State of Alaska

Systems Operations

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Self Help Section

How do I...

Determine whether an Application can be deleted? Add and delete Clients from Cases? Count TANF Months? Reduce duplicate clients? Authorize Medicaid in an APA Denial Month? Restore MERE codes on ME AF cases? Replace a Warrant? Change the Expedited FSAD Indicator? Delete erroneous insurance information from the MERI Screen? Use the 'A' Issuance Indicator correctly? Add a Person in EIS

Help Desk Automated Requests

APA/IA Conversion Application Deletion Bug Report Case Note Deletion Client Note Deletion

Duplicate Client EIS Suggestion Forgery Report General Question Medicaid Review Deletion

SSI Replacement Stop Pay Time Limit Change Warrant Copy

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Contacts

Agency/Contact	System(s)
EIS Help Desk	EIS, CMS, ICCIS, Document Direct
DPA EBT Help	Electronic benefits, direct deposits
DPA Claims	Claims for repayment of DPA cases
IT Help Desk	Desktop computer help
DPA Field Services	Field Services general mailbox
TPL Help Desk	Third Party Liability Help Desk (DHCS)
ASVS	Alien Verification System
DOL Help Desk	Department of Labor Help Desk

Security Resources

Security Manual EIS-SOLQ Security Document CSSD External Users Confidentiality Acknowledgement DOL LAN/Mainframe Work Order with Customer Acknowledgement page DPA Automated Status Verification System (ASVS) - Special Security Agreement DPA Security Agreement for EIS, Network & Related Systems DPA Service Provider EIS Security Agreement ETS Logon ID Request Form with Customer Acknowledgement page INGENS Security Form Non-Employee Access Request Form

Additional Information

ADDR Screen Info AF Med Case Handling APA Denial in Month Medicaid is Approved APMA EIS Job Aid Application Registration Job Aid Client Inquiry Job Aid (CLIN) Client Inquiry Job Aid (CLIR) Client Inquiry Registration Job Aid (CLIR) Client Inquiry Short List Job Aid (CLIS) CLPM and TLIP points Counting TLIP Months

Duplicate Client Information Job Aid EBT Processing Tips EIS Bug Reporting GA Program in EIS How does REPC work? Is it the Correct Client? Notice Tips PFD Tips & Tricks Requests to Delete Registrations from EIS Temporary Assistance Seasonal Reduction

NOT PRODUCTION
BROKEN
NON-EXISTENT LINKS

Accessing Online Field Help and Screen Help Address (ADDR) info Benefit Mailing Dates Client Inguiry Procedure CLIS Examples CLPM Characteristics CLPM Participation Examples CLPM Screen Edits Common Edits and what the mean EIS Tips & Tools Ineligible Household Member Deductions for Family Medicaid Initializing Into Future Months - A Detailed Look Interactive Voice Response (IVR) Mass Change Jobs & Reports REAP Edit Information Stop Pays Temporary Assistance Seasonal Reduction Why Can't I Do Retro Med On AP/Med Case? Why Shouldn't I Initialize Into a Future Month?

Cancel/Close Form

Bug Report

Please provide the following (all fields must have a value)

Employee Info (Request Submitter)

Name:

Telephone #:

State Email:

Bug Information

Is the client in the office? Yes No

Did you get the Bug more than once? Yes No

Did the Bug stop you from completing your EIS work? Yes No

Case Name: Case Number:

Screen Before Bug: Screen Going To:

Benefit Month (MM/YY): Full Service Office #:

Description (What entries were you making? Which client?)

Paste Bug Screen here:

Cancel & Return Submit Form

Case Note Deletion

NOTE: Only Supervisors or Lead Workers are authorized to request Case Note Deletions.

Are you a Supervisor or Lead Worker?

Yes No (Cancel)

Please provide the following (all fields must have a value)

Employee Info (Request Submitter)

Name:

Telephone #:

State Email:

CC Email: (Optional)

Case Note Detail

Case Name: Case Number:

Case Note Title:

Case Note Date & Time:

What is the reason for the deletion request?

Added To The Wrong Case Number.
Text was deleted, need Title Bar removed.
Other reason (please describe the reason for the request).

Cancel & Return Submit Form

Client Note Deletion

NOTE: Only Supervisors or Lead Workers are authorized to request Client Note Deletions.

Are you a Supervisor or Lead Worker?

Yes No (Cancel)

Please provide the following (all fields must have a value)

Employee Info (Request Submitter)

Name:

Telephone #:

State Email:

CC Email: (Optional)

Client Note Detail

Client Name: Client Number:

Client Note Title:

Client Note Date & Time:

What is the reason for the deletion request?

