57. Medi-Cal Eligibility Bureau VMC (Valley Medical Center

Common-Place Handbook
page 57-1
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
57. Medi-Cal Eligibility Bureau VMC (Valley
Medical Center) Procedures
The VMC Medi-Cal Eligibility Bureau is located on the Valley Medical Center (VMC)
campus and at Valley Health Center (VHC) and community clinics in order to
maximize Medi-Cal reimbursement.
The VMC Medi-Cal Eligibility Bureau processes applications for VMC inpatients
and patients seen in the outpatient clinics as well as other specialized applications
for Medi-Cal (i.e., Long-Term Care, Mental Health Minor Consents, JPDs, Special
Treatment Programs, TB, SSI Denials, Craig v. Bonta, LIS, BCCTP, etc.).
57.1 Applications Processed in the VMC Bureau
57.1.1
Walk-Ins
The following process applies to Walk-In applications taken at 650 South Bascom,
Comprecare Health Center, East Valley Health Center, Gardner Health Center, and
Tully Valley Health Center.
Step
Who
Action
1.
Applicant
Walks into lobby and expresses her/his desire to apply for benefits.
2.
Application
Support/at
Reception
Performs preliminary file clearance procedures to ensure the application is
valid.
3.
Applicant
If it is...
Then...
A valid
application,
• Gives the applicant a SAWS 1, SCD 41, and
SCD 1264.
• Asks applicant to complete these forms and return
them to the Receptionist.
NOT a valid
application,
• Gives the client the appropriate referral.
Returns the completed SAWS 1, SCD 41, and SCD 1264 to the
Receptionist.
Update # 14-21
Revised: 09/22/14
page 57-2
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
4.
Application
Support/at
Reception
• Reviews SAWS1, SCD 41, and SCD 1264 for completeness and
signatures.
• Confirms with the applicant which program(s) s/he is applying for.
Note: If the applicant wishes to apply for CalWORKs, the Receptionist will
take a “Courtesy” intra-office application (SAWS 1, SCD 41, and
SCD 1264) and forward to AAC for processing.
• Gives the applicant the pertinent “Informational Packet” according to the
program(s) for which s/he is applying.
• Asks the applicant if s/he is able to wait to be seen now.
If the
applicant...
Then...
Is unable to
wait, and the
application is
for CalFresh
or CalFresh
AND
Medi-Cal,
• Gives the applicant the SAWS series.
• Completes a "mini" app/reg" of the application.
• Schedules a telephone interview to occur within the
next three business days unless the applicant
specifically requests a face-to-face interview.
Note: If the applicant requests a face-to-face interview,
asks her/him to complete the application packet prior to
the interview.
• Assigns the telephone or face-to-face interview to
the next available Walk-In worker in CalWIN
Appointment Scheduling and on the Walk-In Log.
• Kofaxes and then gives the applicant the
CalWIN-generated appointment letter specifying the
date and time of the telephone or face-to-face
interview.
• Advises the applicant that the telephone or
face-to-face interview will take one-to-two hours to
complete and gives the applicant an SCD 2300,
which notes which documents will be needed for the
interview.
• Photocopies and then Kofaxes the applicant’s ID and
any other available verifications.
• If the applicant does not have a valid EBT card, and
is scheduled for a telephone interview, advises the
applicant that s/he may pick up the card within 3
days if eligible for immediate issuance.
• Creates a TMT ticket in the
INTAKE>CF>PhoneInterview (or Walk-In) Request
Category, assigns to the identified worker, and notes
the following in the Notes section of the ticket:
• Telephone (or Walk-In) interview scheduled for
(time) on (date).
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-3
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
4.
Application
Support/at
Reception
Continued...
Action
If the
applicant....
Is unable to
wait, and the
application is
for CalFresh
or CalFresh
AND
Medi-Cal,
Then....
• DOA: (the date of application).
• (Language, if other than English, Spanish, or
Vietnamese.)
• (The documents that are) in Kofax.
• Forwards screen shot of the assigned ticket to TMT
Assignment Clerk for notation of assignment on TMT
Request form.
Continued...
Is unable to
wait and the
application is
for Medi-Cal
only,
• Completes a "mini app/reg" of the application.
• Gives the applicant the MC 210 application packet
with an SCD 1121 noting the 10-day due date.
• Instructs the applicant to mail back or drop off the
completed Medi-Cal application within 10 days or the
application will be denied.
Note: If verifications include DRA documents, complete
DHCS 0005.
• Kofaxes any documents and verifications available.
• Creates a TMT ticket in Pending status in the
INTAKE>MC>AppProcessing>(language) Request
Category, places in the Unassigned VMC group, and
notes the following in the Notes section of the ticket:
• MC-only app;
• DOA (the date of application).
• (Language, if other than English, Spanish, or
Vietnamese.)
• (The documents that are) in Kofax.
Is able to
wait,
• Gives the applicant a lobby ticket number with a copy
of the SAWS 1 and an Informational Packet”.
• Asks the applicant to wait for her/his number to be
called.
• Enters applicant information on the Walk-In Log.
• At 650 South Bascom, places the SAWS 1, SCD 41,
and SCD 1264 in the Walk-In App Reg basket for the
Walk-In Application/Registration Support Staff. At all
other sites, proceeds to the next step.
Update # 14-21
Revised: 09/22/14
page 57-4
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
5.
Application
Registration/
Application
Support
• Completes full file clearance and application registration.
• Registers ES “program” in CalWIN if ES was requested by the
applicant.
• Creates a TMT Walk-In ticket and assigns it to the next available,
language-appropriate Walk-In EW.
• Calls the assigned Walk-In EW to inform her/him that they have a
Walk-In assignment. If unable to speak directly to the assigned Walk-In
EW by phone, emails the EW and her/his supervisor to inform them that
the EW has a Walk-In applicant waiting.
6.
