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2012 WIC Income WebcastSeptember 13, 2012Presenters: Linda Dingerson, BSN, Policy CoordinatorTerri Riemenschneider, Eligibility PAL1Linda Dingerson29/13/12‐ L. Dingerson & T. Riemenschneider1
2012 WIC Income Webcast “Ifyou arenotregistered tovote whereyou live now,would youlike to applyto register tovote heretoday?” Askthe client at each: Certification/recertification When the client changesaddress3 Give “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/vote49/13/12‐ L. Dingerson & T. Riemenschneider2
2012 WIC Income Webcast VoterRegistrationposters areavailable forclinic use Orderon E-forms5 Anyinformationabout an applicant orclient thatindividually identifiesan Restrictuse anddisclosure ofinformation to: WIC employees whoneed to know Applicant Client, and/or Family member69/13/12‐ L. Dingerson & T. Riemenschneider3
2012 WIC Income Webcast InsurePrivacy Sign in sheets Income RestrictAccessto Client Recorddetermination Anthropometricand laboratoryprocedures Print Docs Diminish screensor log off Notes and Alerts Saving/PrintingReports7 MemorandaofUnderstanding(MOU) Immunization Sharing AppointmentLists MOU WIC Client is also client ofhealth center MDCH Lead Program MIHP Head Start Dept. of Ed (CSFP) ReleaseofInformation89/13/12‐ L. Dingerson & T. Riemenschneider4
2012 WIC Income Webcast Overviewof certification policies Clientswho meet income, residency andcategorical eligibility are presumptivelyeligible. Use the Short Certification process if a proofis missing9 Proof of residencyrequired at: Homeless Enrollment Migrant Each certification Transfers who have aVOC Someone who hasrecently moved into area Victim of theft, loss ordisaster Transfer NO Proof required for:Short certification ifclient did not bringproof These clients sign anAttestation form109/13/12‐ L. Dingerson & T. Riemenschneider5
2012 WIC Income Webcast Proofrequired at: NOfor: initial certification ortransfer for client Homeless Migrant Benefit pickup, eachcertification andtransfer for authorizedperson/proxyProof required Victim of theft, loss ordisaster Theseclients sign anAttestation formPersonal recognition by staff allowedonce proof has been established11 Client receives: FIP Medicaid/Healthy Kid’sProgram/ Plan First MOMS Member of a familythat: Receives SNAP (FoodStamps) Receives FIP Contains PregnantWoman or Infantreceiving Medicaid 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)129/13/12‐ L. Dingerson & T. Riemenschneider6
2012 WIC Income Webcast Verbalstatement ofincome allowed Noother “proofs”are required13 Incomeeligibilitybased on Total FamilySize Include: Unborn child(ren) Adopted child(ren) SpecialConsiderations Resident of Institutionor group home Family living inhomeless shelter,group residence Foster child – Family ofone149/13/12‐ L. Dingerson & T. Riemenschneider7
2012 WIC Income WebcastUse current incomeguidelines (April 9,2012) for clientspaid only weekly,biweekly, semimonthly or monthly If reported incomeis in multiple,varying intervals,use annual incomeguideline 15 Basedon client/applicant’s family sizeand income If client has proof but did not bring toappointmentShort Certification(30 days)169/13/12‐ L. Dingerson & T. Riemenschneider8
2012 WIC Income Webcast Self-declarationallowed for: (verbal statement) isClients who are adjunctively eligibleHomeless clientsMigrant workersFamily works for cash Attestationform signature required if notadjunctively eligible NO proof of income is required in thesecases17 Transferswithcurrent certification –no incomedetermination untilnext certification Migrants – onceevery 12 months Clientswho reportNO income Ask questions thatpop-up when 0 isentered in grid rowand Saved Client signs ClientAgreement – NOattestation formrequired189/13/12‐ L. Dingerson & T. Riemenschneider9
2012 WIC Income Webcast What DOES count: Base pay Basic Allowance for Subsistence (BAS)Foreign Language Pay (FLPP)Family Separation Allowance (FSA)Jump Pay, Dive Pay, Sea Pay, FlightPayContinental United States Cost ofLiving Allowance (CONUS COLA)May Income Average: Clothing Maintenance Allowance(CMA) Bonus Pay (Bonus) Special Pay What DOES NOT count: Basic Allowance forHousing (BAH or BAQ) Family Separation Housing(FSH) Family SubsistenceSupplemental Allowance(FSSA) Overseas HousingAllowance (OHA) Overseas ContinentalUnited States Cost of LivingAllowance (OCONUSCOLA or COLA) Combat Duty orCombat Zone Pay19 IFyou learn that the client’s income haschanged, AND: The client is NOT adjunctively eligible The client has more than 90 days left in thecertification period THEN, use current income to determinecontinued eligibility Ifterminating client, use TerminationReason “No Longer Eligible” and issuebenefits as system allows209/13/12‐ L. Dingerson & T. Riemenschneider10
