RRR Alignment – User Guide

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RRR

 

Alignment

 

 

User

 

Guide

 

 

 

 

 

Authors   Adult   Financial,   Colorado   Works,   Food   Assistance,   and   Medical  

Programs  

Document   Number   120620   –   CBMS1  

Version   1.0

 

Release   Date   June   21,   2012  

Contact   Information   Please   refer   to   the   CBMS   Contact   Index .

 

Description  

Overview  

This   document   details   the   changes   to   functionality   being   implemented   by   Project   2324.

 

Section  

1.0

   

Project   2324   Overview  

2.0

     Alignment   Functionality

2.1

     Adult   Financial

Page  

2  

2  

3  

2.2

     Colorado   Works

2.3

     Food   Assistance

2.4

     Medical   Assistance

3.0

    

Incomplete   RRRs  

3.1

     Adult   Financial

3.2

     Colorado   Works

3.3

     Food   Assistance

4.0

    

Data   Entry   Instructions   and   the   Incomplete   RRR  

Letter

4.1

     Existing   Edit   RRR   Details   Page

4.2

     Modified   Edit   RRR   Details   Page

4.3

     Incomplete   RRR   Letter

5.0

     RRR   Quarterly   Comparison   Report

5.1

     Example   of   Report

6.0

     Food   Assistance   FS ‐ 3L

7.0

     Adult   Financial   Rule   Changes   for   RRR   Certification  

Periods

5  

5  

5  

6  

3  

4  

4  

5  

6  

8  

10  

12  

12  

13  

13  

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   1   of   13  

1.0

Project   2324   Overview  

The   intent   of   Project   2324   is   to   align   the   Redetermination,   Recertification,   and   Reassessments  

(RRRs)   of   cases   with   multiple   High   Level   Program   Groups   (HLPGs)   and   to:  

1.

Eliminate   redundant   work   for   county   workers   and   clients.

 

2.

Lessen   the   number   of   interactions   required   between   county   workers   and   clients.

 

3.

Simplify   the   RRR   process   by   aligning   HLPGs’   rules   and   RRR   tasks/steps.

 

4.

Limit   the   number   of   instances   of   clients   losing   their   benefits   or   receiving   them   untimely.

 

5.

Improve   clients’   understanding   of   the   RRR   process.

 

6.

Reduce   costs   associated   with   generating   and   printing   the   RRR   correspondence.

 

7.

Reduce   the   number   and   improve   the   time   associated   with   monthly   batch   jobs   that   initiate   and   generate   RRR   correspondence.

 

 

 

2.0

Alignment   Functionality  

RRR   functionality   regarding   the   initiating   and   generating   (i.e.,   mailing)   of   the   RRR   packet   has   not   changed;   this   means   that:  

1.

RRRs   will   still   be   initiated   approximately   70   calendar   days   prior   to   the   last   day   of   the   RRR   due   month.

 

2.

During   the   initiated   phase,   county   workers   may   still   “queue”   additional   forms   and   letters   to   be   sent   with   the   client’s   RRR   packet.

 

3.

RRRs   will   still   be   generated   approximately   60   calendar   days   prior   to   the   last   day   of   the   RRR   due   month.

 

 

For   example,   if   an   RRR   is   due   for   AF,   FA,   and   Medical   Assistance   in   August   2012,   the   RRR   packet   will   be   initiated   on   June   20,   2012,   generated   on   July   1,   2012,   and   sent,   using   the   existing   RRR   packet,   to   the   client   via   mail   the   night   of   July   1,   2012.

 

4.

The   Adult   Financial   (AF),   Colorado   Works   (CW),   and   Food   Assistance’s   (FA)   RRR   packet   wording   and   format   will   not   change   until   the   implementation   of   Change   Request   (CR)   146*   

 

* Exception:   CR   146   will   not   change   the   wording   and   format   for   the   RRR   packet   for   medical   programs.

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   2   of   13  

Each   HLPG   has   different   criteria   that   must   be   met   before   it   aligns   its   program’s   RRRs   to   another   program’s   RRR.

 

 

2.1

Adult   Financial   (AF)  

The   criteria   are   as   follows:   a.

