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TABLE OF CONTENTS - Department of Public Social Services

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Los Angeles COUNTY<br />

<strong>Department</strong> <strong>of</strong> <strong>Public</strong> <strong>Social</strong> <strong>Services</strong><br />

LEADER Replacement System (LRS)<br />

4223<br />

4224<br />

4225<br />

4226<br />

4227<br />

4228<br />

4229<br />

4230<br />

4231<br />

4232<br />

4233<br />

4234<br />

4235<br />

4236<br />

4237<br />

4238<br />

4239<br />

4240<br />

4241<br />

4242<br />

4243<br />

4244<br />

4245<br />

4246<br />

4247<br />

4248<br />

4249<br />

4250<br />

4251<br />

4252<br />

4253<br />

4254<br />

4255<br />

4256<br />

5. The LRS shall include the ability to schedule a case review<br />

appointment and send the appropriate notices and forms to the<br />

participant who is required to cooperate in the case review.<br />

6. The LRS shall alert reviewers if a change is made on the case that may<br />

affect the case review.<br />

7. The LRS shall automatically record case review activity.<br />

2.23.5 Determine the Findings and Notify User <strong>of</strong> Results.<br />

1. The LRS shall allow the reviewer to record the case review findings,<br />

including any error(s) detected and corrective action(s) required.<br />

2. The LRS shall include the ability to store all audit findings in a<br />

separate location from the case record.<br />

3. The LRS shall include a rules-based computation worksheet for<br />

reviewers to use in order to compute benefits.<br />

4. The LRS shall identify actions that require supervisor approval and<br />

alert the supervisor that his approval is needed.<br />

5. The LRS shall allow the supervisor to review the action and indicate<br />

approval/rejection, reason for rejection, and comments.<br />

6. The LRS shall notify the reviewer if action was rejected by the<br />

supervisor and the reason for the rejection.<br />

7. The LRS shall calculate summary review results and send the<br />

summary review results to COUNTY-specified Users.<br />

2.23.6 Tracking and Management <strong>of</strong> Review Cases.<br />

1. The LRS shall track errors found during a case review and control for<br />

corrective action.<br />

2. The LRS shall track cases from the point they are selected for review<br />

through the final disposition.<br />

3. The LRS shall include the ability to display, maintain, and report on<br />

key indicators, including:<br />

a. The status <strong>of</strong> the case review;<br />

b. The physical location <strong>of</strong> the case files being reviewed;<br />

c. Error findings;<br />

d. Follow-up required;<br />

e. Corrective action; and<br />

f. Final disposition <strong>of</strong> case review.<br />

LRS RFP - Attachment B (SOR) Page 121 November 30, 2007

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