Once the eligibility results are certified, a Notice of Action is added to the pending forms list and the eligibility status takes effect for the eligibility period.
Use this procedure to certify eligibility results for an Eligibility Determination Group (EDG) after eligibility has been run and results have been viewed.
|
Once the eligibility results are certified, a Notice of Action is added to the pending forms list and the eligibility status takes effect for the eligibility period. |
The Certification / Authorization page displays.
Review the information for the EDG number / Service Eligibility Period as appropriate, including:
EDG #
Program / TOA
Service / Eligibility Period
Eligibility Result
Eligibility Status
Override
For each EDG# click the Accept Results checkbox. (If all the EDG #s are acceptable, click the Select All checkbox).
Select from the Temporary Suspension dropdown menu to suspend eligibility for one month, if applicable (enabled for TANF).
Confirm or modify the SNAP Renewal Due Date (enabled if the Case Action is Intake / Redetermination and the program is SNAP.
Confirm or modify the SNAP Interim Due Date (enabled if the Case Action is Intake / Redetermination and the program is SNAP).
Select the Reasons for Change in Household Benefit from the dropdown menu, if applicable. This is a required field when SNAP benefits are changing before certifying the SNAP eligibility results.
Confirm or modify the TANF Renewal Due Date (enabled if the Case Action is Intake / Redetermination and the program is TANF).
Select the Diversionary Assistance acknowledged by client? checkbox if the client has acknowledged Acceptance of Terms of Diversionary Assistance Issuance Notice (enabled if TANF Diversionary Assistance is approved).
Comments for the customer (up to 500 characters) relating to Child Care, Medical Assistance, SNAP, and TANF can be added to the Comments fields at the bottom of this page. These comments will be added outgoing customer notices.
Comments entered in the Additional Comments (Child Care Only) field appear on the Child Care Notice of Action (NOA).
Comments entered in the Additional Comments for Notice of Action (MA only) field appear on the MA Notice of Action.
Comments entered in the Additional Comments for Notice of Obligation (MA only) field appear on the Notice of Obligation (NOO) if the NOO is sent.
Comments entered in the Additional Comments for Notice of Action (SNAP Only) field appear on the SNAP Notice of Action (NOA).
Comments entered in the Additional Comments for Notice of Action (TANF Only) field appear on the TANF Notice of Action (NOA).
Click Generate Services Application to add the Child Care Subsidy Service Redetermination Form to the pending forms list.
|
This form is auto-populated with the information entered into the VaCMS. The Child Care Subsidy Service Redetermination form can be viewed and printed using the Pending Forms page the day after the request is made. |
|
If the case is approved for Medical Assistance, the case may be randomly selected for supervisor review. Upon review, the supervisor may return the case for correction, or approve it, using the radio buttons. |
If comments are entered, click Submit.
If the case is marked for Supervisor review, an alert will be generated for the supervisor.
The supervisor reviews the case and approves or sends the case back for correction.
Click Certify / Auth.
The Certification page re-displays with an Eligibility Status of Certified for the selected EDG / Eligibility Period.
|
If there is a change in Patient Pay for an institutionalized individual in the case, the VaCMS will automatically generate a Notice of Obligation when results are certified. |
The eligibility results are certified, a Notice of Action is added to the pending forms list, and the eligibility status takes effect for the eligibility period.
Updated 10/03/2016