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2012 WIC Income WebcastSeptember 13, 2012Linda DingersonPresenters: Linda Dingerson, BSN, Policy CoordinatorTerri Riemenschneider, Eligibility PAL21 “Ifyou arenotregistered tovote whereyou live now,would youlike to applyto register tovote heretoday?” Askthe client at each: Certification/recertification When the client changes addressGive “Declination” (top)portion of form forsignature if response is: No No, registered at presentaddress Under age 18Give Voter Registrationapplication if response is: Yes Address change andclient wants to register Address changes over thephone:Mail the Voter Registrationapplication-ORDirect the client to the SOSwebsite at:www.michigan.gov/vote3Registrationposters areavailable forclinic use4 Voter Order Anyinformationabout an applicant orclient thatindividually identifiesanon E-forms Restrictuse anddisclosure ofinformation to: WIC employees whoneed to know Applicant Client, and/or Family member59/13/12‐ L. Dingerson & T. Riemenschneider61
2012 WIC Income Webcast InsurePrivacy Sign in sheets Incomedetermination Anthropometricand laboratoryprocedures Print Docs MemorandaofUnderstanding(MOU) RestrictAccessto Client Record MOU WIC Client is also client of Immunization Diminish screensSharing AppointmentListshealth center MDCH Lead Programor log off MIHP Notes and Alerts Saving/Printing Head Start Dept. of Ed (CSFP) ReleaseofInformationReports7 Overviewof certification policies8 Clientswho meet income, residency andcategorical eligibility are presumptivelyeligible.Proof of residencyrequired at: Homeless Enrollment Migrant Each certification Transfers who have aVOC Transfer Use the Short Certification process if a proofis missingNO Proof required for:Short certification ifclient did not bringproof Someone who hasrecently moved into area Victim of theft, loss ordisaster These clients sign anAttestation form9 Proofrequired at: initial certification ortransfer for client Benefit pickup, eachcertification andtransfer for authorizedperson/proxy NOProof required10 for:Client receives: FIP Medicaid/Healthy Kid’s HomelessProgram/ Plan First Migrant MOMS Victim of theft, loss ordisaster Theseclients sign anAttestation formMember of a familythat: Receives SNAP (FoodStamps) Receives FIP Contains PregnantWoman or Infantreceiving MedicaidPersonal recognition by staff allowedonce proof has been established119/13/12‐ L. Dingerson & T. Riemenschneider Client is enrolled inone of these programsthat has determinedtheir income to be lessthan 185% poverty Children’s SpecialHealth Care Services Family Planning MIChild Other State or Federallyfunded programs thathave determined incomeeligibility(free orreduced lunch)122
2012 WIC Income Webcast Incomeeligibilitybased on Total FamilySize Include: Verbalstatement ofincome allowed Noother “proofs”are required Unborn child(ren) Adopted child(ren) SpecialConsiderations Resident of Institutionor group home Family living inhomeless shelter,group residence Foster child – Family ofone13Use current incomeguidelines (April 9,2012) for clientspaid only weekly,biweekly, semimonthly or monthly If reported incomeis in multiple,varying intervals,use annual incomeguideline14 Basedon client/applicant’s family sizeand income If client has proof but did not bring toappointment Short Certification(30 days)15 Self-declarationallowed for: (verbal statement) is Transferswithcurrent certification –no incomedetermination untilnext certification Migrants – onceevery 12 monthsClients who are adjunctively eligibleHomeless clientsMigrant workersFamily works for cash Attestationform signature required if notadjunctively eligible NO proof of income is required in thesecases179/13/12‐ L. Dingerson & T. Riemenschneider16 Clientswho reportNO income Ask questions thatpop-up when 0 isentered in grid rowand Saved Client signs ClientAgreement – NOattestation formrequired183
