WF_CN2-2009
Contents
1. WF702 L Automatic System Generated Program Transfer AAF to MAF is being revised to include Code 83 Failure to meet requirements of MRA AAF Payment Type 2 to MAF Code 5T Failure to complete work activities listed on MRA AAF Payment Type 2 to MAF Code 9A Failure to cooperate with substance abuse treatment AAF Payment Type 2 to MAF 5 WF702 N MAFC to AAF Payment Type 2 is no longer allowed and must be a reapplication Change Code 5K is no longer valid and is removed WF703 Termination Codes DSS 8110A a WF703 Termination Codes DSS 8110A is being revised to include the notice message IF AN INDIVIDUAL S BECOMES INELIGIBLE FOR MEDICAID DO NOT THROW AWAY THE CARD THE INDIVIDUAL MAY BECOME ELIGIBLE AGAIN AND WILL NEED THE CARD WF703 D Automatic EIS Terminations is being revised to 1 Include Program Category Transfer in the title 2 Include Codes 52 Program Transfer due to failure to return QR by established deadline AAF to MAF 83 Program Transfer due to failure to meet requirements of MRA AAF Payment Type 2 to MAF 5T Program Transfer due to failure to complete work activities listed on MRA AAF Payment Type 2 to MAF 9A Program Transfer due to failure to cooperate with substance abuse treatment AAF Payment Type 2 to MAF F WF1100 On Line DSS 8125 Screen Instructions 1 WF1100 01 Accessing the DSS 8125 Process is being revis2. WFum1600 WFum1800 WFep400 WFep500 WFep600 WFep601 WFep700
3. 00 03 Records Retention to WF700 02 WF100 EIS Logon and Logoff Procedures WF100 02 D EIS Logon Instructions is being revised to 1 Remove selection PP Pay After Performance from the EIS Menu Update screen 2 Add Selection WB Work First Benefits to the EIS Menu Update screen 3 Remove Selection ME MC Enrollment from the EIS Menu Update screen 4 Add selections MC Medicare C and ME Medicare D ENRL to the EIS Menu Inquiry screen 5 Rename selection MD from Medicare D to Medicare D ENTL on the EIS Menu Inquiry screen WF300 EIS Inquiries 1 WF301 01 C Social Security Number Application Inquiry is being revised to add fields Ql1 NCHC FAMPLN and BD to the inquiry screen and remove field PEN REA from the inquiry screen 2 WF301 02 A Pending Applications is being revised to add fields QI1 NCHC and FAMPLN to the inquiry screen and remove field PEN REA from the inquiry screen 3 WF301 02 B Disposed Applications is being revised to add fields NCHC and FAMPLN to the inquiry screen and remove field HLTH CH from the inquiry screen 4 WF303 01 Current Case Data CD is being revised to rename CASEHEAD PAYEE to CHEAD PAYEE on the inquiry screen and to add SPOUSE IND to the inquiry screen 5 WF306 01 Current Individual Data ID is being revised to change the field name JOB WORK REG to WORK REGISTRA on the inquiry screen and add field CRD ISSUE DTE to the inquiry screen 6 W
4. CHANGE NOTICE FOR MANUAL DATE October 12 2009 MANUAL Work First User s Manual CHANGE NO 2 2009 TO County Directors of Social Services EFFECTIVE October 1 2009 make the following changes to the Work First User s Manual l GENERAL This change notice transmits revisions to the Work First User s Manual These changes are outlined below Il SPECIFIC CHANGES A Table of Contents The Table of Contents is being revised to 1 WF 1200 Benefit Issuance a Remove WF1200 04 Pull Reissue Process and WF1200 05 Pull Reissue Changes b Renumber WF 1200 06 General Instructions DMA 5022 to WF1200 04 Cc Renumber WF 1200 07 Requesting Replacement Checks to WF1200 05 2 Rename WF1300 Pay After Performance to Work First Benefits a Change WF 1300 02 from Accessing the Pay After Performance Screen to Accessing the Work First Benefits Screen b Change WF 1300 03 from Pay After Performance Codes to Work First Benefits Codes C Change WF1300 07 Pay After Performance History to Work First Benefits History d Change 1300 08 Pay After Performance and Eligibility Tracking to Work First Benefits and Eligibility Tracking 3 WF1501 Managed Care HMO a Remove WF1501 12 Pull Reissue b Renumber WF1501 13 HMO Reports to WF 1501 12 4 Add new section WF1800 Broadcast Messages 5 EP700 Administrative Procedures a Remove EP700 01 Correcting Erroneous Data b Renumber WF700 02 Ordering Forms to WF700 01 C Renumber WF7
