSFERS TO MAF	AAF Automatic Transfers to MAF
DHREJ AAF CASES UPDATED TO PAY TYPE S	AAF Cases Updated to Payment Type S
DHREJ ACT APPS EXCLUDED REPORT	Actual Applications Excluded Report
DHREJ ACT APPS INCLUDED REPORT	Actual Applications Included Report

REISSUED 05/01/09 – CHANGE NO. 03-09

IX. (CONT’D)

XPTR Access Code	English Report Name
DHREJ ACT DDS REPORT CARD SUM	Actual DDS Report Card Summary
DHREJ ACT TIME REPORT CARD SUM	Actual Time Report Card Summary
DHREJ ACTUAL DDS REPORT CARD	Actual DDS Report Card
DHREJ ACTUAL TIME REPORT CARD	Actual Time Report Card
DHREJ ADJ APP MANAGEMENT REP	Adjusted Application Management Report
DHREJ ADJ APP REPORT CARD	Adjusted Application Report Card
DHREJ ADJ APP REPORT CARD SUM	Adjusted Application Report Card Summary
DHREJ ADJ APPS INCLUDED REPORT	Adjusted Applications Included Report
DHREJ ADJ DDS REPORT CARD	Adjusted DDS Report Card
DHREJ ADJ DDS REPORT CARD SUM	Adjusted DDS Report Card Summary
DHREJ ADJ SUM APP APC MGMT RPT	Adjusted Summary Application APC Management Report
DHREJ ADJ SUM APP MGMT REPORT	Adjusted Summary Application Management Report
DHREJ AFDC MR NOTICE REGISTER	AFDC Monthly Reporting Notice Register
DHREJ AFDC MR REGISTER	AFDC MONTHLY REPORTING REGISTER
DHREJ AFDC TR EOP TERM NOTICE RG	AFDC Transitional End-of-Period Notice Register
DHREJ ALEX V FLAHERTY REPORT CD	Alexander V Flaherty Report Card
DHREJ APP PROCESSED SUMMARY REP	Applications Processed Summary Report
DHREJ APPLICATIONS REOPENED RPT	Applications Reopened Report
DHREJ BENEFIT DIVERSION CASES	Benefit Diversion Cases
DHREJ BREAST/CERV CERT ENDING	Breast/Cerv Cert Ending
DHREJ CAR ACC ENROLL RPT NCHC	Carolina Access Enrollment Report NCHC
DHREJ CAR ACC ENROLLMENT REPORT	Carolina Access Enrollment Report

REISSUED 10/01/09 – CHANGE NO. 01-10

IX. (CONT’D)

XPTR Access Code	English Report Name
DHREJ CAROLINA ACC PVDR AVAILBTY	Carolina Access Provider Availability
DHREJ CA PVDR DIR - LAST CHANGES	Carolina Access Provider Directory Sorted by Last Change Date
DHREJ CAROLINA ACC PVDR DIRECTRY	Carolina Access Provider Directory
DHREJ CAROLINA ACCESS CNTY MED	CCNC/CA Medicaid Enrollment Report
DHREJ CAROLINA ACCESS CNTY NCHC	CCNC/CA NCHC Enrollment Report
DHREJ CAROLINA ACCESS CNTY SUM	CCNC/CA Medicaid & NCHC Enrollment Report
DHREJ CASE MANAGEMENT REPORT	Case Management Report
DHREJ CASEWKR SUPERVSR SUMM REPT	Caseworker/Supervisor Summary Report
DHREJ CASEWORKER IVD WORK LIST	EIS Caseworker IVD Worklist
DHREJ CASEWORKER SUPERVISOR REPT	Caseworker/Supervisor Report
DHREJ DDS REPORT CARD	DDS Report Card
DHREJ DEDUCTIBLE CASES UPDATED	Deductible Cases Updated
DHREJ DMA IVD WORK LIST	EIS Caseworker IV-D Work List
DHREJ E & A RPT	Error and Attention Report
DHREJ EIS ACTIVE CASES BY DIST	EIS Active Cases by District
DHREJ ELIGIBLES BY AGE,RACE,SEX	Open Eligibles By Age Groupings,Race and Sex
DHREJ EXEMPT PVDR CODE REPORT	Exempt Provider Codes
DHREJ F&C/NCHC ADMIN COST BASIS	Family and Children’s/NC Health Choice Administrative Cost Basis
DHREJ FACILITY TABLE	DMA/DSS Cross Reference Facility Table
DHREJ FACILITY TABLE – ADMIN	DMA/DSS Cross Reference Facility-Table
DHREJ FORMS PROCESSED RPT	Report of Forms Processed
DHREJ HLTH CHOICE ELIG TOTALS	Health Choice Indiv Eligibility Totals

