Wisconsin Department of Health and Family Services Income Maintenance Quality Assurance Second Party Review Manual |
Once a case has been selected for review and a reviewer enters the tool, details of the case will auto-populate into the appropriate fields throughout the tool. This autopopulated information comes directly from CARES. The initial screen "Case Details" will display the individuals in the case and program for which s/he is eligible. Since the tool is being used for both FS and Healthcare reviews, a driver flow will guide the reviewer to the relevant screens depending on the case type being reviewed. For example, if the case being reviewed does not have an EBD MA assistance group, then the tool will skip over the screen on assets.
After the intial "Case Details" page there are a maximum of 12 screens that a reviewer must complete. Each of the screens contains both auto-populated fields and fields where reviewer input is required. The reviewer will be prompted to enter a discrepancy reason if the reviewer discovers that the information used in the eligibility determination was incorrect .
The IMQA tool will populate information by individual, not by assistance group, and will only display the individual's name if s/he has information in CARES pertaining to the screen's topic. For example if three individuals are on a case but only mom has earned income, then only her name and relavent earned income details will appear on the Earned Income page.
The screens are as follows:
Case Details
Household Composition
Application/Review Processing
Earned Income
Other Income
Self-Employment Income
Expenses
Liquid Assets
Healthcare Deductible
FoodShare Discrepancies and Findings
Healthcare Discrepancies and Error Indentification
Healthcare Eligilibility Findings
This page last updated in Release Number: 08-01
Release Date: 03/03/08
Effective Date: 02/01/08