Validation Warning for Medicaid California Eligibility Setup

What’s New

• A validation warning is displayed when required eligibility fields are missing for Medicaid California plans
• Applies specifically to plans with RT Payer ID: 100065 (Medicaid California)
• Warns users when Plan PIN or IRAI qualifier is not provided
• The warning is non-blocking, allowing users to proceed after acknowledgment
• Improves visibility into required eligibility configuration fields

How It Works 

1. Navigate to Settings > Billing Plan.
2. Select and edit a billing plan with RT Payer ID: 100065 (Medicaid California).
3. Configure eligibility settings.
4. If the user attempts to save without entering a Plan PIN or selecting the IRAI qualifier:
   • The system displays the warning: “Plan PIN is required for Medicaid California eligibility transactions. Please enter a valid Plan PIN to avoid eligibility failures.”
5. The user can:
   • Enter the required details and proceed, or
   • Acknowledge the warning and continue saving without blocking

Benefits

• Reduces eligibility transaction failures due to missing required fields
• Provides proactive guidance during billing plan setup
• Maintains workflow flexibility with non-blocking validation
• Improves configuration accuracy for Medicaid California plans
• Enhances overall reliability of eligibility transactions