SCREEN DESCRIPTIONS: B thru D
DSHS Home Page
 
Search     for:


DSHS Home    Acronyms    Alerts    Screens    WAC Number Index    WCCC

SCREEN DESCRIPTIONS: B thru D


Revised June 23, 2014



BOND – Bona Fide Needs Screen

 

CHIP   – CHIP Enrollment Screen

 

CSRA – Community Spouse Resource Assessment Screen

 

DEEM – Allocation/Deeming Screen

 

DEM1 – Client Demographic 1 Screen

 

DEM2 – Client Demographic 2 Screen

 

DEM3 – Client Demographic 3 Screen

 

DEM4 – Client Demographic 4 Screen

 

DONE – Session Summary Screen

 

DPEX – Dependent Care Expenses Screen

 


BOND – BONA FIDE NEEDS SCREEN

What is the BOND screen?

 

How do I complete the fields on the BOND screen?

 

What function keys are available on the BOND screen?


 

What is the BOND screen?

 

·         The BOND screen is used to enter payment information for clients applying for Diversion Cash Assistance.                                                          

 

·         For more information about this screen, see <F2> Help.

 

How do I complete the fields on the BOND screen?

 

·         Enter BOND payments for the current or historical month only.

 

·         BOND payments must be entered during application processing to ensure eligibility is determined correctly.

 

·         Please refer to <F1> Help for the appropriate valid values to complete each of the following fields:

 

1.    Need Type: Enter the type of need the client is applying for.

 

2.    Need Amount: Enter the amount of benefits the client is requesting.

 

3.    Auth Amount: Enter the benefit amount to be authorized.

 

4.    V: Enter the appropriate verification code.

 

5.    Need Date: Enter the date the client incurred the need.

 

6.    Vendor: Enter a [Y] – Yes if the authorized amount is to be paid to a vendor.

 

7.    Future Support: Enter the appropriate value to indicate the client’s expected income source for the next 12 months.   

 

What function keys are available on the BOND screen?

BOND Function Keys

When the user presses

This happens

<F15> - lett

This function has been moved to aces.online.

<F24> - del

Enter [Y] in the Del field and press <F24> to delete the BOND data.

    

CHIP – CHIP ENROLLMENT SCREEN

What is the CHIP screen?

 

How do I complete the fields on the CHIP screen?

 

What function keys are available on the CHIP screen?


 

What is the CHIP screen?

 

·         The CHIP screen is used to enter information related to the CHIP (F07) program eligibility.

 

·         For correct CHIP eligibility, this screen must be completed.

 

·         For more information about this screen, see <F2> Help.

 

How do I complete the fields on the CHIP screen?

 

·         Please refer to <F1> Help for the appropriate valid values to complete each of the following fields:

 

1.    Question #1: Enter whether or not the client returned the CHIP enrollment packet.

 

2.    Question #2: Enter whether or not the client has other creditable health coverage.

 

3.    Question #3: Enter whether or not the client has agreed cost share medical expenses.

 

4.    Question #4: Enter whether or not the client is exempt from cost share due to AI/AN (American Indian/Alaskan Native) status.

 

5.    Question #5: Enter whether or not the client has dropped employer sponsored dependant coverage without good cause.

 

o    Question #5a: Enter the date employer sponsored dependant coverage ended.

 

o    Question #5b: Enter whether or not the client has a waiting period because the dropped employer sponsored dependant coverage.

 

o    Question #5c: Enter the date the clients waiting period will end.

 

6.    Question #6: (Active F07 AUs) Enter whether or not the client has failed to pay their required premiums.

 

o    Question #6a: (Active F07 AUs) Enter the begin and end date of the client’s 3 months of sanction.

 

What function keys are available on the CHIP screen?

 

CHIP Function Keys

When the user presses

This happens

<F15> - lett

This function has been moved to aces.online.

     

CSRA – COMMUNITY SPOUSE RESOURCE ASSESSMENT SCREEN

What is the CSRA screen?