AF   RRRs   with   a   12 ‐ month   certification   period   will   align   with   Food   Assistance   (FA)   RRRs   by   moving   the   AF   RRR   Due   Date   a   maximum   of   11   months   forwards   or   backwards,   to   sync   with   the   FA   RRR   Due   Date.

  b.

AF   RRRs   with   a   24 ‐ month   certification   period   will   align   with   FAs   RRRs   by   moving   the   AF   RRR  

Due   Date   a   maximum   of   15   months   forwards   or   backwards,   to   sync   with   the   FA   RRR   Due  

Date.

  c.

When   an   AF   RRR   Due   Date   is   moved   backwards   (i.e.,   AF   RRR   Due   Date   occurs   earlier)   to   align   with   FA,   the   programs   will   not   align   within   CBMS   until   the   RRR   packet   is   returned   completed   according   to   AF   rules.

   If   the   client   does   not   recertify   early,   the   client’s   benefits   will   continue,   and   the   case   will   begin   the   RRR   process   based   on   the   existing   timeline   from   the   original   AF  

RRR   Due   Date.

  d.

However,   if   there   is   a   FA   RRR   Due   Date   within   the   next   12   or   15   months   as   defined   in   a.

  and   b.

  above,   the   AF   RRR   Due   Date   will   move   forward   (i.e.,   AF   RRR   Due   Date   will   occur   later)   and   attempt   to   try   to   align   with   the   FA   RRR   Due   Date   once   more   at   that   time.

   If   the   AF   RRR   is   not   returned   or   completed   according   to   the   AF   rules,   then   AF   will   then   fail.

  e.

AF   programs   with   a   12 ‐ month   certification   period   are   considered   aligned   with   FA   24 ‐ month   certifications   when   the   RRR   Due   Dates   are   equal   or   exactly   12   months   apart.

  f.

Once   aligned,   an   RRR   will   be   created   for   FA   and   AF.

   Only   one   RRR   packet   will   be   mailed   to   the   client   for   both   FA   and   AF.

 

 

2.2

Colorado   Works   (CW)  

The   criteria   are   as   follows:   a.

CW   RRRs   will   align   with   FA   RRRs   whenever   the   RRR   for   FA   occurs   within   any   of   the   five   months   prior   to   the   CW   RRR.

  b.

FA   and   CW   RRRs   that   are   equal   or   exactly   6   months   apart   are   already   considered   aligned.

 

 

Example:   If   the   FA   RRR   is   due   in   June   2012   and   the   CW   RRR   is   due   in   December   2012,   these  

RRRs   are   already   aligned.

   Assuming   the   June   2012   RRR   for   FA   results   in   an   approval,   the   next  

 

FA   RRR   will   be   due   in   December   2012.

  c.

FA   RRRs   that   will   occur   more   than   6   months   prior   to   the   CW   RRR   will   not   cause   the   CW   to   align   with   FA   RRR   until   the   next   FA   RRR.

 

 

Example:   If   the   FA   RRR   is   due   in   May   2012   and   the   CW   RRR   is   due   in   December   2012,   these  

RRRs   are   more   than   6   months   apart.

   Assuming   the   May   2012   RRR   for   FA   results   in   an  

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   3   of   13  

approval,   the   next   FA   RRR   will   be   due   in   November   2012   and,   at   that   time,   the   FA   RRR   and  

CW   RRR   will   align.

  d.

CW   must   be   in   approved   status   for   the   CW   RRR   to   align,   and   the   alignment   will   only   occur   at   the   time   a   FA   RRR   is   generated.

  e.

Once   aligned,   an   RRR   will   be   created   for   FA   and   CW.

   Only   one   RRR   packet   will   be   mailed   to   the   client   for   both   FA   and   CW.

  f.

Once   aligned,   a   CW   RRR   will   not   align   anytime   during   the   CW’s   lifetime   until   a   new   CW   application   is   made   on   the   case.

  g.

The   Monthly   Status   Report   (MSR)   will   continue   to   be   sent   to   the   client   for   the   same   month   in   which   the   RRR   is   due.

  h.

The   MSR   and   Change   Report   form   can   be   used   to   process   the   RRR   for   Colorado   Works   and  

Food   Assistance.

 

 

2.3

Food   Assistance   (FA)  

FA   certification   periods   can   be   3   months,   6   months,   or   24   months   and   cannot   be   shortened   or   lengthened.