2012 WIC Income Webcast What DOES count: Base pay(BAS) Foreign Language Pay (FLPP) Family Separation Allowance (FSA) Jump Pay, Dive Pay, Sea Pay, FlightPay Continental United States Cost ofLiving Allowance (CONUS COLA) IFyou learn that the client’s income haschanged, AND:What DOES NOT count: Basic Allowance for Basic Allowance for SubsistenceMay Income Average: Clothing Maintenance Allowance(CMA)Housing (BAH or BAQ)Family Separation Housing(FSH)Family SubsistenceSupplemental Allowance(FSSA)Overseas HousingAllowance (OHA) Overseas ContinentalUnited States Cost of LivingAllowance (OCONUSCOLA or COLA) The client is NOT adjunctively eligible The client has more than 90 days left in thecertification period THEN, use current income to determine Ifterminating client, use TerminationReason “No Longer Eligible” and issuebenefits as system allows Combat Duty or Bonus Pay (Bonus)Combat Zone Pay Special Paycontinued eligibility19woman who claims to be pregnant iseligible if income, residency and identityare confirmed.20 Any NOProof Short Certification Clientsmay be enrolledafter miscarriage as NPPIF proof of pregnancy ormiscarriage wasprovided Writtenis: Medical condition thatrequires medicalequipment not easilytransported Medical condition thatrequires bed rest Serious illness that maybe worsened by cominginto WIC clinicInfants under 8 weeks ofage Documented health careconcern that presents abarrier if client present atinitial certParent/caretaker workstatus presents barrier ifclient present within lastyearClients visited andscreened at home or inanother program – (allelements of certificationmust be completed)21222324notice is required when client Ineligible at certification Terminated at mid-cert for incomeineligibility Sanctioned, suspended or disqualified A breastfeeding woman who discontinuesbreastfeeding after 6 months Writtennotice must include client’sright to fair hearing9/13/12‐ L. Dingerson & T. Riemenschneider4
2012 WIC Income WebcastNow let’s look at the MI‐WIC Process thatsupports these policies Family Information Screen Family Information– Accurate‐ask clientto give address(including zip!) andphone and verify– Cell # helpful as weare going to TEXTReminder notices Prefer Cell phone X text message– Collect e‐mailaddress– SAVETerri Riemenschneider,Eligibility Policy PAL2526Adjunct Eligibility onIncome Info ScreenAdjunct Eligibility/Income Info Tab If PG or IBE, IBP or IFF has current Medicaid,makes entire family income eligible If C1, C2, C3, C4 has Medicaid, that client isincome eligible VERIFY Medicaid by clicking on Verify button,insert Medicaid ID# System should check “adjunct checkmark” ifactive Record if client/family participates in FoodStamp/SNAP or FIP programsStart withAdjunct EligibilityReportparticipation Medicaid Food Stamps FIP/TANFSearch forMedicaid ID CHAMPS MI HealthOnly VERIFY oneprogram use PGor Infant27Verify CurrentMedicaid Click Yes for REPand VER(verify) The MedicaidVerify AdjunctEligibility box willappear Input theMedicaid ID ifnot alreadyshown28Medicaid Verification A pop‐up will let youknow if VerifiedSuccessfully or NotFound in RID. If verified, click OK Click verify A pop‐up will ask ifwant to confirm theverification, click Yes Confirmverification Adjunct 299/13/12‐ L. Dingerson & T. Riemenschneider305
2012 WIC Income WebcastMedicaid Verification‐MI Health Plan BenefitAdjunct EligibilityHow to FIND Medicaid ID Note AdjunctEligibility Record Foodstamps or FIPenrollment Or check iffamily notparticipating inprograms CloseInput identifiersSystem searches and provides resultsMedicaid Active and ID #3132Information on How to enroll onMI Health Plan Benefit WIC E‐Notice #2012‐101: MI HealthBenefit PlanMedicaid EligibilityVerification ‐Rejections &Update.Medicaid Verification CHAMPS– Apply through SSO– Allows verificationof Medicaid, lookupby name, date ofbirth34CHAMPS Training MDCH is excited to announce thatWeb Based Trainings (WBT) are nowavailable for Providers. Thesetrainings will allow providers to useinteractive learning tools to completeCHAMPS training courses.These courses are not required;however, they are an excellentresource for gaining knowledge andunderstanding on the use ofCHAMPS. To access these courses youmust have access to Internet Explorerand follow the steps below.Access the site athttp://learning.mihealth.org/SOLO/CHAMPS‐ MEMBER SEARCHSearch by: Last Name First Name Date of BirthSubmit369/13/12‐ L. Dingerson & T. Riemenschneider6