5. F306 02 Current Individual Profile IP is being revised to rename field HMO PVDR to CA HMO PVDR on the inquiry screen add field PCHP IND to the inquiry screen and remove field CA PVDR from the inquiry screen WF610 Reports WF610 01 B 4 Special Messages is being revised to change message Eval Pay After Performance MMCCVYY to Eval Work First Benefits MMCCYY WF700 DSS 81 24 DSS 8125 and Check History Codes 1 WF 700 01 Case Level Coding is being revised to a Add codes 39 Crisis Prevention Check 49 Crisis Prevention Check Native Americans in Graham County and 59 Crisis Prevention Check for Indo Chinese to the Check History codes table Change Special Review Code P message from Evaluate Pay After Performance to Work First Benefits and date to enter from PAP to WFB 2 WF 700 02 Individual Level Coding is being revised to a Change the Work Registration Code F from Disabled and incapacitated individuals to Disabled and incapacitated individuals with youngest child age 6 years or older Add Work Registration Code O Disabled or incapacitated individuals with youngest child age 5 years or younger 3 WF 701 03 Approval Codes a WF701 03 A Benefit Diversion Approvals is being revised to add the sentence The Payment Type must be 1 WF701 03 B Ongoing Approvals Application Types 1 2 and 6 is being revised to indicate each individual name and Individual ID Number display o
6. anuals Change Notice website at http info dhhs state nc us olm manuals dss csm 96 chg B Click on Change No 2 2009 C Click on the CN 2 2009 and attachment links at the bottom of the page to print the Change Notice and the attached documents D Open the files using Adobe Acrobat Reader and print the pages Insert or replace the appropriate pages in your current hard copy as indicated below Note Adobe Acrobat Reader may be downloaded for free at http www adobe com To update your current hard copy of the manual Remove Insert SECTION PAGES SECTION PAGES TOC 1 7 TOC 1 7 WF100 1 3 WF100 1 3 WF300 1 4 9 10 WF300 1 4 9 10 WF610 1 2 13 14 WF610 1 2 13 14 WF700 1 6 13 32 WF700 1 6 13 34 WF1100 1 2 5 68 WF1100 1 2 5 66 WF1200 1 7 WF1200 1 5 WF1300 1 5 WF1300 1 5 WF1400 1 4 7 8 WF1400 1 4 7 8 WF1500 1 2 13 22 WF1500 1 2 13 19 WF1600 1 2 5 6 WF1600 1 2 5 6 WF1800 1 EP400 1 2 5 15 EP400 1 2 5 14 EP500 1 14 EP500 1 14 EP600 1 4 19 27 EP600 1 4 19 26 EP601 1 4 EP601 1 4 EP700 1 2 EP700 1 13 If you have any questions please contact the DSS Information Support Unit Staff at 919 733 8938 Sincerely Klenk fms Hank Bowers Chief Performance Management Reporting amp Evaluation Management Section HB ba Attachments WEF CN2 2009 WFumTOC WFum100 WFum300 WFum610 WFum700 WFum1100 WFum1200 WFum1300 WFum1400 WFum1500
7. ed to add fields SP1 2 3 SPOUSE and ISSUE CRD Also Job Work Reg is being changed to WORK REGISTRA WF1100 03 Application Approvals a WF1100 03 A Benefit Diversion Individual Level is being revised to add ISSUE CRD A Y or N must be entered to indicate if a Medicaid Card is to be issued WF1100 03 B MRA or IV D Sanction is being revised to add Child Only Cases to the title Job Work Reg is being changed to WORK REGISTRA at the Individual Level ISSUE CRD is being added and must enter Y or N to indicate if a Medicaid Card is to be issued WF1100 03 C Substance Abuse Sanction is being revised to change the title to Work First Benefits Approvals Including Substance Abuse Sanctions Payment Type 2 Job Work Reg is being changed to WORK REGISTRA at the Individual Level ISSUE CRD is being added and must enter Y or N to indicate if a Medicaid Card is to be issued d WF1100 03 E Adding an Individual to an Application Including Open Shut Approvals is being revised to include the statement The user must update the ISSUE CRD field with Y or N for the individuals already included on the case in addition to the individual being added e WF1100 03 F Including an Individual in an Ongoing Case is being revised to include the statement The user must update the ISSUE CRD field with Y or N for the individuals already included on the case in addition to the i