REVISED 10/01/09 – CHANGE NO. 01-10

IX. (CONT’D)

XPTR Access Code	English Report Name
DHREJ HMO IND ON CASE&INV PRVD#	HMO Indicators Updated on Case Root and Invalid Provider Number Report
DHREJ IND NOT REINSTATED	Individuals Not Reinstated
DHREJ INVALID CA EXEMPTIONS	Medicaid Recipients With Invalid Carolina Access Exemptions
DHREJ LTC CASES SSI INDICATOR = Y	Long Term Care Cases with an SSI Indicator of “Y”
DHREJ MED EARNINGS DISREGARD	Medicaid Earnings Disregard Cases
DHREJ MEDICARE DRUG LTRS	Medicare Discount Drug Card Outreach Letters To MQB-B/E Recipients
DHREJ MED REG RUN (Obsolete September 1, 2009)	Medicaid Regular Run Register (All Non-SSI and SSI recipients in MPW, MIC, MRF, HSF, IAS, MQB, and MSB)
DHREJ MED STRAGGLER RUN (Obsolete September 1, 2009)	Medicaid Straggler Run Register
DHREJ MIC RE-ENROLLMENT	DHREJ MIC RE-ENROLLMENT
DHREJ MN ABD REV INC PROD PRPTY	MN ABD Review Income Producing Property
DHREJ MONTHLY ACT APPS EXCLUDED	Monthly Apps Excluded Report Card
DHREJ MONTHLY ACT APPS INCLUDED	Monthly Actual Apps Included Report
DHREJ MONTHLY ACT DDS REP CARD	Monthly Actual DDS Report Card
DHREJ MONTHLY ACT DDS REP SUM	Monthly Actual DDS Report Card Summary
DHREJ MONTHLY ACT REP CARD SUM	Monthly Actual Time Report Card Summary
DHREJ MONTHLY ACTUAL REP CARD	Monthly Actual Time Report Card
DHREJ MONTHLY ADJ APP REP CARD	Monthly Adjusted Apps Report Card
DHREJ MONTHLY ADJ APP REP SUM	Monthly Adjusted Apps Report Card Summary
DHREJ MONTHLY ADJ APPS INCLUDED	Monthly Adjusted Apps Included Report
DHREJ MONTHLY ADJ DDS REP CARD	Monthly Adjusted DDS Report Card
DHREJ MONTHLY ADJ DDS REP SUM	Monthly Adjusted DDS Report Card Summary
DHREJ MONTHLY NCHC ACT APPS EXC	Monthly NCHC Report Card Apps Excluded

REISSUED 10/01/09 – CHANGE NO. 01-10

IX. (CONT’D)

XPTR Access Code	English Report Name
DHREJ MONTHLY NCHC ACT APPS INC	Monthly NCHC Report Card Actual Apps Included
DHREJ MONTHLY NCHC ACT REP CARD	Monthly NCHC Choice Actual Time Report Card
DHREJ MONTHLY NCHC ADJ APPS INC	Monthly NCHC Report Card Adjusted Apps Included
DHREJ MONTHLY NCHC ADJ REP CARD	Monthly NCHC Adjusted Time Report Card
DHREJ MONTHLY NCHC ADJ REP SUM	Monthly NCHC Adjusted Apps Report Card Summary
DHREJ MQB(QI) RE-ENROLLMENT	MQB(QI) Re-Enrollment Due
DHREJ NCHC ACT RPT CRD APP EXC	NC Health Choice Actual Applications Excluded
DHREJ NCHC ACT RPT CRD APPS INC	NC Health Choice Actual Applications Included
DHREJ NCHC ACT TIME REPORT CARD	NC Health Choice Actual Time Report Card
DHREJ NCHC ADJ REPORT CARD SUM	NC Health Choice Adjusted Report Card Summary
DHREJ NCHC ADJ RPT CRD APP INC	NC Health Choice Adjusted Applications Included
DHREJ NCHC ADJUSTED REPORT CARD	NC Health Choice Adjusted Report Card
DHREJ NCHC APPS DENIED/WITHDRAWN	NC Health Choice Applications Denied or Withdrawn
DHREJ NCHC CWKR/SUPERVISOR RPT	NC Health Choice Caseworker/Supervisor Summary Report
DHREJ NCHC CWKR/SUPERVSR SUMM RP	Health Choice Casewkr Supervisor Summary Rpt
DHREJ NCHC ENROLLMENT FEES	NC Health Choice Enrollment Fees
DHREJ NCHC LIMITED FUNDING	NC Health Choice Limited Funding
DHREJ NCHC REPORT CARD	NC Health Choice Report Card
DHREJ NCHC RPT CRD APP EXCL	NC Health Choice Report Card Applications Excluded
DHREJ NCHC RPT CRD APP INCL	NC Health Choice Report Card Applications Included
DHREJ NCHC/MED APPR APPS BY SOUR	NCHC and Family and Children’s Medicaid Approved Application By Source
DHREJ NCHC/MED APPS APPR 10/1/98	NC Health Choice Applications Taken/Approved since October 1, 1998

