NC DEPARTMENT OF HEALTH AND HUMAN SERVICES EIS MANUAL

ELIGIBILITY INFORMATION SYSTEM EIS 3102

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CHANGES TO RRF AND SA CASES

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EIS 3102 – CHANGES TO R-RF AND SA CASES

I. COMPLETING THE DSS-8125

II. SIGNATURES AND DATE

III. SUBMIT THE DSS-8125 TO DATA ENTRY FOR KEYING.

IV. OUTPUTS

V. FOR ANY CHANGES NOT LISTED, SEE "OTHER CHANGED DATA.

SUBSTITUTE PAYEE

REVISED 10/01/09 - CHANGE NO. 01-10

I. COMPLETING THE DSS-8125

A. Use the following instructions to enter a substitute payee for any active Refugee, or Special Assistance case. If a numeric field requires less digits than spaces available, precede with zeroes.

1. Enter the CASEHEAD/PAYEE NAME at the top of the form for filing purposes.

2. Enter the COUNTY NAME.

3. Enter the CASE ID from the current Case Profile.

4. Enter your assigned WORKER NUMBER.

5. Enter the COUNTY NUMBER from the Case Profile.

6. Ensure the DISTRICT NUMBER on the Case Profile is correct. If incorrect, enter the appropriate DISTRICT NUMBER.

7. Enter the appropriate AID PROGRAM/CATEGORY.

8. Enter the Substitute Payee Code, First Name, Middle Initial, Last Name, or Suffix as appropriate. See the Codes Appendix to determine the appropriate substitute payee code.

B. DO NOT ENTER the following fields on the DSS-8125:

1. Application Data

2. Good Cause

3. Case Termination Data

4. County Issued and Prior Month Payment Data

5. Retro MA Data

6. Verification Indicator

7. Medicaid Effective Date

8. Issue CRD (See EIS 3105 for how to request replacement cards.)

NOTE: ALL OTHER FIELDS ARE OPTIONAL. A DETAILED EXPLANATION OF EACH FIELD IS INCLUDED IN "OTHER CHANGED DATA".

REVISED 10/01/09 – CHANGE NO. 01-10

II. SIGNATURES AND DATE

A. Enter the DATE COMPLETED.

B. Sign the DSS-8125 in the WORKER'S SIGNATURE field.

C. The county director or his designee must sign the form in the DIRECTOR'S SIGNATURE field.

III. SUBMIT THE DSS-8125 TO DATA ENTRY FOR KEYING.

IV. OUTPUTS

When the DSS-8125 processes successfully, the following are received:

A. Case Profile

An updated Case Profile is produced the night the change processes and is mailed to the county the following workday.

B. Benefit Issuance

1. If the DSS-8125 is processed successfully by the 4th working day from the end of the month, the revised check is issued and mailed the last workday of the month.

2. If the DSS-8125 is processed successfully after the 4th working day from the end of the month, the revised check is not issued until the next processing month.

C. Caseworker Supervisor Report

All changes completed by an IMC are reported on the Caseworker Supervisor Report. The number of actions completed is determined from the WORKER NUMBER.

V. FOR ANY CHANGES NOT LISTED, SEE "OTHER CHANGED DATA.