8. eing revised to add that approval code A3 may be used when approving with Payment Types 1 2 or S and that the individual name s and the Individual ID Number s display on the notice 4 WF 702 Change Codes a WF702 A Deletions of Any Members of the Case Including Children is being revised to include the notice message IF AN INDIVIDUAL S BECOMES INELIGIBLE FOR MEDICAID DO NOT THROW AWAY THE CARD THE INDIVIDUAL MAY BECOME ELIGIBLE AGAIN AND WILL NEED THE CARD WF702 B Other Downward Revisions is being revised to indicate change codes 3A and 8A are used with Payment Type 2 cases only WF702 D Work First Family Assistance Sanctions is being revised to 1 Add Payment Type 1 to S in the title 2 The notice text is changed to read Your family is ineligible for a Work First Family Assistance Payment Beginning MMCCYY you will no longer receive a Work First Family Assistance check until you comply with the sanction applied to your case 3 Change text for Change Codes 61 and 11 to You did not cooperate with child support and did not comply with your MRA Your children will continue to receive Medicaid however you will be evaluated for Medicaid WF702 E Work First Pay After Performance is being revised to change the title to Work First Benefits The text for Change Codes 9X and 4X is being revised to read Your case is now a Work First Benefits Case Change Codes 9X and 4X are va
9. from MAF C to Payment Type 1 is being revised to change JOB WORK REG to WORK REGISTRA WF1100 05 K 3 Transfer from MAF C to AAF Pay Type S is being revised to include Pay Type 2 WF1100 05 K 4 Change from AAF Payment Type 1 to AAF Payment Type 2 or S is being revised to change JOB WORK REG code to Work Registration code WF1100 05 K 5 Change from AAF Payment Type 2 or S to AAF Payment Type 1 is being revised to include Child Only in the title and to change JOB WORK code to Work Registration code 4 o WF1100 05 K 6 Change from AAF Payment Type 1 2 or S to AAF Payment Type 4 or 5 is being revised to change JOB WORK code to Work Registration p WF1100 05 K 9 Ending an MRA or IVD Sanction to an Ongoing Case is being revised to add Payment Type 1 Child Only to the title WF1100 06 A Administratively Reopening a Terminated Case Change Code 99 is being revised to update example dates to current year WF1200 Benefit Issuance 1 WF 1200 01 General Information is being revised to remove Medicaid ID cards being issued monthly but issued annually for each eligible individual and added referral to WF1300 01 for Work First Benefit Check issuance WF 1200 02 Regular Run Program Cut off is being revised to change pull cut off to program cut ff deadline and Regular Run WF 1200 03 Program Deadlines is being revised to include The Pro
10. gram Cut off deadline and Regular Run for all money payment programs is the fourth worknight from the end of the month WF 1200 04 Pull Re Issue Process and WF 1200 05 Pull Reissue Changes are being removed WF1200 06 and WF1200 07 renumbered to WF 1200 04 and WF 1200 05 WF1300 Pay After Performance 1 WF 1300 Pay After Performance is being revised to change the title to Work First Benefits WF 1300 01 General Information is being revised to remove reference to Pay After Performance and add Work First Benefits and describe Work First Benefit cases and Child Only cases WF 1300 02 Accessing the Pay After Performance Screen is being revised to change the title to Accessing the Work First Benefits Screen change PP to WB and change the Pay After Performance screen name to Work First Benefits WF 1300 03 Pay After Performance Codes is being revised to change the title to Work First Benefits Codes and corrected outline to A thru G from 1 thru 7 WF1300 03 3 TYPE is being revised to add for A Adjusted Payment the amount from the retro pay 1 and 2 fields are for application types 3 and 6 approvals WF 1300 04 Check Issuance Through The Pay After Performance Screen is being revised to change the title to Check Issuance Through Work First Benefits Screen and corrected outline to A thru C from 1 thru 3 10 11 12 10 WF1300 04 1 is being revised to remove the Note regarding 3 C
11. l Reissue is removed WF1600 TDC TANF Collection Report Instructions 1 WF 1600 02 System Access is being revised to update the new contact phone number 919 733 4530 for the Data Management Team WF 1600 03 General Rules for Data Completion for TANF Sample Cases is being revised to update the new contact phone number 919 733 4530 for the Data Management Team WF1800 Broadcast Messages WF 1800 Broadcast Messages is a new section providing a link to instructions to receive email messages via Listserv 11 M EP400 DSS 6908 EP400 03 DSS 6908 Data Fields is being revised indicating Field 22 Assessment Date Field 23 Educational Status Field 24 Work History and Field 25 Employment Status are all protected and allows no data entry Field 44 Beginning Date cannot be greater than the current calendar date N EP500 Codes EP500 Codes is being revised to 1 4 Add to Field 10 Program Status Work Eligible Individuals Codes a F Disabled and incapacitated individuals with youngest child age 6 years or older b G Individuals age 65 and over C H Unable to participate because assistance with necessary child care and transportation cannot be located or provided d O Disabled and incapacitated individuals with youngest child age 5 years or younger Remove from Field 10 Program Status Non Work Eligible Individuals Codes F G and H These are being added to W