REVISED 10/01/09 – CHANGE NO. 01-10

IX. (CONT’D)

XPTR Access Code	English Report Name
DHREJ NCHC/MIC RE-ENROLLMENT	NCHC/MIC Re-Enrollment Due
DHREJ NO UPDATE CP < 123100/UNBAL	Cases Not Updated - Cases with CP “TO DATE” Less than or Equal to 12/31/00 or Budget Out of Balance
DHREJ NONCOMPLIANCE REM FINE REG	Non-Compliance Remedial Fine Register
DHREJ NON-COOP WITHOUT IVD SANC	Non-Cooperation Individuals Without A IVD Sanction
DHREJ NOTICE REGISTER	Notice Register Report
DHREJ NUMBER NON REINST ACTIVES	Number of Individuals that are Active but were not Reinstated
DHREJ NUMBER OF IND REINSTATED	Number of Individuals that were Reinstated
DHREJ PASSALONG POT ELIGS-D&W	Passalong Potential Eligibles – Disabled and Widows
DHREJ PERCENT OF NONSSI CASES OV	Percent of Non-SSI Cases Overdue
DHREJ PERCENT OF SSI CASES OVERD	Percent of SSI Cases Overdue
DHREJ POT ELIG FOR PROG TRAN/TRM	Potential New Deductible Cases, Cases Eligible for Program Transfer, or Termination
DHREJ PRG/CAT RACE/SEX REPT	Open Eligibles By Eligibility Program/Category, Race and Sex
DHREJ PULL-LIST FOR COUNTIES (Obsolete September 1, 2009)	Pull Check/ID Card Listing
DHREJ PULL-LIST VERSION 1 (Obsolete September 1, 2009)	Pull Check/ID Card Listing
DHREJ PULL-LIST VERSION 2 (Obsolete September 1, 2009)	Pull Check/ID Card Listing Match Check/ID Card Pulls
DHREJ QI1 CERT PERIOD EXTENDED	MQB-E Certification Extension
DHREJ QUAL INDIV ELIG TOTALS	MQB-QI1 Indv Eligibility Totals
DHREJ QUAL INDIV TERMINATED	Qualifying Individuals Terminated
DHREJ RE-ENROLL MIC RPT SUM - 1	MIC Re-enrollment Report Summary
DHREJ RE-ENROLL MIC RPT SUM – 2	MIC Re-enrollment Summary
DHREJ RE-ENROLL NCHC RPT SUM –1	NC Health Choice Re-enrollment Report Summary
DHREJ RE-ENROLL NCHC RPT SUM –2	NC Health Choice Re-enrollment Report Summary

REVISED 10/01/09 – CHANGE NO. 01-10

IX. (CONT’D)

XPTR Access Code	English Report Name
DHREJ RE-ENROLL RPT SUMMARY – 1	NC Health Choice Re-enrollment Report Summary
DHREJ RE-ENROLL RPT SUMMARY – 2	NC Health Choice Re-enrollment Report Summary
DHREJ RECIPIENTS WITHOUT CA PVDR	Medicaid Recipients Not Linked With a Carolina Access Provider
DHREJ REIND INDS ONGOING	Reinstated Individuals with Ongoing Eligibility
DHREJ REPORT CARD APPS EXCLUDED	Alexander V Flaherty Report Card Applications Excluded
DHREJ REPORT CARD APPS INCLUDED	Alexander V Flaherty Report Card Applications Included
DHREJ SSA MASS RVISON AUDIT RPT	SSA Mass Revision Audit Report
DHREJ SSI AMT > ZERO NDICATOR = N	Cases with an SSI Amount Greater than Zero with SSI Indicator of “N”
DHREJ SSI APP MED DENIED TRP REF	SSI Approval-Medicaid Denied=TRP Refusal
DHREJ SSI EXEMPT MEDICARE REPORT	SSI Exempt Medicare Report
DHREJ SSI IND IN EIS PENDING APP	SSI Individual in EIS Pending Application
DHREJ SSI MED CREATED/MODIFIED	SDX Updates-SSI Cases Modified or Created in EIS
DHREJ SSI MED STRAGGLER RUN (Obsolete September 1, 2009)	SSI Medicaid Straggler Run Register
DHREJ SSI TERM INDIV PREV AFDC	SSI Terminated-Individual Previously in AFDC
DHREJ SSI TERMINATION ALERT RPT	SSI Termination Alert Report
DHREJ SSI TERMINATION RPT	SSI Termination Report
DHREJ SSI/SDX EXCEPTIONS	SSI/SDX Exceptions Error Report
DHREJ TBR 4/7/10^TH MTH NOTICE RG	TBR 4/7/10^th Month Notice Register
DHREJ TERMINATED REINSTATEMENT	Individuals Reinstated and now Terminated
DHREJ TERMS INDS NCHC WAIT LIST	Reinstated Individuals Terminated and now on NCHC Waiting List
DHREJ TRANS CASES DUE REVIEW	Transitional Cases Due Review
DHREJ TRANSITIONAL NOTICE REG	Transitional Notice Register

