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Payments
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J. Case Reinstatement
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| Revised:
September 25, 2007 |
clarifying information
Case reinstatement in WCAP allows staff to re-open and work on a WCCC case which was closed prior to the original eligibility end date. This function is only for those cases which were closed due to:
Error, Non-receipt of verification within a certain time frame, Non-payment of the co-payment, or Expiration of a GAP child care eligibility period.
In order to reinstate a case, requested information must be received or changes must occur prior to the new termination end date.
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EXAMPLE 1
Case closed in error:
4/30/07- Original case eligibility end date
2/10/07- We closed a case in error (i.e. client sent in requested information but we did not process it; we did not apply a rule or applied it incorrectly, etc..)
2/15/07- Client contacts office and we realize we made a mistake
Case reinstated with effective date of 2/11/07 - and original eligibility end date of 4/30/07
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EXAMPLE 2
Case closed due to non-receipt of verification:
7/31/07- Original case eligibility end date
4/03/07- Client reports change in work
4/14/07- Due date for new information. We did not receive the information
4/15/07- We sent a termination notice and closed the case with a 4/26/07 effective date
4/20/07- We received requested information
Case reinstated with effective date of 4/27/07 - and original eligibility end date of 7/31/07
In this situation, we could reduce the copay, based on the income change, but not increase it.
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EXAMPLE 3
Case closed due to non-payment of copay:
7/31/07- Original case eligibility end date
3/01/07- Provider reports client did not pay Feb. copay
3/04/07- We sent a termination notice and closed the case with a 3/15/07 effective date
3/07/07- We received information that the copay was paid for Feb on 3/1/07
Case reinstated with effective date of 3/16/07 - and original eligibility end date of 7/31/07
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EXAMPLE 4
Case closed due to expiration of the GAP child care:
Staff must use the following termination method routinely for the reinstatement functionality to work:
7/31/07- Original eligibility end date
4/10/07- Client reports layoff
5/08/07- Effective GAP eligibility end date (We sent a termination letter with a new end date and changed the SSPS authorizations with 5/8/07 end dates)
5/01/07- Client reports new job
Case reinstated with effective date of 5/09/07 - and original eligibility end date of 7/31/07
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Reinstatement functionality is not available for:
- Reapplications.
- Cases where the original eligibility end date is the same as the new closed date. Example, eligibility end date was 04/30/07 and the new closed date is 04/30/07.
- Breaks in service. Example: Original eligibility end date is 4/30/07. On 04/04/07 the case was closed. On 05/10/07 information pertaining to closure of the case is received.
The WCAP reinstatement function:
Allows you to input into critical fields-same fields as on an approved/open case (such as docs received date, income screen, and authorizations). Brings forward original eligibility determined and eligibility begin and end dates. Provides a pop-up when reinstatement is not appropriate.
worker responsibilities
Ensure the case meets all WCCC eligibility requirements prior to reinstating. Ensure a second copay is not authorized in the same month when you reinstate a case in the middle of the month. Generate and send a copy of the last award letter with a current sent date.
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