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

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Call Center Food Stamp Phase II PG February 29, 2008 Putting It Together UPDATE REMARKS - REMA REMA XXXXXXXXXXXXXX ADDITIONAL HH MEMBERS XXXXXXXXXXXXXXX DATE SGCC WORKED CASE: 8/15/2007 11:53:23 AM METHOD OF CONTACT (X )PHONE ( )FAX ( )MAIL ( )OTHER CONTACT'S NAME/SOURCE: Herman Horton NEW MEMBER NAME DOB SSN RELATION INCL : Kelly L. Horton : 02-11-1998 :555-44-XXXX : Niece : Y : : : : : : : : : : SHOULD AU'S BE COMBINED DUE TO AGE/RELATION? Y/N(Y) DATE MOVED IN: 10/02/06 IF NOT INCLUDED, EXPLAIN: IF INELIGIBLE/SANCTIONED, EXPLAIN: PREVIOUS WHEREABOUTS ( )INCARCERATED ( )OUT OF STATE ( )FOSTER CARE IS PERSON A LAWBREAKER (CONVICTED FELON, FLEEING FELON OR PAROLE OR PROBATION VIOLATER? YES: NO: N/A WHAT CRIME?: IF YES, REFER TO POLICY TO SEE IF PERSON CAN BE ADDED TO FS. REMARKS: *IMMUNIZATION VERIF. NEEDED FOR 2 MOS. - SCHOOL AGE*SEE DEM FOR DEPRIVATION* INCOME OF NEW MEMBER: RSDI RESOURCES OF NEW MEMBER: NONE A/R WOULD LIKE PERSON ADDED TO FS(X ) TANF( ) MED(X ) TYPE OF VERIFICATION: Received, Faxed on 10/05/06 FORMS SENT( )C173 ( )C178 ( )C809 SENT DATE: DUE DATE: REMARKS: Enter Name, Load and Tel # XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX PG-7
Call Center Food Stamp Phase II PG February 29, 2008 Putting It Together STAT B • update status in the Food Stamp Case • relationship verification “OT” • mandatory include “Y” • financial responsibility – applicant “PN” • press enter to DEM1 for Kelly DEM1 for Kelly • lives at home with her uncle • Note: If there is a red question mark in the Health Check Field, type “Y” DEM2 for Kelly • client provided a copy of Kelly’s birth certificate which verifies citizenship • Kelly is a full time student, verified by client statement • Press Enter ALAS for Kelly • She will attend Oakbrook Elementary School • Press enter • fast path to UINC for Kelly UINC for Kelly • Kelly receives $250.00 per month Social Security (RSDI Survivors Benefit) • Provides an Award Letter from the Social Security Administration to verify monthly amount • SSA Claim Number 555-44-XXXXB PG-8
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