Functional Requirements Serving Existing Clients Sample Clauses

Functional Requirements Serving Existing Clients a. Process renewals or changes in each client’s program eligibility status in accordance with applicable Federal and State policies and procedures; b. Complete eligibility redeterminations for Health Coverage clients by analyzing and processing the case files and information provided by the client according to State policies and procedures and sending to the State for a final decision; c. Request information from clients/applicants, as well as other sources as permissible by State law and regulation, if a change required to be enacted upon has been reported, or there is reason to believe that a change has occurred, but has not been reported; d. Review SNAP Interim Contact forms for completeness; enter changed information from the form into the State eligibility system and request verifications; Generate Pending Verification for Clients/Recipients 2032 form to collect missing information and submit the case for State review and eligibility determination; e. For clients calling to report a change, the Contractor must authenticate the caller, locate the case in the State eligibility system, process the change, obtain appropriate verifications, and enter the appropriate codes depending on the type of change being reported; f. Route work electronically to DFR eligibility determination staff for the processing of an accurate and timely eligibility determination in accordance with DFR instructions; g. Ensure case file(s) for the client(s) is accurate reflecting voluntary and mandatory work requirements; h. Provide data collection and other data entry and task creation actions for online application exceptions, or other image exceptions, and route to State staff; i. At the time of any review or case action, Contractor staff shall be responsible for entering clear and concise case notes into the State eligibility system for any review or case action performed by Contractor.