Walk-In EW
• Receives TMT Request assignment.
• Obtains the SAWS 1, SCD 41, and SCD 1264 from Application Support.
• Reviews available case information, such as the Maintain Case
Comments window in CalWIN, IDM, MEDS, IEVS, etc.
• Initiates queue in CalWIN and conducts interactive interview.
• Assists applicant in completing supplemental forms.
• Reviews the verifications the client has provided.
• Screens for ES.
If ES...
Then...
Eligible,
• Adds ES in CalWIN if not already pending.
• Approves and authorizes benefits.
• Issues EBT card.
Ineligible,
• Denies ES in CalWIN only if the applicant requested
ES.
• Documents ES denial in Maintain Case Comments
window in CalWIN and in County Use Section of
SAWS 1.
• Processes regular CalFresh application.
Note: There is no requirement to issue an ES denial
NOA.
• Prints the Statement of Facts (SOF) from CalWIN and has the applicant
sign it.
• Requests IEVS.
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-5
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
6.
Walk-In EW
Continued...
Action
If the
application
is...
Then...
Complete,
• Runs EDBC, reviews Wrap-Up and authorizes the
case in CalWIN.
• Documents in the Maintain Case Comments
window.
• Changes TMT Request status to Authorization
Pending.
• Waits for current IEVS and MEDS turnaround and
prints applicable MEDS screens (i.e., INQM, INQ1,
INQE, etc.)
• Submits all application documents and MEDS
screens with batch header sheets to be scanned into
IDM.
• Clears IEVS.
• Updates TMT Request status to Task Clearance
Finalized.
Incomplete,
• Explains to the applicant which verifications are
missing
• Gives the applicant an SCD 1121 noting which
verifications and supplemental forms must be
submitted within 10 days.
• Prints the Statement of Facts (SOF) from CalWIN
and has the applicant sign it.
• Changes TMT status to Intake Collection Initiated
and edits the Notes section of the ticket with the due
date.
Note: If the applicant submits the missing
forms/verifications at a later date, processes the
application and approves benefits.
OR
• For CalFresh, if by the 10-day due date, the
applicant has still not submitted the missing
verifications or application, sends the appropriate
denial NOA(s).
• For Medi-Cal, if by the 10-day due date, the applicant
has still not submitted the missing verifications,
sends the “Final” SCD 1121 with another 10-day due
date.
Note: Hospital applications still require three (3) notices
and a referral to Outreach, if necessary.
• Denies the Medi-Cal application if the applicant does
not submit all required documents by final due date.
Update # 14-21
Revised: 09/22/14
page 57-6
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
7.
EWS
• Receives the TMT Request assignment under “My Request.”
• Clicks on appropriate sub folder under “My Request.”
• Selects and reviews applications for accuracy and completeness as per
policy.
Note: Updates the TMT Request Status to Transfer Pending for all
non-reviewed cases.
57.1.2
Telephone Interviews
The following are procedures for telephone interviews. There are two types of
telephone interviews; those scheduled by Application Support staff and those
scheduled by the Eligibility Workers.
Scheduled by Application Support.
Step
Who
Action
1.
Application
Support
• Schedules a phone interview while client is present. [See Walk-Ins Section
Eligibility
Worker
• Receives TMT Request for a CalFresh application.
2.
57.1.1]
• Screens for ES.
• Reviews the application and other available case information such as case
comments, IDM, MEDS, IEVS, etc.
• Calls the client for the scheduled phone interview. At least two attempts
must be made, one at the scheduled time and another fifteen minutes later.
(Chart page 1 of 4)
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-7
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
2.
Eligibility
Worker
Continued
Action
If the
client is...
Then...
Not
contacted,
• CalWIN will send the “Notice of Missed Interview” (DFA
386).
Note: This will not occur if the queue is initiated.
• Records ES Denial in CalWIN if applicant requested it on
the SAWS 1.
• Documents SAWS 1 on the County Use Section, “Unable
to contact client; unable to screen for ES,” if client did not
request ES. (ES questions not answered.)
• Documents in Maintain Case Comments window in
CalWIN.
• Updates the TMT Request Status to Intake Collection
Initiated with due date 30 days from date of application.
• Denies CalFresh if the applicant does not contact the
worker after the 30th day of application.
(Chart page 2 of 4)
Update # 14-21
Revised: 09/22/14
page 57-8
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
2.
Eligibility
Worker
Cont...
Action
Contacted,
• Reviews the application and other available case
information such as case comments, IDM, MEDS, IEVS,
etc.
•
• Conducts interactive interview in CalWIN by initiating the
queue and screens for ES
• If ES approved, [Refer to “Walk-Ins,” page 57-1] (Step 6
the ES If...Then...chart.)
• Asks the applicant if he/she has an EBT card and checks
EBT status to ensure the applicant has a valid card.
• If the applicant has a valid EBT card, then no action is
required.
• Reviews if any additional forms/verifications are needed.
• Mails CalWIN Statement of Facts, SCD 1121 with a 10-day
due date, and additional forms, (i.e., signature and
informational packets) unless signature is present or it is a
BCW application and no changes are recorded.
• Updates the TMT Request Status to Intake Collection
Initiated with due date.
• Documents in Maintain Case Comment window.
• Denies application after the 30th day of application if
verifications/forms are not returned by due date.
[Refer to “The family of three applies for CalWORKs and
CalFresh on July 25. Mom has just been laid off an received
her last paycheck on July 20. Her total earnings for July are
$2,000. Each child also receives $200 from absent Dad’s
disability. The current income puts the family over the
applicant income test for CalWORKs and CalFresh, but it
appears they would be eligible beginning in August. The
AU/household is denied benefits for the month of July and is
approved for the second month forward using the same
application for benefits.,” page 3-31]
• Mails appropriate NOAs.
• Enters all available information into CalWIN.
•
(Chart page 3 of 4)
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-9
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
3.
