No-Show Business Process

This process applies to the CalWORKs (CW) and CalFresh (CF) components of the application. See below for the Medi-Cal process

Step Who Action
1 CalSAWS (Automatically)
  • Denies the CalWORKs (CW) component of the application and issues the appropriate denial NOA(s).
  • Issues a NOMI for the CalFresh (CF) component of the application.
    • 30 days from the date of application, denies the CalFresh component of the application and issues the appropriate denial NOA(s).
2 EW
  • Ensures that CalSAWS issued the CF NOMI and CalWORKs denial NOA with the appropriate date and all appropriate forms are imaged.
  • Enters in the Journal Detail page the number of attempts made to contact the client and phone number called and that the client ‘no showed’ for the interview.
  • Holds case for appropriate time period.
  • Updates task Status to In Process.
  • The MC component of the application must still be processed. Follow the Process for Med-Cal Application.
3 EWS
  • Reviews the case, as appropriate.
  • Transfers the active programs to the appropriate control caseload ID.
4 Clerical
  • Transfers active cases to the appropriate Continuing district office.

Process for Medi-Cal Application

Who Action
Intake EW
  • Review the application (paper, CalHEERS, or BenefitsCal).
  • If the application is:
    • Complete:
      • Makes MC eligibility determination.
      • Sends appropriate NOA(s).
      • Documents in the Journal Detail page.
    • Incomplete:
      • Contact the client if MC eligibility determination cannot be made with application information.
      • If unable to contact the client, sends CW 2200 requesting missing information, allowing 10 calendar days to provide.
      • Documents in the Journal Detail page, the appropriate forms mailed out, and the due date.
  • If the information requested is:
    • NOT provided by the due date:
      • Sends out a second CW 2200 reminding the applicant to provide missing information, allowing an additional 10 calendar days.
      • Documents in the Journal Detail page, the appropriate forms mailed out, and the due date.
      • If the information is:
        • Not provided after the second 10-day request:
          • Denies the MC portion of the application for failure to provide.
          • Sends Denial NOA with specific information that was missing.
          • Documents in the Journal Detail page that the MC application was denied due to the applicant not returning the information requested by the due date.
  • Updates Intake task Status to Closed.
  • Creates a manual "Intake Review/Reassignment" task and assigns it to their EW Supervisor.
EWS
  • Reviews the case, as appropriate.
  • Reassigns the task to the "Intake Reassignment" task bank.
Clerical
  • Monitors the "Intake Reassignment" task bank.
  • Assigns the task to themselves and moves the case to the appropriate continuing caseload.
  • Closes the "Intake Review/Reassignment" task.