from the form into the State eligibility systems and request verifications; Generate Pending Verification for Clients/Recipients 2032 form to collect missing information and submit the case for State review and eligibility determination; For clients calling to report a change, the Contractor must authenticate the caller, locate the case in the State eligibility systems, process the change, obtain appropriate verifications, and enter the appropriate codes depending on the type of change being reported; Route work electronically to FSSA eligibility determination staff for the processing of an accurate and timely eligibility determination in accordance with FSSA instructions; Update case files in the eligibility systems for clients who are voluntary or mandatory regarding work requirements; Provide data collection and other data entry and task creation actions for online application exceptions, or other image exceptions, and route to State staff; At the time of any review or case action, Contractor staff shall be responsible for entering clear and concise case notes into the State eligibility system for any review or case action performed by Contractor. Functional Requirements for Hearings and Appeals Conduct pre-hearing conferences to meet with clients and, discuss their case and the possible resolution of the case without a formal hearing; Prepare evidence packets and present evidence on behalf of the in a formal hearing. Contractor shall follow guidelines provided by the State regarding the content of evidence packets; Review appeals requests from State system to collect information, determine the date the appeal request - written or verbal (SNAP only) - was submitted, and determine which of the following is the reason for the appeal: Application Denial A reduction in a benefit amount for an ongoing Assistance Group (AG) The discontinuance of benefits Issue not eligibility related (Other) Benefit amount for an approved application In the case of clients filing appeals for continuation of benefits, the Contractor must determine if the appeal was timely as determined by program policy applicable to the program category under appeal and review the following to determine timeliness for continued benefits: Reason for the appeal Notice of action date Effective date of closure and/or change Report fraud and potential fraud in accordance with FSSA policy and procedures. Monitor and support Appeals functions performed in the Central Change Centers and Regional Change Centers to ensure adequate staffing and compliance with policies and metrics. Policies and procedures change frequently within FSSA typically as a result of State or Federal
from the form into the State eligibility systems and request verifications; Generate Pending Verification for Clients/Recipients 2032 form to collect missing information and submit the case for State review and eligibility determination; For clients calling to report a change, the Contractor must authenticate the caller, locate the case in the State eligibility systems, process the change, obtain appropriate verifications, and enter the appropriate codes depending on the type of change being reported; Route work electronically to FSSA eligibility determination staff for the processing of an accurate and timely eligibility determination in accordance with FSSA instructions; Update case files in the eligibility systems for clients who are voluntary or mandatory regarding work requirements; Provide data collection and other data entry and task creation actions for online application exceptions, or other image exceptions, and route to State staff; At the time of any review or case action, Contractor staff shall be responsible for entering clear and concise case notes into the State eligibility system for any review or case action performed by Contractor. Functional Requirements for Hearings and Appeals Conduct pre-hearing conferences to meet with clients and, discuss their case and the possible resolution of the case without a formal hearing; Prepare evidence packets and present evidence on behalf of the in a formal hearing. Contractor shall follow guidelines provided by the State regarding the content of evidence packets; Review appeals requests from State system to collect information, determine the date the appeal request - written or verbal (SNAP only) - was submitted, and determine which of the following is the reason for the appeal: Application Denial A reduction in a benefit amount for an ongoing Assistance Group (AG) The discontinuance of benefits Issue not eligibility related (Other) Benefit amount for an approved application In the case of clients filing appeals for continuation of benefits, the Contractor must determine if the appeal was timely as determined by program policy applicable to the program category under appeal and review the following to determine timeliness for continued benefits: Reason for the appeal Notice of action date Effective date of closure and/or change Report fraud and potential fraud in accordance with FSSA policy and procedures. Monitor and support Appeals functions performed in the Central Change Centers and Regional Change Centers to ensure adequate staffing and compliance with policies and metrics. Policies and procedures change frequently within FSSA typically as a result of State or Federal
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