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Correspondence Notices by ja3234

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									  RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT F

                                            STATE OF TN
                               CORRESPONDENCE AND NOTICE REQUIREMENTS




 Reference
  Number                                                     Requirement
                                            Correspondence/Notices (CN)
COR1         The system shall have the ability to generate and route appropriate correspondence.
COR2         The system shall set the review due date and generate a review appointment notice to the client one month
             prior as appropriate.
COR3         The system shall generate a notice to the client with the reason for denial when an application is denied.

COR4         The system shall automatically generate client notices using system generated and user entered
             authorization reasons.
COR5         The system shall generate the appropriate notices specifying impact on action to each individual in the case.

COR6         The system shall have the ability to send forms and attachments and automatically issue a special notice
             when a case meets certain criteria.
COR7         The system shall recreate all documents generated for an individual or case upon demand and route as
             directed within user specified time parameters.
COR8         The system shall include a preprinted application populated with client specific data that can be utilized by
             the client to identify changes at recertification of the case.
COR9         The system shall create renewal notices for those individuals who leave the TennCare Standard household
             without reapplying for TennCare Standard within the time period given to their original TennCare Standard
             case to review their eligibility.
COR10        The system shall generate initial renewal TennCare Standard notice, 30 day reminder notice if no contact
             has been made to this point, and a 70 day closure notice if no case is pending.
COR11        The system shall generate a verification request to the client when a previously verified piece of information
             is expiring.
COR12        The system shall allow the user to request a verification letter be sent.
COR13        The system shall automatically generate a notice to the client if an application for a SSN has been sent to
             SSA and the client has not notified the caseworker of the SSN. The time period for generating the notice
             shall be determined by the State.
COR14        The system shall automatically send a closure notice when a non-institutional disabled Medicaid case is
             approved or denied and interim benefits are stopped.
COR15        The system shall, for clients with breast or cervical cancer, send the client a notice of presumptive approval
             of TennCare Medicaid and a request to apply for regular TennCare Medicaid and to submit a treatment plan
             prior to the expiration of the 45th day of their presumptive period.
COR16        The system shall generate denial notices for individuals not technically eligible for any TennCare Medicaid
             program or subprogram.
COR17        The system shall generate one notice when a approval/denial transaction is performed is performed at the
             same time.
COR18        The system shall support the ability to notify the individual of every program and subprogram they have
             applied for and the outcome in a single notice.
COR19        The system shall automatically generate a replacement ME packet through batch or on-line request and
             maintain a history of that request.
COR20        The system shall generate status changes to designated providers.
COR21        The system shall enable the use of Microsoft Office Product correspondence templates created by the State
             when generating notices.
COR22        The system shall allow staff to add free-form text to an existing standard notice.
COR23         The correspondence shall have bold headings, shading, sub-paragraphs and multiple fonts.
COR24        The system shall retain history of all documents issued automatically or user initiated.
COR25        The system shall allow users to view and reprint an exact duplicate of any correspondence that has been
             created and issued by the system.
  RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT F

                                             STATE OF TN
                                CORRESPONDENCE AND NOTICE REQUIREMENTS




 Reference
  Number                                                       Requirement
COR26        The system shall provide a history of notices as well as a summary of the notices generated for an individual
             or case.
COR27        The system shall provide the ability to search notice history by individuals, case, type, and other defined
             parameters.
COR28        The system shall capture an indicator of how the notice was delivered such as handed to the client, e-mailed
             or sent via US Postal Service.
COR29        The system shall provide the ability to utilize more than one method to distribute correspondence including e-
             mail, mail, hand to hand.
COR30        The system shall store predefined correspondence templates and standard paragraph text.
COR31        The system shall individualize each notice to clearly identify eligible and ineligible individuals specifying each
             program and subprogram which their eligibility is tested..
COR32        The system shall create a receipt and document the receipt of information provided based on program
             policy/rules.
COR33        The system shall automatically create a receipt and a log entry, which includes date and time, when an
             application, verification, or claim payment is received based on program policy/rule.
COR34        The system shall provide appointment letters to be mailed to the client for all scheduled events with a
             defined future date.
COR35        The system shall provide user with the ability to indicate that mail was returned undeliverable and prompt
             user to check address matches.
COR36        The system shall have the ability to generate a notice when a change is reported or a claim payment is
             made.
COR37        The system shall generate referrals to clients and providers utilizing system data to populate class,
             appointment and provider information based on program policy/rules.
COR38        The system shall have the ability to send the Minor Parent a ‘Notice of Potential Eligibility’ if the Major Parent
             refuses to sign the PRP or fails eligibility.
COR39        The system shall generate a notice upon user request to be sent to the client if a service provider has
             indicated that the client is not complying with the PRP.
COR40        The system shall generate a notice to the client after the expiration of a 10-day conciliation notice, for a first
             or subsequent occurrence, notifying them of the closure of the sanctioned case.
COR41        The system shall calculate expected end dates for interruptions and exemptions that are time limited and
             produce alerts and associated notices for the program based on program policy/rules.
COR42        The system shall provide the user the ability to request a PRP to be mailed to the client for a signature.