EWS
• Receives the TMT Request assignment under “My Request.”
• Clicks on appropriate sub folder under “My Request.”
• Selects and reviews applications fro accuracy and completeness as per
policy.
Note: Updates the TMT Request Status to Transfer Pending for all
non-reviewed cases.
(Chart page 4 of 4)
Update # 14-21
Revised: 09/22/14
page 57-10
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Scheduled by Eligibility Worker
Step
Who
1.
Eligibility
Worker
Action
• Receives TMT Request for a non-ES CalFresh application such as
BCW CalFresh applications.
• Reviews the application and other available case information such as
case comments, IDM, MEDS, IEVS, etc.
• Schedules the appointment no later than 15 days from the date of
application. This may be done via mailed appointment letter or a
phone call.
•
If client...
Then...
Not
contacted,
• Enters the appointment in CalWIN Appointment
Scheduling.
• Sends the CalWIN generated appointment notice.
Contacted
• Initiates interview if client is available as specified in
[Refer to “Telephone Interviews,” page 57-6] Step 2
(p.7)
• Sends appointment letter if client is not available.
• Calls the client for the scheduled phone interview. At least two
attempts must be made.
If client is...
Then...
Not
contacted,
• CalWIN will automatically send “Notice of Missed
Interview” (DFA 386).
Note: This will not occur if the queue is initiated.
• Documents in Maintain Case Comments window in
CalWIN.
• Updates the TMT Request Status to Intake Collection
Initiated with due date 30 days from date of
application.
• Denies CalFresh if the applicant does not contact the
worker after the 30th day of application.
(Chart page 1 of 2)
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-11
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
2.
Eligibility
Worker
Action
Contacted,
• Reviews the application and other available case
information such as case comments, IDM, MEDS,
IEVS, etc.
• Conducts interactive interview in CalWIN by initiating
the queue.
• Asks the applicant if he/she has an EBT card and
checks EBT status to ensure the applicant has a valid
card.
• If the applicant has a valid EBT card, then no action is
required.
• Reviews if any additional forms/verifications are
needed.
• Mails CalWIN Statement of Facts, SCD 1121 with a
10-day due date, and additional forms, (i.e., signature
and informational packets) unless signature is
present or it is a BCW application and no changes are
recorded.
• Updates the TMT Request Status to Intake Collection
Initiated with due date.
• Documents in Maintain Case Comment window.
• Denies application after the 30th day of application if
verifications/forms are not returned by due date.
[Refer to “The family of three applies for CalWORKs and
CalFresh on July 25. Mom has just been laid off an
received her last paycheck on July 20. Her total
earnings for July are $2,000. Each child also receives
$200 from absent Dad’s disability. The current income
puts the family over the applicant income test for
CalWORKs and CalFresh, but it appears they would be
eligible beginning in August. The AU/household is
denied benefits for the month of July and is approved for
the second month forward using the same application
for benefits.,” page 3-31]
• Mails appropriate NOAs.
(Chart page 2 of 2)
Update # 14-21
Revised: 09/22/14
page 57-12
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
57.1.3
BCW CalFresh Applications
The following process must be adhered to when processing CalFresh applications
received through other sources.
Step
Who
Action
1.
Applicant
Completes the BCW application for CalFresh.
2.
AAC
Application
Support
• Checks CalWIN Interface Activity subsystem.
• Opens and reviews the Search for External Referral Data window in
CalWIN.
• Completes preliminary file clearance to determine if the individual is
known to CalWIN.
• Determines validity of the application.
Note: If not valid for intake:
• Scans documents into IDM.
•Documents the filing of documents into IDM in Maintain Case
Comments.
•Selects the appropriate value in the Status field of the External
Referral window.
• Completes application/registration in CalWIN and MEDS.
• Assigns to the appropriate CCS caseload number.
• Scans into KOFAX using application number or case number. [[Refer
to “Benefits CalWIN CalFresh,” page 60-1] Step 2]
• Saves the application and attachments.
• Forwards applications to the screener at AAC.
• Receives CalFresh applications from screener.
• Creates phone interview TMT Requests for CalFresh applications for
VMC.
3.
Revised: 09/22/14
VMC
Application
Support
Assigns appropriate number of TMT Tickets per EWS request.
Update # 14-21
Common-Place Handbook
page 57-13
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
4.
VMC Intake
EW
Action
• Receives TMT assignment.
• Reviews available case information such as the Maintain Case
Comments window, IDM, MEDS, IEVS, etc.
• Checks the verifications the client has submitted.
• Schedules phone interview in CalWIN and sends an appointment
letter.
If client is...
Then...
Not Contacted,
• Sends “Notice of Missed Interview” (DFA 386).
(No show for
phone interview)
• Updates the TMT Request Status to Intake
Collection Initiated with due date
• Checks that CalWIN denied CalFresh after the
30th day from date of application
• Transfers all documents from KOFAX to IDM
• Updates TMT Request Status to Task
Clearance Finalized.
Update # 14-21
Revised: 09/22/14
page 57-14
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
4.
VMC Intake
EW Cont...
Action
Contacted
• Conducts interactive interview in CalWIN on
the scheduled date/time.
• Reviews if any additional forms/verifications
are needed.
• Mails CalWIN Statement of Facts, SCD 1121
with a 10-day due date, and additional forms,
(i.e., signature and informational packets).
• Updates the TMT Request Status to Intake
Collection Initiated with due date 30 days from
the date of application, unless exceptions
apply.
• Approves CalFresh when all signed forms and
verifications are received.
• Checks the Maintain Card Request window in
CalWIN to verify if client has a valid EBT card.
• If the applicant has a valid EBT card, then no
action is required.
• Issues EBT card if approved and needed.