Added to the Wrong Client Number.
Text was deleted, need Title Bar removed.
Other reason (please describe the reason for the request).

Cancel & Return Submit Form

Duplicate Client Report

NOTES: DO NOT MAKE ANY CHANGES TO THE NAME, DOB, or SSN.

If the Client ID numbers are the same, this is not a duplicate but shows other names used by the client.

If the additional Client(s) are highlighted on the CLIS (Client Inquiry Short List) screen, the duplicate has already been reported to the Help Desk. This Client may be viewed for information but should not be used in registering a program.

If the CLPM (Client Profile/Maintenance) screen displays a highlighted edit, **DUPLICATE CLIENT... SEE CLIENT #06000xxxxx**, this is another indication the duplicate has already been reported to the Help Desk.

Please provide the following (all fields must have a value)

Employee Info (Request Submitter)

Name:

Telephone #:

State Email:

Select a response priority:

The client is waiting in the office.
Need response before 24 hours.
No urgency, can wait a few days.

Duplicate Client Information

Select One:

Looks like a duplicate, needs investigation.
Completed research, this is definitely a duplicate.

Find good client and duplicate client using CLIS. Cut and Paste client info from the CLIS screen below:

Explanation - Additional verified information i.e. spelling of first and last name, DOB, SSN, M or F, etc.

Cancel & Return Submit Form

EIS Change Suggestion

This form is used by Division of Public Assistance district office staff to submit requests to Field Services to fix or enhance the Eligibility Information System (EIS), including system-related problems, ideas for improvements, new notices, and revisions to current notices.

Upon submission this form will be sent to the DPA Field Services email address at dpafield@alaska.gov

Please provide the following (all fields must have a value)

Employee Info (Request Submitter)

Name:

Telephone #:

State Email:

Employee/Office Information (continued)

Position:

Office:

Region:

Suggestion Detail

Description: Provide a description of what is desired and explain the benefit.
Provide examples or other documentation.

Impact: Explain why this is requested and describe how it will improve case processing.
Explain how you are meeting the requirement currently.
When requesting a new notice, provide how often the notice might be used.

Frequency: How often do you encounter this issue?

Occasionally
Frequently
All the time

Cancel & Return Submit Form

Forgery Report

Please provide the following (all fields must have a value)

Employee Info (Request Submitter)

Name:

Telephone #:

State Email:

Basic Forgery Procedure

Do you have a copy of the forged warrant? Yes No

Has the client viewed the warrant and verified that it is not their signature? Yes No

Has a police report been filed? Yes

Has the Affidavit for Forgery (Gen 86) been completed, notarized, and signed by the client? Yes No

Forgery Detail

Client Name:

Case Number:

Warrant Number:

Benefit Month:

Only one Month per Forgery Report.

Mail original Affidavit for Forgery (Gen 86) to:

Systems Operations
Attention: Admin Assistant
3601 C Street, Suite 434
Anchorage, AK 99503

NOTE: A replacement warrant WILL NOT be processed until the
Original Gen 86 has been received by Systems Operations.

Cancel & Return Submit Form

Time Limit Change Request

NOTE: A case note documenting the Help Desk request for a TLIP change must first exist on the case. If a note does not exist please complete the case note entry and then create this request.

Has a case note been added to the case?

Yes No (Cancel)

Please provide the following (all fields must have a value)

Is there a second adult on the case and does this request apply to all the 'Adults' in the case? Yes No

Employee Info (Request Submitter)

Name:

Telephone #:

State Email:

Time Limit Change Detail Client's Name:

Case Number:

Benefit Month (MM/YYYY):

Current 'Total Used' on TLIP:

New 'Total Used' Requested:

Reason for change, description

Cancel & Return Submit Form

Medicaid Review (MIRE) Deletion Request

Please provide the following (all fields must have a value)

Employee Info (Request Submitter)

Name:

Telephone #:

State Email:

Medicaid Review (MIRE) Deletion Detail

Case's Name: Case Number:

Why must the review be deleted? (select one; if no selection is made the request will NOT be sent)

The wrong case number was used (review belongs to a different case number)
We are going to reopen the program which was closed previously
We do not have an identifiable review (No legible name, no mailing address, or no signature)

Other Information - complete the box below

Cancel & Return Submit Form

Health and Social Services Division of Public Assistance Systems Operations
10/11/2018

State of Alaska © 2016