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I

NDIANA 

E

LIGIBILITY 

M

ODERNIZATION     

 

         

 

                                     Voluntary Community Assistance Network (V-CAN)                             

 

 

6.1.

The list below shows the type of supporting documents that should be submitted with Cash Assistance 

(TANF), Food Stamps and Health Coverage applications. This list is included on the Indiana Application 
for Assistance:  

 

 

 

 

 

3    Indiana Benefits: Information to Get You Started 

 

 

 

V-CAN User Guide   

 

 

 

   33   

 

 

 

[email protected]  

Содержание Voluntary Community Assistance Network V-CAN

Страница 1: ...INDIANA ELIGIBILITY MODERNIZATION Voluntary Community Assistance Network V CAN V CAN User Guide vcan us ibm com V CAN User Guide December 2008...

Страница 2: ...er Main Menu business and after hours 6 1 3 Indiana Benefits Information to Get You Started 1 1 Introduction ide 1 1 1 V CAN User Gu 1 1 2 Options for Access Points Applying for Benef 2 1 1 Applicatio...

Страница 3: ...V CAN User Guide serves as a desk top reference for V CAN Access Points w and clients in their office This guide provides tips on the ways to apply for and m new system Depending on an Access Point s...

Страница 4: ...idering becoming one below A Access Point will provide at least on n o Adobe Acrobat Reader version 4 0 or newer Free downlo Printer Optional if computer is provided o Phone o FAX o Mail Access Points...

Страница 5: ...ted and processed This diagram can be used as a reference for V CAN members who assist clients with the application process Figure 1 Public Assistance Application Process After Modernization 2 Applyin...

Страница 6: ...TE The screening results are not an official eligibility determination Eligibility is determined by a State Worker after a signed application is submitted to the FSSA Service Center Electronic Signatu...

Страница 7: ...confirmation number will be provided to the applicant The applicant should write down the confirmation number before starting the online application If an applicant cannot finish the online in one si...

Страница 8: ...completed paper application containing the information entered into the screening On the paper application the applicant will answer more questions about household resources income and expenses When...

Страница 9: ...ing Mail Paper Application nter is not available at the computer where the applicant finishes the scre the partially completed application be mailed to his her home or another lo application is receiv...

Страница 10: ...plicants will enter general information about each household member as shown below Figure 5 Household Member Information At the end of each online application section applicants will review a summary...

Страница 11: ...re If the applicant does not want to use an electronic signature s he may print a copy of the application filled in with the information provided during the online application sign the Indiana Applica...

Страница 12: ...n en Espa ol for Spanish Click Apply for Benefits Select program s TANF Food Stamps Health Coverage Enter name and address of applicant Click Print Application Step 2 Sign and Submit Paper Applicatio...

Страница 13: ...or envelopes e g the applicant has some documents one day and brings in additional documents the next day Applicants will place an X next to the type of supporting document submitted i e copy of vehi...

Страница 14: ...her tha s e Once an application and or supporting documents are submitted by mail or FAX to the Service Center the information should not be resubmitted A document that is not yet available for proces...

Страница 15: ...d the applicant may call the FSSA Service Center between 7am and 7pm Monday Friday to reschedule the interview appointment An applicant has 30 days after the application is filed to reschedule an inte...

Страница 16: ...zed Representative Form found at www in gov fssa 10 Authorized Representatives uthorized Representatives may be designat leting the application process Authorized Repr the following functions Apply on...

Страница 17: ...r code and name of the Enrollment Center staff member completing the interview on the paper application NOTE When completing the Hoosier Healthwise paper application Question 14 labeled Assignment of...

Страница 18: ...documents are ical Review Team MRT MRT makes disability determination State worker makes Medicaid eligibility determination and FSSA Service Center mails approval denial notice to applicant Medicare S...

Страница 19: ...use Hoosier Healthwise and Medicare Savings Program QMB SLMB QI paper applications in the new system 12 Application Tips Highlighted below are a few tips and procedures most of which are espec involv...

Страница 20: ...ve Form to be o staff member working with a client access to client case status either online or by contacting the FSSA Call Center Agency Registration release for their case information to be availab...

Страница 21: ...provide last four d Number and ICES case number or date The automated system will provide o Approved pending or denied sta o A list of supporting documents that need to be submitted by the ap are also...

Страница 22: ...ake sure to choose one method of th r FAX OR mail do not FAX and mail the form submitting the Babygram i Make sure to FAX each form individually and DO NOT include a group of Babygram Forms in one FAX...

Страница 23: ...eport Suspected Fraud 3 Questions about Electronic Benefit Transfer EBT Cards 4 Frequently Asked Questions FAQs 5 Third Party Inquiry general or case specific 6 Other Questions Cases including Food St...

Страница 24: ...edicaid for nursing home care IMPACT 2 Reporting Changes 3 Electronic Benefit Transfer EBT Questions 4 Fraud 5 FSSA Service Center mailing address FAX number structure o Tier 1 Call Center Representat...

Страница 25: ...or listen to Frequently If you are a V CAN member or calling from an outside agency make sure to use the Third Party Inquiry option On the Call Center main menu select 8 for More Options and then 5 t...

Страница 26: ...magnets to post and distribute see Referral Member materials Figure 12 Access Point Materials NOTE The Internet Roll Menu and Call Center Tip Stand are double sided in English and Spanish 4 Client Su...

Страница 27: ...ls by completing and submitting the Material Request Form MRF The MRF can be found at www in gov fssa embers provide applicants and c their public assistance Referral Members will receive the fol dist...

Страница 28: ...or helping special needs populations with the application process The tips provided in the document should be used by V CAN Access Points as a supplement to the V CAN User Guide Fact Sheet FSSA Health...

Страница 29: ...licable 5 1 3 t ti to locate the screening and online application and to check case and fssa p o m please let us know When reporting an email Client name and case Security Number Name of Time of day t...

Страница 30: ...ss Points The Call Center Main u card is located on page 24 of the V CAN User Guide Quick Reference Card The appendix contain applicants and clients V CAN members can cut out these reference cards for...

Страница 31: ...atio request an application or plan choices HIP Call Center 1 877 GET HIP 9 H d EBT information 1 877 768 5098 cal ealthwise toll free number 1 800 889 9949 Indiana Office of Medicaid Policy and Plann...

Страница 32: ...more detailed EBT account information from JP Morgan Call Center Main Menu Main Menu 7am 7pm loc nglish Press 1 for E Press 1 for Healthy Indiana Plan HIP 2 B ash Assistance or Health Coverage Food S...

Страница 33: ...below shows the type of supporting documents that should be submitted with Cash Assistance TANF Food Stamps and Health Coverage applications This list is included on the Indiana Application for Assis...

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