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3 1 14 20Daily 20Issuance
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RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C





State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System



Process:



This process retrieves the appropriated Daily Issuance Request from the Daily Issuance Transaction Hold

Data Store and based on business rules, issues the benefits to the case. The system shall allow issuance

authorizations that are at or above minimum thresholds based on program policy/rules. The system must

also support the issuance of FS Disaster Benefits.





Sub-Processes:



1. Pull Issuance Request



The system shall retrieve the issuance requests from the Transaction Hold Data Store. This data

store holds all the Issuance Requests that are created by all the on-line transactions through out the

day. The Transaction Hold may contain more than multiple Issuance Requests for each Case,

Program and Sub-Program, and each one can be a separate Issuance.



TRANSACTION HOLD (Input)



Case Number

Program

Sub-Program

County Number

Employment Number

Record Type Code

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Caseload Number

Approval Required Switch

Actual Approval Code

User ID

Issue Method Code

Offset Amount

Segment Date

Overpayment Begin Date

Overpayment End Date

Alert Supervisor User ID

Benefit Request Type Code

Benefit Reason Code

Request Amount

Benefit Month

Patient Medical Liability Amount

Replacement Benefit Date

Replacement Benefit Number

Eligibility Begin Date

Eligibility End Date

Medical Only Switch

Individual Unique Identifier Number

Warrant Switch

Case Number Claim

Category Claim

Sequence Number Claim

Claim Number

Food Stamp Benefit Number

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Offset Amount Applied

Claim Switch



2. Determine Supervisory Approval Required



The system shall determine if a supervisor’s approval is required by checking the Approval Required

Switch.



TRANSACTION HOLD (Input)



Approval Required Switch



3. Determine If Approved



If approval is required, the system shall evaluate Actual Approved Code to determine if the request

has been approved.



TRANSACTION HOLD (Input)



Actual Approval Code



4. Generate Alert



If the system determines that the Issue Request requires supervisory approval, but the request has

not been approved, the system shall generate a Supervisor Alert.



TRANSACTION HOLD (Input)

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System



Case Number

Program

Sub-Program

County Number

Employment Number

Record Type Code

Caseload Number

Approval Required Switch

Actual Approval Code

User ID

Issue Method Code

Offset Amount

Segment Date

Overpayment Begin Date

Overpayment End Date

Alert Supervisor User ID

Benefit Request Type Code

Benefit Reason Code

Request Amount

Benefit Month

Patient Medical Liability Amount

Replacement Benefit Date

Replacement Benefit Number

Eligibility Begin Date

Eligibility End Date

Medical Only Switch

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Individual Unique Identifier Number

Warrant Switch

Case Number Claim

Category Claim

Sequence Number Claim

Claim Number

Food Stamp Benefit Number

Offset Amount Applied

Claim Switch



5. Determine if Issuance for Today



The system shall determine if the issuance is for today by comparing the transaction Benefit Month

date to the System Date. This is only done for RM, RR and EX Benefit Types. All other Benefit

Types bypass this test and are automatically selected for today.



TRANSACTION HOLD (Input)



Benefit Month Date



6. Extract Data for Issuance



The system shall use the issuance request and extract additional data to build an issuance

transaction.



TRANSACTION HOLD (Input)

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Case Number

Program

Sub-Program

County Number

Employment Number

Record Type Code

Caseload Number

Approval Required Switch

Actual Approval Code

User ID

Issue Method Code

Offset Amount

Segment Date

Overpayment Begin Date

Overpayment End Date

Alert Supervisor User ID

Benefit Request Type Code

Benefit Reason Code

Request Amount

Benefit Month

Patient Medical Liability Amount

Replacement Benefit Date

Replacement Benefit Number

Eligibility Begin Date

Eligibility End Date

Medical Only Switch

Individual Unique Identifier Number

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Warrant Switch

Case Number Claim

Category Claim

Sequence Number Claim

Claim Number

Food Stamp Benefit Number

Offset Amount Applied

Claim Switch



CASE (Input)



Case Number

Case Record Date

Case Status Code

Case Name

Case Caseload Number

Case Living Arrangement Code

Case Phone Number

Case Closed ELIG For Benefit Switch

Case Primary Information Person Household Switch

Case PIP Verify Code

Case Residence Address Line 1 Street Number

Case Residence Address Line 1 Unit

Case Residence Address Line 1 Direction

Case Residence Address Line 1 Rural

Case Residence Address Line 1 Suffix

Case Residence Address Line 1 Quadrant

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Case Residence Address Line 1 Apartment

Case Residence Address Line 2

Case Residence Address City

Case Residence Address State

Case Residence Address Zip

Case Expedite FS Switch

Case Homeless Switch

Case History Code

Case Program Code

Case Sub-Program Code

Case Sanction Reason Code

Case Date Sanction Begins

Case Date Sanction Ends

Case Worker ID Authorizing Case

Case Date Delayed Spenddown liability for Medicaid Met

Case Eligibility Begin Date

Case Eligibility End Date

Case Date Retroactive Period Begins

Case Date Retroactive Period Ends

Case Date Application Signed

Case Recoupment Switch

Case Fair hearing Status switch

Case Authorized Rep Switch

Case Protective Payee Switch

Case Mail Address Switch

Case Issuance Method code

Case Effective Benefit Amount after End of Month

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Case Net Change Amount to Benefits Due to Adverse Action