REISSUED 10/01/09 – CHANGE NO. 01-10

IX. (CONT’D)

XPTR Access Code	English Report Name
DHREJ UNITED CONV CASES UPDATED	United Conversion – Cases Updated
DHREJ UNITED CONV INDS UPDATED	United Conversion – Individuals Updated
DHREJ UNITED CONV MGD CARE UPDT	United Conversion – Managed Care Updated
DHREJ WAIVED NONCOMP REM FINE RG	Non-Compliance Remedial Fines Paid Register
DHREJ WEEKLY ACT APPS EXCLUDED	Weekly Apps Excluded Report Card
DHREJ WEEKLY ACT APPS INCLUDED	Weekly Actual Apps Included Report
DHREJ WEEKLY ACT DDS REP CARD	Weekly Actual DDS Report Card
DHREJ WEEKLY ACT REP CARD SUM	Weekly Actual Time Report Card Summary
DHREJ WEEKLY ACTUAL REP CARD	Weekly Actual Time Report Card
DHREJ WEEKLY ADJ APP REP CARD	Weekly Adjusted Apps Report Card
DHREJ WEEKLY ADJ APP REP SUM	Weekly Adjusted Apps Report Card Summary
DHREJ WEEKLY ADJ APPS INCLUDED	Weekly Adjusted Apps Included Report
DHREJ WEEKLY ADJ DDS REP CARD	Weekly Adjusted DDS Report Card
DHREJ WEEKLY ADJ DDS REP SUM	Weekly Adjusted DDS Report Card Summary
DHREJ WEEKLY NCHC ACT APPS EXC	Weekly NCHC Report Card Apps Excluded
DHREJ WEEKLY NCHC ACT APPS INC	Weekly NCHC Report Card Actual Apps Included
DHREJ WEEKLY NCHC ACT REP CARD	Weekly NCHC Choice Actual Time Report Card
DHREJ WEEKLY NCHC ADJ APPS INC	Weekly NCHC Report Card Adjusted Apps Included
DHREJ WEEKLY NCHC ADJ REP CARD	Weekly NCHC Adjusted Time Report Card
DHREJ WEEKLY NCHC ADJ REP SUM	Weekly NCHC Adjusted Apps Report Card Summary
DHREJ WF QTRLY REPORTING REG	Work First Quarterly Reporting Register
DHREJ WF TERM RESEARCH ADD SUMM	Work First Terminations Research Address Summary
DHREJ WF TERMS COUNTY REOPENED	Work First Terminations County Reopened

