Remarks - (REM) screens
When valid value [OT] (other), [CC] (collateral contact / statement), or any valid value that is not self-explanatory is used as verification, document what the source is, how it verified the item, why it was accepted, etc. Document the following information in the (REM) screen behind the following screens:
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(ADDR) Screen:
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The change date for all address changes;
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That an address inquiry has been done for match of other recipients living at the same address (and the results);
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Reason for using mailing address rather than actual residential address;
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Date that participation in the Address Confidentiality Program began and ended;
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Limited English Proficiency (LEP), document what language if valid value [OT] used and when and why an LEP client requests all correspondence in English;
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(AREP) Screen:
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Add in additional telephone numbers and clarifying information on AREP relationship to client;
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The reason a protective payee is in place and for how long.
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(STAT) Screen:
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Eligibility information regarding special programs;
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Reasons for using a 500 level reason code;
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If the client opted out of WASHCAP and any other information offered by the client regarding this decision.
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How a relative of specified degree was established and verified.
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(DEM1), (DEM2), (DEM3), (DEM4), (DEM5) Screens:
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If born in another country and US citizenship is claimed, how the client meets citizenship requirements;
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Reason for any inconsistencies with the Social Security number (such as using a false number);
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If assistance was received in another state, and when it ended;
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If divorce decree is in file;
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Unpaid medical bills and any need for help paying them, other medical insurance (and Third Party Liability forms filed), how client’s incapacity was verified (for GAU); other disability information; date referred to incap worker, date of referral to SSI facilitator;
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Necessary Supplemental Accommodation (NSA), document what arrangements have been made;
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Result of FORS check, particularly if the client has a felony drug conviction. Include date of conviction and reason for conviction. If client now qualifies for food assistance, include date client was assessed as chemically dependent, date and type of treatment program, and if it included vocational services.
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(ALAS) Screen:
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If client is an alien and is federally eligible, how the client meets federal eligibility requirements;
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If eligibility is based on work quarters, provide information on quarters and that they were not earned while client received federal means-tested benefits, and provide information, if appropriate, on eligibility gained through parent’s or spouse’s work quarters (updated at each recertification);
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If there are children aged 16-20 in the AU, indicate if they are in school full time and what documentation supports this. Indicate if child is half-time. If not in school, when did child leave school;
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Information about the sponsored alien’s sponsor.
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(INST) Screen:
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Medicaid Personal Care (MPC) information;
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The change date and rate for all facility/program changes;
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Details about uncovered expenses;
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Details about other insurance;
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Details about room and board exceptions;
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Document ETR exemption;
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Document any ACES processing alternatives, e.g., increasing a facility rate so that ACES processes accurately;
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Document guardianship and attorney expenses and period the order covers, including the date of the court order;
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Show math for ending date of uncovered expense payoff estimate, and indicate that alert has been set.
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(FSME) Screen:
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Information about the client’s medical expenses, if not readily identifiable from the FSME screen;
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If eligible client claims no medical expenses, document that the client was informed of eligibility for a medical expense deduction.
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(RES1), (RES2), (RES3), (TRAN) Screens:
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If no bank account, how does the client pay bills, cash checks, etc.
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Joint bank accounts with a non-AU member, how much of that account is available to the AU member, how much client deposits and withdrawals, and why funds are not available (if this applies;
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If no vehicle, how does the client get around;
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A car that the client has use of but does not own, whether borrowed or leased;
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Explain values set on vehicles and how the value was determined (e.g., NADA, Kelly Blue Book, dealership);
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Details about resources which are temporarily unavailable or inaccessible and a date set for followup;
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Why value of property is excluded;
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How separate property was verified;
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Details about life insurance policies or burial funds;
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How a transferred resource affects eligibility;
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Details of each transfer - if unable to itemize, summarize the details;
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Document to whom the property was transferred, when the transfer occurred, and the period of ineligibility;
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Document discussion with client regarding one year to transfer resources to the community spouse.
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(EARN) and (EDOC) Screens gather many details regarding earned income. Each field should be completed accurately, but not all details can be captured there. Remarks are necessary as follows:
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A general work history for each adult in the assistance units;
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If not employed, when the client last worked and the name of the employer;
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Work information on clients age 16, 17, and 18;
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If the client stopped working, was it a job quit and does it affect eligibility;
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Which prospective budgeting method is used, and why;
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An accounting of draws or tips or other special circumstances;
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Pay period ending dates and dates paid for the month being recorded;
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Extra pay or bonuses received or expected;
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Earned Income Credit (EIC) received. If on a tax return, what was the EIC amount and what was the remainder;
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Separate data when the client has more than one job;
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Special types of employment, such as temporary agency, school district (is client off for the summer, what are the dates, is client paid during the summer), farm or agricultural work;
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Details on client's self-employment job and earnings - is client licensed, are there partners or employees;
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For Work Study, type of WS (Title IV, WorkFirst, other), length of work-study period, date one work study transitions to another type.
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(UNER) Screen:
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Source of income, if the client has multiple sources, and is not clear on UNER screen - include phone number or address for income source if you expect this income to change.
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Which prospective budgeting method is used and why;
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Why deductions are allowed;
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Pay periods;
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Begin and end dates;
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Status on child support for each child;
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Document discussion about potential benefits and if client is required to apply.
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(SANC) screen:
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Details about sanction, including start date and end date.