Case Status Reason Codes 1

Case Fiat Switch

Case Date Case Authorized

Case FF Child Support Sanction Switch

Case Work Related Sanction Code

Case Voluntary Quit Sanction Switch

Case Parental Striker Sanction Switch

Case Work Related FS Action Code

Case Voluntary Quit FS Action Code

Case 20 Percent Penalty Code

Case Adverse Action Switch

Case Tape Payment Standard Code

Case Immunization Sanction Switch

Case Health Checks Sanction Switch

Case School Attendance Sanction Switch

Case Unmarried Minors Not Attending School Disqualification Switch

Case Funding Stream Code

Case Funding Stream Effective Date

Case Extended Services Switch



INDIVIDUAL (Input)



Unique Identifier Number

Status Code

Social Security Number

Last Name

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

First Name

Middle Initial

Date Of Birth

Phone Number

Pregnancy Verification Code

Individual Identification Verification Code

Living Arrangement Code

Social Security Applied Verification

Living Arrangement Date

Resident of State Switch

SS5 Date

Citizenship

Ethnicity

Race

Emancipated Minor Indicator

Veteran Status

Marital Status

Migrant Worker Information

Gender

Good Cause Claimed Indicator

Good Cause Granted Indicator

Medical Provider Name

Pregnancy Switch

Pregnancy Due Date

Date Pregnancy End

Date Pregnancy Begin

Post Partum/New Born Extended Coverage Code

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Department of Health and Employment Code

Birth Verification

DH Interface Program Switch

TennCare Managed Care Organization Number

MCO Transmit Code

Language Code

Principal Wage Earner Switch

Current FF Cycle Count

Lifetime FF Cycle Count

FF Sanction

TCS Application Switch

ME Application Switch

TennCare Application Date

Color Approved Code

TNCARE Appeal Code

TNCARE Re-verification Code

Insurance Policy Number

Monthly Cost of Coverage Amount

Coverage Code (occurs 15 times)

Coverage Verified Code

Medical Support Coverage Switch

Co-operative with Medical Support Switch

Begin Date for Policy Coverage to Apply

Date Policy Begins to Applies

Date Policy No Longer Applies

End Date for the Policy Cost Applying

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

BUDGET (Input)



Common Budget Data for FF, FS, MA

Budget Type Code

Benefit Amount

Budget Month Type Code

Date Program Right to Appeal Ends

Number of Eligible Adults

Number of Eligible Children

Total Gross Income

Initial Benefit Amount

Initial Benefit Code

Initial Benefit Date

Dependent Child Disregard Amount

Total Unearned Income Amount

Total Earned Income Amount

Earned Income Deduction Amount

Record Date

Status Code

Time Updated

Common Budget Data for FF, FS

Monthly Recoupment Amount

FF Budgets Data

Initial Benefit Issuance Amount (occurs 6 times)

Sponsored Child Care Disregard Amount

100% Deemed Income Disregard Amount

Amount of Income Deemed to Program/Sub-Program

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Countable Earned Income Amount

Excess Income Amount

Standard Need Amount

Special Monthly Allowance Amount

Net FF Benefit Amount After Deduction of Child Support Received

Date Child Support Was Assigned to DHS

100% Need Standard Test Disregard Amount

Student Earned Income Amount

185% Need Standard Amount

100% of Program Countable Earned Income

Number of Eligible Individuals When Program Fails Financial Eligibility

Number of Eligible Children When Program Fails Financial Eligibility

Amount of Adverse Action Net Change

Amount of Countable Needs Standard

Student Earned Income Amount used in 100% Need Standard Calculation

Sponsor Disregard Income Amount

100% Deemed Income Disregard For a Deemed Sponsor

130% Deemed Income Disregard For a Deemed Sponsor

Number of Deemed Sponsors in the FF/MA Program

Amount of Deemed Sponsor Income for FF/MA Program

Amount of Deemed Sponsor Income for FS Program

Number of Deemed Spouse Count Need in Program Determining 185% - 100% Need Standard

Amount of Unemployment Compensation Received Principal Wage Earner

End Date Of Initial Prorating Period

Unmet Need Amount

Sponsored Child Care Disregard Amount

Monthly Deficit Amount

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Initial Penalty Amount Used in Budget

Recurring Penalty Amount Used in Budgets (Occurs 6 times)

Standard Need Amount for the Intact Program

Number in Family Cap

FS Budget Data

Shelter/Utility Deduction Amount

Allowable Monthly Shelter Expense Amount

Allowable Monthly Medical Expense Amount

Self-employed Farmer Gross Income Amount

Non-Farm Self-Employment Income Amount

Amount of Income Lost Due to Farm Expenses Exceeding Farm Income

Maximum Net Income Allowable for the FS Program Size

Adjusted Monthly Net Income Amount

Monthly Thrifty Food Plan Amount for Program of this size

Number of Deemed Persons Who Reside with Elderly/Disabled Persons

Program Member Has Been Approved for Disability

Program Member is Unable to Purchase Food and prepare Meals Switch

Educational Financial Aid Income Amount

Standard Monthly Deduction Amount

Standard Monthly Medical Deduction Amount

Over 59 Age Switch

Actual Utility Amount or Utility Standard Amount

Non-Farm Self-Employment Expense Amount

Additional Employment Earned Income Amount

Self-employed Farmer Expense Amount

165% Deemed Income Amount Available to Program

Adverse Action Net Change in Benefits Amount

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

165% Need Standard for Program This Size

FS Public Assistance Type Code

130% Need Standard amount for program of This Size

Deemed Sponsor Income Disregard Amount

100% Deemed Income Disregard Amount for Deemed Sponsor

130% Deemed Income Disregard Amount for Deemed Sponsor

Number of Deemed Sponsors in the FF/MA Program

Sponsor’s Income Amount After Deductions Deemed to Sponsored Members FF/MA Program