REVISED 05/01/11 – CHANGE NO. 04-11

IX. (CONT’D)

XPTR Access Code	English Report Name
DHREJ WF TERMS CTY REOPEN SUMM	Work First Terminations County Reopened Summary
DHREJ WF TERMS REOPENED SUMMARY	Work First Terminations Reopened Summary
DHREJ WF TERMS RESEARCH ADDRESS	Work First Terminations Research Address
DHREJ WORK FIRST TERMS REOPENED	Work First Terminations Reopened
DHREJA 8128 ASSETS TRANS DISCREP	8128 Assets Transfer Discrepancy
DHREJA ADULT MAILIN APPS DENIED	Adult Mail-In Applications Denied
DHREJA ADULT MAILIN APPS TRACKED	Adult Mail-In Applications Tracking Report
DHREJA AUTH REP FOR SSI MED IND	AUTHORIZED REPRESENTATIVE FOR SSI MEDICAID INDIVIDUAL
DHREJA AUTH REP VERIFICATION	AUTHORIZED REPRESENTATIVE VERIFICATION
DHREJA CAR ALT SEGS CLOSED 63099	Carolina Alternatives Segments Closed 6/30/99
DHREJA CASE/IND IVD INDICATOR CH	Case/Individual IVD Indicator Change
DHREJA CASEWORKER IDV WORK LIST	Caseworker Individual Worklist
DHREJA COLA 503 LEADS	503 Leads
DHREJA COLA AUDIT RPT	SSA Mass Revision Audit Report
DHREJA COLA CP<1231XX OR UNBAL	Cases Not Updated or Equal To 12/31/02 or Budget Out of Balance
DHREJA COLA DED CASES UPDATED	Deductible Cases Updated
DHREJA COLA LTC & SSI=Y	Long Term Care Cases With An SSI Indicator of “Y”
DHREJA COLA NOTICE REGISTER RPT	Cola Notice Register Report
DHREJA COLA POT PROG TRAN/TERM	Potential New Deductible Cases, Cases Eligible For Program Transfer, Or Terminations
DHREJA COLA SSI>ZERO & SSI=N	Cases With An SSI Amount Greater Than Zero With SSI Indicator of “N”
DHREJA COLA VA REPORT	Cola VA Report
DHREJA COUNTY DISTRICT CHANGES	County District Changes
DHREJA ERRORS & UPDATES FM 8128	Errors And Updates From 8128 Update
DHREJA HIPAA PRIVACY NOTICE	HIPAA Privacy Notice

REVISED 05/01/11 – CHANGE NO. 04-11

IX. (CONT’D)

XPTR Access Code	English Report Name
DHREJA HOLIDAY TABLE DISPLAY RPT	Holiday Table Entries
DHREJA MONEY FOLLOWS PERSON RPT	Money Follows the Person Report
DHREJA NC RECIPIENT REGISTER	North Carolina Recipient Register
DHREJA PACE PML REGISTER	5016 Forms Printed
DHREJA PASSALONG POT ELIGS-D&W	Individuals Potentially Eligible For Passalong
DHREJA PASSALONG 503 LEADS 97-02	MQB and Terminated Individuals Potentially Eligible for Passalong-
DHREJA PENDING CNTY REASSIGNMENT	Pending County Reassignment
DHREJA PML REGISTER	5016 Forms Printed
DHREJA POT MED CLASS CHANGE REPORT	Medicaid Class Change Q/B Report
DHREJA POV POT ELIG FOR PRG REV	Poverty Potential Eligibles for Program Review
DHREJA PREG MED HOME PROV DIR	Pregnancy Medical Home Provider Directory
DHREJA PROV ENROLL SUMMARY REPORT	Carolina Access Provider Enrollment Summary Report
DHREJA PROVIDER CODE ERROR REP	Provider Code Error Report
DHREJA PROVIDER ENROLL REPORT	Carolina Access Provider Enrollment Report
DHREJA PROVIDER UPDATE REPORT	Provider Update Report
DHREJA PULL LIST RR1 BLUE CARD (Obsolete September 1, 2009)	Pull Listing For Regular Run 1 & 2
DHREJA PULL LIST RR1 HSF (Obsolete September 1, 2009)	Pull Listing For HSF
DHREJA PULL LISTRR1 MPW (Obsolete September 1, 2009)	Pull Listing For MPW
DHREJA PULL LIST RR1 MQB (Obsolete September 1, 2009)	Pull Listing For MQB
DHREJA PULL LIST RR3 CARD ONLY (Obsolete September 1, 2009)	Pull Listing For Regular Run 3 (Card Only)
DHREJA PULL LIST RR3 CHECK/CARD (Obsolete September 1, 2009)	Pull Listing For Regular Run 3
DHREJA PULL LIST RR4 CARD ONLY (Obsolete September 1, 2009)	Pull Listing For Regular Run 4 (ID Card Only)
DHREJA PULL LIST RR4 CHECK ONLY (Obsolete September 1, 2009)	Pull Listing For Regular Run 4 (Matched Check/Card)
DHREJA PULL LIST RR4 CHECK/CARD (Obsolete September 1, 2009)	Pull Listing For Regular Run 4 (Matched Check/Card)