2012 WIC Income Webcast Anywoman who claims to be pregnant iseligible if income, residency and identityare confirmed. NOProofShort Certification Clientsmay be enrolledafter miscarriage as NPPIF proof of pregnancy ormiscarriage wasprovided Medical condition thatrequires medicalequipment not easilytransported Medical condition thatrequires bed rest Serious illness that maybe worsened by cominginto WIC clinicInfants under 8 weeks ofage 21Documented 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)229/13/12‐ L. Dingerson & T. Riemenschneider11
2012 WIC Income Webcast Writtenis:notice 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 hearing23249/13/12‐ L. Dingerson & T. Riemenschneider12
2012 WIC Income WebcastNow let’s look at the MI‐WIC Process thatsupports these policies Terri Riemenschneider,Eligibility Policy PAL25Family 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– SAVE269/13/12‐ L. Dingerson & T. Riemenschneider13
2012 WIC Income WebcastAdjunct 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 programs27Adjunct Eligibility onIncome Info ScreenStart withAdjunct EligibilityReportparticipation Medicaid Food Stamps FIP/TANFSearch forMedicaid ID CHAMPS MI HealthOnly VERIFY oneprogram use PGor Infant289/13/12‐ L. Dingerson & T. Riemenschneider14
2012 WIC Income WebcastVerify CurrentMedicaid Click Yes for REPand VER(verify) The MedicaidVerify AdjunctEligibility box willappear Input theMedicaid ID ifnot alreadyshown Click verify Confirmverification Adjunct 29Medicaid Verification A pop‐up will let youknow if VerifiedSuccessfully or NotFound in RID. If verified, click OK A pop‐up will ask ifwant to confirm theverification, click Yes309/13/12‐ L. Dingerson & T. Riemenschneider15
2012 WIC Income WebcastAdjunct Eligibility Note AdjunctEligibility Record Foodstamps or FIPenrollment Or check iffamily notparticipating inprograms Close31Medicaid Verification‐MI Health Plan BenefitHow to FIND Medicaid IDInput identifiersSystem searches and provides resultsMedicaid Active and ID #329/13/12‐ L. Dingerson & T. Riemenschneider16
2012 WIC Income WebcastInformation 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 ofbirth349/13/12‐ L. Dingerson & T. Riemenschneider17
2012 WIC Income WebcastCHAMPS 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. Riemenschneider18
2012 WIC Income WebcastCHAMPS‐ MEMBER SEARCH37CHAMPS‐ Quick ReferenceMedicaid tyQuick Reference 291964 7.pdf9/13/12‐ L. Dingerson & T. Riemenschneider3819
2012 WIC Income WebcastMedicaid VerificationMCIR General Information ScreenBlue Cross MI If client hasactiveMedicaid,Health Planname willbedisplayed39Adjunct Eligibility DHS Bridge CardDHS 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 status409/13/12‐ L. Dingerson & T. Riemenschneider20
2012 WIC Income WebcastWHY 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 family41Income Information Screen 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”429/13/12‐ L. Dingerson & T. Riemenschneider21
2012 WIC Income Webcast Verify family sizeIncome InformationRecord expectedinfants Family size # ofinfants Record Income– Verification: selfdeclared Adjunct eligible No income 0 Works for cash– Otherwise mustreview paystubor other incomedocumentation43Income InfoYear To Date Calculation Useful whenincome is variable Select last paydate Input pay YTD Record calculatedincome449/13/12‐ L. Dingerson & T. Riemenschneider22
2012 WIC Income WebcastIncome InfoHourly Calculation Select Hourlyinterval Record amountof pay Recordnumber ofhours/week RecordVerification Systemcalculatesannual income45Income Information Screen ‐ Foster Foster designation–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 infants469/13/12‐ L. Dingerson & T. Riemenschneider23
2012 WIC Income WebcastFoster Child Click FosterChild Select child fromdropdown Click Go47Foster Child Family size 1– Can record # ofExpected infantsif PG Completeincome grid withfoster stipendamount Save489/13/12‐ L. Dingerson & T. Riemenschneider24
2012 WIC Income WebcastFamily Additional Information 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 changes49Additional Information TabRecord PrimaryLanguageVerify Proof ofResidency Proof of AuthPerson’s IDDesignate Migrant HomelessComplete Voter RegistrationorVoter Declinationform509/13/12‐ L. Dingerson & T. Riemenschneider25
2012 WIC Income WebcastClient Agreement Click on ClientAgreement after clienthas reviewed hardcopy of document Obtain signature onClient Agreement eachcert/recert Close (takes you backto HouseholdSummary Screen)CAN ALSO Obtainsignature byMiscellaneous/Signature/WIC Client Agreement51Client Agreement‐EACH CERT/RECERT Ask Authorized Personto read ClientAgreement or read tothem Ask if any questions Complete clientagreement– Copy to client at initial MI‐WIC cert, offer thereafterjtÇwt j v 529/13/12‐ L. Dingerson & T. Riemenschneider26
