SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Inter-County Transfer Communication Protocol The counties in California have worked together in developing a protocol for the Electronic InterCounty Transfer (eICT) process. The following guidelines have been reviewed and agreed upon. The counties have full authority to modify this agreement as deemed necessary. NOTE: This document includes hyperlinks that will be indicated with blue font. 106762947 i SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Table of Contents Executive Summary ............................................................................................................................... 2 1. Timeframes .................................................................................................................................... 3 1.1 Requesting an eICT ........................................................................................................................................................... 3 1.2 Sending an eICT ................................................................................................................................................................ 4 1.3 Processing Timeframe ....................................................................................................................................................... 4 1.4 Program Disposition ......................................................................................................................................................... 5 1.5 Annual Redeterminations ................................................................................................................................................ 5 2. Partial ICT ..................................................................................................................................... 6 3. Companion Cases .......................................................................................................................... 6 4. Address Changes............................................................................................................................ 7 4.1 5. Client Reporting an Address Change after the Sending County has initiated the eICT: ..................................... 7 File Clearance Processes............................................................................................................... 7 5.1 MEDS ................................................................................................................................................................................... 7 5.2 SCI ........................................................................................................................................................................................ 7 6. Confidential Case .......................................................................................................................... 7 6.1 7. Domestic Abuse eICT Process ......................................................................................................................................... 8 Child Support Good Cause ............................................................................................................ 8 7.1 Good Cause - Granted....................................................................................................................................................... 8 7.2 Good Cause – Request Pending ...................................................................................................................................... 8 8. Homeless ........................................................................................................................................ 8 9. Documents ..................................................................................................................................... 9 9.1 Additional Documentation .............................................................................................................................................. 9 9.2 Sending County Response Time ..................................................................................................................................... 9 10. Cancellation Process ................................................................................................................. 9 10.1 Client Returning to Sending County ............................................................................................................................. 9 10.2 Non-Processed eICT Request ........................................................................................................................................ 10 11. Foster Care .............................................................................................................................. 10 11.1 106762947 Foster Care......................................................................................................................................................................... 10 ii SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System 11.2 Court Dependent Children receiving CalWORKs..................................................................................................... 10 11.3 Wraparound Program ...................................................................................................................................................... 10 12. Overpayment Claims................................................................................................................ 10 12.1 Supporting Documentation ........................................................................................................................................... 11 12.2 Multiple Claims ............................................................................................................................................................... 