REVISED 05/01/11 – CHANGE NO. 04-11

IX. (CONT’D)


XPTR Access Code	English Report Name
DHREJA PULL LIST SUMMARY REPORT(Obsolete September 1, 2009)	Pull Listing For The Month Of “Month CCYY”
DHREJA SECURITY-HSMA/HSMD MED EL	Limited Medicaid Eligibility Report of Governmental Medicaid Providers
DHREJA SECURITY REPORT	EIS RACF Security Report
DHREJA T OF ASSETS INDICATOR=N	Transfer of Assets Indicator = N
DHREJA TRANS ASSET EVAL NEEDED	Transfer of Assets Evaluation Needed
DHREJA TRANS ASSET EVAL SUMM	Transfer of Assets Evaluation Summary
DHREJA TRANS ASSET SANCTIONS	Transfer of Assets –Individuals With Sanction
DHREJA TWO IND ID’VE MANAG CARE	Two Individual IDs Have Managed Care
DHREJA WD3593-BD MONTH BOARD LIST	Monthly Board List
DHREJA XREF ACTIVE INDIVIDUALS	Cross Referenced IDs By County Active Individuals
DHREJA XREF ALL INDIVIDUALS	Cross Referenced IDs By County All Individuals
DHREJA XREF TERMINATED INDS	Cross Referenced IDs By County Terminated Individuals
DHRHWA SSN VALIDATION	List of SSNs that did not validate and no action has been taken
DHRHWA SSN VALIDATION ERRORS	List of SSNs that did not validate with the SSA
DHRHWA ZERO SSN SUGGESTION	SSN Provided by SSA for Individuals in EIS with an Invalid SSN
DHRMCI MC610 INTERSTATE MATCH	Quarterly Interstate Match Report
DHRMCI POTENTIAL MATCH REPORT	Master Client Index Match Report
DHRMCI VA MATCH BY CNTY	Quarterly VA Match by County
DHRMCI VA MATCH MSTR RPT	Quarterly VA Match Master Report
DHRRLA FAMPLAN PER ANNUAL REPORT	Family Plan Program Expenditure Report
DHRRLA FAMPLAN PER MONTH TO DATE	Family Plan Program Expenditure Report
DHRRLA FAMPLAN PER YEAR TO DATE	Family Plan Program Expenditure Report
DHRRLA KATRINA PER ANNUAL REPORT	Katrina Program Expenditure Report
DHRRLA KATRINA PER MONTH TO DATE	Katrina Program Expenditure Report

REISSUED 05/01/11 – CHANGE NO. 04-11

IX. (CONT’D)


XPTR Access Code	English Report Name
DHRRLA KATRINA PER YEAR TO DATE	Katrina Program Expenditure Report
DHRRLA MEDICAID ACH PROVIDERS	Medicaid Adult Care Home Provider Listing
DHRRLA PER ANNUAL	NC MMIS Program Annual Expenditure Report
DHRRLA PER MONTHLY MONTH-TO-DATE	NC MMIS Program Month-To-Date Expenditure Report
DHRRLA PER MONTHLY YEAR-TO-DATE	NC MMIS Program Year-To-Date Expenditure Report
DHRRLA PROVIDER EARNINGS CY	Provider Earnings
DHRRLA PROVIDER EARNINGS RPT SFY	Provider Earnings
DHRVES EIS SSN/ESC & UIB MATCH	Quarterly ESC Report
DHRVSD SDX CHANGED BY TPQY	2 versions: SDX Claim ID or Medicare Code Changed SDX Changed to Remove Medicare
DHRVSD SSI KIDS 18 & UNDER	SSI Kids 18 & Under
DHRVSD SSI KIDS NATIONAL ACTIVE	SSI Kids National Active
DHRVSD SSI KIDS NATIONAL INACTIVE	SSI Kids National Inactive
DHRVSD SSI KIDS NOT ON EIS	SSI Kids Not On EIS
DHRVSD SSI KIDS ON EIS	SSI Kids On EIS
DHRVSD SSI KIDS OVER 18	SSI Kids Over 18
DHRVSD SSI KIDS STATE ACTIVE	SSI Kids State Active
DHRVSD SSI KIDS STATE INACTIVE	SSI Kids State Inactive
DHRVSQ OLV SOLQ ANOMALY REPORT	OLV Anomaly Report
DHRVSQ OLV SOLQ USAGE BY COUNTY	OLV SOLQ Usage By County
DHRWDA 1275 DENIAL FOR INPATIENT	1275 Denial for Inpatient Adult/Home Care “T” Claims Report
DHRWDB 0-5 CHILDREN NCHC TO MED	0-5 Children NCHC to Medicaid
DHRWDB AGE 65 NOTICE REGISTER	Age 65 Notice Register
DHRWDB BCBS INDS NOT IN EIS FILE	BCBS Individuals Not In EIS File