12. lid when changing payment types 1 or S to 2 WF702 J Program Transfer Codes AAF Pay Type 1 2 or S to MAF MIC MPW AAF Payment Type 4 or AAF Payment Type 5 is being revised to 1 AAF to MAF a Change Code 83 is being added to the AAF to MAF table with the text You failed to meet the requirements of your MRA and will no longer receive Work First Benefits Your Medicaid will continue Use 83 when changing from Payment Type 2 to MAFC This code can be either worker entry or system generated Add the new Change Code 5T You failed to complete work activities listed on the MRA Use 5T when changing from Payment Type 2 to MAFC This code can be either worker entry or system generated Add the new Change Code 9A You failed to cooperate with substance abuse treatment Use 9A when changing from Payment Type 2 to MAFC This code can be either worker entry or system generated AAF to MAF MIC or MPW is being revised to remove Change Code 83 and Change Code 33 which are no longer valid AAF to AAF Payment Type 5 is being revised to change the notice text for change codes 8M and 4M to read Your family is no longer eligible for Work First Benefits due to an increase in earned income Also use 8M 4M 6Y and 1X when a change from Payment Type 2 to 5 Codes 6Y and 1X may also be used when changing payment type 1 or S to 5
13. n the notice Up to 18 individuals can be displayed on the notice WF701 03 B 1 is being revised to add that approval codes A1 and A2 are for Child Only approvals and the Payment Type must be 1 WF701 03 B 2 is being revised to add that approval codes AO A6 A7 A8 and S2 are for Child Only approvals and the Payment Type must be S WF701 03 B 3 is being revised to add that approval codes B6 B7 and S1 must be used when approving with Payment Type 2 WF701 03 C 1 is being revised to add that use of approval code A4 may be used when approving with Payment Types 1 2 or S and the individual name s and the Individual ID Number s display on the notice WF701 03 C 2 is being revised to add that approval code A5 may be used when approving with Payment Types 1 2 or S and that the individual name s and Individual ID Number s display on the notice WF701 03 C 3 is being revised to add that approval code D1 is used when approving with Payment Type 2 and the individual name s and the Individual ID Number s display on the notice The notice text is also being changed to Has been approved for Work First Benefits because he she complied with Child Support requirements Your family will receive a check when you have completed the requirements stated in the Mutual Responsibility Agreemeni s WF701 03 D Open Shut Approvals Application Types 1 2 and 6 is b
14. ndividual being added f WF1100 03 H Work First Applications and Inclusions 1 PAY TYPE 1 2 or S is being revised to include the statement Payment Type 1 and S are for Child Only approvals Payment Type 2 is for Work First Benefits approvals 2 PAY EFF DATE is being revised to change wording from Pay After Performance to Work First Benefits 3 JOB WORK REG is being revised to WORK REGISTRA 4 ISSUE CRD is being included and Y or N must be entered to indicate if a Medicaid Card is to be issued and to enter when completing an add individual for individuals already included on the case g WF1100 03 1 Inclusions of an Adult s After Compliance with Child Support is being revised to 1 Indicate on day one the PAY TYP must be 1 and day two the PAY TYP must be 2 when the individual is being added to the WF case 2 Change JOB WORK REG to WORK REGISTRA 3 Add ISSUE CRD field A Y or N must be entered if a Medicaid Card is to be issued including other individuals already included on the case 3 WF 1100 05 Making Changes To An Active Case is being revised to include the a The ISSUE CRD field is not allowed to be entered at the time a change is being made If a Medicaid Card is needed the DB PML screen must be used The ISSUE CRD field is only valid at application approval A change from AAF Payment Type 1 or 2 to S is valid howe