• Documents in Maintain Case Comment
window. OR
• Denies application after the 30th day if
verifications/forms are not returned by due
date.[Refer to “The family of three applies for
CalWORKs and CalFresh on July 25. Mom has
just been laid off an received her last paycheck
on July 20. Her total earnings for July are
$2,000. Each child also receives $200 from
absent Dad’s disability. The current income
puts the family over the applicant income test
for CalWORKs and CalFresh, but it appears
they would be eligible beginning in August. The
AU/household is denied benefits for the month
of July and is approved for the second month
forward using the same application for
benefits.,” page 3-31]
• Mails appropriate NOAs.
• Checks MEDS and prepares case for transfer.
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-15
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
5.
EWS
• Receives the TMT Request assignment under “My Request.”
• Clicks on appropriate sub folder under “My Request.”
• Selects and reviews applications fro accuracy and completeness as
per policy.
Note: Updates the TMT Request Status to Transfer Pending for all
non-reviewed cases.
57.1.4
BCW Medi-Cal with CalFresh
Applicants have the option to submit Medi-Cal and CalFresh applications via
on-line. Below are the procedures when an individual submits a Medi-Cal with
CalFresh application online using BCW:
Step
Who
Action
1.
Client
Submits a BCW Medi-Cal and CalFresh applications.
Update # 14-21
Revised: 09/22/14
page 57-16
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
2..
AAC
Application
Support
Action
• Checks CalWIN Interface Activity subsystem.
• Opens and reviews the Search for External Referral Data
window in CalWIN.
• Completes mini-id to determine if the individual is known to
CalWIN.
• Determines validity of the application.
Note: If not valid for intake,
• Scans documents into IDM.
•Documents the filing of documents into IDM in Maintain Case
Comments.
•Selects the appropriate value in the Status field of the External
Referral window.
• Completes application/registration in CalWIN and MEDS.
• Assigns to the appropriate CCS caseload number.
• Scans into KOFAX using application number or case number.
• Saves the application and attachments
• Forwards applications to the screener at AAC.
• Receives non-ES CalFresh applications from screener.
• Creates phone interview TMT Requests for a determined number
of screened, non-ES CalFresh applications for VMC.
3.
Revised: 09/22/14
VMC
Application
Support
Assigns appropriate number of TMT Tickets per EWS request.
Update # 14-21
Common-Place Handbook
page 57-17
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
4.
VMC Intake
EW
Action
• Receives TMT assignment.
• Reviews available case information such as the Maintain Case
Comments window, IDM, MEDS, IEVS, etc.
• Checks the verifications the client has submitted.
• Schedules phone interview in CalWIN and sends an appointment
letter for CF.
If the Client
is...
Then...
Not
contacted,
• Sends “Notice of Missed Interview” (DFA 386).
• Updates the TMT Request Status to Intake
Collection Initiated with due date.
• Checks that CalWIN denied CalFresh after the
30th day from date of application.
• Transfers all documents from KOFAX to IDM.
• Updates TMT Request Status to Task Clearance
Finalized.
• Processes Medi-Cal application per[Refer to
“Benefits CalWIN (BCW) Medi-Cal,” page 60-6]
Update # 14-21
Revised: 09/22/14
page 57-18
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Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
5.
Intake EW
Continued.
Action
Contacted,
• Conducts interactive interview in CalWIN on the
scheduled date/time.
• Reviews if any additional forms/verifications are
needed.
• Mails CalWIN Statement of Facts, SCD 1121 with
a 10-day due date, and additional forms, (i.e.,
signature and informational packets). For
CalFresh, if changes are made on the SOF, mails
the SOF to the client for signature.
• Updates the TMT Request Status to Intake
Collection Initiated with due date 30 days from the
date of application, unless exceptions apply.
• Approves CalFresh/Medi-Cal when all signed
forms and verifications are received.
• If Medi-Cal is approved:
• Updates TMT Status to Authorization
Completed.
• Transfers documents from KOFAX into IDM.
• Checks the Maintain Card Request window in
CalWIN to verify if client has a valid EBT card.
• If the applicant has a valid EBT card, then no
action is required.
• Issues EBT card if approved and needed.
• Documents in Maintain Case Comment window.
• Denies CalFresh application on the 30th day if
verifications/forms are not returned by due date.
• Denies MC after the 2nd notice due date.
• Mails appropriate NOAs.
• Checks MEDS and prepares case for transfer.
• Updates TMT Request Status to Task Clearance
Finalized.
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-19
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
6.
Eligibility
Work
Supervisor
• Receives TMT Request assignment under “My Request.”
• Clicks on appropriate subfolder for accuracy and completeness as
per policy.
• Updates TMT Request Status to Transfer Pending for all
non-reviewed cases.
7.
Application
Support
If
Application
Processing
is...
Then...
Accurate and
complete,
Updates TMT Request Status to Transfer Pending.
Not accurate
or complete,
Updates TMT Request Status to Returned.
• Receives the TMT Request assignment under “My Request.”
• Updates TMT Request Status to Transfer to Continuing.
• Transfers case to appropriate CCS office in CalWIN.
57.1.5
VMC Face-to-Face In-Patient, PACE, Renal/ EW
Screener Process
The following process applies to In-Patient Applications:
Step
Who
Action
1.
Financial
Counselor
• Makes a financial determination that a patient needs Medi-Cal.
• If applicable, calls the CCS 800 number to determine if application is
valid or invalid.
• If application is valid, completes SAWS 1, SCD 41, and Admitting Face
Sheet.
• Places sticker on SAWS 1 to indicate it is an In-Patient Hospital
application.
• Forwards forms to designated Application Support staff at 650 Bascom.
• Forwards copies to EW Screeners.
Update # 14-21
Revised: 09/22/14
page 57-20
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
2.
Application
Support/
Application
Registration
• Retrieves forms from designated basket.
• Completes Full Scope ID and Application Registration. [Refer to
“Identification Process: Index Clearance,” page 8-2].
• Scans SAWS1 and SCD 41 using the Case Number into Kofax.
