BenefitsCal Applications Received from the Health and Hospital System
The following process applies to applications received from the Health and Hospital System (HHS):
Reminder: It is acceptable to share information with Health and Hospital Systems.
| Step |
Who |
Action |
| 1 |
Sr. Health Service Rep at HHS |
- ID/screen the patient for an existing CalSAWS case.
- Screens patient for basic eligibility and completes an application for healthcare coverage in the appropriate system (i.e., BenefitsCal or CoveredCA).
- If the application is submitted in BenefitsCal, uploads the Facility locations coversheet and any documents provided.
|
| 2 |
Designated Clerical |
- Registers the BenefitsCal application through the e-Application Search Page in CalSAWS.
- Adds case flag type: "Hospital app".
- Assigns pending Medi-Cal program to caseload: Intake Apps in Control, 43LS0D2303.
Note: Task and Journal entry is auto-created when caseload is assigned to a pending program.
- Edits the Task and adds a Journal entry and notates that it is a Hospital/Clinic location, and the e-App #.
- Verifies that the Task and Journal entries were created and that Images show for the case.
|
| 3 |
Eligibility Worker (EW) |
- Receives the Task and follows internal application processing procedures.
- End dates the "Hospital app" case flag once the case is processed.
|
Note: HHS can inquire about applications status via email at HHSFC@ssa.sccgov.org or reach out to the District Office (DO) point of contact for application status updates.
Related Topics
Medi-Cal Business Processes Overview