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(SHEL) screen:
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List other persons living in the residence;
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List ineligible members of the assistance unit;
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Provide information on how expenses are shared if others are in the home;
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If the household qualifies for SUA, how they qualify. This is especially important if the household qualifies because of wood or propane heat, LIHEAP, or excess utility costs;
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State purchase and prepare agreement with non-household members (provide client IDs for the non-HH members if applicable, and relationship to AU members);
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Amount of full rent if subsidized, who pays subsidy, and amount of client's share of subsidized rent;
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If someone else routinely pays any amount of the rent, who pays it, how much, and if rent is paid directly to the landlord;
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If landlord lives at same address, relationship of client to landlord;
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Details if client is working in exchange for rent - when this began, how much is worked off each month;
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Give other (SHEL) screen pointer when expenses are listed on a (SHEL) screen for other than the head of the assistance unit.
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(LTCD) Screen:
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List type of income and gross amounts;
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List type of resources and values;
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List separate property and add documentation to clarify ownership;
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For community spouse, complete the community spouse's income and resource screens.
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(DPEX) Screen:
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WorkFirst Job Search Workshop start and end date;
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WCCC - Is client receiving WCCC? If not, why not? What is WCCC case number? How often is the provider paid? How was the anticipated cost determined?
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(AREN) Screen:
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Document emergency reported by client;
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Document any resources the client has available to meet the need;
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If approved, document the need the department paid;
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If denied, document the reason for the denial;
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Document who the expense was paid to.
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(AREQ) Screen:
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Document need that caused the client to request ongoing additional requirements (such as restaurant meals). Indicate if request was approved or denied (and why, if denied).
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(DEEM) Screen:
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Document any obligation the client has to pay child support;
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Document any garnishments taken from the client's income and how that garnishment was verified;
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If client is a sponsored alien, document the sponsor's name, income, and household composition.
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(WORK) Screen:
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Details on sanctions. If a WorkFirst sanction, was client informed of need to cooperate with FS E&T;
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ABAWD status for food assistance, reviewed and documented at each recertification;
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Schedule for orientation, work shops, job search, etc.
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(MISC) Screen:
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Result of SLAM interview;
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Explain change in expedited food assistance status, if applicable;
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Explain if expedited benefits were issued with postponed verifications (what verifications were postponed).
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(FSFI), (CAFI), (MAFI) Screens:
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Overpayment / Underpayment information, the period of the overpayment, what caused it;
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Why a BEG is ignored.
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The ESA Operations Support Manual contains a complete glossary of abbreviations. Acronyms are listed at the front of this manual. Listed here are the more commonly used and understood abbreviations:
| aka |
also known as |
ap |
absent parent |
| app |
application |
a/r |
applicant/recipient |
| bc |
birth certificate |
bp |
base period |
| canc |
cancelled |
cc |
collateral contact, child care |
| chg |
change |
coop |
cooperation |
| cr |
case record |
cs |
child support, client statement, community spouse |
| csv |
cash surrender value |
cw |
case worker |
| cy |
calendar year |
dbt |
debit |
| deduc |
deduction |
del |
delete |
| dep |
dependent |
desc |
describe |
| det |
determine |
disc |
discovery, discount |
| div |
divorce |
dob/ dod |
date of birth / date of death |
| ei |
earned income |
ep |
employability plan |
| er |
eligibility review |
es |
employer statement |
| est |
estimate |
exp |
expedited |
| fed |
federal |
ffor f2f |
face to face |
| fh |
fair hearing |
fmv |
fair market value |
| gdn |
guardian |
hh |
household |
| hoh |
head of household |
hv |
home visit |
| inc |
income, incapacitated |
incl |
included |
| ind |
individual, indicated |
inf |
information |
| inq |
inquiry |
int |
interview, intention, interest |
| is |
institutional spouse |
l l |
landlord |
| max |
maximum |
min |
minimum |
| misc |
miscellaneous |
mr |
monthly report (mmr,msr) |
| mo |
monthly |
na |
not available / applicable, non-assistance |
| narr |
narrative |
nr |
non-excluded resource |
| op |
overpayment |
ov |
office visit |
| pa |
public assistance |
pc |
program change |
| pd |
paid, police dept. |
pers |
personal |
| pg |
pregnant |
pp |
protective payee, purchase & prepare |
| pna |
personal needs allowance |
prog |
program |
| ppt |
pregnant, parenting teen |
poa |
power of attorney |
| prop |
property |
pt |
part-time |
| qp |
qualifying parent |
qtr |
quarter |
| rec |
received, record |
red |
redetermine, redirect, reduce |
| reg |
register, regular |
ref |
referral, reference, refugee, refund |
| rep |
representative, replace |
rel |
related, release |
| req |
requested |
res |
resources |
| resch |
rescheduled |
ret |
retroactive, returned |
| sanc |
sanction |
s/mo |
stepmother |
| s/fa |
stepfather |
sch |
school |
| sd |
spenddown |
sep |
separate |
| sf |
seasonal farmworker |
ss |
social services, supplied shelter |
| sw |
social worker |
stmt |
statement |
| std |
standard |
supp |
supplement |
| sup |
supervisor |
sys |
system |
| svc |
service |
term |
terminate |
| tc |
telephone call |
tpl |
third party liability |
| tp |
treatment plan |
trans |
transfer, translated, transitional benefits |
| tr |
transfer |
ui |
underissuance, unearned income |
| ub |
unborn |
unl |
unlicensed |
| unk |
unknown |
upd |
unpaid |
| up |
underpayment |
veh |
vehicle |
| util |
utility |
vet |
veteran |
| ver |
verification, verified |
wt |
warrant |
| wk |
week |
xmit |
transmit |
| xfer |
transfer |
ytd |
year-to-date |
| yr |
year |
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