11 12.3 Collection Policy .............................................................................................................................................................. 11 12.4 eICT Comments ............................................................................................................................................................... 11 13. Communication Process .......................................................................................................... 11 13.1 General Escalation Process ............................................................................................................................................. 11 13.2 ICT Coordinators ............................................................................................................................................................. 12 13.3 Issue Resolution ............................................................................................................................................................... 12 Appendix A - eICT Timelines.............................................................................................................. 13 Appendix B - County ICT/eICT Coordinator ..................................................................................... 20 Appendix C - Document Protocol ....................................................................................................... 21 Appendix D - Glossary......................................................................................................................... 29 106762947 iii SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Version Number 1.0 Brief Description of Change (include page numbers) Baseline Approval 2.0 2.0 Version 2 Statewide Workgroup Approval 106762947 Incorporate CalFresh ICT Draft ACL regulations Remove ICT Coordinator list Date Responsible Party 10/25/10 eICT California Consortia Workgroup eICT California Consortia Workgroup 03/17/2011 03/22/2011 eICT California Consortia Workgroup iv SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Executive Summary The California Counties, the California Consortia (C-IV, CalWIN and Leader), in association with the California Welfare Director Association (CWDA), created a Statewide California electronic intercounty transfer interface (eICT) between the California Consortia. The purpose of a statewide intercounty transfer (ICT) is to provide a seamless transfer of client data and documents from one California County to another without a break in benefits to the recipient. This document, titled InterCounty Transfer Communication Protocol, is to provide an agreement to guide California Counties through the ICT business processes used in conjunction with each California Consortia detailed design documentation of their eICT interface. The content of this document has been agreed upon by the California Counties as the standards for processing a recipient of benefits when they move from one county to another, within the State of California. At this time, the following programs are included with the initial eICT interface between the three California consortia: 106762947 CalWORKs RCA (Refugee Cash Assistance) Medi-Cal CalFresh 2 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System 1. Timeframes All California Counties will utilize the Electronic Inter-County Transfer (eICT) process. The electronic data file with the Imaged Document file must be initiated within seven working days from the notification date. For Counties that do not have document imaging, the timeframe to postmark or FAX the document file is seven working days. Regulations guiding the protocol for each program are listed below: Medi-Cal ACWDL 03-12 and 04-14: Seven calendar days to initiate an eICT to the Receiving County and 30 days to complete the process in the Receiving County. CalWORKs EAS Manual 40-187 - 40-188: The 30-day transfer period begins with the postmarked date or the date of the electronic transfer of the notification of ICT. The documentation must be sent within seven working days from the day the Sending County notifies the Receiving County. Continuing eligibility determination must be completed by the Receiving County by the end of the transfer period. CalFresh - excluding Transitional CalFresh ACL 11-22 implements CalFresh ICT regulations: seven working days to initiate and send documentation, then timeframes are as follows: Public Assistance Households (PA Households)-when any CalFresh participant also receives CalWORKs benefits the CalWORKs ICT regulations will apply. Households receiving Medi-Cal only and CalFresh benefits, the Medi-Cal ICT regulations will apply. No later than July 1, 2011, households receiving Non-Assistance CalFresh benefits only, refer to ACL 11-22 for specific ICT regulations. The 30-day transfer period begins with the postmarked date or the date of the electronic transfer of the notification of ICT. The documentation must be sent within seven working days from the day the Sending County notifies the Receiving County. Continuing eligibility determination must be completed by the Receiving County by the end of the transfer period. 1.1 Requesting an eICT The requesting county will have three working days to request the ICT from the Sending County, when the client is in the Receiving County requesting an ICT. Once the 106762947 3 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Receiving County has confirmed the client is a potential ICT, the county will request the ICT within three working days. 1.2 Sending an eICT Once the county is notified of an ICT request, the Sending County will initiate the ICT within seven calendar days for Medi-Cal and seven working days for CalWORKs or nonassistance CalFresh. The seven-day starts with the date of receipt of request in the Sending County. (For CalWORKs/Medi-Cal cases the timeframe follows CalWORKs timeframe.) Example: The eICT batch process usually takes two working days. An ICT request is entered in the Receiving County on Monday and batch processes Monday night. The Sending County’s Consortium receives