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. GENERAL INFORMATION

II. COMPLETING THE DSS-8125

III. SIGNATURES AND DATE

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

V. OUTPUTS

CHANGE IN STEPPARENT INDICATOR

REVISED 10/1/09 – CHANGE NO. 01-10

I. GENERAL INFORMATION

The STEPPARENT INDICATOR is applicable only to the Refugee and certain Medicaid Programs. It is a one-digit numeric code used to indicate a financially responsible adult who is in the home but not included in the case.

II. COMPLETING THE DSS-8125

A. Use the following instructions to change the STEPPARENT INDICATOR of any Refugee 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 new STEPPARENT INDICATOR at case level. Refer to the Codes Appendix to determine the appropriate code.

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

1. Application Data

2. Case Termination Data

3. County Issued and Prior Month Payment Data

4. Medicaid Effective Date

5. Retro MA Data

6. Verification Indicator

7. 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" LOCATED AT THE END OF THIS SECTION.

REVISED 10/1/05 – CHANGE NO. 02-06

III. 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.

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

V. 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. Caseworker Supervisor Report

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

C. Work First Monthly Reports

1. EIS will produce a monthly report when a Work First case (Payment Type 1 or 2) contains a STEPPARENT INDICATOR which:

a. Indicates a financially responsible adult with earned income (i.e., codes 1, 3, or 5), or

b. Changes from "with earned income" to "with no earned income" within the same category (i.e., code changes from 1 to 2, 3 to 4, or 5 to 6), or

c. Changes from "with earned income" to "with earned income" in a different category (i.e., code changes from to 1 to 3, 1 to 5, 3 to 1, 3 to 5, 5 to 1, and 5 to 3).

2. A STEPPARENT INDICATOR change from 1 to 2, 3 to 4, or 5 to 6 indicates the earnings of the financially responsible adult have stopped. In this situation, EIS will produce three additional report forms. To ensure that EIS generates the three additional reports, you must not change the code from 1 to 2, 3 to 4, or 5 to 6 until at least one report has been produced while the indicator was 1, 3, or 5. If EIS does not produce at least one report while the indicator is 1, 3, or 5, no monthly reports will be generated for recent work history.