• Creates and Assigns TMT Request
•
•
•
•
•
•
•
•
•
•
Clicks File on Menu bar.
Selects New Request.
Clicks on the link Requester.
Clicks on [Create New] button.
Enters last name, first name, case number, and primary language.
Clicks [Save] button.
Clicks the Request Category link.
Selects MC. InpatientHospital.Screener.
Verifies status is Pending.
Enters application type (Inpatient, PACE, Renal, etc) in the Notes
field.
• Deletes Application Support name from Assigned To field.
• Clicks on Received Date link.
• Clicks [Save] button.
NOTE: TMT Request will remain in Pending Status.
3.
Eligibility
Support/
Intake EW
Screener
• Receives copies of SAWS 1, SCD 41, and Admitting Face Sheet.
• Attempts to make contact with client in the hospital.
If...
Then...
Contact is not
successful,
• Forwards to next shift EW Screener.
• Notifies EWS.
Note: TMT Request remains unassigned and
pending until EW Screener confirms the client contact
is successful.
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-21
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
Contact is
successful,
4.
EWS
• Reviews and assists client in completing Medi-Cal
application and supplemental forms.
• Collects any verifications.
• Completes an SCD 1121 for any missing
verifications.
• Completes Outreach and pends the Case AU for
10 days.
• Documents in the Maintain Case Comments
window.
• Updates TMT to enter their name in the Assigned
To field.
• Updates TMT Request Status to Transaction
Completed.
• Forwards completed EW screener packet to EWS
for review.
• Reviews EW Screener packet for accuracy and completeness.
• Places in designated basket for IDM scan.
5.
Application
Support
• Receives EW Screener packet from designated basket.
• Scans any verifications using the Case Number into the Temporary
Folder.
• Creates TMT Request as hospital cocreator to a VMC EW.
•
•
•
•
•
•
•
•
•
•
Clicks File on Menu bar.
Selects “New Request”.
Clicks on the link Requester.
Clicks on [Create New] button.
Enters Last Name, First Name, Case Number and Primary Language.
Clicks [Save] button.
Clicks the Request Category link.
Selects MC. Inpatient Hospital.language.
Updates status to Assigned.
Enters application type (Inpatient, PACE, Renal, etc) in the Notes
field.
• Deletes Application Support name from Assigned To field.
• Clicks on Received Date link.
• Clicks [Save] button.
6.
VMC Intake
EW
• Receives TMT request for MC Inpatient Hospital Application.
• Reviews CalWIN Data Collection, Case Comments, IDM, Temporary
Folder, MEDS, IEVS, etc.
• If necessary, reviews and assists client in completing additional
Application/Supplemental forms.
• Enters information into CalWIN from verifications/forms provided.
Update # 14-21
Revised: 09/22/14
page 57-22
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
If...
Then...
Verifications/
forms are
complete,
• Runs EDBC and authorizes the case.
• Reviews client correspondence and processes as
appropriate.
• Reviews and resolves CalWIN and MEDS alerts.
• Documents in the Maintain Case Comments
window.
• Goes to Step 7.
Verifications/
forms are not
received or not
complete,
• Completes the SCD 1121 and mails to the client
with due date.
• Sends referral to Outreach.
• Documents in the Maintain Case Comments
window.
Reminder: 3 notices are required prior to denial.
7.
VMC Intake
EW
• If Medi-Cal is approved:
•
•
•
•
•
Consults with EWS if unable to run EDBC due to batch issues.
Updates TMT Status to Authorization Completed.
Validates Kofax and commits into IDM.
Documents in the Maintain Case Comments window.
Reviews MEDS to verify eligibility and submits MEDS screens to be
scanned into IDM.
• Updates TMT Request Status to Task Clearance Finalized.
• TMT Request automatically transferred to EWS Scoreboard for review.
8.
EWS
• Receives the TMT Request assignment under “My Request.”
• Clicks on appropriate subfolder under “My Request.”
• Selects and reviews applications for accuracy and completeness as per
policy.
Note: Updates TMT Request Status to Transfer Pending for all
non-reviewed cases.
Revised: 09/22/14
If Application
Processing is...
Then...
Complete,
Updates TMT Request Status to Transfer Pending.
Not accurate or
complete,
• Returns case to EW for corrections.
• Updates TMT Request Status to Returned.
Update # 14-21
Common-Place Handbook
page 57-23
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
9.
Application
Support/
Control
Clerk
• Receives the TMT Request in “My Transfers.”
57.1.6
• Updates TMT Request Status to Transferred to Continuing.
• Transfers case to appropriate CCS office in CalWIN.
Long Term Care Process
The following workflow applies when processing Long Term Care Medi-Cal
applications:
Step
Who
Action
1.
Application
Support/
Application
Registration
• Receives Long Term Care (LTC) application.
• Performs full file clearance and Application Registration (Refer to
Clerical handbook, section 8.2)
• Selects LTC from the Type field’s drop down list on the Collect
Applicant Information window in CalWIN.
• Assigns case to the LTC case load CVLT in CalWIN.
• Creates TMT Request
•
•
•
•
•
Clicks the Request Category link
Selects Intake.MC.LTC.language
Updates status to Pending
Changes Priority from Standard to Urgent
Enters in the Notes field:
•Application Type (LTC)
•Application Date
•Language (if other than English, Spanish or Vietnamese)
•Comment “LTC packet enroute” along with date sent and initials of
sending AS.
•Clicks the Group link
• Selects Unassigned.VMC
• Forwards hard copy application to VMC Medi-Cal Eligibility Bureau
(VMC), attention to the VMC Office Management Coordinator (OMC).
2.
3.
OMC at
VMC
• Receives hard copy LTC application.
AS/
Application
Registration
at VMC
• Sorts all pending TMT requests by request category.
• Forwards application to Application Support for daily assignment.
• Assigns all TMT request under the LTC category for which the packet is
received.