2012 WIC Income WebcastCHAMPS‐ MEMBER SEARCHCHAMPS‐ Quick ReferenceMedicaid ID37Medicaid VerificationMCIR General Information ScreenBlue Cross tyQuick Reference 291964 7.pdf38Adjunct Eligibility DHS Bridge Card If client hasactiveMedicaid,Health Planname willbedisplayedDHS Bridge Card Verify Food Stamps (SNAP) or FIP(TANF)– Call Customer Service # on back ofcard– Select deposit inquiry #5– Listen for DEPOSIT information for thismonth– Record last 9 digits of DHS Bridge Cardin FS or FIP pop up screen MI‐WIC Adjunct Documentation– Document as YES in MI‐WIC AdjunctScreen– Verify‐insert family # NEW! MI Bridges‐client can checkbenefit status39Income Information ScreenWHY Verify Adjunct Eligibility? Verified Medicaid Residency Income verified ID if have Medicaid card Client adjunctively eligible‐may make others in familyadjunctively eligible– Infant or Pregnant woman with Medicaid makes all eligible– Child with Medicaid, only self Family with Active Foodstamps or FIP ‐ all eligible in family Verify Family size‐ Update “expected infants” if PG Update family size if adding infant Record sources of income for family Can “reuse” income line if applies or remove and add row Self Declare source of income if adjunctively eligibleor “migrant, homeless or works for cash”419/13/12‐ L. Dingerson & T. Riemenschneider40427
2012 WIC Income WebcastIncome InfoYear To Date CalculationIncome Information Verify family sizeRecord expectedinfants Family size # ofinfants Useful whenincome is variable Select last paydate Input pay YTD Record calculatedincome Record Income– Verification: selfdeclared Adjunct eligible No income 0 Works for cash– Otherwise mustreview paystubor other incomedocumentation43Income InfoHourly Calculation44Income Information Screen ‐ Foster Foster designation Select Hourlyinterval Record amountof pay Recordnumber ofhours/week RecordVerification Systemcalculatesannual income–Select Foster Child on screen–Record Foster stipend amount forincome–All Foster children have Medicaideligibility–ALWAYS family size of 1Can include PG woman‐includethe number of expected infants4546Foster ChildFoster Child Family size 1 Click FosterChild Select child fromdropdown Click Go– Can record # ofExpected infantsif PG Completeincome grid withfoster stipendamount Save479/13/12‐ L. Dingerson & T. Riemenschneider488
2012 WIC Income WebcastFamily Additional InformationAdditional Information Tab Language‐notices in Arabic, English or Spanish Proof of Residency‐Medicaid or other proof Voter RegistrationASK “Would you like to update your voter registration?”– YES ‐ Complete Voter Registration Form– NO ‐ Sign Declination form– Under 18‐Not eligible to register Pickup Interval‐Defaults to 3 monthsReferred From: Note program that informed client of WICSpecial Needs: Note if client has special needsProof of Auth Person ID‐Complete at initial visit ONLY or whenAuth Person changesRecord PrimaryLanguageVerify Proof ofResidency Proof of AuthPerson’s IDDesignate Migrant HomelessComplete Voter RegistrationorVoter Declinationform4950Client Agreement‐EACH CERT/RECERTClient Agreement Click on ClientAgreement after clienthas reviewed hardcopy of document Obtain signature onClient Agreement eachcert/recert Close (takes you backto HouseholdSummary Screen) Ask Authorized Personto read ClientAgreement or read tothem Ask if any questions Complete clientagreementCAN ALSO Obtainsignature by– Copy to client at initial MI‐WIC cert, offer thereafterMiscellaneous/Signature/WIC Client AgreementjtÇwt j v 51 Client Information Tab