the file on Tuesday and processes the file on Tuesday night. The Sending County would see the request on Wednesday. The Sending County has seven calendar days for Medi-Cal and seven working days for CalWORKs to respond to the requesting county with the eICT data and imaged document file. For those counties that do not have document imaging systems, the documents would be sent manually within the timeframes stated above. When there is a system outage, depending on the length of time the system is anticipated to be unavailable, the counties will determine whether to wait for the system availability to complete the automated process or to complete a manual ICT process. The consortia systems will process the files in order of date received once the system outages are resolved. When the need for a manual process is determined by the county, it is the responsibility of that county to communicate to the Consortia and counties. Consortia and county ICT Coordinators will be communicating with each other regarding outage business plans, through a County/Consortia communication plan. When Consortia anticipate a planned outage, all counties will be notified one week in advance of the planned outage. 1.3 Processing Timeframe Once an eICT is received in the Receiving County, the processing timeframes will be completed by program, as follows, with the intent to meet regulations: CalWORKs EAS Manual 40-187, 40-188, ACL 03-18 and ACIN I-29-04: The 30-day transfer period begins with the postmarked date or the date of the initiation of the electronic transfer Medi-Cal 106762947 4 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System ACWDL 03-12 and 04-14: The 30-day transfer period begins with the postmarked date or the date of the initiation of the electronic transfer. CalFresh ACL 11-22 implements CalFresh ICT regulations. The 30-day transfer period begins with the postmarked date or the date of the initiation of the electronic transfer. 1.4 Program Disposition Disposition files notifying the Sending County of the approval/denial of the eICT will be triggered from the Consortia system once the Eligibility Determination has been authorized. NOTE: In order to successfully transition county of responsibility automatically in the MEDS system, MEDS requires the negative (EW40/FX40) transaction be received prior to the approval (EW20/FX20) transactions from the receiving county. Counties agree to communicate to one another the intended program approval/discontinuance dates to facilitate timely processing in MEDS, or counties can manually complete an online EW05 transaction in MEDS to change the county of responsibility. The counties will communicate any deviation to extend or shorten the pick-up dates to ensure there is no break in assistance to the household, no overlapping benefits are issued and that adequate notification can be provided. Example: ICT initiated on September 13th, the Receiving County has 30 days to process (by October 12th), and the pick-up date would be November 1st. For all programs, the receiving county should communicate the proposed program approval dates to the sending county before October 12th allowing the sending county to take the discontinuance action prior to the receiving county actually approving the programs in the automated system. ACWDL 04-14 states when the CalWORKs program is discontinued prior to completing the ICT process, the ICT process must continue for the Medi-Cal program. 1.5 Annual Redeterminations/Recertifications If the annual redetermination is due within the transfer period, the Receiving County completes an annual redetermination to meet the needs of the client. Medi-Cal When the annual redetermination is due during the ICT period, ACWDL 03-12 and 04-14 will be followed. CalWORKs 106762947 5 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System When the annual redetermination is due during the ICT period, EAS Manual sections 40187 through 40-197 will be followed. CalFresh ACL 11-22 implements CalFresh ICT regulations; Households who move during the last month of their certification period shall be required to file a new CalFresh application in the county of residence. Example: Normal ICT Process The client is living in the Receiving County; the ICT request month is September. The ICT end of transfer period is October 31st and the pick-up date in the Receiving County is November 1st. ICT with RV due The ICT is requested in the same month as the annual redetermination due month (September). The counties have agreed, when the client completes the redetermination paperwork in the Receiving County, that the Receiving County would complete the annual redetermination, in this example, processing with October 1st as the pick-up date for continuing assistance. 2. Partial ICT A partial ICT is defined when not all active persons contained in a program/case have moved to the new county. The current California Consortia eICT interface process does not support a partial household/case eICT request. Any partial ICT will be completed as a manual process outside the consortium system. For CalFresh cases an ICT should only be initiated when the entire household moves out of the county. (Medi-Cal ACWDL 03-12 and 04-14; CalWORKs EAS Manual 40-190.23; CalFresh ACL 11-22.) 3. Companion Cases The eICT interface file does not inform a county of a companion case, therefore counties will note in the eICT comment section if there is a companion case situation with the ICT. 106762947 6 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System 4. Address Changes 4.1 Client Reporting an Address Change after the Sending County has initiated the eICT: The address is changed within the Receiving County; the Receiving County continues to process the eICT with the changed address information. When possible both the sending and receiving counties will assure the validity of the new address to include confirming the ZIP code matches the city and county of the receiving county. When the address is unknown counties will utilize the homeless process in section 8 when changing address in the automated systems. The address is changed back to the Sending County; the Sending County cancels the eICT request. In the event the Receiving County has completed the ICT process and the client has returned to the Sending County, a new eICT needs to be initiated back to the Sending County. The address is changed to a third county, the Sending County (# 1) cancels the eICT request to Receiving County (# 2), and initiates the eICT to the correct county (# 3). 