Update # 14-21
Revised: 09/22/14
page 57-24
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
4.
VMC Intake
EW
• Receives TMT request assignment under “My Request.”
Note: LTC TMT requests are assigned as Urgent requests and must be
processed as such.
• Reviews hard copy Application packet, CalWIN Data Collection, case
comments, IDM, MEDS, IEVS, etc.
• Enters information into CalWIN from verifications/forms provided.
4.
Cont’d
VMC Intake
EW
(Cont’d)
If...
Then...
Verification
forms are
complete,
• Runs EDBC and authorizes the case.
• Reviews client correspondence and processes as
appropriate.
• Reviews and resolves CalWIN and MEDS alerts.
• Documents in the Maintain Case Comments
window.
• Goes to Stage 4.
Verifications are
not received or
not complete,
• Completes SCD 1121 and mails to the client and
Authorized Representative (AR), if applicable, with
a ten day due date.
• Includes a prepaid return envelope self-addressed
to VMC Medi-Cal Eligibility Bureau, 650 S. Bascom
Ave, with EW’s # written on the envelope.
• Documents in the Maintain Case Comments
window.
• Submits all application documents and MEDS
screens with Fasteners to be scanned into IDM.
• If the client submits the missing verifications and
complete application, processes the MC
application and approves benefits.
OR
• Follows up on the due date the verifications are
due, if the client does not submit the missing
verifications or application by the due date, and
sends the “Final” SCD 1121 with another 10-day
due date (and sends a copy to the AR, if
applicable).
• If by the 10-day due date the client has still not
submitted the missing verifications or
application, sends the appropriate denial
NOA(s).
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-25
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
5.
Eligibility
Support/
VMC Intake
EW
• If Medi-Cal is approved:
• Updates TMT Status to Authorization Completed.
• Reviews MEDS after two business days to verify eligibility.
• Submits all Application documents and MEDS screens to be scanned
into IDM.
• Updates TMT Request Status to Task Clearance Finalized.
• TMT Request automatically transfers to EWS Scoreboard for review.
6.
EWS
• Receives the TMT Request assignment under “My Request.”
• Selects and reviews applications for accuracy and completeness as per
policy.
6.
Cont’d
7.
57.1.7
EWS
(Cont’d)
VMC
Application
Support/
Control
Clerk
If Application
Processing is...
Then...
Accurate and
complete
Updates TMT Request Status to Transfer Pending.
Not accurate or
complete
• Returns case to EW for corrections.
• Updates TMT Request Status to Returned.
• Receives the TMT Request in “My Transfers.”
• Updates TMT Request Status to Transferred to Continuing.
• Transfers case to appropriate case load in CalWIN.
Craig v. Bonta Process
The following workflow applies when processing Craig v. Bonta Medi-Cal
applications
Step
Who
Action
1.
Information
Systems
Generates the MEDS 331 Craig v. Bonta report on the 28th of each
month.
2.
Management
Analyst
E-mails the report in Excel spreadsheet to VMC Craig unit EWS and to
designated Application Support.
3.
Application
Support/
Application
Registration
• Receives Craig v. Bonta Excel spreadsheet.
• Performs full file clearance and Application Registration. (refer to
Clerical handbook, section 8.2).
• Places application in designated basket for scanning and TMT Request
creation.
Update # 14-21
Revised: 09/22/14
page 57-26
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
4.
Application
Support/
Application
Registration
• Retrieves application from designated basket.
• Creates Temporary Folder using Case Number.
• Scans application to Temporary Folder.
• Creates TMT Request.
•
•
•
•
•
•
•
•
•
•
•
•
•
Clicks File on Menu bar.
Selects New Request.
Clicks on the link Requester.
Clicks on [Create New] button
Enters last, first, case number, and primary language.
Clicks [Save] button.
Clicks the Request Category link.
Selects MC.CraigVsBonta. language.
Updates status to Assigned.
Enters application type 9Craig v. Bonta) in the Notes field.
Deletes Application Support name from Assigned To Field.
Clicks on Received Date link.
Clicks [Save] button.
Note: TMT Request will be auto assigned.
5.
Eligibility
Support/
VMC Intake
EW
• Receives TMT request assignment under My Request.
• Reviews CalWIN Data Collection, case comments, IDM, Kofax, MEDS,
IEVS, etc
• Performs SB 87 process and sends the MC 355 as necessary.
• Ex-Parte Review without client contact: Reviews IEVS/MEDS/SAVE
information and other active/closed cases, etc.
• Ex-Parte Review with phone contact: Obtains necessary information.
• MC 355 process
Note: SB 87 not necessary on cases if the client is deceased, lost
California residency, or is incarcerated.
• Enters information into CalWIN from verifications/forms provided.
Revised: 09/22/14
If...
Then...
Ex-parte
process is
complete and no
further
verifications
needed,
• Runs EDBC and authorizes the case.
• Reviews client correspondence and processes as
appropriate.
• Reviews and resolves CalWIN alerts.
• Documents in the Maintain Case Comments
window.
• Goes to Step 5.
Update # 14-21
Common-Place Handbook
page 57-27
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
4.
Eligibility
Support/
VMC Intake
EW
(Cont’d)
Cont’d
Action
Ex-Parte
process is NOT
complete OR
verifications are
needed:
• Sends the Information Packet (Cover letter
MC 007, MC 219,
SCD 391, DHCS 7077,
DHCS 7077A) and MC 355 allowing 20 days for
its return.
• Documents in the Maintain Case Comments
window.
• Updates TMT Request Status to Intake Collection
Completed.
Note: for subsequent verifications, TMT Request
Status must be Transaction Completed, unless all
verifications are provided.
• Refers to Case alert process to create alert for
follow up on the due date the verifications are due.
Note: If due date falls after 10-day NOA cutoff,
then Case alert due date must be the first of the
following month.