   Certification   periods   for   FA   will   not   be   changed   to   align   with   other   HLPGs.

  

 

4.4240.1

 

2.4

Medical   Assistance  

The   criteria   are   as   follows:   a.

Medical   assistance   will   align   with   AF,   CW,   and   FA   RRRs   according   to   the   existing   logic   implemented   with   CBMS   Project   1805   –   Ex ‐ Parte   and   Auto   Re ‐ Enrollment   Process.

 

1.

Please   refer   to   the   Ex ‐ Parte   and   Auto   Re ‐ Enrollment   Process   Implementation   and   Ex ‐

Parte   and   Auto   Re ‐ Enrollment   Process   Guide   for   additional   details.

 

2.

These   documents   can   be   located   at   www.colorado.gov/hcpf .

   Click   Partners   &  

Researchers   >   County   and   Medical   Assistance   Site   >   Training   and   Reference   documents   >  

Training   Topics.

  b.

Note:   With   this   project,   the   Ex ‐ Parte   process   will   occur   regardless   if   the   difference   between  

AF,   CW,   and   FA’s   RRR   and   medical   assistance   program’s   RRR   is   greater   than   or   less   than   90   days.

  c.

All   Medical   programs   except   the   guaranteed   programs,   and   CHP+   will   align   with   AF,   CW,   and  

FA   RRRs.

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   4   of   13  

3.0

Incomplete   RRRs  

When   the   RRR   is   returned   by   the   client,   it   should   be   reviewed   for   completeness   by   the   county.

  

A   completed   RRR   packet   means   different   things   for   each   program   based   upon   program   rules.

  

Below   are   the   program   rules   for   AF,   CW,   and   FA.

   Medical   assistance   programs   are   excluded   from   this   process.

 

 

3.1

Adult   Financial  

Complete   means   that   the   RRR   has   been   returned   Signed ,   Dated ,   and   all   Questions   have   been   answered,   or   the   client   has   defined   that   no   changes   occurred.

 

 

3.2

Colorado   Works  

 

Complete   means   that   the   RRR   has   been   returned   Signed   and   Dated .

 

3.3

Food   Assistance  

Complete   means   that   the   RRR   has   been   returned   Signed   and   Dated .

 

 

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   5   of   13  

4.0

Data   Entry   Instructions   and   the   Incomplete   RRR   Letter  

County   workers   will   still   enter   that   an   RRR   was   received   on   the   View/Edit   RRR   Details   page.

  

Additional   questions   will   now   be   on   the   Edit   RRR   page   and   will   need   to   be   completed   prior   to   saving   the   page.

   By   completing   these   questions,   CBMS   will   determine   if   the   RRR   returned   was   incomplete,   and,   if   so,   will   send   an   Incomplete   RRR   Letter   to   the   client.

   Medical   assistance  

  programs   are   excluded   from   this   process.

 

4.1

Existing   Edit   RRR   Details   Page  

 

Existing   Field   Information  

Original

Current

New

Mail ‐

 

In  

 

  RRR

RRR

RRR

 

 

Month:

Appointment

Due  

 

 

Month:

Reassessment  

Type:

Date:

 

 

 

 

Month:  

Required:  

Packet/Re ‐ Assessment   Letter  

Received   Date:  

The   month   the   RRR   is   due   for   all   HLPGs.

 

The   month   of   the   upcoming   recertification   period   for   medical   assistance   programs.

 

Displays   either   “Regular”   or   “Reassessment”   for   Family  

Medical   Assistance   program.

   Displays   “Regular”   for   all   other   programs.

 

The   month   the   RRR   is   due   for   all   HLPGs   if   the   Original   RRR   month   changed   due   to   RRR   alignment.

   This   field   is   not   applicable   to   FA   since   its   RRR   will   not   change   to   align   with   other   HLPGs.

 

If   the   HLPG   requires   a   face ‐ to ‐ face   interview   at   RRR,   this   should   =   Y ;   otherwise   it   should   =   N .

   For   CW,   this   defaults   to  

Y ;   for   all   other   HLPGs,   this   defaults   to   N .

 

If   the   Appointment   Required   question’s   answer   is   changed,   the   Mail ‐ In   Due   Date   becomes   a   required   field.

