Processing FC Relative Denial Including Miller v Youakim Intake and Continuing EW

  1. DFCS
    1. Completes application and forwards it to FCE.
  2. FC Clerical
    1. Receives packet.
    2. Completes ID.
    3. Forwards documents to Triage or Continuing.
  3. Triage
    1. Reviews documents.
    2. Completes Checklist and determines if it is a new or continuing case.
    3. Forwards completed checklist with documents to Control Clerk for case assignment.
    4. If relative placement, checks for ARC 1, If no ARC 1 sends ARC 1 and ARC 1A to relative.
    5. Link to Triage
  4. FC Control Clerk
    1. Assigns case.
    2. Forwards document to assigned EW.
  5. Intake EW
    1. Receives packet.
    2. Checks CalSAWS, MEDS, CWS/CMS and imaging.
    3. Validates the documents.
    4. Contacts SW for missing information.
    5. Completes federal eligibility.
    6. Contacts the provider by phone or e-mail to complete an ARC application.
      1. E-mails the assigned SW that an ARC 1 is needed.
      2. Advises relative of their funding options.
    7. When requested by the RC schedules an appointment to complete the ARC 1.
    8. If the home is a “Temp RFA” home, request a SCZ 414A for payment on the denied FC case.
    9. Complete Eligibility Denial. See Benefits Intake.
    10. Send an e-mail to FC Clerical to app. reg. an ARC case.
    11. Forwards documents to EWS.
  6. Continuing EW
    1. Receives placement change for relative not eligible for FC funding.
    2. Reviews the document.
    3. Adds the new placement.
    4. Contacts RC and SW advising them an ARC 1 is required,
    5. When is it a “Temp RFA” home, advise the SW a SCZ 414Z is needed to continue payment.
    6. When requested, assists the RC in completing the ARC 1 over the phone or by scheduling an appointment.
    7. Completes CalSAWS pages.
    8. Authorizes benefits.
    9. Processes SCZ 414Z.
    10. Resolves MEDS/CalSAWS alerts.
    11. Enters CalSAWS journal and summarizes case actions.
    12. Deletes unnecessary client correspondence.
    13. Confirms Medi-Cal is still active.
    14. When ARC 1 is provided, forwards all documents to FC Clerical to app. reg. an ARC case.

Related Topics

Escalation Process For Payments