# FPLS Minor Release 05-02 Questions & Answers from Manifest and Specification Conference Calls

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# FCR 

**Question 1:** What are the dates of the proposed FCR changes?

**Answer 1:** The first DMDC match will be run no earlier than November
2005, NSA is scheduled for 2006, and the other FCR changes in Release
05-02 are scheduled for September 23, 2005.

**Question 2:** Will the child-matching process on the SVES Title II
file be proactive?

**Answer 2:** No. Like all external locates, SVES data is only sent upon
a state's request.

**Question 3**: Are there any record layout changes for the SVES child
data that is being provided? 

**Answer 3**: No. States will receive SVES Title II child data in the
same format as adult participants.

**Question 4:** If a state is requesting SVES data for a child and
indicates 'ALL' for the locate search, what information will the state
receive?

**Answer 4:** The only locate data that can be returned on a child is
SVES Title II Locate Response or SVES Not Found Response.

### DMDC match

**Question 1:** How often will states receive matches from the Defense
Enrollment Eligibility Reporting System (DEERS) through the Defense
Manpower Data Center (DMDC)?

**Answer 1:** States will receive proactive DMDC matches on a quarterly
basis.

**Question 2:** Will the DMDC match record be a new record type or will
it be in a separate transaction?

**Answer 2:** DMDC matches will be returned in separate records within
the FCR Locate Response Batch with a new Record Identifier of 'FW'.

**Question 3:** Is an action required from states when the DMDC match
records are returned?

**Answer 3:** Yes. States must be prepared to accept this new record
type. If a state has not programmed for the DMDC response record, a
state may request the DMDC print program. The print program, developed
by OCSE, will print the DMDC records to a report and create a new file
without the DMDC records that can be processed through a state\'s
routine processes.

**Question 4:** Will states get a count of the DMDC match records in the
response file? 

**Answer 4**: Yes. As described in FPLS EFlash #05-06 of 8/9/05, there
will be a count of the number of DMDC records sent in the FCR Response
Trailer Record, which will follow any DMDC records sent. A new field is
being added to the FCR Response Trailer Record (in positions 214-221) to
show the FCR DMDC/Proactive Match Response Record Count. This field will
contain the total number of 'FW' records that are present in the Locate
Response file. This counter will be similar to the other response record
counters that are provided in the FCR Response Trailer Record.

**Question 5:** What language will the DMDC print program be written in?

**Answer 5:** The print program will be written in COBOL.

**Question 6**: If a participant continues to be enrolled on DMDC from
quarter to quarter, will states receive the same participant information
each quarter?

**Answer 6:** Yes. Participants who continue to be enrolled on DMDC will
receive matches every quarter. States should consider editing duplicate
matches that are received.

**Question 7**: How does TRICARE work?

**Answer 7:** The military health care program is called TRICARE/CHAMPUS
(Civilian Health and Medical Program of the Uniformed Services). A
system called DEERS (Defense Enrollment Eligibility Reporting System)
maintains the information on the military service person (known as the
sponsor) and dependents enrolled in this program. Once enrolled in
DEERS, the child is eligible to receive medical care in two ways. The
child may be able to obtain medical care and medications from military
hospitals and clinics. The child can also use the cost share medical
coverage, TRICARE, with civilian health care providers. Getting health
care from a uniformed service hospital or clinic, when available, saves
money and paperwork. Military bases have Health Benefits Advisors to
assist custodial parents with medical options and choices.

**Question 8:** Will the DMDC match provide a policy number?

**Answer 8:** No. The match will not provide a policy number. However
the military member's SSN can be used as a point of reference**.**
Medical coverage for military personnel and their dependents is
considered a benefit and not actually a medical insurance policy in the
usual sense. There is no policy number to be reported.

**Question 9:** How many HMO options are available to an NCP?

**Answer 9:** The only option for medical coverage for any military
personnel is through TRICARE/CHAMPUS.

**Question 10:** Does TRICARE have dental and vision provisions?

**Answer 10**: Yes. TRICARE provides dental and vision coverage**.**

**Question 11:** How can caseworkers find out more about TRICARE
coverage?

**Answer 11**: Refer to the following web site:
[www.tricare.osd.mil](http://www.tricare.osd.mil/).

*Working with the Military as an Employer: A Quick Guide*, located on
the OCSE website, also contains helpful information. It can be found at:
<http://www.acf.hhs.gov/programs/cse/newhire/employer/publication/military_quick_guide.htm>

**Question 12:** Where can a CP go to enroll a child for medical
coverage if the match finds that the child may be eligible? 

**Answer 12:** The TRICARE web site provides the location of the RAPIDS
(Real-time Automated Personnel Identification System) centers where
enrollment can be accomplished.