   Enter   the   date   by   which   the   client   should   return   the   RRR   packet;   this   date   will   be   the   date   on   the   RRR   packet   cover   letter.

 

Enter   the   date   the   RRR   was   returned   by   the   client.

 

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   6   of   13  

 

 

Existing   Field   Information  

Resend   Packet:  

Late   RRR

Reason:  

  –   Good   Cause  

If   the   worker   needs   to   send   another   RRR   packet,   enter   Y ;   otherwise,   enter   N .

   If   the   RRR   returned   for   AF,   CW,   and/or  

FA   was   incomplete,   enter   N ,   and   complete   the   new   fields  

(see   screenshot   on   next   page)   to   send   the   Incomplete   RRR  

Speed   Letter   with   specific   instructions   to   the   client   on   what   was   missing   from   the   client’s   RRR.

 

 

Currently   this   field   is   only   used   for   Colorado   Works.

 

This   field   is   disabled   unless   the   Packet/Re ‐ Assessment  

Letter   Received   Date   is:   

ƒ After   the   last   day   of   the   RRR   due   month;   and  

ƒ On   or   before   thirty   (30)   calendar   days   after   the   last   day   of   the   RRR   due   month.

 

 

When   enabled,   this   field   is   optional   and   should   be   entered   based   upon   county   policy:  

ƒ Entering   a   good   cause   reason   causes   the   following   month’s   benefits   to   be   issued   in   full.

 

ƒ Not   entering   a   good   cause   reason   causes   the   following   month’s   benefits   to   be   prorated   from   the   Packet/Re ‐

Assessment   Letter   Received   Date.

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   7   of   13  

4.2

Modified   Edit   RRR   Details   Page  

The   Edit   RRR   Details   page   has   been   modified   as   a   result   of   Project   2324.

   No   fields   were  

  removed   from   the   page,   but   five   (5)   new   fields   have   been   added.

 

 

New   Field   Information  

RRR   Signature   Provided:  

RRR   Signature   Date   Provided:   Required   for   AF,   CW,   and   FA:   Enter   Yes   if   the   RRR   was   dated,   and   No   if   the   RRR   was   not   dated.

 

RRR   Signature   Date:   Required   for   AF,   CW,   and   FA:   Disabled   unless   RRR   Signature  

Date   Provided   =   Yes ,   then   this   field   becomes   enabled   and   required.

   Enter   the   date   the   client   wrote   on   their   RRR.

 

Questions   Answered:  

No   Changes   to   Questions:  

Required   for   AF,   CW,   and   FA:   Enter   Yes   if   the   RRR   was   signed,   and   No   if   the   RRR   was   not   signed.

 

Required   for   AF   only:   If   every   question   in   the   RRR   packet   was   answered,   enter   Yes ,   otherwise   enter   No .

 

 

Note:   This   field   is   currently   required   for   CW   even   though  

CW   policy   does   not   require   all   questions   to   be   answered.

   If   a   No   is   entered,   the   Incomplete   RRR   Speed   Letter   will   be   sent   instructing   clients   to   answer   all   the   questions;   therefore,   it   is   CW   policy’s   recommendation   that   on   CW  

RRRs   to   always   enter   Yes   in   this   field.

   The   field   will   be   disabled   for   CW   RRRs   in   a   future   change   request   or   project.

 

Required   for   AF   only:   Disabled   unless   Questions   Answered  

=   No ,   then   this   field   becomes   enabled   and   required.

   Enter  

Yes   if   on   the   RRR,   the   No   Changes   checkbox   was   marked;  

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   8   of   13  

 

New   Field   Information  

  otherwise,   enter   No .

 

Note:   This   field   is   currently   required   for   CW   if   Questions  

Answered   =   No .

   If   a   No   is   entered,   the   Incomplete   RRR  

Speed   Letter   will   be   sent   instructing   clients   to   answer   all   the   questions.

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   9   of   13  

4.3

Incomplete   RRR   Letter  

Two   examples   of   the   Incomplete   RRR   Letter   are   below.

   Accompanying   the   letter   will   be   the  

Signature   Page   for   all   unsigned/undated   AF,   CW,   and/or   FA   RRRs.