 

How do I complete the fields on the CSRA screen?

 

What function keys are available on the CSRA screen?


 

What is the CSRA screen?

 

·         The CSRA screen is a client level screen used to collect the declared resources of the client and community spouse that were owned on the first day of the month of the clients Most Recent Continuous Period of Institutionalization (MRCPI).

 

·         The value of the resources identified on the CSRA screen is used to calculate the Spousal share.

 

o    See WAC 182-513-1350 Defining the resource standard and determining resource eligibility for long-term care (LTC) services.

 

·         The CSRA screen appears after the LTCD (LTC/HCB/ALF Community Income/Resources) screen when a CS (Community Spouse) or SL (Community Spouse with Legal Dependents) is identified on the LTCD screen.

 

·         For more information about this screen, see <F2> Help.

 

How do I complete the fields on the CSRA screen?

 

·         Please refer to the <F1> Help for the appropriate valid values to complete each of the following fields:

 

1.    Most Recent Cont Period of Inst Date (MRCPI): Enter the client’s most recent continuous period of institutionalization date.

 

o    This is usually the most recent date the client attained Institutional status or entered a medical facility such as a nursing facility, hospital or approved for Hospice or COPES waivered program.

 

o    Enter a new date only if the client has had a 30-day break in institutional status.

 

2.    Protected Period Exp: Is only displayed and populated in the ongoing month when the client’s protected period has expired and a new MRCPI date has been entered.

 

o    Has 30-Day Break Occurred?: Enter [Y] – Yes if the client has had a 30 –day break in institutionalization status.  Enter [N] – No if the client has not had a break in institutional status.

 

¨        Has 30-Day Break Occurred?: Only displays in the ongoing month when an applicant in a nursing home or COPES case is reopened or reinstated and there is an existing MRCPI date.

 

o    New MRCPI Date: Enter the date of the client’s new most recent period of institutionalization. 

 

¨        The New MRCPI Date field only displays when the Has 30-Day Break Occurred? field appears for a recipient in the ongoing month and the client’s protected period has not expired.

 

3.    In the Liquid Resources section:

 

o    Type: Enter the code for the type of resource owned by the client or community spouse. 

 

o    Amount: Enter the dollar amount.    

 

o    Acct Num: Enter the account number.

 

o    Institution Name: Enter the name of the bank or other financial institution. 

 

4.    In the Insurance Policies section:

 

o    Type: Enter the type of insurance policy owned by the client or the community spouse.

 

o    Face Amt: Enter the face value of the insurance policy.

 

o    Cash Amt: Enter the cash surrender value of the insurance policy. 

 

o    Policy Num: Enter the policy number.

 

o    Institution Name: Enter the name of the insurance company.

 

5.    In the Vehicles/Vessels section:

 

o    Type: Enter the appropriate code for the vehicle/vessel owned by the client or the community spouse.

 

o    Use: Enter the appropriate vehicle/vessel use code.

 

o    FMV:  Enter the amount the vehicle/vessel could be sold on the open market in the geographical area involved.

 

o    Encumb: Enter the amount the client owes.                      

 

o    Yr: Enter the year of the vehicle/vessel.

 

o    Make: Enter the make of the vehicle/vessel.

 

o    Mod: Enter the model of the vehicle/vessel.

 

o    License: Enter the license number.

 

o    Registration: Enter the registration number.

 

6.    In the Real Property section:

 

o    Address, City, ST and Zip: Enter the address of the real property.

 

o    Use: Enter the appropriate use code for the real property.     

 

o    FMV: Enter the Fair Market Value.  The Fair Market Value is the amount the property could be sold for on the open market in the geographical area at the start of the MRCPI.

 

o    Encumb: Enter the total amount of all legal claims against the real property that the client or community spouse would have to pay off in order to convert the property to cash.