**Question 13:** How can a caseworker find a list of the RAPIDS centers
where a CP can go to enroll a child?

**Answer 13:** The TRICARE web site provides a list of the RAPIDS
centers: <http://www.tricare.osd.mil/>.

**Question 14:** What is the web site for the RAPIDS center?

**Answer 14:** The web site for the RAPIDS center is:
<http://www.dmdc.osd.mil/rsl/>. 

**Question 15:** Will the DMDC match indicate who the child's sponsor is
for medical coverage?

**Answer 15:** The DMDC match information will indicate if the CP or NCP
is sponsoring the coverage. There will also be an indicator if someone
other than the parent is sponsoring the coverage.

**Question 16:** If the sponsor is someone other than the CP or NCP, can
a state get an SSN or name for the sponsor so that the state can
complete required information about the coverage?

**Answer 16**: No. Identifying information will not be provided about a
sponsor if the sponsor is not the CP or NCP**.** DOD is bound by
confidentiality rules and cannot release the name of the sponsor if that
person is not a part of the case referred for the match.

**Question 17:** Children will be reported on the match when the DMDC
record indicates that medical coverage is not currently present, but
that the child was previously enrolled. How long will prior enrollment
be reported on the match?

**Answer 17:** States will continue to receive matches since DMDC does
not remove children from DEERS for whom TRICARE enrollment has ended.
Children whose medical coverage has ended will be reported on the DMDC
match each time the child is sent from the FCR for the match. A medical
coverage end date will be reported for children whose coverage is ended.
Children will not be sent for the DMDC match after they reach the age of
23.

**Question 18:** How can DMDC medical recipients get reimbursement for
unpaid medical bills?

**Answer 18:** Please refer to the TRICARE web site at
<http://www.tricare.osd.mil/> to find out how to get reimbursed for
unpaid medical bills.

**Question 19:** Can a state collect on past due medical bills if a
child was previously on Medicaid?

**Answer 19:** Yes. States should send medical bills directly to DEERS
for reimbursement.

**Question 20:** Is TRICARE coverage identical for all members?

**Answer 20:** Yes. Medical coverage through TRICARE is the same for all
participants.

**Question 21:** What is the end date for medical coverage on children?

**Answer 21:** A child is eligible for medical coverage until age 18
unless the child is in school (high school, college, etc.); whereupon,
it is age 23.

**Question 22:** Are there confidentiality issues with states informing
a CP where the NCP is employed?

**Answer 22:** States should refer to their state policy and procedures
or legal counsel for issues regarding the disclosure of employment
information.

**Question 23:** If the CP contacts the RAPIDS center and does not have
the NCP's SSN, can the child be enrolled in TRICARE?

**Answer 23:** No, in order for the child to be enrolled the CP must
provide the military member's SSN.

**Question 24:** Can a child be enrolled in TRICARE based on an
administrative order for medical support?

**Answer 24:** No. At this time the Department of Defense (DOD) does not
recognize an administrative order as a court order.

**Question 25:** Are claims made to TRICARE based on regions within the
United States?

**Answer 25:** Yes. Claims are made on a regional basis, and the address
for each region can be obtained on the TRICARE web site.

**Question 26**: Will the DMDC match include matches for civilians?

**Answer 26:** The match will only include civilians who are currently
overseas. However, DOD has modified their civilian W4 reporting to the
National Directory of New Hires (NDNH) to include the 77 different Human
Resource (HR) addresses.

# Federal Tax Offset

**Question 1:**  Instead of submitting an \'R\' transaction or using an
\'A\' transaction to change an MSFIDM-only case to standard or vice
versa in a single cycle, can a state submit a \'D\' transaction followed
by an \'A\' transaction and accomplish the same result?

>  

**Answer 1:**  No. The state can only use the \'R\' transaction or the
\'A\' transaction in the same update cycle to change an MSFIDM-Only case
or vice versa.  However, if a state is unable to program for submitting
the one-step change, they can still use the existing two-step process as
described in Part 2.1.4.3.11, \"Change MSFIDM-Only Case\" in Version 7.0
of the Offset User Guide.

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# CSENet

**Question 1:** For CSENet \# 226- Validate New-Case-ID Field Format and
Require the New-Case-ID Field for the Managing State Cases -
Provision/Response, Change Local Case ID Transaction, what impact does
this change have on the use of the MSC P REJCT transaction?

**Answer 1:** The MSC P REJCT transaction will be used when the case
cannot be found with the case ID provided and the state has no process
in place for locating the case with the other data provided in the
transaction. States agreed that it would be preferable to use the MSC P
GSCAS transaction to provide the correct case ID, if known, rather than
immediately rejecting the transaction.