REISSUED 08/01/11 – CHANGE NO. 01-12

IX. (CONT’D)

XPTR Access Code	English Report Name
DHRWDB BUY-IN DEATH DTE EXCEPTION	Code 29 Death Date Exception Report
DHRWDB BUY-IN PART A ACTIONS	List of Buy-In Part A Actions Sent to Baltimore
DHRWDB BUY-IN PART B ACTIONS	List of Buy-In Part B Actions Sent to Baltimore
DHRWDB CASES EXTENDED HOKE FIRE	Medicaid/NCHC Cases With Certification Periods Automatically Extended Due To Hoke County Fire
DHRWDB CHILDRN ENROL NCHC VS MED	Children Enrolled In NCHC Vs Medicaid
DHRWDB CITIZENSHIP APP RESPONSE	Citizenship App Responses
DHRWDB EIS INDS NOT IN BCBS FILE	DHRWDB EIS INDS NOT IN BCBS FILE
DHRWDB ERRORS FROM BUY-IN B TAPE	Report of Errors from Buy-In B Tape
DHRWDB FAM PLAN APPS REACTIVATED	Family Planning Waiver Applications Reactivated
DHRWDB FAM PLAN CAP ENROL DENIAL	Family Planning Waiver Capped Enrollment Denials
DHRWDB FAM PLAN ENROLL MGMT RPT	Family Planning Enrollment Management Report
DHRWDB FAM PLAN OUTCOME REACT	Family Planning Outcome of Reactivation
DHRWDB HCWD DETAIL ENROLLMENT FEE RECON	HCWD Detail Enrollment Fee Reconciliation Report
DHRWDB HCWD ENROLLMENT FEE RECON	HCWD Enrollment Fee Reconciliation Report
DHRWDB MAF-D APPS DENIED/WITHDRN	MAF-D Applications Denied/Withdrawn Totals
DHRWDB MED CARD ANNUAL	Report of cards issued at 2009 mass implementation and at annual reissue
DHRWDB MED CARD DAILY	Report of cards issued at application approval, name change and replacement cards
DHRWDB MED CARD MONTHLY	Report of cards issued monthly for PCP changes
DHRWDB MED HANDBOOKS MAILED	Medicaid Handbooks Mailed
DHRWDB MEDICAID ELIGIBILITY REPT	Medicaid Eligibility Report
DWRWDB MEDICARE FOR X-REF IDS	Medicare Changes for X-Ref IDs
DHRWDB MIC QUARTERLY DISP REP	MIC Quarterly Disposition Report
DHRWDB MMA PRO NO/Z IM SEGMENT	MMA Pro IM Segment is Blank or Z

REVISED 08/01/11 – CHANGE NO. 01-12

IX. (CONT’D)

XPTR Access Code	English Report Name
DHRWDB MPW QUARTERLY DISP REP	MPW Quarterly Disposition Report
DHRWDB MPW QUARTERLY PROV REP	MPW Quarterly Provider Report
DHRWDB MPW RECIPIENT PMH LETTER	MPW Recipient Pregnancy Medical Home Letter
DHRWDB MQB BUDGET CHG	MQB Cases Budgeted With Family Size Budgeting (Number in the Needs Unit)
DHRWDB MQB BUDGET CHG DENIALS	Denied Applications to Review For MQB Budget Change
DHRWDB MQB BUDGET CHG DENY TOTAL	Totals for Denied Applications to Review For MQB Budget Change
DHRWDB MQB BUDGET CHG TERMS	Terminated Cases to Review For MQB Budget Change
DHRWDB MQB BUDGET CHG TERMTOTALS	Totals For Terminated Cases to Review For MQB Budget Change
DHRWDB NCHC ACTIVE RECIPIENTS	NC Health Choice Active Recipients
DHRWDB NCHC APPLICATIONS REACTIV	NC Health Choice Applications Reactivated
DHRWDB NCHC BY FAM AGE SEX RACE	NC Health Choice By Family Age Sex Race
DHRWDB NCHC BY FAM AGE SMART STR	NC Health Choice By Family Age Smart Start
DHRWDB NCHC DETAIL PREMIUM RECON	NC Health Choice Detail Premium Reconciliation
DHRWDB NCHC EXTENDED COVERAGE	NC Health Choice Extended Coverage
DHRWDB NCHC INDIV WITH MEDICARE	NC Health Choice Individual With Medicare
DHRWDB NCHC INTERFACE	BCBS/NCHC Interface Breakdown Report
DHRWDB NCHC OUTCOME OF REACTIVAT	NC Health Choice Outcome Of Reactivation
DHRWDB NCHC PREMIUM RECON	NC Health Choice Premium Reconciliation
DHRWDB NCHC PULL ERRORS	Listing of Fixed CNC Records with Error Code 19
DHRWDB NCHC RECON CERT NONMATCH	NC Health Choice Reconciliation Certification Nonmatch
DHRWDB NCHC RECON DEMOGRAPH DATA	NC Health Choice Reconciliation Demographic Data
DHRWDB NCHC RECON GRP/INC NONMAT	NC Health Choice Reconciliation Group/Income Nonmatch