5. File Clearance Processes 5.1 MEDS Receiving County is responsible to complete file clearance processes for each individual in the household to assure the continuance of benefits. All Counties would follow their current business processes. For Medi-Cal clients with Managed Care ICT’s, refer to ACWDL 03-12 and 04-14. 5.2 SCI Receiving County is responsible to complete file clearance processes to assure the accurate continuance of CIN numbers from the sending to the Receiving County. All counties would follow their current business processes. 6. Confidential Case When a county is made aware that a case in which there is a Domestic Abuse/Violence situation has moved to another county, the Inter County Transfer for all programs except CalWORKs/RCA is to be completed manually and not electronically. The manual process will 106762947 7 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System begin with the completion of the CW215/MC360 form and include all appropriate documents. The expectation is that all information is to be treated with utmost confidentiality. CalWORKs/RCA program will follow ACIN I-60-09. 6.1 Domestic Abuse eICT Process The Protocol Workgroup is working with CWDA, CDSS and DHCS to provide policy direction regarding confidential cases including the Domestic Abuse cases for this eICT process. Once the State confidentiality policy is established this document will be updated. 7. Child Support Good Cause Counties will continue to follow all existing policies regarding requests for Good Cause not to cooperate with Child Support according to ACL 07-51. 7.1 Good Cause - Granted When the client has been granted good cause not to cooperate with Child Support, the Sending County is to notify the Receiving County by including the applicable CW51 document. The Sending County should also add a comment to eICT file where a request for Good Cause has been granted. 7.2 Good Cause – Request Pending In the event the ICT is requested while a Good Cause not to cooperate with Child Support determination (CW51) is pending, the Sending County will add a comment to the eICT file and forward all supporting documentation to the Receiving County. The Receiving County would then make the Good Cause determination. 8. Homeless When a client applies in a receiving county and does not have a permanent or temporary address, the receiving county would send the eICT request to the sending county. The receiving county will enter the appropriate homeless address (District office address/general delivery, etc.) in the address section of the consortium system and add case comments regarding client’s homeless situation for inclusion in the eICT request transaction. When the client informs the Sending County of their intention to move or has moved to another county, but does not have a permanent address, the request for ICT will be documented in the case and wherever possible the counties will communicate with each other to ensure a continuation of benefits. NOTE: In order to initiate an eICT, the address is a mandatory field. References: 106762947 8 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Medi-Cal ACWDL 03-12 and 04-14 CalWORKs EAS 44-211.515 and 44-211.52 CalFresh ACL 11-22 implements CalFresh ICT regulations. 9. Documents Counties have validated the minimum required documentation necessary to support the eICT process as listed in Appendix C. The eICT process supports an initial (one-time) document file transfer. In the event documents must be sent manually, counties will notate in the eICT comment section that images will not be sent electronically. Any subsequent documentation needed will be sent as stated below. 9.1 Additional Documentation Counties will need to communicate with each other when additional documentation is being requested or sent. All additional documentation will be sent manually and will include a CW215/MC360 with the identifying case number and/or eICT reference number to link the additional documentation to the initial eICT. 9.2 Sending County Response Time Counties will respond within seven business days by providing the additional documents requested. 10. Cancellation Process The Receiving County’s ‘Request’ for an eICT cannot be electronically cancelled. Only the Sending County has the ability to cancel the ‘Sending’ eICT process electronically. The electronic EDBC disposition by program will be sent to the Sending County once the ICT programs are authorized. Once an eICT disposition is sent from the Receiving County, the entire eICT process is complete and cannot be electronically cancelled. 10.1 Client Returning to Sending County When a client returns to the Sending County, the Sending County would cancel the eICT process. When sending a cancellation request, the Sending County should attempt to make contact with the Receiving County as a courtesy. In the event the Receiving County has completed the ICT process and the client has returned to the Sending County, a new eICT needs to be initiated back to the Sending County. 106762947 9 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System 10.2 Non-Processed eICT Request When a county receives an eICT request in their system and needs to cancel/deny/terminate the request, the two counties will communicate within two business days. The counties will follow existing county business processes to cancel the requests. 