Authorized Representative Payee Chart

Created on: 
Nov 03 2017

Cash and Medical Only

Authorized Representative Description Receives Copy of Letters

Receives Copy of ER/MCR

Receives Warrant, EFT and Medical Service Card

Receives FS, EBT Benefits

ADATSA Intensive prot payee (IP)

X X X X
Case Manager (CM)

X

     

Cash/MA Payee Group Home (GC)

X

X

X

 

Cash Spouse Payee (SP)

X

X

X

 

Court-ordered Guardian (CG)

X

X

X

 

Court-ordered Guardian - Letters only (GN) X X

 

 

OPR RPS Rep -St. Hosp/DD Insts (OF)

X      

Other - Letters, Warrants/Med Svc Cards (NW)      

X

 

X

 

Payee for TANF/GA teen parent (TN)

X

X

X

 

Protective Payee (PP)

X

X

X

 

Rep Payee for SSA/SSI (RP)

X

X

X

 

Cash, Medical and Basic Food

Authorized Representative Description Receives Copy of Letters Receives Copy of ER/MCR Receives Warrant, EFT and Medical Service Card

Receives FS, EBT Benefits

Equal Access Advocates (AD) X

X

   

No Correspondence (NC)

       

Other - all programs (NA)

X

X

X

 

Other - Letters, ER (NE)

X

X

 

 

Other - Letters only (NO)

X

 

 

 

Power of Attorney (PA) X

X

   

Basic Food Only

Authorized Representative Description

Receives Copy of Letters

Receives Copy of ER/MCR

Receives Warrant, EFT and Medical Service Card

Receives FS, EBT Benefits

FS - Auth rep for client in drug/alcohol facility (AA)

X

X

 

X

FS Payee Group Home (GH)

X

X

 

X

Medical Only

Authorized Representative Description

Receives Copy of Letters

Receives Copy of ER/MCR

Receives Warrant, EFT and Medical Service Card

Receives FS, EBT Benefits

Foster Care Agency (FC)

*Must be used with AREP Type Other - all programs (NA).

 

 

X

 

Hospital Representative (HO)

X

 

 

 

MAGI No (MN)

       

MAGI Yes (MY)

X      

Sponsor Paying Premiums (SB)

*Used for the S08 (Healthcare for Workers with Disabilities) medical coverage group only.

X

 

 

 

Take Charge Clinic (TC)

X