Sponsor’s Income Amount After Deductions Deemed to Sponsored Members FS Program

Number of Deemed Sponsors on FF/MA Program

Deemed Sponsor’s Child Care Disregard Amount

Budget Amount Program Entitled

Intentional Program Violation Recoupment Amount

Administrative Error Recoupment Amount

Inadvertent Household Error Recoupment Amount

Child Support Disregard Amount

Initial 20% Penalty Amount

20% Penalty Amount

Date Penalty Begins

MA Budget Data

Allocated Spouse Amount

Half Remaining Disregard Amount

COLA Disregard Amount

Remaining Unearned Income Disregard Amount

Amount of Past Medical Expenses

Amount of Recurring Medical Expenses

Blind Work Expense Amount

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Deemed Income Amount

Employment Earned Income Amount

Long Term Care Rate Amount

Gross Unearned Income Amount

Categorically Needy Need Standard Amount

Medically Needy Need Standard Amount

Adverse Action Net Change Amount

Standard Maintenance Amount

Insurance Premium Expense Amount

Spenddown Delay Liability Amount

Personal Need Amount

Patient Liability Amount

Other Deduction Amount for Pickle/Passalong

Ineligible Children Disregard Amount

VA Aid/Attendance Amount

Number of Eligible Adults

Child Support Disregard Amount

Work Disregard Amount

Shelter Workshop Maximum Amount

Student Earned Income Amount

Paid Medical Expense Amount

Spenddown Code

Gross Self-employment Income Amount

Allocated Dependent Amount

Item-D Medical Expense Amount

Patient Liability Expense Amount

Utility Cost Amount

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Standard Maintenance Amount Percentage

Excess Income Amount

Special Income level Budget Standard Amount

Social Security Income Amount

Long Term Care Facilities Expense Amount

Allocated Dependent/Spouse Amount

Countable Earned Income Amount

Date Child Support Assigned to DHS



MEDICAL PROVIDER (Input)

History Code

Sequence Number

Status Code

Segment Date

Address line 1

Address line 2

Address City

Address State

Address Zip

Provider Name

Type of Medicaid Coverage Code

Delete Code



SELECTED CASE ISSUANCE INFORMATION (Output)



Record Type

Case Number

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Program Code cash

Sub-Program Code Cash

Program Code Medicaid

Sub-Program Medicaid

Program Code Food Stamp

Sub-Program Code Food Stamp

Processed Date

Benefit Date

Benefit Mailed Date

Benefit Reason Code

Living Arrangement Code

District Code

County Code

ADMIN Unit Code

Worker Number

Payee Code

Payee Name

Payee ID Number

Address Code

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

Print Sequence Number

System Origin Code

Fiat Switch

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Fiat Amount

Benefit Issued Amount before Fiat Amount Applied

Number of Individuals

Issuance Method Code

EBT Cash Availability Date

Cash and FS Data

Number of Adults

Number of Child

Voucher Number

Benefit Number

Benefit Issued Amount

Recoupment Amount

Benefit Amount

Supplement Amount

FF Countable Code

Benefit Switch System

Benefit Amount System

Penalty Amount

Deficit Amount

Unmet Needs Amount

Case Name

Project Center Number

Vendor Code

Medicaid Data

Medicaid Number of Adults

Medicaid Number of Children

Medicaid Eligibility Begin Date

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Medicaid Eligibility End Date

Medicaid Card Number

Provider Name

Provider Address Line1

Provider Address Line2

Provider Address City

Provider Address State

Provider Address Zip

Replacement Medicaid Card Number

Replacement Medicaid Care Date

Replacement Medicaid Card Worker Number

Medicaid Spenddown Verification Code

Medicaid Spenddown Amount

AUX CASH DATA

AUX Cash Number of Months

Amount Reason Table (occurs 12 times)

Benefit Period Date

Benefit Period Amount

AUX Reason Code

Replacement Warrant Number

Replacement Warrant Date

Replacement Worker Number

FF Count Switch Table (occurs 12 times)

FF Countable Code

Vendor County Number

Vendor Administration Number

Vendor satellite Number

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Vendor Unit Number



7. Determine if Issuance for Program FF or MA



The system shall determine if issuance is for FF or MA Program by using the Program Code.



SELECTED CASE ISSUANCE INFORMATION (Input)



Record Type

Case Number

Program Code cash

Sub-Program Code Cash

Program Code Medicaid

Sub-Program Medicaid

Program Code Food Stamp

Sub-Program Code Food Stamp

Processed Date

Benefit Date

Benefit Mailed Date

Benefit Reason Code

Living Arrangement Code

District Code

County Code

ADMIN Unit Code

Worker Number

Payee Code

Payee Name

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Payee ID Number

Address Code

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

Print Sequence Number

System Origin Code

Fiat Switch

Fiat Amount

Benefit Issued Amount before Fiat Amount Applied

Number of Individuals

Issuance Method Code

EBT Cash Availability Date

Cash and FS Data

Number of Adults

Number of Child

Voucher Number

Benefit Number

Benefit Issued Amount

Recoupment Amount

Benefit Amount

Supplement Amount

FF Countable Code

Benefit Switch System

Benefit Amount System

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Penalty Amount

Deficit Amount

Unmet Needs Amount

Case Name

Project Center Number

Vendor Code

Medicaid Data

Medicaid Number of Adults

Medicaid Number of Children

Medicaid Eligibility Begin Date

Medicaid Eligibility End Date

Medicaid Card Number

Provider Name

Provider Address Line1

Provider Address Line2

Provider Address City

Provider Address State

Provider Address Zip

Replacement Medicaid Card Number

Replacement Medicaid Care Date

Replacement Medicaid Card Worker Number

Medicaid Spenddown Verification Code

Medicaid Spenddown Amount

AUX CASH DATA

AUX Cash Number of Months

Amount Reason Table (occurs 12 times)

Benefit Period Date

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Benefit Period Amount

AUX Reason Code

Replacement Warrant Number

Replacement Warrant Date

Replacement Worker Number

FF Count Switch Table (occurs 12 times)

FF Countable Code

Vendor County Number

Vendor Administration Number

Vendor satellite Number

Vendor Unit Number



8. Determine if Issuance for Program FF



The system shall determine if issuance is for FF Program to separate the issuance for the FF

Program from the issuance for the MA Program.