10.3 Overlapping Cancellation and Disposition transactions The Sending ICT cancellation transaction and the disposition transactions are individual transactions and will create notifications in the Consortia systems. The county completing the cancellation should contact the other county involved in the ICT request to determine the best course of action on behalf of the client. 11. Foster Care 11.1 Foster Care Foster Care is not included in the eICT statewide process and counties will continue to follow current manual business processes. EAS 40-188 and 44.317.3 11.2 Court Dependent Children receiving CalWORKs CalWORKs program, where the case consists solely of children who are court dependent, would be included in the eICT; however, a face-to-face interview is not required to complete the ICT process. The Sending County should add a comment to the eICT file for these cases. (ACIN I-05-09 ) 11.3 Wraparound Program Wraparound program information for CalWORKs and/or Medi-Cal needs to be included in the comments section of the eICT file. (ACIN I-28-99 ) 12. Overpayment/Overissuance Claims The State mandates that all overpayment claims or overissuances are transferred to the receiving county with supporting documentation (EAS 44-350 ; CalFresh ACL 11-22; MPP 63-801.782). Overpayment/Overissuance claim information is minimally included in the data file with the following data elements: Program, Error type (Agency Error; Client Error or Intentional Program Violation (IPV)) and Number of errors occurred (the number of overpayments per program per error type). The file includes those overpayments that are in an open/active status at the time of the eICT sending transaction. 106762947 10 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System 12.1 Supporting Documentation Supporting overpayment/overissuance documentation for the current active claim(s) should be sent to the Receiving County in the 7-day timeframe stated in Section 1. Where possible, sending counties should send the supporting overpayment /overissuance documentation for each additional open claim(s) within 90 days of the date the transfer is completed. It is understood by all counties that the receiving county will be unable to resume overpayment recoupment or collection processes on any existing claims without receiving all supporting documentation. The following is a recommended list of supporting documentation: Overpayment/Overissuance Claim budget calculations Overpayment/Overissuance Claim Notices of Action Overpayment/Overissuance recoupment history – if available. Overpayment/Overissuance beginning balance and balances owed at the time of the transfer after the last Sending County grant issuance month. All other Overpayment/Overissuance supporting documentation, including any Fair Hearing material if applicable. 12.2 Multiple Claims The documentation listed in 11.1 shall be included for each overpayment claim and error type. 12.3 Collection Policy All existing policies relative to collections will remain in effect with the eICT process. 12.4 eICT Comments The eICT comments section should include, at minimum, the program, claim type, last recoupment amount and balance remaining for each overpayment. 13. Communication Process 13.1 General Escalation Process When a county is experiencing ‘Non-Response’, the county staff will contact their county’s ICT coordinator to work with the other county ICT coordinator(s) in the following situations: 106762947 11 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System eICT system request: ‘Non-Response’ is defined as no eICT send transaction received after the fourteenth calendar day. Non-System requests: ‘Non-Response’ is defined as any request to a county for information without a response after the seventh business day. 13.2 ICT Coordinators The State California Department of Social Services (CDSS) maintains a list of County ICT coordinators with all contact information. (ACIN I-34-08EII ) See also Appendix B regarding a current listing of ICT coordinators. 13.3 Issue Resolution The ICT Coordinator is to serve as the contact person for issue resolution. 106762947 12 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Appendix A - eICT Timelines ICT Request Transaction Processing Timeline - CalWORKs Scenario Policy: ICT Request needs to be processed within 7 Business Days (M-F) from the Date Request Received Scenario: Request gets processed on the 7th Business Day (i.e., Longest Processing Timeline) System B Receives ICT Request Days elapsed from Request Received to ICT Received Days elapsed from ICT Requested to ICT Received 106762947 1 Monday Tuesday Wednesday 8 9 10 11 System A receives ICT System B Processes ICT Request 2 Request available in System B for Users in Sending County Saturday Sunday 7 Friday Saturday 6 Thursday Friday 5 12 13 System A Processes ICT ICT available in System A for Users in Receiving County 12 13 Tuesday Sending County (System B) 4 Monday Receiving County User in System A Requests ICT from Sending County System A Sends ICT Request to System B 3 Week 3 Sunday Receiving County (System A) 2 Thursday Tuesday Monday 1 Week 2 Wednesday Week 1 14 15 16 14 15 Sending County User Sends ICT to Receiving county from System B 1 2 3 3 4 5 6 7 4 5 6 System B Sends ICT to System A 7 8 9 10 11 13 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System ICT Request Transaction Processing Timeline - Medi-Cal Scenario Policy: ICT Request needs to be processed within 7 Calendar Days from the Date Request Received Scenario: Request gets processed on the 7th Business Day (i.e., Longest Processing Timeline) 9 System A receives ICT 10 System A Processes ICT System A Sends ICT Request to System B Sending County (System B) System B Receives ICT Request System B Processes ICT Request Days elapsed from Request Received to ICT Received Days elapsed from ICT Requested to ICT Received 106762947 1 2 Request available in System B for Users in Sending County 1 3 11 Sunday 8 Saturday 7 Friday 6 Thursday Monday 5 Wednesday Sunday 4 Receiving County User in System A Requests ICT from Sending County Tuesday Saturday 3 Friday 2 Thursday Tuesday Monday 1 Receiving County (System A) Week 2 Wednesday Week 1 12 13 14 