NOTE:

A married Long Term Care (LTC) client, has 1 year from the date of approval to transfer excess resources to their spouse.  For more information about Community Resources, see WAC 182-513-1363 Evaluating the transfer of an asset for clients found eligible for long-term care (LTC) services on or after 5/1/2006.

 

For other Community Resource forms and letters see ADSA – Resource Evaluation Forms.

What function keys are available on the CSRA screen?

 

CSRA Function Keys

When the user presses

This happens

<F24> - del

In combination with a [Y] indicator in the Del field, the information listed will delete.

   

DEEM – ALLOCATION/DEEMING SCREEN

What is the DEEM screen?

 

How do I complete the fields on the DEEM screen?


 

What is the DEEM screen?

 

·         The DEEM screen is a client level screen used to record information about deeming and allocation of income.  See EAZ Manual – Income – Allocation and Deeming.

 

·         For more information about this screen, see <F2> Help.

 

How do I complete the fields on the DEEM screen?

 

·         Please refer to the <F1> Help for the appropriate valid values to complete each of the following fields:

 

1.    Number of IRS In-Home Dep: Enter the number of legal dependents living in the home that are not to be included as recipients in the AU in the. 

 

o    Do not include the deemor in this number. 

 

o    Entry in this field is required when a client has income allocated or deemed to a household member who is not included in the AU.   For example: The spouse of a pregnant TANF client. 

 

o    The deemed income information should be coded on the Head of Household’s DEEM screen.

           

2.    Number of Out-of-Home Dep: Enter the number of legal dependents living outside of the home for whom the deemor is financially responsible.

 

o    Entry of at least 1 is required in this field when a client pays court ordered child support expense.

 

3.    Deemor Exp Type/Amt/V: Enter expense type, amount, and verification code. 

 

o    Enter [D] in the Type field when legally obligated current child support is being paid for dependents living out of the home or back child support is being paid for dependents living in the home.

 

4.    Alien Sponsor section:

 

o    Entries can only be made in these fields when there is an alien sponsor listed in the AU with a financial responsibility code of AL – Alien Sponsor on the STAT screen.

 

o    Amt Actually Contributed/V: Enter the amount and verification code for funds actually contributed by the alien sponsor to the AU.

 

o    The Number of Other Spons Aliens: This is not a working field.

 

o    Number of Other FS Recips Spons: Enter the number of Basic Food clients, included in a separate AU, who are also sponsored by the alien sponsor.

 

·         For information about Alien Sponsors and deeming, see EAZ Manual – WAC 388-450-0155 How does being a sponsored immigrant affect my eligibility for cash, medical, and food assistance programs?   


DEM1 – CLIENT DEMOGRAPHIC 1 SCREEN

What is the DEM1 screen?

 

How do I complete the fields on the DEM1 screen?

 

What function keys are available on the DEM1 screen?


 

What is the DEM1 screen?

 

·         The DEM1 screen displays basic demographic information such as name, date of birth, social security number, race, ethnicity, marital status, and living arrangement for each client in the AU.

 

·         For more information about this screen, see <F2> Help.

 

How do I complete the fields on the DEM1 screen?

 

·         Please refer to the <F1> Help for the appropriate valid values to complete each of the following fields:

 

1.    Alt Name: Enter [Y] – Yes if the client has reported alternate names.

 

2.    SSA/SSN Referral: Enter the appropriate referral code.

           

3.    SSN App Date: Enter the date the social security number application was received in the local office.                                                            

 

4.    SSN1: Enter the client’s Social Security Number (SSN).

 

o    Social Security Numbers are matched with information the Federal Government has listed in the Social Security system. See Interface Data.

 

5.    DOB: Enter client’s date of birth.

 

6.    Sex: Enter the appropriate gender code.

 

7.    Race: Enter client’s race code.

 

o    Up to five valid values may be entered if a client identifies with multiple races.

 

o    Spanish/Hispanic Origin is reported separately.

