104-5          ALERTS

 

The ETAL and ETAD are important tools to use to keep track of changes that may affect case status and eligibility.

 

There are two types of alerts that can be generated either by the system or the caseworker:

 

 

 

To use the alert system effectively as a case management tool, the caseworker must check the ETAD screen daily.  The ETAL must be checked every time a case is processed.  This will ensure that changes are acted on within the 10-day processing timeframe and help prevent case and benefit errors.

 

ALERT MANAGEMENT

 

The following is a list of the most common alerts and a brief description of the appropriate action to be taken:

 

EIS GENERATED ALERT STATEMENT

REQUIRED ACTION ON CASE

(Adult’s name) will turn 65

APA and/or Medicaid case - Change APA coding to OA. Send P065 notice.

 

FS case - check for potential Senior Benefits income.

(AWP, CSSD) DISQ-EA (client’s name) Client is being disqualified for benefits; add penalty to case.
 
(Case Number) Issued $50 PT MM/YY

Client issued PT for that month; check to see if FS is counting PT.

 

(Case Number) $xxx.xx collected (date)

CSSD has collected a payment; check to see if child support is greater than the TA payment for possible case closure.

 

(Child’s name) will turn 1 Adult may no longer be eligible for BA (Baby Medicaid category)  months.
 
(Child’s name) will turn 6 Check WORK screen; correct code if necessary.
 
(Child’s name) will turn 16 Check WORK screen; correct code if necessary.
(Child’s name) will turn 18

Check school status for TA/ME; the child's earned income no longer exempt.

 

(Child’s name) will turn 19 Check eligibility for ME.
 
EI DEDUCTION CHG MONTH –12 Update & issue benefits; send appropriate notices.
 
EI DEDUCTION CHG MONTH –24 Update & issue benefits; send appropriate notices.
 
EI DEDUCTION CHG MONTH –36 Update & issue benefits; send appropriate notices.
 

EI DEDUCTION CHG MONTH –48

Update & issue benefits; send appropriate notices.

 

EI DEDUCTION CHG MONTH –60

Update & issue benefits; send appropriate notices.

 

Extension Added

No action is needed but it is advisable to ensure the correct number of months is authorized on the case based on the extension agreement; reconcile the months to the counter on the TLIP and the CAP2 screens

Extension End Date Changed

No action needed; informational only.

FS/TA/APA/GA/ME Recert not processed

A review was registered but recertification and benefits were not processed before the monthly run. Check if recertification was processed and eligibility determination was made.
 

FS Cert Expired – PGM closed

No GEN 72 received; CARC to 9 99 if FS is the only program.
 
ID Changed for (client name) Identifying data on the client maintenance screen (option 4 on CLPM) for origin of change.
 

INCAR-123-45-6789, CODE 1

Verify the following for all programs:
 

  • If incarceration is related to a drug felony and
  • Dates of confinement.

 

Determine if the case should be closed or the household member should be removed.

INCAR-123-45-6789, See SVRE

Verify the following for all programs:
 

  • If incarceration is related to a drug felony and
  • Dates of confinement.

 

Determine if the case should be closed or the household member should be removed.

NO TA/FS EBT Spending – Good Card?

 

(This alert appears after 30, 60, 90 days of inactivity)

Contact client and inquire on reason for not using benefits. If client is out-of-state, verify the reason and duration of absence.
 

SDX will / has terminated

Check INME 9 or SVES for current information.
 
SDX 123-45-6789 name error The name attached to this SSN is different in EIS from what Social Security has in their system. Verify accuracy of the SSN information provided by the client.
 

SSN required for (person’s name)

Request SSN for the person noted in the alert.
 
SVES 123-45-6789 No Match Latest SVES run had occurred and there is not a match for client’s DOB. Verify the DOB of the person noted in the alert.
 

SVES 123-45-6789 DOB Conflict

Latest SVES run had occurred and there is not a match for client’s DOB. Verify the DOB of the person noted in the alert.
 
SVES Update CIT/ID – 123-45-6789

SVES data match replaces an existing code in EIS. Check status of the case for any action needed. If case was pended and information is due, act on pended case to determine eligibility.

 

TA/ME/APA – Cert expired – PGM Closed No GEN 72 received, CARC to 9-99 if only program.
 
(TA, FS, ME, APA, IA, GM, GA) Payment not Authorized Manually work current month; initialize into next month and authorize.
 

(TA, FS, ME, GM, GA) Quick pend due

Case was pended and information is due; act on pended case to determine eligibility.
 
Time limit up, ATAP not rolled The case is not in current month and an extension review is needed.
UIB 123-45-6789 Benefits Info Check DOL for UIB benefits.
 

 

 

 

 

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2012-02 (11/12)