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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 />

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COUNTY-specified entities (e.g., other California SAWS systems) via LAnet/EN<br />

and the Internet.<br />

2.8.1 ED/BC General.<br />

1. The LRS shall fully automate and perform all aspects <strong>of</strong> the eligibility<br />

determination process and benefit level calculations for all categories<br />

<strong>of</strong> public assistance in a single pass without manual intervention.<br />

2. The LRS shall be able to retroactively perform ED/BC on a case or an<br />

individual for any time period for which data is converted to or entered<br />

into the LRS.<br />

3. The LRS shall provide for integrated eligibility processing, in that an<br />

update <strong>of</strong> eligibility information to an individual or case shall<br />

automatically cause a redetermination <strong>of</strong> eligibility for all assistance<br />

groups in which the applicant/participant is requesting aid.<br />

4. The LRS shall allow COUNTY-specified Users to invoke the ED/BC<br />

processes at any time.<br />

5. The LRS shall automatically evaluate the impact <strong>of</strong> change(s) on a<br />

case, on an individual, and on any or all companion cases that could<br />

potentially be affected by the change(s).<br />

6. The LRS shall manage all <strong>of</strong> the critical start, end, and effective dates<br />

for all ED/BC processes, including adverse action periods, in<br />

accordance with all applicable federal, State, and local laws, rules,<br />

regulations, ordinances, guidelines, directives, policies, and<br />

procedures.<br />

7. The LRS shall determine when an individual is eligible for special<br />

Medi-Cal coverage, including Sneede, Retro Medi-Cal, 1931(b),<br />

QMB, SLMB, DAPD, Pickle, Medi-Cal bridging, and STP, and shall<br />

ensure that all required information is collected, eligibility is<br />

determined, and share <strong>of</strong> cost is computed, as specified by COUNTY.<br />

8. The LRS shall determine In-Home Supportive <strong>Services</strong> (IHSS)<br />

eligibility based on income, resources, and other factors, and calculate<br />

IHSS share <strong>of</strong> cost, as specified by COUNTY.<br />

9. The LRS shall process all requests for emergency assistance and<br />

special needs.<br />

10. The LRS shall determine eligibility in all other programs when a<br />

program eligibility status changes, as specified by COUNTY.<br />

11. The LRS shall allow applications to remain pending, based upon<br />

program requirements, until eligibility is determined and the case has<br />

been approved or denied.<br />

LRS RFP - Attachment B (SOR) Page 50 November 30, 2007

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