TABLE OF CONTENTS - Department of Public Social Services

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Los Angeles COUNTY Department of Public Social Services LEADER Replacement System (LRS) 2843 2844 2845 2846 2847 2848 2849 2850 2851 2852 2853 2854 2855 2856 2857 2858 2859 2860 2861 2862 2863 2864 2865 2866 2867 2868 2869 2870 2871 2872 2873 2874 2875 2876 2877 2878 2879 2880 2881 2882 4. The LRS shall allow COUNTY-specified Users to override or reset Redetermination, Recertification, and/or Annual Agreement due dates, by case or groups of cases. 2.13.2 Tracking. 1. The LRS shall start the Redetermination, Recertification, and/or Annual Agreement processes on a program-specific, COUNTYspecified date in the month that is two months before the Redetermination, Recertification, and/or Annual Agreement due month. 2. The LRS shall set appointments for cases requiring face-to-face appointments for the Redetermination, Recertification, and/or Annual Agreement. 3. The LRS shall generate the appropriate forms to participants at Redetermination, Recertification and/or Annual Agreement intervals, including a notice informing the participant of his appointment date and time or the due date for returning the forms. 4. The LRS shall generate a list of all verification required for completion of the Redetermination, Recertification, and/or Annual Agreement forms that are to be mailed to the participant in advance of the appointment or due date. 5. The LRS shall generate third party verification requests, as required. 6. The LRS shall locally print all forms that require the participant’s signature during the face-to-face Redetermination, Recertification, and/or Annual Agreement process. 7. The LRS shall control for the return of all forms issued to the applicant/participant to complete the Redetermination, Recertification and/or Annual Agreement process, when a face-to-face interview is not required. 8. The LRS shall track the timeliness of all Redetermination, Recertification and/or Annual Agreement processes, including the return of forms, participant attendance at scheduled appointments, the receipt of required verifications, issuance of the appropriate alerts to COUNTY-specified Users, and assurance that all required participant and COUNTY actions are completed, as specified by COUNTY. 9. The LRS shall initiate the termination of a case or payment reduction if the participant/caregiver has not met the Redetermination, Recertification, and/or Annual Agreement requirements within a COUNTY-specified period of time. 10. The LRS shall allow COUNTY-specified Users to document the appropriate good cause criteria and resume benefits, if good cause is LRS RFP - Attachment B (SOR) Page 82 November 30, 2007
Los Angeles COUNTY Department of Public Social Services LEADER Replacement System (LRS) 2883 2884 2885 2886 2887 2888 2889 2890 2891 2892 2893 2894 2895 2896 2897 2898 2899 2900 2901 2902 2903 2904 2905 2906 2907 2908 2909 2910 2911 2912 2913 2914 2915 2916 2917 2918 2919 2920 found for the participant not meeting certain COUNTY-specified requirements for the Redetermination, Recertification, and/or Annual Agreement process. 11. The LRS shall automate the tracking and review processing for cases that are not subject to mandatory Redetermination, Recertification, and/or Annual Agreement processes, including certain types of Medi- Cal cases. 12. The LRS shall generate the appropriate NOAs for participants who do not comply with the Redetermination, Recertification, and/or Annual Agreement process. 2.13.3 Completing the Redetermination, Recertification, and/or Annual Agreement. 1. The LRS shall support flexible methodologies for conducting Redetermination, Recertification, and/or Annual Agreement processes. 2. The LRS shall include a method for confirming that the Redetermination, Recertification and/or Annual Agreement processes have been completed. 3. The LRS shall locally print a Statement of Facts reflecting all information collected during the face-to-face Redetermination, Recertification, and/or Annual Agreement process, for the participant to sign. 2.13.4 Management and Reports. 1. The LRS shall provide COUNTY-specified Users with an online listing by office, unit, and worker, of the Redeterminations, Recertifications, and/or Annual Agreements that are due. 2. The LRS shall provide COUNTY-specified Users with workload schedules and a list of Redeterminations, Recertifications, and/or Annual Agreements that are coming due, based on parameters entered by COUNTY-specified Users, such as date range, program type, and office structure. 3. The LRS shall allow COUNTY-specified Users to request a list of Redeterminations, Recertifications, and/or Annual Agreements that have not been completed as of a COUNTY-specified date, to be displayed online and/or printed locally. 4. The LRS shall review the distribution of Redeterminations, Recertifications, and/or Annual Agreements for COUNTY-specified Users over a period of time, detecting inequities in the distribution of Redeterminations, Recertifications, and/or Annual Agreements coming LRS RFP - Attachment B (SOR) Page 83 November 30, 2007
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TABLE OF CONTENTS Los Angeles COUNT
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TABLE OF CONTENTS - Department of Public Social Services

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