Authorized Representative Payee Chart

Created on: 
Oct 14 2018

Cash and Medical Only

Authorized Representative Description  Receives Copy of Letters 

 Receives Copy of ER 

 Receives Warrant/EFT, and Medical Services Card 

Receives FS/EBT Benefits
Case Manager (CM)

X

     

OFR Rep-State Hospital/DD Institutions (OF) 

X

     

Court-ordered Guardian (GN)

X

X

   

Other (NW)    

X

X

X

 

Protective Payee (PP)

X

X

X

 

Cash Spouse Payee (SP)

X

X

X

 

Rep Payee for SSA/SSI (RP)

X

X

X

 

Court-ordered Guardian (CG)

X

X

X

 

Payee for TANF/GA teen parent (TN)

X

X

X

 

ADATSA Intensive prot payee (IP)

X

X

X

 

Cash, Medical, and Basic Food

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

 Receives FS/EBT Benefits 

No Correspondence (NC)

*Receives no correspondence

       

Other - Letters only (NO)

X

     
Equal Access Advocate (AD)

X

X

   

Other - All programs (NA)

X

X

X

 

Power of Attorney (PA)

X

X

   

Other - Notices, ER (NE)

X

X

 

 

Basic Food Only

Authorized Representative Description

 Receives Copy of Letters 

 Receives Copy of ER 

 Receives Warrant/EFT and Medical Services Card 

 Receives FS/EBT Benefits 

FS - Payee Group Home (GH)

X

X

 

X

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

X

X

 

X

Medical Only

Authorized Representative Description

Receives Copy of Letters

Receives Copy of ER

Receives Warrant/EFT and Medical Services Card

Receives FS/EBT Benefits

Hospital Rep (HO)

X

 

 

 

Sponsor Paying Premiums - Name/Address sent to OFR, S08 only (SB)

X

 

 

 

Take Charge Rep (TC)

*Use for confidential Take Charge Assistance Units (AUs).

X

     

Foster Care Placement Agency (FC)

*Must be used with AREP Type: Other - All programs (NA) or no Medical Services Card will be sent to FC AREP.

   

X