   Incomplete   AF   or   CW   RRRs   will   also   send   the   questions   pages   if   the   worker   indicates   that   the   RRR   questions   were   not   all  

  answered.

   Shown   directly   below   is   a   sample   FA   Incomplete   RRR   Letter .

 

 

Note:   The   due   date   for   the   FA   RRR   to   be   returned   completed   is   10   calendar   days   following   the   date   the   speed   letter   sent   date.

 

   

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   10   of   13  

Shown   directly   below   is   a   sample   of   the   CW/AF   Incomplete   RRR   Letter .

 

Note:   The   due   date   for   AF   and   CW   RRRs   to   be   returned   completed   is   the   last   day   of   the   current   certificaton   period.

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   11   of   13  

5.0

RRR   Quarterly   Comparison   Report  

A   new   report   will   be   created   to   identify   by   county,   supervisor,   and   worker,   how   many   HLPGs   on   each   of   that   county/supervisor/worker’s   assigned   cases   are   aligned,   how   many   will   be   aligned   next   quarter,   and   how   many   programs   were   aligned   last   quarter.

 

 

The   1 st

  report   will   run   the   evening   of   Sunday,   July   1,

 

2012.

   It   will   show   how   many   RRRs   aligned   the   previous   quarter   (April   1,   2012   –   June   30,   2012)   which   should   be   0.

   It   will   also   show   how   many   RRRs   are   currently   aligned   on   each   case   and   how   many   RRRs   will   align   the   next   quarter  

(July   1,   2012  ‐  September   30,   2012).

 

 

Each   subsequent   report   will   run   on   the   1 st

  Sunday   of   the   month   following   the   end   of   each  

  quarter.

 

All   reports   will   be   available   in   CSV.

  and   PDF.

  formats   and   will   be   sorted   alpha ‐ numerically   by  

County ,   Supervisor ,   Worker ,   and   Case   # .

   A   page   break   will   separate   each   county’s   list.

 

 

The   report   will   be   located   in   COGNOS   under   RRR   Reports   and   will   be   titled:   RRR   Quarterly  

 

Comparison .

   Note:    The   first   report   will   run   on   October   7,   2012.

 

5.1

Example   of   Report  

 

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   12   of   13  

6.0

Food   Assistance   FS ‐ 3L    

The   FS ‐ 3L   form   that   is   required   to   be   given   to   every   household   at   application   and   recertification   will   now   be   automated   in   CBMS.

   This   form   will   be   generated   after   authorization   of   benefits   and   will   explain   the   household’s   reporting   requirements   and   their   certification   length.

   This   document   has   a   Spanish   and   English   version.

   The   automated   form   will   contain   the   ‘24 ‐ month’  

  wording   if   an   elderly/disabled   household   OR   between   ‘18 ‐ 49’   wording   if   an   ABAWD   household.

  

6 ‐ month   limited   reporting   households   will   contain   no   additional   wording.

   It   will   not   display  

  both   sentences   in   one   form.

 

7.0

Adult   Financial   Rule   Changes   for   RRR   Certification   Periods  

Adult   Financial   Assistance   has   removed   from   rule   and   CBMS   the   6 ‐ month   certification   period   for   OAP   clients   within   $200   of   the   resource   limits.

 

 

OAP   clients   will   be   certified   for   12   months   when   the   client   has   any   earned   income   or   the   Head  

Of   Household   has   unearned   income   other   than   Social   Security   unearned   incomes.

 

 

OAP   clients   will   be   certified   for   24   months   when   the   client   does   not   have   either   of   these.

 

 

OAP   clients   currently   certified   for   6   months   will   not   have   their   certification   period   changed   until  

  the   next   RRR.

 

Adult   Financial   Assistance   will   no   longer   require   the   State   AND   &   AND ‐ SSI/CS   RRRs   to   occur   when   the   Med   re ‐ exam   is   due.

 

 

The   RRRs   for   these   programs   will   be   set   based   upon   the   Approval   Date   or   the   Previous   RRR   Due  

Date   and   will   be   set   to   12   months   if   the   client   has   earned   income   and   24   months   if   the   client   does   not.

 

RRR   Alignment   –   User   Guide  

Version:   1.0

 

Release   Date:   June   21,   2012

 

Page   13   of   13  

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