Customer Contact Center Food Stamp/Family Medicaid Phase II ...

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Call Center FS & FM Phase II PG February 29, 2008 Initial Application Margaret Simmons Management Review Form 354 Expense Statement and document management by completing and signing the form Based on the AU’s circumstances, is management questionable? Why or why not? Complete Form 339. PG-53
Call Center FS & FM Phase II PG February 29, 2008 Initial Application MISC-FS for Margaret Simmons • will receive her Food Stamps via EBT • press tilde to document management INTERVIEW AU NON-FINANCIAL MISCELLANEOUS - MISC MISC A Month 11 06 0071 10 05 06 HOH Name MARGARET SIMMONS Client ID 777006064 AU ID 674173806 Prog FS Pre Pre AU ATP ATP QRF QRF Pre- Calc Trial Pro Exp SLAM -Extended MA- Issn EBT Issn Prnt Cyc Status Ctr sump Elig HH Ovr Svc Cd Start Dt COA Card Mode Cnty Num Code Elig Ind Ind Cor E U ------- Review ------ Auto --------- Lump Sum Remainder -------- Delay QMB RSM Compl Mand Last Reasgn Amount 100 % 133 % 185 % Rsn Ovr Elig Std Type Ovr Ovr N Sched Interview QC Penalty End Date Del Unit Number 170002 Inquiry Date 10 05 06 Load ID Next Review Appt Date 10 06 06 Appt Type Appt Begin Time (HH:MM) 09:00 Appt End Time (HH:MM) 10:00 Appt Letter Print Location L L Name/Appt Remarks Simmons/FS Intake Message 13-note 14-schd 15-lett 20-schs 23-alau MISC Documentation Requirement • The reason the case is over the SOP • Any change in the expedited services indicator • The reason for manual issuance, the date of the manual issuance, the amount and month of the manual issuance • Financial Management • There are 2 ADTs to meet this documentation requirements. PG-54
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