Client Name Proof of ID (Initialcert ONLY) Proof of Pregnancy Education Level Marital Status REASON forIneligibility‐Complete ONLYwhen determinedineligibleClient InformationScreenCert Action Screen Cert Action– Cert recert If short cert, leave message in notes update note &remove termination date when proof provided– Category change button System will calculate cert end date based on categoryselected AdditionalInformation tab – Termination Reason/date If Terminating, place reason for term in grid, system willautomatically calculate termination date based on thereasonRecord/verifyrace/ethnicity539/13/12‐ L. Dingerson & T. Riemenschneider52549
2012 WIC Income WebcastCert Action Screen‐ PGCert Action – Infant or Child Validates ifpregnantwoman Systemchecks toensure that# ofexpectedinfants ismore thanzero if PG Add rowfor certperiod55Cert Action Screen‐Short Cert56Category Change If shortcert, leavemessage innotes Select newcategory AlignBE/IBEBP/IBPNPP/IFF Suggestchange momfirst theninfantRemove termreason anddate whenproofprovided& updatenote57Cert Action Screen‐Termination Input term reason System calculatesterm date If d/cbreastfeedingupdate BF stats onInfant recordIF IBE or IBP to IFF, make sure to termmom! Remember, her recert date is 1 yearpost partum and she will remain on if notterminated! Client InformationScreenIneligibility– Complete reason forineligibility If determined over‐income, recordincome on incomedeterminationscreen. Print Ineligibilitynotice599/13/12‐ L. Dingerson & T. Riemenschneider586010
2012 WIC Income WebcastPrintIneligibilityNoticeBenefit Issuance & Print Docs Benefit Issuance Schedule next visit Ask client day & time preferredPrint docs Select ineligibilitynotice Print Docs – Must have reason forineligibilitydocumented on ClientInfo screen Notice recorded inMiscellaneousNE PlanVOC (signed)Shopping ListClient Agreement Provide if new client Offer if ongoing client– Communications Vendor Listing If new or offer toongoing client61Print Docs Ineligibility– Ineligibility notice withFair Hearing notice‐mustcomplete Reason forIneligibility on ClientInformation screen62Communications Screens Attestation of Identity,Income or Residency– Copy of signed documentto client upon request Records printdocs infamily/clientrecord Short Certification– Short certification notice– Lists proof needed bywhat dateIneligibilityNotice63Dual Enrollment Pop‐upNew enrollees onlyPrecert screen add new enrollee659/13/12‐ L. Dingerson & T. Riemenschneider646611
2012 WIC Income WebcastRemove dual enrollee row to preventdual enrollmentNO dual enrollment ClickCancel tostoprecordcreation6768Resolve Dual Enrollment‐WIC/Focus:HOPE‐CSFPResolve Dual Enrollment‐WIC Resolve within 45days Determine if wantsCSFP, WIC or notsame person Select resolution MUST RESOLVEBEFORE WICCERTIFICATION! If CSFP in area, checkevery 6 months fordual enrollment Resolve within45 days ofidentification Determine ifduplicate ordual enrollee ordifferent client Selectresolution– Note if needed69Special Circumstances Military payUnemploymentOvertimeAdoptionChildren’s special healthcare servicesSelf employedTeenImmigrantWorks for cashMilitary payOver incomeIncome guidelinesFoster childOut of stateMedicaid foster Foster transfer Client had Coast Guard paystub, total was over income. Staff should review 2.04A forallowed and not allowed pay Client was determined to beincome eligible when BAHand FSH were not included– Basic Allowance for Housing (BAHor BAQ)– Family Separation Housing (FSH)719/13/12‐ L. Dingerson & T. Riemenschneider707212
