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I
NDIANA
online, clients must provide their last name, ICES case number, date of birth and last four digits of
Social Security Number to report a change.
Reporting Changes on the automated phone system
Clients must provide the last four digits of Social Security Number an
of birth to report a change.
Liability Deviations / Co
To report changes related to liability deviations and corrections or spend-down, cl
Internet ("Report a Change" tool);
FAX;
Mail; or
Local DFR Office.
When submi
tting documents to the FSSA Service Center, use a case-specific, bar-coded Document
Coversheet (recommended), or a coversheet with client's full name and case n
instructions about the liability correction/deviation or spend-down. NOTE: Provid
documentation for all liability deviations/corrections or spend-down expenses w
on the case-specific, bar-coded Document Coversheet.
Babygrams
When adding newborns to existing Medicaid cases, a Ba
sub
mitted to the FSSA Service Center by mail or FAX. The Ba
the V-CAN Team at vcan@us.ibm.com. Make sure to choose one method of
( i
e
th r FAX OR mail, do not FAX and mail the form).
e
NOT include a group of Babygram Forms in one FAX. This will allow the FSSA Service Center to process
the forms more quickly, since the form (once scanned) will be attached to the mother's Medicaid case.
No attachme
nts need to be submitted with the Babygram Forms.
• To obtain a copy of the Babygram Form, email vcan@us.ibm.com.
•
The Babygram Form is to be used for newborns in New System or "m
ONLY, until statewide implementation of the new system.
3.1.4 Redetermination
The redetermination process is outlined below:
1. A Redetermination Notice is mailed to the client.
o
2. Eligibility Specialist conducts Redetermination Interview on the phone (Food Stamps only).
o
3. Client signs and mails or FAXes the Redetermination signature page and supporting documents
o
o
4. Eligibility Specialist reviews for completeness and forwards to a State Worker.
5. State Worker determines client eligibility.
V-CAN User Guide
E
LIGIBILITY
Voluntary Community Assistance Network (V-CAN)
rrections and Spend-down
If the case includes Food Stamps, an appointment letter (for an interview) is included.
After the interview, a Redetermination packet (summary information, signature page
and list of documents needed) is mailed to the client.
to the FSSA Service Center.
FSSA Service Center scans the Redetermination documents into the system.
Eligibility Specialist is notified that Redetermination documents are ready for review.
M
ODERNIZATION
bygram Form should be completed and
bygram Form may be obtained by emailing
Make sure to FAX each form individually, and DO
22
d ICES case number or date
ients may use:
umber or SSN. Include
e specific supporting
ith written instructions
submitting the Babygram
odernized" counties
vcan@us.ibm.com
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