SELECTED CASE ISSUANCE INFORMATION (Input)



Record Type

Case Number

Program Code cash

Sub-Program Code Cash

Program Code Medicaid

Sub-Program Medicaid

Program Code Food Stamp

Sub-Program Code Food Stamp

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Processed Date

Benefit Date

Benefit Mailed Date

Benefit Reason Code

Living Arrangement Code

District Code

County Code

ADMIN Unit Code

Worker Number

Payee Code

Payee Name

Payee ID Number

Address Code

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

Print Sequence Number

System Origin Code

Fiat Switch

Fiat Amount

Benefit Issued Amount before Fiat Amount Applied

Number of Individuals

Issuance Method Code

EBT Cash Availability Date

Cash and FS Data

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Number of Adults

Number of Child

Voucher Number

Benefit Number

Benefit Issued Amount

Recoupment Amount

Benefit Amount

Supplement Amount

FF Countable Code

Benefit Switch System

Benefit Amount System

Penalty Amount

Deficit Amount

Unmet Needs Amount

Case Name

Project Center Number

Vendor Code

Medicaid Data

Medicaid Number of Adults

Medicaid Number of Children

Medicaid Eligibility Begin Date

Medicaid Eligibility End Date

Medicaid Card Number

Provider Name

Provider Address Line1

Provider Address Line2

Provider Address City

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Provider Address State

Provider Address Zip

Replacement Medicaid Card Number

Replacement Medicaid Care Date

Replacement Medicaid Card Worker Number

Medicaid Spenddown Verification Code

Medicaid Spenddown Amount

AUX CASH DATA

AUX Cash Number of Months

Amount Reason Table (occurs 12 times)

Benefit Period Date

Benefit Period Amount

AUX Reason Code

Replacement Warrant Number

Replacement Warrant Date

Replacement Worker Number

FF Count Switch Table (occurs 12 times)

FF Countable Code

Vendor County Number

Vendor Administration Number

Vendor satellite Number

Vendor Unit Number



9. Perform “Add/Modify EBT Case” Process



The system shall perform Add/Modify EBT case. This process will determine if an EBT case needs to

be created and if so, it will create a new EBT Case.

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System



10. Create MA Eligibility Data for TennCare



The system shall use the MA Issuance to create the MA Eligibility Data which is sent to TennCare.

The MA Issuance has the same data elements as FF&MA Issuance Data Store.



MA ISSUANCE (Output)



Record Type

Benefit Type

Case Number

Program Code cash

Sub-Program Code Cash

Program Code Medicaid

Sub-Program Medicaid

Processed Date

Benefit Date

Benefit Mailed Date

Benefit Reason Code

Living Arrangement Code

District Code

County Code

ADMIN Unit Code

Worker Number

Payee Code

Payee Name

Payee ID Number

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Address Code

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

Number of Individuals

Issuance Method Code

EBT Cash Availability Date

Cash Data

Number of Adults Cash

Number of Child Cash

Warrant Number

Warrant Amount

Recoupment Amount

Benefit Amount Cash

Supplement Amount

FF Countable Code

Benefit Switch System

Benefit Amount System

Penalty Amount

Deficit Amount

Unmet Needs Amount

Case Name

Medicaid Data

Medicaid Number of Adults

Medicaid Number of Children

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Medicaid Eligibility Begin Date

Medicaid Eligibility End Date

Provider Name

Provider Address Line1

Provider Address Line2

Provider Address City

Provider Address State

Provider Address Zip

AUX CASH DATA

AUX Cash Number of Months

Amount Reason Table (occurs 12 times)

Benefit Period Date

Benefit Period Amount

AUX Reason Code

FF Count Switch Table (occurs 12 times)



11. Combine Issuance Records for same Case, Program and Sub-Program



The system shall combine the issuance records for same Case, Program and Sub-Program and write

the records to the FF&MA Issuance Data Store.



FF&MA ISSUANCE (Input)



Record Type

Benefit Type

Case Number

Program Code cash

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Sub-Program Code Cash

Program Code Medicaid

Sub-Program Medicaid

Processed Date

Benefit Date

Benefit Mailed Date

Benefit Reason Code

Living Arrangement Code

District Code

County Code

ADMIN Unit Code

Worker Number

Payee Code

Payee Name

Payee ID Number

Address Code

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

Number of Individuals

Issuance Method Code

EBT Cash Availability Date

Cash Data

Number of Adults Cash

Number of Child Cash

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Warrant Number

Warrant Amount

Recoupment Amount

Benefit Amount Cash

Supplement Amount

FF Countable Code

Benefit Switch System

Benefit Amount System

Penalty Amount

Deficit Amount

Unmet Needs Amount

Case Name

Medicaid Data

Medicaid Number of Adults

Medicaid Number of Children

Medicaid Eligibility Begin Date

Medicaid Eligibility End Date

Provider Name

Provider Address Line1

Provider Address Line2

Provider Address City

Provider Address State

Provider Address Zip

AUX CASH DATA

AUX Cash Number of Months

Amount Reason Table (occurs 12 times)