 

8.    SSN for work only: Enter the Undocumented Aliens SSN that is used for work purposes only.

 

9.    SDX Auto Open OK?: If an SSI client has died or moved out of state, entering an [N] – No in this field stops the AUTO Open SSI process and entering a [Y] – Yes allows the Auto Open SSI process to resume.

 

10. WA Res: Enter client’s WA residency status.

 

11. Place of Birth: Enter the City, State, and Hospital where the client was born.

 

12. Marital Status: Enter client’s marital status code.

 

13. Living Arngmt: Enter client’s living arrangement code. 

 

o    Re-entry of the valid value in the Living Arngmt field is required when there is a change to residential address on the ADDR screen for any household member with a Finl Resp code of PN – Applicant, RE – Recipient, RC – Recipient of cash only or RM – CA Ineligible Person Receiving MA Only.

 

o    If any current AU member’s Living Arngmt field is homeless, the living arrangement code for all AU members with Finl Resp of PN, RE, RC, RN or RM must be re-entered.

 

14. Homeless End Date: Enter the date the homelessness ended.

 

o    Entry in this field is required when the valid value of EH – Emergency Housing/Shelter, HH – Homeless with Housing, HO – Homeless without Housing, or BT – Battered Spouse Shelter in the Living Arngmt field is changed to a stable housing situation such as AH – At Home.

 

o    Once the Homeless End Date is entered, it remains regardless of changes to the Living Arngmt code until a homeless status living arrangement code is entered.

 

15. Placement End Date: Enter the Temporary Placement End date field to record the anticipated end date of the Temporary Placement.

 

16. NCPs For Child: Enter the number of non-custodial parents for that child.

 

o    Entry in this field is required for TANF and/or TANF related medical applicants.

 

17. Placement section:

 

o    The CD and Date fields are used to identify and track children in Foster Care placement.

 

o    These fields can only be entered by the Foster Care Medical Unit.

 

18. Child Relin: Enter [Y] – Yes in this field if a pregnant woman relinquished her only eligible child for adoption.

 

o    Entry in this field will open AF-9 for the client with a certification period that ends with the month of the 42nd day from birth. Make sure the pregnancy due date is the same as the newborn's birth date. This will ensure the 6 weeks of additional assistance is calculated correctly. At the end of the AF-9 period, ACES will change the program to MA type P.                                                          

 

19. Pregnant section:

 

o    Due Date: Enter the client’s due date. 

 

o    Num Expect: Enter the number of babies that the woman is expecting. 

 

¨        Entry is required for pregnant clients.

 

20. Nav Am Tribe: Enter the American Indian or Alaskan Native code if appropriate. In the Ind Res field, enter [Y] – Yes or [N] – No depending on whether the client is living on a reservation.

 

o    Entry is required for TANF applicants.

 

o    Information in this field and information in the Indian Country field from the ADDR screen is used to determine if the client is residing in Indian Country and the effect on their TANF time limits. For more information see:

 

¨         EAZ Manual – WAC 388-484-0005 There is a five year (sixty-month) time limit for TANF, SFA and GA-S cash assistance

 

¨        EAZ Manual – WAC 388-484-0010 How does the five year (sixty-month) time limit for TANF, SFA and GA-S apply to American Indians or Alaskan Natives living in Indian country?

 

What function keys are available on the DEM1 screen?

DEM1 Function Keys

When the user presses

This happens

<F14> - nmiq

The NMIQ screen displays.

<F15> - solq

The SOLQ screen displays.

<F22> - wtpy

SVES – WTPY Inquiry displays.

       

DEM2 – CLIENT DEMOGRAPHIC 2 SCREEN

What is the DEM2 screen?

 

How do I complete the fields on the DEM2 screen?

 

What function keys are available on the DEM2 screen?


 

What is the DEM2 screen?

 

·         The DEM2 screen displays additional demographic information about an individual client such as citizenship, identity and disability information.

 

·         For more information about this screen, see <F2> Help.