ICT available in System A for Users in Receiving County Sending County User Sends ICT to Receiving county from System B 2 3 4 5 6 4 5 6 7 8 System B Sends ICT to System A 7 9 8 9 10 11 14 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System ICT Processing Timeline - CalWORKs Scenario A Policy: ICT Transfer Period is 30 Calendar Days Scenario: ICT sent before the last day of the month and processed within 30 Days from the ICT Sent Date Sending County (System B) Wednesday 11/30/10 Thursday Tuesday 11/29/10 12/01/10 Monday Monday 11/22/10 11/28/10 Sunday 11/21/10 Saturday Friday 11/20/10 11/27/10 Thursday 11/19/10 Saturday Wednesday 11/18/10 11/26/10 … … Thursday Monday 11/01/10 System B Sends Discontinuance to MEDS 11/25/10 Sunday 10/31/10 CalWORKs/ CalFresh Benefits show as Discontinued in System B Wednesday Saturday 10/30/10 System B Discontinues Benefits Effective 12/1/2010 11/24/10 Friday 10/29/10 System B sends ICT to System A System B Schedules CW/FS Benefits Discontinuance effective 12/1/2010 Tuesday Thursday 10/28/10 ICT available in System A for Users in Receiving County December 11/23/10 Wednesday 10/27/10 System A Processes ICT Tuesday Monday 10/25/10 Receiving County (System A) November 10/26/10 October User in Receiving County Approves Benefits System A Sends Approval Disposition with Pick Up Date = 12/1/2010 Customer Aided in Receiving County System B Receives Approval Disposition Transaction from System A CalWORKs/ CalFresh Benefits Discontinued in Sending County MEDS Renewal 1 2 3 4 5 6 7 8 … 25 26 27 28 29 30 eICT Processing Time: 30 days between the ICT Sent Date (Sending County) and ICT Processed Date (Receiving County) County Customer Aided In Sending County 106762947 Receiving County 15 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System ICT Processing Timeline - CalWORKs Scenario B Policy: ICT Transfer Period is 30 Calendar Days Scenario: ICT sent before the last day of the month and processed within 30 Days from the ICT Sent Date Sending County (System B) 106762947 Friday 10/29/2010 System B CalWORKs/CalFresh Discontinues Benefits show as Effective Discontinued in System B 11/1/2010 System B Sends Discontinuance to MEDS 2 3 … 18 19 … 28 29 30 eICT Processing Time: 30 days between the ICT Sent Date (Sending County) and ICT Processed Date (Receiving County) Sending County Monday Thursday 10/30/2010 User in Receiving County Approves System A Sends Approval Disposition with Pick Up Date = 11/1 System B Receives Approval Disposition Transaction from System A 11/1/2010 … … Sunday Tuesday 10/19/2010 10/31/2010 Monday 10/18/2010 (by ten day notice) Saturday … … 10/30/2010 Wednesday 10/3/2010 ICT available in System A for Users in Receiving County System B sends ICT to System A System B Schedules CW/FS Benefits Discontinuance effective 11/1/2010 1 County Customer Aided In System A Processes ICT Tuesday Monday 10/1/2010 Receiving County (System A) November 10/2/2010 October Customer Aided in Receiving County CalWORKs/CalFresh Benefits Discontinued in Sending County Receiving County 16 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Sending County (System B) System B sends ICT to System A Saturday Saturday Monday Tuesday Wednesday 11/26/2010 11/27/2010 11/28/2010 11/29/2010 11/30/2010 Thursday Thursday 11/25/2010 User in Receiving County Approves Benefits System A Sends Approval Disposition with Pick Up Date = 12/1/2010 System B Receives Approval Disposition Transaction from System A 12/1/2010 Wednesday Monday 11/22/2010 11/24/2010 Sunday 11/21/2010 December Tuesday Friday 11/20/2010 November 11/23/2010 Thursday Monday 11/1/2010 11/19/2010 Sunday 10/31/2010 Wednesday Saturday 10/30/2010 11/18/2010 Friday 10/29/2010 … Thursday 10/28/2010 ICT available in System A for Users in Receiving County … Wednesday System A Processes ICT Tuesday 10/27/2010 Receiving County (System A) 10/26/2010 10/25/2010 Monday ICT Processing Timeline - Medi-Cal Scenario A Policy: ICT Transfer Period is 30 Calendar Days Scenario: ICT processed within 30 Days from the ICT Sent Date and UP TO 2 DAYs BEFORE MEDS Renewal October Customer Aided in Receiving County System B Discontinues Benefits Effective 12/1/2010 System B Sends Discontinuance to MEDS Medi-Cal Benefits show as Discontinued in System B Medi-Cal Benefits Discontinued in Sending County MEDS Renewal County Customer Aided In … 1 2 3 4 5 6 7 8 25 26 27 28 29 30 eICT Processing Time: 30 days between ICT Sent Date (Sending County) and ICT Processed Date (Receiving County) Sending County 106762947 Receiving County 17 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System ICT Processing Timeline - Medi-Cal Scenario B Policy: ICT Transfer Period is 30 Calendar Days Scenario: ICT processed within 30 Days from the ICT Sent Date and 1 DAY BEFORE, ON or AFTER MEDS Renewal Sending County (System B) System B sends ICT to System A eICT Process Time: 30 days between ICT Sent Date (Sending County) & ICT Processed Date (Receiving County) 1 106762947 3 4 5 6 … 23 24 25 26 27 28 Sending County 29 Tuesday Wednesday Thursday 11/29/2010 11/30/2010 12/1/2010 Thursday Monday 11/28/2010 1/1/2011 Saturday 11/27/2010 Wednesday 11/24/2010 Saturday Tuesday 11/23/2010 11/26/2010 Monday 11/22/2010 Thursday Sunday 11/21/2010 User in Receiving County Approves Benefits System A Sends Approval Disposition with Pick Up Date = 1/1/2011 System B Receives Approval Disposition Transaction from System A 2 December January 11/25/2010 Friday 11/20/2010 … Thursday Monday 11/1/2010 11/19/2010 Friday 10/31/2010 … Thursday 10/30/2010 Wednesday Wednesday 10/29/2010 11/18/2010 Tuesday System A ICT Processes ICT available in System A for Users in Receiving County Receiving County (System A) Co. Customer Aided In November 10/28/2010 10/27/2010 Monday October Customer Aided in Receiving County System B Discontinues Effective 1/1/2011 System B Sends Discontinuance to MEDS Medi-Cal Benefits show as Discontinued in System B Customer Aided in Sending County Medi-Cal Benefits Discontinued in Sending County MEDS Renewal 30 Receiving County 18 