As an Eligibility Technician (ET) from 05/2015 to present in the, CalFresh and Medical programs, I have gained experience both in the Intake and Continuing case processing. As an Intake Case Maintenance Eligibility Technician (Intake CMET) my duties include determining eligibility for Assistance Programs by interviewing customers with the use software programs that include: CalWIN, MEDS, CalHEERS, OnBase, WMS, and Microsoft Office to determine eligibility for: MAGI Medi-Cal (MAGI; TLICP; MCAP;MCAIP) Classic Medi-Cal(Non-MAGI, SOC), and Aged Blind and Disabled (MSP-QMB,SLMB,QI-1; Craig v.Bonta; DDS Waiver; DAC; Pickle; 250% Working Disabled Program) as it pertains to the policy and procedure. In addition, my duty is to explain rights and responsibilities, fraud and perjury, reporting responsibilities, and work requirements, if applicable, to
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Complete task in a timely manner and review all documents for accuracy, completeness and consistency; contacts customers regarding discrepancies. Explain rights and responsibilities, fraud and perjury, and reporting responsibilities to customers. Based on information provided and reviewed, if any discrepancies are found evaluate case for under issuance or over issuance, as well as referring questionable cases to the fraud unit for further follow-up. Review cases for appropriate benefit issuance, authorize benefits, and review correspondence mailed to client. On a case-by-case basis provide clients with referrals to other programs that provide health, housing food, employment, child care and transportation. Complete eICT to other counties. In addition, based on availability, assist co-workers with their work as needed. As tasks were completed prepare documents for imaging and complete thorough case
Complete task in a timely manner and review all documents for accuracy, completeness and consistency; contacts customers regarding discrepancies. Explain rights and responsibilities, fraud and perjury, and reporting responsibilities to customers. Based on information provided and reviewed, if any discrepancies are found evaluate case for under issuance or over issuance, as well as referring questionable cases to the fraud unit for further follow-up. Review cases for appropriate benefit issuance, authorize benefits, and review correspondence mailed to client. On a case-by-case basis provide clients with referrals to other programs that provide health, housing food, employment, child care and transportation. Complete eICT to other counties. In addition, based on availability, assist co-workers with their work as needed. As tasks were completed prepare documents for imaging and complete thorough case