MEDICAL
DSHS Home Page
 
Search     for:


DSHS Home    Acronyms    Alerts    Screens    WAC Number Index    WCCC

MEDICAL


Revised June 23, 2014



Refugee Categorically Needy Medical (R01) (Invalid 10/01/13)

 

Refugee Categorically Needy Medical (R03)

 

Special Circumstances Opening R03 Medical

 


REFUGEE CATEGORICALLY NEEDY MEDICAL (R01) (Invalid 10/01/13)

NOTE:  Effective with benefit month 10/13, Refugee Cash Assistance (RCA) AU will only issue cash assistance.

 

Who is eligible to receive R01 medical?

 

How long is the R01 certification period?

 

How do I open R01 medical?

 


 

Who is eligible to receive R01 medical?

 

·         Clients active on Refugee Cash Assistance (RCA) who meet the following eligibility criteria:

 

o        EAZ Manual – WAC 388-400-0030 Who is eligible for refugee cash assistance?

 

o        EAZ Manual – WAC 388-466-0120 Refugee cash assistance (RCA).

 

o        EAZ Manual – WAC 182-507-0130 Refugee medical assistance (RMA).

 

o        EAZ Manual – WAC 388-466-0005 Immigration status requirement for refugee assistance.

 

o        EAZ Manual – WAC 388-466-0150 Refugee employment and training services.

 

o        EAZ Manual – WAC 388-466-0140 Income and resources for refugee assistance eligibility.

 

How long is the R01 certification period?

 

·         R01 medical can be certified for up to six or eight months from the month the refugee arrived in theUnited States.

 

·         See EAZ Manual – WAC 388-466-0120 Refugee cash assistance (RCA) and WAC 182-507-0130 Refugee medical assistance (RMA).

 

How do I open R01 medical?

 

·         Clients eligible for RCA are automatically eligible to receive R01 medical.

 

·         See Refugee Assistance for instructions on opening an RCA case.    

 

REFUGEE CATEGORICALLY NEEDY MEDICAL (R03)

Who is eligible to receive R03 medical?

 

How long is the R03 certification period?

 

How do I screen R03 medical?

 

How do I process a pending R03 medical?

 

Special Circumstances Opening R03 Medical


 

Who is eligible to receive R03 medical?

 

·         Households that were receiving Refugee Categorically Needy Medical (R01) as of 09/30/13 were open on a R03 AU for benefit month 10/13, through current cash certification period.

 

·         A person who meets the following eligibility criteria:

 

o        EAZ Manual – WAC 182-507-0130 Refugee medical assistance (RMA).

 

o        EAZ Manual – WAC 388-400-0035 Refugee medical assistance--Summary of eligibility requirements.

 

o        EAZ Manual – WAC 388-466-0005 Immigration status requirement for refugee assistance.

 

o        EAZ Manual – WAC 388-400-0030 Who is eligible for refugee cash assistance?

 

o        EAZ Manual – WAC 388-466-0120  Refugee cash assistance (RCA)

 

o        EAZ Manual – WAC 388-466-0150 Refugee employment and training services.

 

o        EAZ Manual – WAC 388-466-0140 Income and resources for refugee assistance eligibility.

 

How long is the R03 certification period?

 

·         Refugee medical assistance can be certified for up to six or eight months following the refugee’s entry into the United States.

 

·         See EAZ Manual – WAC 388-466-0120 Refugee cash assistance (RCA).

 

·         See EAZ Manual – WAC 182-507-0130 Refugee medical assistance (RMA).

 

How do I screen R03 medical?

 

To screen an R03 medical, take the following steps:

 

1.      From the Welcome Back page in aces.online, click the Screen New Application link at the top of the page.

2. On the Applicant page:

o        Enter the applicant’s (head of household) name in the Applicant Name field.

 

o        Enter applicant’s residential address in the Residential Address field.

 

o         If applicant has a mailing address, uncheck the box next to Mailing Address and enter the applicant’s mailing address.

 

o        Click the Next button.

 

3.      On the Address Validation page:

o        Make sure applicant’s address is validated or validation is skipped if need be.

 

o        Click the Next button.

 

4.      On the Programs page:

o        Under Programs, click the checkbox next to Medical andunder Program Determination Criteria click the checkbox next to Refugee.

 

o        Click theNext button.

 

5.      On the Add Member - Search Criteria page:

o        Add other household member(s).

 

o        Match client to an existing client identification number (CLID) or assign a new CLID as needed on the Add Member - Client Matches page.

 

o        Repeat process to add additional household members.

 

o        Click the Next button.

 

6.      On the Finalize page:

o        Refugee Categorically Needy (R03) displays.

 

o        Click the checkbox next to Medical Assistance (MA).

 

o        Enter the application date.

 

o        Click the Commit button.

 

o        Click the Exit Screening button to complete the screening process.

 

How do I process a pending R03 medical?

 

1.      From the AMEN, access the pending AU via Option O – Interview.

2.      On the STAT screen, complete the Finl Resp fields as follows:

 

o        [PN] – Applicant forall applicants.

 

o        [NM] – Non-Member for all other persons in household.

 

3.      On the ALAS screen, complete the following fields for each applicant:

 

o        In the INS Stat field, enter [RF] – Refugee.

 

o        In the Date INS Stat Granted field, enter [Date].

 

o        In the Spons Alien field, see <F1> Help.

 

o        In the Country of Origin field, see <F1> Help.

 

o        In the Entry Date field, enter [Date].

 

o        In the Initial INS - - -Stat, enter [RF]– Refugee.

 

o        In the Initial INS - - -Stat Dt field, enter [Date].

 

4.      After committing the interview data, follow the instructions in the Process Application Month and Finalize Application  chapters.

 


SPECIAL CIRCUMSTANCES OPENING R03 MEDICAL

How do I add a new household member to R03 when the household has already received TANF or Refugee assistance?


How do I add a new household member to R03 when the household has already received TANF or Refugee assistance?

 

·         There are situations where a refugee household received TANF or Refugee assistance but is no longer eligible due to income.  When a new family member joins the household, the new member is eligible to receive R03 medical.  The following steps are necessary to open the R03 Medical so it is not denied for income.

 

To Screen R03 in this situation:

 

1.      Screen in Medical R03 as described in How do I screen R03 Medical? and code the new person as Head of Household.

 

2.      Select AMEN, Option O – Interview.

 

3.      On the STAT screen, complete the Finl Resp fields as follows:

 

o        [PN] – Applicant for the applicant only.

 

o        [NM] – Not Related and Not Financially Responsible to the Applicant for the spouse who has received TANF or Refugee Assistance.

 

o        [SC] – Child of SSI Related Parents/Child used to determine household sizefor all children in the household.

 

4.      Complete the application interview.  After committing the interview data, follow the instructions in the Process Application Month chapter for all pending months.

 

5.      After all pending months have been processed, follow the instructions in the Finalize Application chapter to complete the R03 eligibility determination.

Modification Date: June 23, 2014