 

How do I complete the fields on the DEM2 screen?

 

·         Mandatory fields on this screen are based on the program(s) for which the client is applying.

 

·         Please refer to <F1> Help for appropriate valid values to complete each of the following fields:

 

1.    Citiz: Enter the client citizenship code. 

 

2.    Identity: Enter the identity verification code. 

 

3.    Student Status: Enter student status. 

 

4.    Striker Status: Enter the code to indicate client’s striker status.

 

o    Entry is required for some programs but does not affect eligibility.

 

5.    Response to EA Question: Enter the appropriate code.               

 

6.    Extra Help Needed: Enter the appropriate code.

 

7.    Health Insur: Enter the code to indicate if the client has other health insurance. 

 

o    Workers with certain security levels can enter information in this field.

 

8.    TPL Coop:  For medical AUs, enter the code to indicate third party liability cooperation status.

 

9.    Entitled Medicare: Enter [Y] – Yes if the client receives Medicare Part A.

 

o    If a client is Medicare entitled, press <F22> and complete the TPL1 screen accordingly.  See Interview – TPL1 – Third Party Liability 1 Screen.

 

10. Dis/Incp Type: Enter client disability/incapacity type.

 

11. Approv Source: Enter client disability/incapacity approval source code.

 

12. Approv Date: Enter date the disability/incapacity was approved.

 

13. Estab Date: Enter date the disability/incapacity was established.

 

o    The established date of eligibility is the date the complete medical documentation is received or the 45th day of application, whichever is earlier.

 

14. End Date: Enter the date the incapacity approval ends.

 

15. Emancip Ind: Enter [Y] – Yes or [N] – No to indicate whether the client is an emancipated minor.

 

16. Dropped Coverage: Enter [Y] – Yes to indicate if credible insurance coverage was dropped or leave blank if “No”.

 

17. Vet Status: Enter the client’s veteran status.

 

o    For information about Armed Services or Veteran Status, see EAZ Manual – WAC 388-424-0007 Citizenship and alien status – Armed Services or Veteran Status.

 

18. Military Serv Num: Enter the client’s military service number.

 

19. Death Date: Enter the date the client passed away.

 

20. Death State: Enter the State in which the client passed away.

 

What function keys are available on the DEM2 screen?

DEM2 Function Keys

When the user presses

This happens

<F15>  - solq

The SOLQ screen displays.

<F22> - tpl

The TPL1 screen displays and is used to inquire about or update the Third Party Liability information on the client.

<F23> - alau

Invalid function key for this screen.

          

DEM3 – CLIENT DEMOGRAPHIC 3 SCREEN

What is the DEM3 screen?

 

How do I complete the fields on the DEM3 screen?


 

What is the DEM3 screen?

 

·         The DEM3 screen is used to collect information about client disability and to determine if the client is a fleeing felon, probation or parole violator.

 

·         For more information about this screen, see <F2> Help.

 

How do I complete the fields on the DEM3 screen?

 

·         Please refer to the <F1> Help for the appropriate valid values to complete each of the following fields:

 

1.    Question #1: Enter [Y] – Yes, [N] – No, or [C] – Client would not respond. 

 

o    Only the system can enter [S] – Auto-Opened Client Information not on SDX.

 

2.    Question #2: “Does this client have a physical, mental, or health condition that has lasted for 6 or more months and which limits the kind or amount of…”.

 

o    The last part of the question varies based on the age of the person.

If the client is:                             The end of the question is:           

 

0 – 4 years of age                      …play this child can engage in?

5 – 15 years of age                    …school this child can engage in?

16 – 64 years of age                  …work this person can engage in?

65+ years of age                         …limits this person’ living without help?           

 

o    Enter [Y] – Yes, [N] – No, or [C] – Client would not respond. 

 

o    Only the system can enter [S] – Auto-Opened Client Information not on SDX.

