Eligibility Online Manual

M301B Verifying Eligibility Factors

Purpose: This section will describe how eligibility factors may be verified.


Current Policy Effective Date: January 1, 2014

Date Last Reviewed: October 22, 2015

Previous Policy: January 1, 2010

POL M301B: VERIFYING ELIGIBILITY FACTORS

1. Wyoming Birth Cert Application Can Be Used To Verify Citizenship

Verification of citizenship can be obtained by using the Wyoming Birth Cert Application tab located within ECOM. Refer to Medicaid Table 5 for acceptable verification of citizenship.

2. Revenue Information System (RIS) Can Be Used To Verify Citizenship and Identity

Verification of citizenship and identity can be obtained by using the Revenue Information System (RIS) through the Mainframe at the TPX menu. Refer to Medicaid Table 5 for acceptable verification of citizenship and identity.

3. Evidence Must Be Collected to Establish Eligibility

Evidence must be collected to meet documentation and verification requirements for all eligibility factors. Refer to Medicaid Table 5, Table 5A, Table 5B and Table 6 for proper documentation.

4. Prior Cases May Be Used To Verify Some Eligibility Factors

Documentation from prior cases may be used for factors not subject to change, such as SSN, date of birth, citizenship, or identity.

5. System Interfaces May Be Used

Verification of eligibility factors may be obtained by using:

          • SVES

          • H03

          • SOLQ-I

          • Bendex

          • BEERS

          • RIS

          • SDX

          • TPQY

          • QQ .

6. Additional Documentation May Be Required

Applicants/clients may need to provide additional documentation necessary to verify eligibility factors.

7. Assistance Obtaining Documentation Must Be Provided

Assistance must be provided to the applicant/client, upon request, in obtaining documentation.

Reference:

Defining Requirement: 42 CFR 435.940

42 CFR 435.945

42 CFR 435.948

42 CFR 435.952

42 CFR 435.953

42 CFR 435.955

42 CFR 435.960

Citizenship and Identity Requirement: Social Security Act § 1903


Clarifying Information:

1. Verification is defined as the act of proving a fact to be true by viewing the content of the evidence.


Worker Responsibilities:

Using Wyoming Birth Cert Application Tab

1. Access Wyoming Birth Cert Application tab located within ECOM. Refer to Section M604 for instructions on accessing and using birth cert application.

Verifying Immigration Status With Systematic Alien Verification for Entitlements (SAVE)

1. Refer to Section M604 for information on the SAVE process and contacting US Citizenship and Immigration Services (USCIS).

Using Revenue Information System (RIS) for Citizenship, Identity, and Resource Verification

1. Sign into the Mainframe at the TPX menu.

1A. Position cursor next to RIS and press enter.

1B. Select “1” Revenue Information System (RIS) Production. Press enter.

1C. Enter password on screen that states, “This is the PRODUCTION database.”

1Ci) The password is case sensitive.

1CiI) This screen will allow you to establish a 1st time password or change your password.

1Ciii) Passwords expire every 120 days.

1D. Press Enter to skip the password reset screen, unless you are required to change your password.

1E. Press Enter to skip the WYDOT Printer Assignment Screen.


2. Using RIS to verify Citizenship and Identity

2A. Sign into the Mainframe at the TPX menu, using step 1 above.

2B. Select “Client Display” in the “Select” field at the bottom left corner of the screen. Press Enter.

2C. Enter at least one of the search criteria (Must include dashes if using SSN).

2Bi) Aliases will only show for past names, i.e. if a client’s former name was Jones and the current name is Davis, searching for Jones will pull both Jones and Davis. If searching by the current name, only Davis will appear.

2D. Enter the search criteria number “2” at the bottom of the screen.

2E. Select the number of the record that you would like to see and enter the number into the “SELECT” field.

2Di) This screen will give you demographic information like: Driver’s license or I.D. number, name, address, phone number, age, date of birth, hair and eye color, weight and height, etc. Print this screen as verification of citizenship and identity for the case file.

2F. Select F9 to go back one page. Select F8 for new client search.

2Fi) Select F8 twice to return the main RIS menu.


3. Using RIS to verify Resources

3A. Sign into the Mainframe at the TPX menu, using step 1 above.

3B. Select “Registration Display” from Family Services Display Menu.

3C. Tab to field you wish to inquire.

3D. Search by plate number:

3Di) Enter county code using two digits such as 01.

3Dii) Enter P for passenger car.

3Diii) Enter T for truck.

3Div) Enter H for trailer.

3Dv) Enter M for motorcycle.

3Dvi) Enter license plate number.

3Dvii) Do not enter any dashes or spaces between numbers or letters.

3Dviii) Press enter and vehicle information will be displayed.

3Dix) Copy screen to document case record.

3Dx) Press enter and repeat process if more than one inquiry is needed.

3E. Search by name field:

3Ei) Enter last name of individual for whom you wish to obtain information.

3Eii) Enter asterix (*) without spacing.

3Eiii) Enter first name of individual without spacing.

3Eiv) Press enter and all vehicles registered to the individual will be displayed on Interim Registration Select screen.

3Ev) Enter “Y” in “Return to List?” field before leaving screen. If you wish to return you can press enter twice on Interim Registration Detail Display screen to return.

3Evi) Continue to press enter until individual or plate number you seek is found.

3Evii) Enter number of person or plate number you wish to inquire about in “Select” field.

3Eviii) Press enter and vehicle information will be displayed.

3Eix) Copy screen or document case record.

3Ex) Return to Interim Registration Select screen to obtain information on more vehicles for same individual or inquire about another individual.


4. Signing out of RIS.

4A. Press F1 or F4 to exit RIS.

4B. Press enter from RIS signoff screen.

4C. Enter “X” to exit RIS.

4Ci) You will return to TPX menu where you may gain access to session you wish to use.


5. Contact the EPICS Help Desk if problems occur or if necessary to reset your password.