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

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Call Center FS & FM Phase II PG February 29, 2008 RSM and Newborn ELIG for F22 Enter Y to confirm INTERVIEW NON-FINANCIAL ELIGIBILITY RESULTS - ELIG ELIG B Month 11 06 3981 10 05 06 01 AU ID 101134407 Prog MA Prog Type F Med COA F22 Confirm Y AU AU Status AU Stat Appl Begin Pd Thru - - - Penalty - - - Stat Reasons Date Date Date Date Type End Date A 100206 100206 100106 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - First Last Rel V Mand Finl - - Stat - - Rsn Appl Begin Pd Thru Penalty Name Name Incl Resp Date Date Date Date T Date ALLIS ARR SE OT Y RP A 100206 100206 100106 CARL ARR CH OT Y RP A 100206 220 100206 100106 ANDR ARR CH OT Y RE A 100206 100206 100206 EMAN ARR CH OT Y RP A 100506 100506 100106 Message PG-9
Call Center FS & FM Phase II PG February 29, 2008 RSM and Newborn CAFI for F22 Enter Y to confirm INTERVIEW CASH/MA FINANCIAL ELIGIBILITY - CAFI CAFI B Month 11 06 AU ID 101134407 Prog MA Prog Type F Med COA F22 Net Income Test (cont) Resources Standard - 30 1/3 90.00 Resource Limit .00 Dependent Care .00 Total Resources .00 Net Earned Income 710.00 Gross Income Test Net Unearned Income .00 Gross Income Limit .00 Deemed Income .00 Gross Earned Income 800.00 Allocated Income .00 Net Unearned Income .00 Net Income 710.00 Deemed Income .00 Grant Amount .00 Allocated Income .00 Recoupment Amount .00 Total Gross Income .00 Benefit Amount .00 Net Income Test Previous Benefit .00 Net Income Limit 1396.00 Spenddown Amount Gross Earned Income 800.00 Medical Expense Amt Self Employ Work Exp .00 Net Spenddown Amt Bnft Eff Date 093096 Bnft Confirm Y Reasons Budgeting Method A Notice Type 0011 Waive Timely Ntc Period Notice Override Review Begin Date 09 96 Review End Date 03 97 Strat 2 Message 13-note PG-10
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Customer Contact Center Food Stamp/
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Call Center FS/FM SUCCESS PG Octobe
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Customer Contact Center Food Stamp/Family Medicaid Phase II ...

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