 

3.    Question #3: Enter [Y] – Yes or [N] – No.

 

o    If [Y] – Yes is entered, the client will be sanctioned from TANF and FS.

 

Processing Alternative

Cash

PR 326334/CQ 5239

      


DEM4 – CLIENT DEMOGRAPHIC 4 SCREEN

What is the DEM4 screen?

 

How do I complete the fields on the DEM4 screen?


 

What is the DEM4 screen?

 

·         The DEM4 screen is used to collect information about a client’s conviction for unlawful practices, and/or misrepresenting their residence in order to receive concurrent assistance.

 

·         For more information about this screen, see <F2> Help.

 

How do I complete the fields on the DEM4 screen?

 

1.    Question #4: Enter [Y] – Yes or [N] – No.

 

o     If [Y] – Yes is entered, the client will be sanctioned from TANF or GA.

 

2.    Question #5: Enter [Y] – Yes or [N] – No.

 

o     If [Y] – Yes is entered, the client will be sanctioned from TANF.  


DONE – SESSION SUMMARY SCREEN

What is the DONE screen?

 

What information displays on the DONE screen?

 

What function keys are available on the DONE screen?


 

What is the DONE screen?

 

·         The DONE screen displays a summary of the case action you completed.

 

·         For more information about this screen, see <F2> Help.

 

What information displays on the DONE screen?

 

·         The DONE screen displays up to 10 AU IDs associated with the case including program code and applicable medical coverage group.

 

·         Fields 1 through 6 auto-populate as a summary of current case data.

 

1.    Elig Req: Displays Y–Yes or N – No.

 

2.    Status Code: Displays the status of the AU.

 

3.    Status Cfirm: The system enters a [Y] – Yes if the eligibility has been confirmed.  If blank, either eligibility was not run or there will be an edit message to go back and confirm.

 

4.    Benefit Amt: Displays the benefit amount.

 

5.    Benefit Cfirm: The system enters a [Y] – Yes if the benefit has been confirmed.   If blank, either eligibility was not run or there will be an edit message to go back and confirm.

 

6.    Outstnd Verf: Displays a [Y] – Yes if there is outstanding verification.  Go to the VERF screen to determine which screen has the missing verification.

 

7.    OTC\IMA: Displays a ? if benefits may be issued same day. 

 

What function keys are available on the DONE screen?

        

DONE Function Keys

When the user presses

This happens

<F14>  with selected AU

The ALUG screen displays.

<F22>  – narr

The NARR screen displays.

       

DPEX – DEPENDENT CARE EXPENSES SCREEN

What is the DPEX screen?

 

How do I complete the fields on the DPEX screen?

           

What function keys are available on the DPEX screen?


 

What is the DPEX screen?

 

·         The DPEX screen is used to enter or update information about a client’s dependent care expenses.

 

·         For more information about this screen, see <F2> Help.

 

How do I complete the fields on the DPEX screen?

 

·         Please refer to the <F1> Help for the appropriate valid values to complete the following fields:

 

1.    Dep: Enter the client pointer for the dependent for whom care is being provided. <TRANSMIT> to auto populate child’s first name in the FName field.

 

2.    Typ: Enter daycare expense type code.

 

3.    Mtd: Enter method of payment.

 

4.    Frq: Enter payment frequency.

 

5.    Amt: Enter the cost of the dependent care. 

 

6.    Extra: Enter a dollar amount only if the client has an extra periodic expense.

 

o     Enter only if the client has an extra expense that was not taken into account at the time the expense method was determined. This expense will always be treated as actual expense regardless of the budgeting method.

 

o    ACES will automatically delete this expense after issuance.

 

What function keys are available on the DPEX screen?

DPEX Function Keys

When the user presses

This happens

<F22>  - Prvdr Add

More DPEX screens display if there are additional providers.

<F24>  - Del

Enter [Y] in the DEL field and press <F24> to delete a dependent care expense that needs to be removed.

Modification Date: June 23, 2014