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Status Future consideration
Created by Timothy Cozine
Created on Jun 16, 2016

Add the ability to process one member of a review without processing the others

The South Carolina Department of Health and Human Services (SCDHHS) needs to be able to process one member of a case at review without processing the other members of the case to be in compliance with CFR §435.952 use of information and requests of additional information from individuals, and §435.911 determination of eligibility. There are three main reasons we may need to process one member of a case without processing the other members of the case.
A. Income on the case passes Reasonable Compatibility (RC) rules for one member on a case but it does not pass RC rules for other members on the case. Since RC rules are tied to comparing the Electronic Data Source for income and the client's statement of income to the income limit for a program it is very likely that the income on the case will be considered RC for the children but not for the adults.
B. There is an outstanding verification that is needed for one member of a case but there are not outstanding verifications needed for other members on a case. We should not have to delay the processing of members of the review while awaiting the verifications of the other members.
C. SCDHHS approves Pregnant Women assumptively so that they can receive medical treatment while gathering the needed verifications for SCDHHS to process the case. In a situation where a member of the review is pregnant but there are outstanding verifications for the other members, we should be able to approve the Pregnant Woman while awaiting verifications of the other members.

Customer Name South Carolina
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  • Guest
    Reply
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    Sep 8, 2016

    Enhancement request valid for potential release in 2017 - Additional LOE review will be done post-Q4 release.

    John J Sweeney
    Offering Manager, Social Programs

  • Timothy Cozine
    Reply
    |
    Jul 29, 2016

    Attachment (Description)

  • Guest
    Reply
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    Jul 27, 2016

    This enhancement request has been identified as a candidate for target release in 2017. It has been identified that an approach from other projects may be leveraged in implementation for OOTB. Analysis of the NC approach is currently being undertaken during the LOE analysis.

    John Sweeney
    Offering Manager - Curam Social Programs

  • Guest
    Reply
    |
    Jun 22, 2016

    Thank you for your enhancement request. We are currently analysing the requirement and will provide another update when that analysis is complete to confirm whether or not the enhancement will be considered in a future functional release.

    John Sweeney
    Offering Manager - Cúram Social Programs

  • Timothy Cozine
    Reply
    |
    Jun 16, 2016

    Attachment (Description)

  • Timothy Cozine
    Reply
    |
    Jun 16, 2016

    Attachment (Description)