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Page Intentionally Left Blank 106762947 19 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Appendix B - County ICT/eICT Coordinator The Statewide ICT/eICT Coordinator list is a separate document that is to be maintained by the Consortia Project Staff. Updates to this list need to be sent to the Counties appropriate Consortia Representatives: CalWIN: Jo Anne Osborn, joanne.osborn@calwin.org C-IV: Jennifer Hobbs; hobbsj@C-IV.org LEADER: Judith Roldan; JudithRoldan@dpss.lacounty.gov County Addresses: The ICT/eICT Coordinator document will also include all Counties Mailing and indicate the county homeless address to use for client address when the assistance unit does not have a mailing/housing address. The mailing address is to be utilized to mail partial ICT’s. 106762947 20 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Appendix C - Document Protocol The below spreadsheet provides recommended categories for documents that are required to be included in the eICT document file. This requirement of document inclusion depends upon the assistance program(s) to be transferred and the case/individual situation for the program eligibility determination. Not all document types are included in the eICT Statewide Required Document Types and Categories for each program. The document type list does include the minimum required documents to allow the Receiving County to make an accurate eligibility determination providing seamless transition of benefits from one county to the next county. Document Categories Applications Birth/Citizenship Budgets Cal Learn Child Support Deprivation Key to 'Required' Indicators Disability N/A Expenses I Forms M Document type is not applicable to program. If applicable to eligibility determination for case/individual then the document will be included, if available, in document file, otherwise the inclusion of the document is optional. Mandatory inclusion in the document file regardless of case construct. Homeless Assistance Identification IEVS Income Medical Records Narratives/Comments Notices Other Documents Property Relationship Residency Sanctions/Penalties SFIS Status Reports Time Limits 106762947 21 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System eICT Statewide Required Document Types and Categories CalWORKS Required Medi-Cal Required CalFresh Required (TBD) ABAWD Time Limit N/A N/A I Time Limit Adoption Documents I I I Birth/Citizenship Affidavit Relating to Birth/Citizenship I I I Birth/Citizenship M I M Authorized Rep Form/Letter I I I Forms Bank Verification I I I Property Birth Certificate/ Verification/ Relationship I I I Birth/Citizenship Budgets I M I Budgets Burial Fund I I I Property M M M Residency Cal-Learn I N/A N/A Cal Learn Car Value Verification I I N/A Property Case Narrative I M I Narratives/Comments Child Care I I I Expenses Child Support Good Cause I I N/A Child Support Income I I I Child Support Notice/Questionnaire 2.1Q I I N/A Document Type Application(s)/SAWS 1 CA Residency 106762947 Document Associated Categories Applications Child Support Income Child Support 22 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System eICT Statewide Required Document Types and Categories CalWORKS Required Medi-Cal Required CalFresh Required (TBD) M M I Birth/Citizenship Court Documents I I I Other Documents CW 25/CW25A I N/A Applications CW 61 I N/A I N/A Deprivation CW Time Limit Documents I N/A N/A Time Limit DDSD - Disability Determination Forms I I I Death Certificate I I N/A Deprivation Declaration of Paternity I I N/A Child Support N/A M N/A Budgets Disability (SDI) I I I Income Drivers License I I I Identification Employer Verification I I I Income Exempt Map I I N/A I N/A Budgets N/A Deprivation Document Type Citizenship/non Citizenship Status Verification Description of MFBU/MBU Federal participation Determination for U-parent cases 106762947 Financial Aid I I I Fingerprint Imaging I N/A M Document Associated Categories Disability Income SFIS 23 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System eICT Statewide Required Document Types and Categories CalWORKS Required Medi-Cal Required CalFresh Required (TBD) Guardianship Letter I I I Relationship Homeless Assistance I N/A I Homeless Assistance ICT(CW215/MC360) I M ? Forms IEVS I I I IEVS Immunization Records I N/A N/A Income Earned I I I Income Income In-Kind I I I Income Income Tax Forms I I I Income Income Unearned I I I Income Insurance Policies I I I Property N/A M N/A Notices Learning Disability Documents I N/A N/A Disability Liens I I I Property Marriage/RDP Certificate I I I Relationship MC 13 - Statement of Citizenship N/A I N/A Birth/Citizenship MC 176 TMC - TMC Quarterly Status Report N/A I N/A Status Reports Document Type Last SOC/NSOC NOA 106762947 Document Associated Categories Medical Records 24 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System eICT Statewide Required Document Types and Categories Document Type MC 176S - Medi-Cal (Mid-Year) Status Report MC 210 RV MC 210S CalWORKS Required Medi-Cal Required CalFresh Required (TBD) N/A N/A I I N/A Status Reports N/A Applications N/A N/A I M N/A Applications N/A Notices MC 358 S – ICT Informing Notice MC176P N/A I N/A Forms MC210PS N/A I N/A Applications MC321 HFP N/A I N/A Applications Medical Reports/Records I I N/A Medical Records Medicare I I N/A Medical Records Medicare Notices - Part A & B I I I M N/A N/A Mortgage Deed I I I Property Motor Vehicle/Registration I I I Property Non Citizen Number/Card I I I Identification Non-Compliance (Sanctions) I I I Sanctions/Penalties Notification/NOA I M N/A MFG/CW2102 106762947 Document Associated Categories Expenses Forms Notices 25 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System eICT Statewide Required Document Types and Categories CalWORKS Required Medi-Cal Required CalFresh Required (TBD) Other I I I Other Documents Other Expense I I I Expenses Other Income I I I Income Other Property I I I Property Other Health Care (OHC) Coverage I I N/A Other