2012 WIC Income Webcast Client Information Tab Client Name Proof of ID (Initialcert ONLY) Proof of Pregnancy Education Level Marital Status REASON forIneligibility‐Complete ONLYwhen determinedineligibleClient InformationScreen AdditionalInformation tab Record/verifyrace/ethnicity53Cert 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– Termination Reason/date If Terminating, place reason for term in grid, system willautomatically calculate termination date based on thereason549/13/12‐ L. Dingerson & T. Riemenschneider27
2012 WIC Income WebcastCert Action Screen‐ PG Validates ifpregnantwoman Systemchecks toensure that# ofexpectedinfants ismore thanzero if PG55Cert Action – Infant or Child Add rowfor certperiod569/13/12‐ L. Dingerson & T. Riemenschneider28
2012 WIC Income WebcastCert Action Screen‐Short Cert If shortcert, leavemessage innotes Remove termreason anddate whenproofprovided& updatenote57Category Change Select newcategory AlignBE/IBEBP/IBPNPP/IFF Suggestchange momfirst theninfant589/13/12‐ L. Dingerson & T. Riemenschneider29
2012 WIC Income WebcastCert 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!59 Client InformationScreenIneligibility– Complete reason forineligibility If determined over‐income, recordincome on incomedeterminationscreen. Print Ineligibilitynotice609/13/12‐ L. Dingerson & T. Riemenschneider30
2012 WIC Income WebcastPrintIneligibilityNoticePrint docs Select ineligibilitynotice– Must have reason forineligibilitydocumented on ClientInfo screen Notice recorded inMiscellaneous– Communications61Benefit Issuance & Print Docs Benefit Issuance Schedule next visit Ask client day & time preferred Print Docs NE PlanVOC (signed)Shopping ListClient Agreement Provide if new client Offer if ongoing client Vendor Listing If new or offer toongoing client629/13/12‐ L. Dingerson & T. Riemenschneider31
2012 WIC Income WebcastPrint Docs Ineligibility– Ineligibility notice withFair Hearing notice‐mustcomplete Reason forIneligibility on ClientInformation screen Attestation of Identity,Income or Residency– Copy of signed documentto client upon request Short Certification– Short certification notice– Lists proof needed bywhat dateIneligibilityNotice63Communications Screens Records printdocs infamily/clientrecord649/13/12‐ L. Dingerson & T. Riemenschneider32
2012 WIC Income WebcastPrecert screen add new enrollee65Dual Enrollment Pop‐upNew enrollees only669/13/12‐ L. Dingerson & T. Riemenschneider33
2012 WIC Income WebcastRemove dual enrollee row to preventdual enrollment67NO dual enrollment ClickCancel tostoprecordcreation689/13/12‐ L. Dingerson & T. Riemenschneider34
2012 WIC Income WebcastResolve Dual Enrollment‐WIC Resolve within45 days ofidentification Determine ifduplicate ordual enrollee ordifferent client Selectresolution– Note if needed69Resolve Dual Enrollment‐WIC/Focus:HOPE‐CSFP Resolve within 45days Determine if wantsCSFP, WIC or notsame person Select resolution MUST RESOLVEBEFORE WICCERTIFICATION! If CSFP in area, checkevery 6 months fordual enrollment709/13/12‐ L. Dingerson & T. Riemenschneider35
2012 WIC Income WebcastSpecial Circumstances Military payUnemploymentOvertimeAdoptionChildren’s special healthcare servicesSelf employedTeenImmigrantWorks for cashOver incomeIncome guidelinesFoster childOut of stateMedicaid foster Foster transfer 71Military payClient 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)729/13/12‐ L. Dingerson & T. Riemenschneider36
2012 WIC Income WebcastMilitary PayWhat 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 2.04A73UnemploymentHow 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.749/13/12‐ L. Dingerson & T. Riemenschneider37
2012 WIC Income WebcastAdoptionFamily 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 3NOTE: Adopted children areconsidered members of thefamily and the family’sincome supports them.75AdoptionInfant 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.769/13/12‐ L. Dingerson & T. Riemenschneider38
2012 WIC Income WebcastChildren’s Special Health Care ServicesHad 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? No, CSHCS can use WIC for incomeeligibility, but WIC can only use CSHCSif income is calculated at or below185% of poverty77Self employed Determine income based onavailableevidence/information Tax document probably bestif not receiving pay checkregularly 1040 form can be usedfor incomedocumentation until thenext 1040 is filed789/13/12‐ L. Dingerson & T. Riemenschneider39
2012 WIC Income WebcastOvertimeWe have a client whose hourly wage qualifies for WICbut their YTD is over because he frequently worksovertime. Which are we supposed
Sep 13, 2012 · 2012 WIC Income Webcast 9/13/12‐L. Dingerson & T. Riemenschneider 1 September 13,