REVISED 02/01/11 – CHANGE NO. 03-11

IX. (CONT’D)

XPTR Access Code	English Report Name
DHRWDB OVER 65 WITH NO RSDI#	Over 65 Individuals With No RSDI#
DHRWDB PACE CNTY XFER NOTICE	PACE County Transfers
DHRWDB PACE ENROLLED RECIPIENTS	Recipients Enrolled in PACE
DHRWDB PIEDMONT CNTY XFER NOTICE	Piedmont Health Plan County Transfer Notice Register
DHRWDB PIEDMONT HLTH PLAN NOTICE	Piedmont Health Plan Notice Register
DHRWDB PRISONER INITIAL MATCH	Individuals active in EIS whose Medicaid is not suspended due to incarceration that match individuals in the custody of the North Carolina Division of Prisons
DHRWDB PRISONER DAILY MATCH	Individuals active in EIS who are in the custody of the North Carolina Division of Prisons who were released, newly confined, or who have had changes in their status
DHRWDB RECIP IN NON-MED INSTIT	Recipients In Non-Medical Institutions
DHRWDB SENIOR CARE MATCH	Statistics for Senior Care Monthly Match
DHRWDB SSI MED REG RUN (Obsolete September 1, 2009)	SSI Medicaid Regular Run (SSI Recipients in MAA, MAD, and MAB)
DHRWDB SUMMARY NCHC VS MEDICAID	Summary NC Health Choice Vs Medicaid
DHRWDB TPR DATA REPORT	Third Party Recovery Data Report
DHRWDB UNDUPLICATED MEDICAID ELIG	Unduplicated Medicaid Eligibility
DHRWDB 5 YEAR BAN LIFTED	Pregnant women and children under age 19 who the 5 year ban for Medicaid eligibility is lifted

XPTR Access Code	English Report Name
DHREHC CAR ACC ENROLL RPT NCHC	CAROLINA ACCESS ENROLLMENT REPORT NCHC
DHREHC CAROLINA ACCESS CNTY NCHC	CAROLINA ACCESS COUNTY NCHC
DHREHC HLTH CHOICE ELIG TOTALS	HEALTH CHOICE ELIGIBILITY TOTALS
DHREHC MONTHLY NCHC ACT APPS EXC	MONTHLY NCHC ACTUAL APPLICATIONS EXCLUDED
DHREHC MONTHLY NCHC ACT APPS INC	MONTHLY NCHC ACTUAL APPLICATIONS INCLUDED
DHREHC MONTHLY NCHC ACT REP CARD	MONTHLY NCHC ACTUAL REPORT CARD
DHREHC MONTHLY NCHC ADJ APPS INC	MONTHLY NCHC ADJUSTED APPLICATIONS INCLUDED
DHREHC MONTHLY NCHC ADJ REP CARD	MONTHLY NCHC ADJUSTED REPORT CARD
DHREHC MONTHLY NCHC ADJ REP SUM	MONTHLY NCHC ADJUSTED REPORT SUMMARY
DHREHC NCHC ACTIVE RECIPIENTS	NCHC ACTIVE RECIPIENTS
DHREHC NCHC APPLICATIONS REACTIV	NCHC APPLICATIONS REACTIVATED
DHREHC NCHC APPS DENIED/WITHDRAWN	NCHC APPLICATIONS DENIED/WITHDRAWN
DHREHC NCHC/BCCM TPR COUNTY REP	NCHC/BCCM TPR COUNTY REPORT
DHREHC NCHC/BCCM TPR STATE REP	NCHC/BCCM TPR STATE REPORT
DHREHC NCHC BY FAM AGE SEX RACE	NCHC BY FAMILY AGE SEX AND RACE
DHREHC NCHC CWKR/SUPERVISOR RPT	NCHC CASEWORKER/SUPERVISOR REPORT
DHREHC NCHC CWKR/SUPERVISOR SUMM	NCHC CASEWORKER/SUPERVISOR SUMMARY RPT
DHREHC NCHC DETAIL PREMIUM RECON	NCHC DETAIL PREMIUN RECON
DHREHC NCHC EXTENDED COVERAGE	NCHC EXTENDED COVERAGE
DHREHC NCHC INDIV WITH MEDICARE	NCHC INDIVIDUAL WITH MEDICARE
DHREHC NCHC-INSURANCE DROPPED	NCHC-INSURANCE DROPPED
DHREHC NCHC INTERFACE	NCHC INTERFACE
DHREHC NCHC LIMITED FUNDING	NCHC LIMITED FUNDING