ID Cards I I I Identification Overpayment/Overissuance I N/A I Budgets N/A I I Expenses Passport I I I Birth/Citizenship Permanent Disqualification I N/A I Sanctions/Penalties Potential 3rd Party Liability I I N/A Medical Records Pregnancy Verification I I N/A Medical Records QR 7 - Quarterly Report I N/A I Status Reports QR 72 - Sponsor's Qtr Report I N/A I Status Reports QR3 I N/A I Status Reports QR73 I N/A N/A Status Reports Restricted Account I I I Property Retirement Account I I I Property Document Type Paid Child Support 106762947 Document Associated Categories Medical Records 26 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System eICT Statewide Required Document Types and Categories CalWORKS Required Medi-Cal Required CalFresh Required (TBD) Savings Bond I I I Property Self Employment Records I I I Income Shelter I N/A I Expenses Social Security Award Letter/Benefits I I I Income Social Security Number/ Card I I I Identification SP-DDSD Decision Verification Form I I I Disability M I I I I M I I N/A I I I I N/A I I N/A I I I I Income Veteran Income I I I Veterans Verif. and Referral I I I Forms Document Type Statement of Facts/SAWS2/MC210 Stocks and Bonds Sworn Statement Time on Aid NOA Trust Funds Unemployment Benefits (UIB) Utility 106762947 Document Associated Categories Applications Property Other Documents Notices Property Expenses Income 27 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System eICT Statewide Required Document Types and Categories Document Type Work History for PE Workers Comp WTW 37 - Permission To Release Domestic Abuse Information if victim WTW Plan /Amendment 106762947 CalWORKS Required Medi-Cal Required CalFresh Required (TBD) I I I N/A I Deprivation N/A N/A Forms I I I N/A N/A Document Associated Categories Income Forms 28 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System Appendix D - Glossary ABAWD – Able Bodied Adults without Dependents/ Food Stamp (SNAP/CalFresh) ACL – All County Letter, Instructions and information distributed by the California Department of Social Services ACIN – All County Information Notice, Information distributed by the California Department of Social Services ACWDL – All County Welfare Directors Letter, Information distributed by the Department of Health and Human Services Annual Redetermination – The yearly review of continued eligibility for benefits Batch Process – Nightly run of data creating interface files. CalWIN – CalWORKs Information Network, Welfare Client Data Systems (WCDS). Represents 18 California Counties CalWORKs – California Work Opportunities and Responsibility to Kids CIN – Statewide Client Index Number C-IV – Consortium-IV. The fourth consortium of California counties founded as a result of the statewide mandate for an automated welfare system. Represents 39 California Counties Consortium – Referencing one of the three SAWS application systems supporting the 58 counties in the State of California CDSS – California Department of Social Services. CWDA – California Welfare Directors Association DDSD – Disability Determination Service Division DHCS – Department of Health Care Services DHS – Department of Health Services eICT – Electronic Inter-County Transfer; the electronic transfer of information from one county to another. 106762947 29 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System eICT Request – An electronic request initiated by the Receiving County for the transfer of case documentation from one county to another. EAS – Eligibility and Assistance Standards; the State manual of policy and procedures EDBC – Eligibility Determination Benefits Calculation; the automated budgeting determination process. Escalation Process – The process of contacting a non-responsive county’s designated person or ICT Coordinator to ensure the client is served timely. ICT – Inter-County Transfer; the transfer of a welfare case electronically or manually, from one county to another. ICT Coordinator – Inter-County Transfer Coordinator; individual(s) designated in each county to coordinate and resolve ICT issues. IEVS – Income and Eligibility Verification System Imaged Documents – Paper documents electronically scanned and stored into a system. IPV – Intentional Program Violation LEADER – Los Angeles Eligibility Automated Determination Evaluation and Reporting (LEADER) System: representing Los Angeles County. MEDS – Medi-Cal Eligibility Data System, a single, centralized, integrated file of all persons eligible for cash assistance, Medi-Cal and/or CalFresh in California. MBU – Mini Budget Unit/ Medi-Cal program MFBU – Maximum Family Budget Unit/ Medi-Cal Program MFG – Maximum Family Grant/ CalWORKs Program NOA – Notice of Action Overlapping Benefits – Duplicate issuance of benefits. Receiving County – County in which a client has moved to and is requesting aid in. The Receiving County may initiate a request to the Sending County for the client’s case related data and documentation. RDP – Registered Domestic Partner 106762947 30 SAWS Consortium IV, C-IV System Los Angeles Eligibility Welfare Client Data Systems Consortium Automated Determination Evaluation and Reporting (LEADER) System R/V - Reinvestigation SAWS – Statewide Automated Welfare System; the three Consortia created the following three systems; LEADER, CalWIN and C-IV. SCI – Statewide Client Index database SDI – State Disability Insurance Sending County – the County from which the client moved and is responsible for the transfer of the client’s case data information and the related documents. SFIS – Statewide Fingerprint Imaging System SOC/NSOC – Share of Cost/ No Share of Cost (Medi-Cal Program) System Outage – The unavailability of a SAWS application due to electrical failure TOA – Time on Aid; CalWORKs Program TFS – Transitional CalFresh TMC – Transitional Medi-Cal Coverage Transaction – An exchange of information between data systems Transfer Period – The specified time frame of a case transfer from one county to another WTW – Welfare to Work/ CalWORKs Program Employment Services 106762947 31