6.
Eligibility
Support/
VMC Intake
EW
• If Medi-Cal is approved:
• Consults with the supervisor if unable to run EDBC due to batch
issues.
• Updates TMT Status to Authorization completed.
• Validates Kofax and commits to IDM.
• Documents in Maintain Case Comments window.
• Reviews MEDS to verify eligibility and submits MEDS screens to be
scanned into IDM.
• Updates TMT Request Status to Task Clearance Finalized.
• TMT Request is automatically transferred to EWS Scoreboard for
review.
7.
EWS
• Receives the TMT Request assignment under “My Request.”
• Clicks on appropriate subfolder under “My Request.”
• Selects and reviews application for accuracy and completeness as per
policy.
Note: Updates TMT Request Status to Transfer Pending for all
non-reviewed cases.
If Application
Processing is...
Then...
Accurate and
complete,
Updates TMT Request Status to Transfer Pending.
Update # 14-21
Revised: 09/22/14
page 57-28
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
Not accurate or
complete,
8.
Application
Support/
Control Clerk
• Returns case to EW for corrections.
• Updates TMT Request Status to Returned.
• Receives the TMT Request in “My Transfers.”
• Updates TMT Request Status to Transferred to Continuing.
• Transfers case to appropriate CCS office in CalWIN.
57.1.8
Low Income Subsidy (LIS) Applications Procedures
Medicare Part D LIS applications are received on a daily basis through a Business
Objects report. Designated clerical staff at VMC prints the report, completes file
clearance procedures, application registration, and sends the Medi-Cal
informational packet with a VMC pre-addressed, postage paid envelope. In
addition, as an outreach effort, the form “Good News for Seniors Receiving Social
Security Benefits” (SCD 2329) and a CalFresh application packet must also be
included.
Follow the steps below when the LIS applicant does not have a MEDS record:
For LIS written policy, Refer to Medi-Cal handbook [“Low Income Subsidy
Applications,” page 9-21] for policy.
Step
Who
Action
1.
Info Systems
On a daily basis, posts Alerts 9055 in a report titled “Low Income
Subsidy Applications” in Business Objects (BO) under Public
Folders/DEBS/ AAC_A5 and VMC/Administration.
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-29
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
2.
Designated
Clerical Staff
at VMC
• Prints the “LIS Applications” report from BO daily.
• Completes file clearance procedures in CalWIN and MEDS.
• For applicants that already have an active or pending case, sends
an e-mail notification to the current EW and copies the EW
Supervisor. On the subject line, enters “Urgent - LIS Alert 9055.”
- For applicants with the same last name, checks address on the
[LIS2] screen to see if they are spouses. If they are, app reg them
in the same case.
• Completes the Application Registration process in CalWIN.
- Use the APPLICATION-DATE shown on the [LIS1] screen.
• Select “Low Income Subsidy” from the Application Source drop
down field.
- Assigns the application to VMC Caseload # DMZ0.
• Prints and signs a copy of “Application For Cash Aid, Food Stamps,
And/or Medi-Cal” (SAWS 1).
• Creates an application packet consisting of the following form and
MEDS screens:
•
•
•
•
•
Application for Cash Aid, FS and/or MC (SAWS 1)
Primary Medi-Cal/CMSP Information Screen (INQM)
Other Client Eligibility Information Screen (INQE)
LIS Inquiry, Client Data Screen (LIS1)
LIS Inquiry, Client Information Screen (LIS2)
• Sends the Medi-Cal Application with the following two packets of
forms to the applicant along with a pre-addressed, postage paid
envelope. Enter name, case # and due date (10 calendar days from
current date) on the SCD 2269 and SCD 2270.
SIGNATURE PACKET:
•
•
•
•
•
•
Important Info on MC/MSPs (SCD 2269)
Supplemental Questions for MC/MSP (SCD 2270)
Statement of Citizenship/Alien Status (MC 13)
Notice Regarding Standards for MC Elig (DHCS 7077)
Notice Regarding Transfer of a Home (DHCS 7077 A)
Would You Like to Register to Vote (SCD 508).
INFORMATIONAL PACKET:
•
•
•
•
•
•
•
•
Important Info for Persons Requesting MC (MC 219)
Important Info for Nursing Home Patients (MC 004)
Medi-Cal General Property Limitations (MC 007)
Important Info MC Beneficiaries-LTC (MC18)
Breast & Cervical Cancer Treatment (MC 372)
Medi-Cal What It Means to You (PUB 68)
Keep Your Medi-Cal on Target (SCD 391)
Papers Needed for MC Determination (SCD 1481)
Update # 14-21
Revised: 09/22/14
page 57-30
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
2.
Designated
Clerical Staff
at VMC
continued...
Sends CalFresh applications with the following items:
• CalFresh application packet. [Refer to CP HB 24.1.4 and 24.2.2]
• “Good News for Seniors Receiving Social Security Benefits”
(SCD 2329)
• A VMC pre-addressed, postage paid envelope (writes LIS on the
envelope).
3.
Client
• Returns application packet(s)
4.
Designated
Clerical Staff
at VMC
• Conducts application registration for the requested program(s).
• Enters the Special Indicator “CF-LIS” if CF application is returned.
• Creates and assigns a TMT ticket.
5.
Intake EW
Receives TMT ticket
If the client returns
the...
Revised: 09/22/14
Then...
Medi-Cal forms,
Follows the instructions outlined in
step 6 below.
CalFresh application,
Follows the Telephone Interview
procedures for a new CalFresh
application. [Refer to CP HB
57.1.2]
Update # 14-21
Common-Place Handbook
page 57-31
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
Step
Who
Action
6.
Intake EW
Follows the procedures below to process the LIS application:
If the applicant...
Then...
Returns the SCD 2269
and marks that he/she
does not want Medi-Cal
or MSP,
Denies the application as it is
considered a written withdrawal.