Benefit Period Date

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Benefit Period Amount

AUX Reason Code

FF Count Switch Table (occurs 12 times)



FF&MA ISSUANCE (Output)



Record Type

Benefit Type

Case Number

Program Code cash

Sub-Program Code Cash

Program Code Medicaid

Sub-Program Medicaid

Processed Date

Benefit Date

Benefit Mailed Date

Benefit Reason Code

Living Arrangement Code

District Code

County Code

ADMIN Unit Code

Worker Number

Payee Code

Payee Name

Payee ID Number

Address Code

Payee Address Line1

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Payee Address Line2

Payee City

Payee State

Payee Zip

Number of Individuals

Issuance Method Code

EBT Cash Availability Date

Cash Data

Number of Adults Cash

Number of Child Cash

Warrant Number

Warrant Amount

Recoupment Amount

Benefit Amount Cash

Supplement Amount

FF Countable Code

Benefit Switch System

Benefit Amount System

Penalty Amount

Deficit Amount

Unmet Needs Amount

Case Name

Medicaid Data

Medicaid Number of Adults

Medicaid Number of Children

Medicaid Eligibility Begin Date

Medicaid Eligibility End Date

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Provider Name

Provider Address Line1

Provider Address Line2

Provider Address City

Provider Address State

Provider Address Zip

AUX CASH DATA

AUX Cash Number of Months

Amount Reason Table (occurs 12 times)

Benefit Period Date

Benefit Period Amount

AUX Reason Code

FF Count Switch Table (occurs 12 times)



12. Assign Benefit Numbers



The system shall assign benefit numbers for the FF and MA issuance and produce the necessary

data stores.



FF&MA ISSUANCE (Input)



Record Type

Benefit Type

Case Number

Program Code cash

Sub-Program Code Cash

Program Code Medicaid

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Sub-Program Medicaid

Processed Date

Benefit Date

Benefit Mailed Date

Benefit Reason Code

Living Arrangement Code

District Code

County Code

ADMIN Unit Code

Worker Number

Payee Code

Payee Name

Payee ID Number

Address Code

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

Number of Individuals

Issuance Method Code

EBT Cash Availability Date

Cash Data

Number of Adults Cash

Number of Child Cash

Warrant Number

Warrant Amount

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Recoupment Amount

Benefit Amount Cash

Supplement Amount

FF Countable Code

Benefit Switch System

Benefit Amount System

Penalty Amount

Deficit Amount

Unmet Needs Amount

Case Name

Medicaid Data

Medicaid Number of Adults

Medicaid Number of Children

Medicaid Eligibility Begin Date

Medicaid Eligibility End Date

Provider Name

Provider Address Line1

Provider Address Line2

Provider Address City

Provider Address State

Provider Address Zip

AUX CASH DATA

AUX Cash Number of Months

Amount Reason Table (occurs 12 times)

Benefit Period Date

Benefit Period Amount

AUX Reason Code

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

FF Count Switch Table (occurs 12 times)



FF ISSUANCE (Output)



Same Data Elements as FF&MA ISSUANCE.



FF NON-PAY ISSUANCE (Output)



Same Data Elements as FF&MA ISSUANCE.



ISSUANCE FOR EBT (Output)



Record Type

Benefit Type

Issuance Method

Case Number

FS Cycle Indicator

Program Code

Sub-Program Code

Processed Date

Benefit Date

County Code

Worker Number

Payee Code

Payee Name

Payee ID Number

Address Code

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

EBT Benefit Availability Date

Number of Adults Cash

Number of Child Cash

Benefit Number

Authorized Amount

Recoupment Amount

Benefit Amount

Supplement Amount

FF Countable Code

Penalty Amount

Case Name



MA ISSUANCE (Output)



Same Data Elements as FF&MA ISSUANCE.



MA NON-PAY ISSUANCE (Output)



Same Data Elements as FF&MA ISSUANCE.



MEDICAL RECONCILIATION (Output)

Case

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Program

Sub-Program

Source Record Code

County

Case First Name

Case Middle Initial

Case Last Name

Case Mail Address Line 1

Case Mail Address Line 2

Case Mail Address City

Case Mail Address State

Case Mail Address Zip

Payee Indicator

Payee Last Name

Payee First Name

Payee Middle Initial

Benefit Type

Creation Date

Card Issue Date

Number of Trailers

Table of Individuals (24 Entries)

Unique Identifier of Individual

Last Name of Individual

First Name of Individual

Middle Initial of Individual

Data Of Birth of Individual

Gender of Individual

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Medicaid QMB Start Date of Individual

Medicaid QMB End Date of Individual

Card Type of Individual



13. Determine If FS Program Issuance



The system shall determine if the issuance is for FS Program by using the Program Code.