2012 WIC Income WebcastMilitary PayUnemploymentWhat DOES NOT count: Basic Allowance for Housing (BAH or BAQ) Family Separation Housing (FSH) Family Subsistence Supplemental Allowance(FSSA) Overseas Housing Allowance (OHA) Overseas Continental United States Cost of LivingAllowance (OCONUS COLA) Combat Duty or Zone Pay Hardship Duty, Parachute, Flight Deck,Demolition, Experimental Stress, Toxic Fuel,Dangerous Virus, Chemical Munitions, MaritimeVisit, Polar Flight Exhibit 2.04AHow to verify Unemployment? Unemployment benefits nowdirect deposit to bank account ordebit card Clients receive “Notice ofDetermination” letter, whichshould state amount of benefits Clients can contact CHASEcustomer service at1‐866‐523‐2122 to determinecurrent benefits.7374AdoptionFamily has 2 foster childrenand one adopted child,what is the family size? Mark “foster” on fosterchildren’s client informationscreen (family size for eachfoster ALWAYS 1) Document family size of2 parents 1 adoptedchild 3AdoptionNOTE: Adopted children areconsidered members of thefamily and the family’sincome supports them.Infant has just been adoptedby family that is overincome. Adoption agencyhas told family that infantwill be on Medicaid, butwon’t receive card for acouple of weeks. Can weenroll? Need verification ofpending Medicaid Search MI‐Benefit orCHAMPS for ID#NOTE: Some children are providedMedicaid, even afteradoption. If the family is in theprocess of adoption, thechild may be considered a“ward of the state” andhave Medicaid coverage.75Children’s Special Health Care Services76Self employed Determine income based onavailableevidence/information Tax document probably bestif not receiving pay checkregularlyHad quads born at 23 weeks, one diedand others with handicaps. Nowalmost 2 years old. Medicaid hasbeen dropped. Children have CSHCS,does this make them eligible? 1040 form can be usedfor incomedocumentation until thenext 1040 is filed No, CSHCS can use WIC for incomeeligibility, but WIC can only use CSHCSif income is calculated at or below185% of poverty779/13/12‐ L. Dingerson & T. Riemenschneider7813
2012 WIC Income WebcastTeenOvertimeWe have a client whose hourly wage qualifies for WICbut their YTD is over because he frequently worksovertime. Which are we supposed to go by? YTD isat 40,000 now, so it will calculate higher than themax of 48,415 for a family of 5. Not sure how weshould handle this.Options to accurately calculate income: YTD calculates annual pay to reflect overtime andstraight pay from current pay stubs Most current 1040 income tax formMother called regardingpregnant daughtereligibility. Parents aresupporting andproviding insurance tocover pregnancy.Family of 5 (withunborn), parents bothwork. Suggest referral toMedicaid/Healthy Kidsto cover co‐pays andensure coverage ofinfant when born(thereby adjuncteligible)79ImmigrantPregnant womanapplicant eligible forEmergency Medicaiddue to immigrantstatus. Client has ID,proof of residency andappropriate income. Isshe WIC eligible?80Works for cash Yes, client is eligible basedon Income, PG andEmergency Medicaid WIC does NOT considerimmigration status foreligibility WIC enrollment does NOTaffect immigration statusin terms of governmentsupport as WIC is aNUTRITION ProgramClient works for cash,doesn’t have proof ofincome or Medicaid.What to do? Verify that client does nothave Medicaid (MI‐HealthPlan or CHAMPS) Document client’s incometype as gross wages,verification is self declared Sign attestation form‐explaining why no proof ofincome81Over income‐on MedicaidC1 client in family hasMedicaid, C2 does not,family over income.Does C2 qualify if overincome?Income guidelines C1 client IS adjunctivelyeligible C2 client NOTeligible/over income839/13/12‐ L. Dingerson & T. Riemenschneider82WIC website incomeguidelines‐Figures were differentbetween biweekly andannual income allowed. The WIC website listsincome guidelines hourly,weekly, biweekly,bimonthly, monthly andannually. If you multiply the bi‐weekly amount, itexceeds the annualamount System allows amountper income guidelines8414
2012 WIC Income WebcastFamily SizeClient whose familyincludes a 14 year oldc
Sep 13, 2012 · Medicaid Eligibility Verification ‐ Rejections & Update. Medicaid Verification CHAMPS – Apply through SSO – Allows verification of Medicaid, lookup by name, date of birth 34 CHAMPS Training MDCH is excited to announce that Web Bas