Does not return the SCD
2269 or SCD 2270 by the
due date OR the mail
comes back as returned
mail,
Contacts the client by phone or in
writing and allows 10 calendar
days to provide.
Returns the SCD 2270
(with or without the SCD
2269), or only the SCD
2269 but marks just one
checkbox,
• Reviews LIS screens in MEDS
and the SCD 2270
questionnaire.
NOTE: Documents the case
record the type of contact and the
results.
• Requests additional information
and verification from the client, if
necessary. Allows 10 calendar
days to provide. Documents the
case record.
• If the applicant is ELIGIBLE,
approves Medi-Cal/MSP using
the Application Date shown on
the [LIS1] screen.
• If the applicant is INELIGIBLE,
denies Medi-Cal/MSP with an
appropriate NOA.
Update # 14-21
Revised: 09/22/14
page 57-32
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
57.2 VMC Process: Add-a-Program & Add-a-Person
57.2.1
Purpose
The VMC Bureau acts as a vehicle to ensure that when there is a Medi-Cal
application taken at HHS, the referral along with verifications and forms, are
forwarded to the appropriate district office for processing. VMC staff also meets
with HHS staff to review what is needed for the referral, but the assigned EW at the
district office is responsible for reviewing the application for accuracy and following
up with the client as needed.
57.2.2
Priority Mail Boxes
The following are the district office’s priority email addresses used by VMC to
forward referrals to add a program (Medi-Cal) or to add a person when there is a
corresponding case that resides in another office and the client needs to be added
to the corresponding case, or program added, or added to MEDS:
Office
Outlook Global Address Name
North County
North County - VMC Referrals
South County
South County Intake District Office
General Assistance
GA
Continuing Benefits Services
CBS Priority Mail
Application Assistance Center
AAC - VMC Referrals
Benefits Services Center
Medical
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-33
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
57.2.3
Adding-a-Program
Who
Steps
VMC Clerical Staff
at 650 Bascom
• Receives SAWS1 and the SCD 41 from HHS in the daily drop off of
applications from them.
• ID’s the individual in CalWIN.
• Registers the requested program (Medi-Cal) in CalWIN.
• Places in IDM the SAWS1, SCD 41 and any accompanying paperwork.
• Prints, scans and emails screen shot of the "Program" tab on the
[Inquire on Case Information] window in CalWIN as an email attachment
to the Priority email mailbox of the district office where the case resides.
Note: The Subject line of the email should read “MC Add-a-Program."
Designated
Receiving District
Office
• Receives the email referral via the Priority Mailbox.
• Creates and assigns a TMT assignment.
Receiving District
Office EW
• Processes the TMT assignment.
57.2.4
Adding-a-Person
Who
Steps
VMC Clerical Staff
at 650 Bascom
• Receives the Add-a-Person packet from HHS in the daily drop off of
applications from them, which includes the “Health and Hospital System
Services Referral”
(SCD 2384) indicating the effective date (HHS Service Date) cent is
requesting Medi-Cal coverage.
• IDs the individual in CalWIN.
• Places in IDM the Add-a-Person packet and any accompanying
paperwork.
• Sends an email to the Priority email Mailbox of the district office where
the case resides, indicating that there is an Add-a-Person packet in IDM
that needs to be assigned and processed.t
Note: The Subject line of the email should read, "MC Add-a-Person."
Designated
Receiving District
Office Staff
• Receives the email referral via the Priority Mailbox.
• Creates and assigns a TMT assignment.
Receiving District
Office EW
• Processes the TMT assignment.
Update # 14-21
Revised: 09/22/14
page 57-34
Common-Place Handbook
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
57.2.5
Add-a-Person Medi-Cal Packet
VMC staff will coordinate with HHS financial counselors to ensure that the referral
packet is complete. To help expedite the processing of HHS Medi-Cal referrals for
adding a person to the corresponding case, the following forms and verifications
are placed in IDM by VMC staff to be processed by the district office where the
case resides:
Referrals for Adding a Child
Referrals for Adding an Adult
Health and Hospital System Services Referral
(SCD 2384), which includes Medi-Cal effective
date.
Health and Hospital System Services Referral
(SCD 2384), which includes Medi-Cal effective
date.
When corresponding program is CalWORKs...
When corresponding program is CalWORKs...
• CA 2.1 for deprivation
• Proof of income
• Proof of income
• Proof of resources
• Proof of resources
• Proof of citizenship/US residency
• Proof of citizenship/US residency
When the corresponding program is not
CalWORKs...
When the corresponding program is not
CalWORKs...
• "Request for Tax Household Information
(RFTHI)" SCD 2350, CSC 91, or
MC 01-2014.
• "Request for Tax Household Information
(RFTHI)" SCD 2350, CSC 91, or
MC 01-2014.
• SCD 2350 Supplemental, CSC 91, or
MC 01-2014 APDX-RFTHI.
• SCD 2350 Supplemental, CSC 91, or
MC 01-2014 APDX-RFTHI.
57.2.6
EW Supervisor/EW Responsibilities at District Office
WHO
ACTION
District Office
Clerical
• Creates TMT and uploads email received from VMC into TMT.
• Assigns TMT to EW.
EW Supervisor
• Reassigns a closed case, if necessary.
Revised: 09/22/14
Update # 14-21
Common-Place Handbook
page 57-35
Medi-Cal Eligibility Bureau VMC (Valley Medical Center) Procedures
WHO
ACTION
EW
• Receives VMC referral.
• Follows up with the client, as appropriate, to obtain any additional or missing
information/verifications needed for adding the person or program to the
case.
• Processes the application for the appropriate month(s) and approves or
denies.
• Corrects any MEDS error(s), as needed.
Note:
When denying Medi-Cal for non-MAGI, itemizes the NOA with denial reason
and inform client to contact Ability to Pay Program.
Update # 14-21
Revised: 09/22/14

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