SELECTED CASE ISSUANCE INFORMATION (Input)



Record Type

Case Number

Program Code cash

Sub-Program Code Cash

Program Code Medicaid

Sub-Program Medicaid

Program Code Food Stamp

Sub-Program Code Food Stamp

Processed Date

Benefit Date

Benefit Mailed Date

Benefit Reason Code

Living Arrangement Code

District Code

County Code

ADMIN Unit Code

Worker Number

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Payee Code

Payee Name

Payee ID Number

Address Code

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

Print Sequence Number

System Origin Code

Fiat Switch

Fiat Amount

Benefit Issued Amount before Fiat Amount Applied

Number of Individuals

Issuance Method Code

EBT Cash Availability Date

Cash and FS Data

Number of Adults

Number of Child

Voucher Number

Benefit Number

Benefit Issued Amount

Recoupment Amount

Benefit Amount

Supplement Amount

FF Countable Code

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Benefit Switch System

Benefit Amount System

Penalty Amount

Deficit Amount

Unmet Needs Amount

Case Name

Project Center Number

Vendor Code

Medicaid Data

Medicaid Number of Adults

Medicaid Number of Children

Medicaid Eligibility Begin Date

Medicaid Eligibility End Date

Medicaid Card Number

Provider Name

Provider Address Line1

Provider Address Line2

Provider Address City

Provider Address State

Provider Address Zip

Replacement Medicaid Card Number

Replacement Medicaid Care Date

Replacement Medicaid Card Worker Number

Medicaid Spenddown Verification Code

Medicaid Spenddown Amount

AUX CASH DATA

AUX Cash Number of Months

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Amount Reason Table (occurs 12 times)

Benefit Period Date

Benefit Period Amount

AUX Reason Code

Replacement Warrant Number

Replacement Warrant Date

Replacement Worker Number

FF Count Switch Table (occurs 12 times)

FF Countable Code

Vendor County Number

Vendor Administration Number

Vendor satellite Number

Vendor Unit Number



14. Perform “FS Benefit Reduction Hierarchy” Process



The system shall perform FS Benefit Reduction Hierarchy Process.



15. Perform “Add/Modify EBT Case” Process



The system shall perform Add/Modify EBT Case to determine and possibly create an EBT case to

which this issuance should be posted.



16. Assign Benefit Numbers



The system shall assign benefit numbers to the FS Issuance.

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

FS ISSUANCE (Input)



Record Type

Benefit Type

Cycle Indicator

Case Number

Program

Sub-Program

Vendor Code

Project Center Number

Method of Issuance

Processed Date

Benefit Date

Benefit Number

Benefit Reason Code

District Code

County Code

Administrative Unit

Administrative Satellite Number

Unit Code

Worker Number

Payee Code

Payee Name

Payee Unique Identifier Number

Payee Social Security Number

Payee Address Code

Payee Address Line 1

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Payee Address Line 2

Payee Address City

Payee Address State

Payee Address Zip

Number of Adults

Number of Children

Benefit Amount

Authorized Amount

Recoupment Amount

Payee Received Code

Payee Received Name

Date Eligibility Begin

Date Eligibility End

Date Pickup Allowed Begin

Date Pickup Allowed End

Redirect Type Code

Vendor County Number

Vendor Administration Number

Vendor satellite Number

Vendor Unit Number

Partition Code

EBT FS Availability Date

Number of Months

Table of Reason Amount (Occurs 12)

Benefit Period

Reason Code

FS Penalty Amount

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

FS EBT Benefit Amount

FS EBT Authorized Amount



FS ISSUANCE (Output)



Record Type

Benefit Type

Cycle Indicator

Case Number

Program

Sub-Program

Vendor Code

Project Center Number

Method of Issuance

Processed Date

Benefit Date

Benefit Number

Benefit Reason Code

District Code

County Code

Administrative Unit

Administrative Satellite Number

Unit Code

Worker Number

Payee Code

Payee Name

Payee Unique Identifier Number

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Payee Social Security Number

Payee Address Code

Payee Address Line 1

Payee Address Line 2

Payee Address City

Payee Address State

Payee Address Zip

Number of Adults

Number of Children

Benefit Amount

Authorized Amount

Recoupment Amount

Payee Received Code

Payee Received Name

Date Eligibility Begin

Date Eligibility End

Date Pickup Allowed Begin

Date Pickup Allowed End

Redirect Type Code

Vendor County Number

Vendor Administration Number

Vendor satellite Number

Vendor Unit Number

Partition Code

EBT FS Availability Date

Number of Months

Table of Reason Amount (Occurs 12)

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Benefit Period

Reason Code

FS Penalty Amount

FS EBT Benefit Amount

FS EBT Authorized Amount



FS NON-PAY ISSUANCE (Output)



Data Elements are the same as FS ISSUANCE.



ISSUANCE FOR EBT (Output)



Record Type

Benefit Type

Issuance Method

Case Number

FS Cycle Indicator

Program Code

Sub-Program Code

Processed Date

Benefit Date

County Code

Worker Number

Payee Code

Payee Name

Payee ID Number

Address Code

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

EBT Benefit Availability Date

Number of Adults Cash

Number of Child Cash

Benefit Number

Authorized Amount

Recoupment Amount

Benefit Amount

Supplement Amount

FF Countable Code

Penalty Amount

Case Name



17. Increment FF Counters



Based on the business rules, the system shall increment the FF Counters.



FF ISSUANCE (Input)



Same Data Elements as FF&MA ISSUANCE.



INDIVIDUAL (Output)

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Current Counter

Lifetime Counter



18. Post FF Issuance



The system shall post the FF Issuance to the Issuance History Data Store.



FF ISSUANCE (Input)



Same Data Elements as FF&MA ISSUANCE.



FF NON-PAY ISSUANCE (Input)



Same Data Elements as FF&MA ISSUANCE.