15. onsecutive Check Eval For Pay Type 1 and outline corrected to A WF1300 04 3 is being revised to indicate that the system does not allow checks to be issued after regular run of the next month There is no longer a Pull Reissue Process Corrected outline to C WF1300 06 Payments With A System Generated Frozen Status is being revised to remove pull reissue and add regular run WF1300 07 Pay After Performance History is being revised to change the title to Work First Benefits History change PAP to WFB and change the Pay After Performance screen name to Work First Benefits WF1300 08 Pay After Performance and Eligibility Tracking is being revised to change the title to Work First Benefits and Eligibility Tracking and change PAP to WFB screen WF1300 09 AAF Automatic Transfer to MAFC is being revised to remove payment type 2 remove pull reissue and add regular run WF1400 Tracking Functions WF1400 03 I General Information is being revised to remove Family Status code O WF1500 Medicaid Coverage Procedures 1 3 WF1500 01 Deductible Balance Patient Monthly Liability Screen SP DB PML is being revised to add that replacement Medicaid cards can be issued through the DB PML screen WF1501 08 A ID Inquiry is being revised to add fields to the Individual Inquiry screen REL TO PAYEE PACE ENROLLED CRD ISSUE DTE PF5 MED ABC PF4 MED D and change the field name JOB WORK REG to WORK REGISTRA WF1501 12 Pul
16. ork Eligible Individuals Codes Field 31 32 Component Administrative Action Activity Combinations Summary Table and Detail Table are being revised to remove Code DE Field 37 Self Initiated is being revised to remove Code DE O EP600 Data Entry 1 EP600 01 A General Information is being revised to remove the last paragraph concerning Assessment Educational Status Work History and Employment Status EP600 01 B 1 Case Data is being revised to remove Assessment Educational Status Work History and Employment Status fields as these are now protected and allows no data entry These codes have been added to B 2 not to be keyed EP600 12 Error Messages is being revised to a Remove messages WFJ017 WFJ019 WFJ035 WFJ036 and WFJ043 b Remove code DE from messages WFJ021 WFJ023 and WFJ072 Cc Remove reference to assessment date from message WFJ054 12 EP601 Historical Data Entry EP601 03 II Component Hours is being revised to remove code DE Q EP700 Administrative Procedures 1 EP700 01 Correcting Erroneous Data is being removed 2 EP700 02 is being renumbered to EP700 01 and is being revised to indicating DSS 6908 forms are no longer stored at the State Office 3 EP700 03 Records Retention is being renumbered to EP700 02 INSTRUCTIONS FOR MAINTENANCE OF THE WORK FIRST USER S MANUAL To maintain your current hard copy of the Work First User s Manual A Go to the DSS On Line M
17. ver Payment Type S is valid only with Child Only cases WF1100 05 A Updating Payment Effective Date is being revised to include MAF to AAF Payment Type 1 for Program Transfer WF1100 05 B Updating Medicaid Effective Date is being revised to include MAF to AAF Payment Type 1 for Program Transfer WF1100 05 C Removal of Information is being revised to change Jobs Work Registration Exemption Code to Work Registra Code WF1100 05 D Updating Information For A Timely Notice is being revised to change Job Work Registration to Work Registration WF1100 05 F Applying an MRA Sanction to an Ongoing Case is being revised to add Child Only Cases to the title WF1100 05 H Payment Revision is being revised to change Pay After Performance to Work First Benefits in the ONGOING PAYMENT AMOUNT NOTE WF1100 05 K Transfers from AAF to MAF and From MAF to AAF is being revised to 1 Change title to Transfers from AAF to MAF and From MAF to AAF Payment Type 1 2 Remove automatic transfer to MAF for Pay After Performance 3 Change pull night to the 4 work night from the end of the month Regular Run WF1100 05 K 1 Transfer from AAF Payment Type 1 2 or S to MAF C is being revised to change Pay After Performance to Work First Benefits change automatic transfers to the 4 work night from the end of the month Regular Run and change JOB WORK REG to WORK REGISTRA WF1100 05 K 2 Transfer
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