ISSUANCE HISTORY (Output)



Type Record

Type Code

Case Number

Program Code

Sub-Program Code

County Number

Benefit Record

Common Data – FF,FS,MA

Benefit Number

Benefit Type

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

County Number

Disposition Status

Disposition Status Date

Individual Unique Identifier

Issuance Status

Issuance Status Date

Number of Adults

Number of Children

Payee Name

Process Date

Type of Payee

Worker Number

Common Data – FF, FS

Benefit Amount

Benefit Date

Benefit Issued Amount

Deficit Amount

Issuance Method Code

Penalty Amount

Recoupment Amount

Unmet Needs Amount

FF Data

Benefit System Switch

Fiche Number

Investigation Status

Investigation Status Date

MA Data

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Benefit Reason

Eligibility Begin Date

Invest Status Code

Invest Status Date

Living Arrangement Code

Warrant Switch

Detail Record

Benefit Reason

Benefit Period

Detail Benefit Amount

FF Countable Code

SFFF Countable Code

System Benefit Amount

SFFF Internal Countable



19. Perform “EBT Authorization for EBT Vendor” Process



ISSUANCE FOR EBT (Input)



Record Type

Benefit Type

Issuance Method

Case Number

FS Cycle Indicator

Program Code

Sub-Program Code

Processed Date

Benefit Date

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

County Code

Worker Number

Payee Code

Payee Name

Payee ID Number

Address Code

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

EBT Benefit Availability Date

Number of Adults Cash

Number of Child Cash

Benefit Number

Authorized Amount

Recoupment Amount

Benefit Amount

Supplement Amount

FF Countable Code

Penalty Amount

Case Name



20. Print FF Journal



The system shall print a FF Journal and put on Report Viewing Utility.

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

21. Post FS Issuance



The system shall post the FS Issuance to Issuance History Data Store.



FS ISSUANCE (Input)



Record Type

Benefit Type

Cycle Indicator

Case Number

Program

Sub-Program

Vendor Code

Project Center Number

Method of Issuance

Processed Date

Benefit Date

Benefit Number

Benefit Reason Code

District Code

County Code

Administrative Unit

Administrative Satellite Number

Unit Code

Worker Number

Payee Code

Payee Name

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Payee Unique Identifier Number

Payee Social Security Number

Payee Address Code

Payee Address Line 1

Payee Address Line 2

Payee Address City

Payee Address State

Payee Address Zip

Number of Adults

Number of Children

Benefit Amount

Authorized Amount

Recoupment Amount

Payee Received Code

Payee Received Name

Date Eligibility Begin

Date Eligibility End

Date Pickup Allowed Begin

Date Pickup Allowed End

Redirect Type Code

Vendor County Number

Vendor Administration Number

Vendor satellite Number

Vendor Unit Number

Partition Code

EBT FS Availability Date

Number of Months

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Table of Reason Amount (Occurs 12)

Benefit Period

Reason Code

FS Penalty Amount

FS EBT Benefit Amount

FS EBT Authorized Amount



FS NON-PAY ISSUANCE (Input)



Data Elements are the same as FS ISSUANCE.



ISSUANCE HISTORY (Output)



Type Record

Type Code

Case Number

Program Code

Sub-Program Code

County Number

Benefit Record

Common Data – FF,FS,MA

Benefit Number

Benefit Type

County Number

Disposition Status

Disposition Status Date

Individual Unique Identifier

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Issuance Status

Issuance Status Date

Number of Adults

Number of Children

Payee Name

Process Date

Type of Payee

Worker Number

Common Data – FF, FS

Benefit Amount

Benefit Date

Benefit Issued Amount

Deficit Amount

Issuance Method Code

Penalty Amount

Recoupment Amount

Unmet Needs Amount

FF Data

Benefit System Switch

Fiche Number

Investigation Status

Investigation Status Date

MA Data

Benefit Reason

Eligibility Begin Date

Invest Status Code

Invest Status Date

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Living Arrangement Code

Warrant Switch

Detail Record

Benefit Reason

Benefit Period

Detail Benefit Amount

FF Countable Code

SFFF Countable Code

System Benefit Amount

SFFF Internal Countable



22. Perform EBT Authorization for EBT Vendor



ISSUANCE FOR EBT (Input)



Record Type

Benefit Type

Issuance Method

Case Number

FS Cycle Indicator

Program Code

Sub-Program Code

Processed Date

Benefit Date

County Code

Worker Number

Payee Code

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Payee Name

Payee ID Number

Address Code

Payee Address Line1

Payee Address Line2

Payee City

Payee State

Payee Zip

EBT Benefit Availability Date

Number of Adults Cash

Number of Child Cash

Benefit Number

Authorized Amount

Recoupment Amount

Benefit Amount

Supplement Amount

FF Countable Code

Penalty Amount

Case Name



23. Print FS Journal



The system shall print a FS Journal and put on Report Viewing Utility.



24. Post MA Issuance



The system shall post the MA Issuance to the Issuance History Data Store.

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System



MA ISSUANCE (Input)



Same Data Elements as FF&MA ISSUANCE



MA NON-PAY ISSUANCE (Input)



Same Data Elements as FF&MA ISSUANCE



ISSUANCE HISTORY (Output)



Type Record

Type Code

Case Number

Program Code

Sub-Program Code

County Number

Benefit Record

Common Data – FF,FS,MA

Benefit Number

Benefit Type

County Number

Disposition Status

Disposition Status Date

Individual Unique Identifier

Issuance Status

Issuance Status Date

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Number of Adults

Number of Children

Payee Name

Process Date

Type of Payee

Worker Number

Common Data – FF, FS

Benefit Amount

Benefit Date

Benefit Issued Amount

Deficit Amount

Issuance Method Code

Penalty Amount

Recoupment Amount

Unmet Needs Amount

FF Data

Benefit System Switch

Fiche Number

Investigation Status

Investigation Status Date

MA Data

Benefit Reason

Eligibility Begin Date

Invest Status Code

Invest Status Date

Living Arrangement Code

Warrant Switch

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Detail Record

Benefit Reason

Benefit Period

Detail Benefit Amount

FF Countable Code

SFFF Countable Code

System Benefit Amount

SFFF Internal Countable



25. Transmit Medical Reconciliation



The system shall transmit the Medical Reconciliation to the Department of Health.



MEDICAL RECONCILIATION (Input)



Case

Program

Sub-Program

Source Record Code

County

Case First Name

Case Middle Initial

Case Last Name

Case Mail Address Line 1

Case Mail Address Line 2

Case Mail Address City

Case Mail Address State

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C



State of Tennessee

DHS V.I.P. Process Description

Prepared by: DHS Policy/Systems

Date: January 31, 2005

Process: 3.1.14 Daily Issuance

Program Affected: FF, FS, MA Users: The System

Case Mail Address Zip

Payee Indicator

Payee Last Name

Payee First Name

Payee Middle Initial

Benefit Type

Creation Date

Card Issue Date

Number of Trailers

Table of Individuals (24 Entries)

Unique Identifier of Individual

Last Name of Individual

First Name of Individual

Middle Initial of Individual

Data Of Birth of Individual

Gender of Individual

Medicaid QMB Start Date of Individual

Medicaid QMB End Date of Individual

Card Type of Individual

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C





Program Rule

Type Number Rule

ALL 1 If supervisor approval is required, the approval required switch contains a yes.

ALL 2 If the supervisor has approved the issuance request, the approval required switch contains a yes and the

actual approval code contains a yes.

ALL 3 Any issuance request requiring approval and is not approved, will be skipped, but a supervisor alert is

issued.

ALL 4 The program code will indicate whether the issuance is for FF, FS or MA program.

ALL 5 Before the benefit number is assigned to an issuance, issuance request can be combined to form one

issuance to be sent to the client. The issuance has to be for the same benefit type, case, program, sub-

program and same issuance date.

ALL 6 The combined issuance gets the benefit number, not each individual issuance that makes up the

combined issuance.

ALL 7 When a daily issuance request is put in the issuance transaction collection data store (which is being

called Transaction Hold Data Store) by the on-line transaction, all decisions about the issuance have

been made by the on-line transactions.

ALL 8 The daily issuance process selects the issuance request for today, and extracts the additional information

from several data stores to create the issuance to be processed.

ALL 9 The system shall generate issuance and non-issuance data stores for reporting purposes.

FF, FS 10 Each issuance request, that is on the Transaction Hold Data Store and requires approval, will be held on

the Transaction Hold Data Store until the approval has been provided.

FF, FS 11 The Add/Modify EBT Case process will determine if an EBT Case has to be generated and added to the

EBT Vendor’s Database.

FF, FS 12 The system shall generate an issuance for EBT where the Issued Amount is greater than zero.

FF 13 The current and lifetime FF Counters will be incremented by each FF issuance for a given benefit month

in which client receives a FF Benefit unless the client FF interrupt code is set on.

MA 14 When creating the DH Eligibility data, the program signed date becomes the Application date.

MA 15 When creating the DH Eligibility data, the Physical Limit Code is updated if the individual is Aged, Blind or

Disabled.

MA 16 When creating the DH Eligibility data, if the program/program-sub is MA M or MAMP, the QMB/SLMB

Begin Date is equal to the Medicaid Eligibility Begin Date and the QMB/SLMB End Date is equal to the

Medicaid Eligibility End Date.

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

3.1.14

Daily Issuance

Daily Issuance

Pull Issuance

Request

Request

Transactions



Transaction

Hold









Determine if

Determine if

Supervisor Required? Yes

Approved

approval required





Transaction

Alert

Hold

No









Determine if

Transaction

Issuance for Yes Approved? No Generate Alert

Hold

Today









STOP

Issuance for

No STOP

Today?





Selected Case

Issuance

Yes

Information



Transaction

Budget

Hold

Extract Data for

Issuance

Medical

Case

Provider





Individual

A

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

3.1.14

Daily Issuance

Continued







A









Determine if Perform Add/

Determine if

Issuance for MA or FF? Yes FF? Yes Modify EBT

Program FF

Program FF or MA Case



FF&MA

FF Issuance

Issuance

No

Selected Case No

Issuance FF Non-Pay

Information Create MA Combine Issuance Assign Benefit Issuance

Eligibility Data for same case numbers and

Selected Case

Determine if Store for program, sub- produce necessary

Issuance Issuance for

Program FS TennCare program Data Stores

Information EBT





MA Issuance

MA Issuance

TennCare

Medical

M Recon

FF Reconciliation

FF Issuance

MA

MA Non-Pay

Perform FS Issuance

Perform Add/

Benefit

FS? Yes Modify EBT

Reduction

Case E

Hierarchy

B





No C

FS Issuance

Assign Benefit

numbers and D

STOP produce necessary

FS Non-Pay Data Stores

Issuance





Issuance for

EBT

RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

3.1.14

Daily Issuance

Continued Issuance

History







Perform EBT

D Authorization

B Increment FF Post FS Issuance Print FS Journal

Individual for EBT

Counters

Vender







FF Issuance

FS Non-Pay

FS Issuance

Issuance



STOP

FF non-pay

Post FF Issuance

Issuance





Issuance

History





MA Non-Pay

MA Issuance

Perform EBT Issuance

Authorization

for EBT

Vender





C Post MA Issuance STOP







Print FF Journal



Issuance

History





Medical

STOP Reconciliation









E Transmit Medical

DOH

Recon


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