COR43        The system shall send the applicant a notice listing all the verifications by program/subprogram that must be
             provided to the user to complete the application process.
COR44        The system shall make available a generic list of needed verifications for individuals when printing and
             mailing an application for benefits.
COR45        The system shall generate notices to the head of case informing them of a restoration or supplemental
             benefit issuance amount.
COR46        The system shall print correspondence in English and/or Spanish.
COR47        The system should have the flexibility to add additional languages for correspondence..
COR48        The system shall be able to group all correspondence for an addressee on a daily basis in order to minimize
             the number of pieces of correspondence to an individual.
COR49        The system shall compute, track and display the mail-date.
COR50        The system shall create an effective date for appropriate user or system generated action based on the mail
             date of the notice.
COR51        The system shall have the ability to generate mass periodic correspondence. Upon request these notices
             could be generated to a select population based on parameters.
  RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT F

                                            STATE OF TN
                               CORRESPONDENCE AND NOTICE REQUIREMENTS




 Reference
  Number                                                       Requirement
COR52        The system shall generate appropriate notices based on applying a mass change to all or a select group of
             cases within a program or subprogram.
COR53         The system shall generate a notice of patient liability change, approval or closure to the nursing home or
             lead agency for institutionalized TennCare Medicaid cases.
COR54        The system shall provide the option of either printing correspondence or reprints locally or centrally at State
             designated location.
COR55        The system shall provide an eligibility authorization letter informing the client about their reporting
             requirements and the income limit so they will know what income changes to report.
COR56        The system shall generate and track a Simplified Reporting form for FS.
COR57        The system shall use the address associated to an individual and shall default to the case mailing address if
             the case address is more recent when correspondence is generated..
COR58        The system shall be able to generate appeal forms with specified notices.
COR59        The system shall provide parents terminated from the child care waiting list a notice of the date and reason
             for termination.
COR60        The system shall issue the child care provider a remittance document for child care payments made for
             each child.
COR61        The system shall have the ability to issue a child care certificate.
COR62        The system shall issue a billing document to each provider if they do not wish to participate in the electronic
             billing process.
COR63        The system shall be able to generate statements and notices for child care claims and overpayments.

COR64        The system shall generate a notice to the custodial parent concerning the results of a child support good
             cause investigation.
COR65        The system shall have the ability to generate a demand letter as requested for payment of a claim.
COR66        The system shall provide a means for users to make on-line claim referrals to TennCare OIG.
COR67        The system shall generate FF final closure notices if subsequent closure for the same reason/s occurs
             within a specified period of time.
COR68        The system shall generate a CSR contact letter.
COR69        The system shall send a verification of good cause request, if the CSR indicates that good cause may exist
             on the system and the conciliation notice was mailed prior to the customer contact.
COR70        The system shall generate a notice to client informing them of their choice to continue or save countable
             months when client is not exempt or interrupted and is receiving a FF grant less than $10.00.

COR71        The system shall have the ability to generate a notice to a non-parental caretaker as defined by program
             policy/rule.
COR72        The system shall have the ability to generate notices to multiple addresses.
COR73        The system shall have the ability to generate the PRP for mailing or printing.
COR74        The system shall have the ability to send a notice to the current caregiver of TennCare Medicaid closure
             when DCS custody ends.
COR75        The system shall ensure all correspondence mailed will meet requirements for bulk mailing discount rates
             including formatting electronic barcodes as defined by State postal.
COR76        The system shall allow the user to select and request a copy of on-line summaries to be generated and
             mailed.
COR77        The system shall retain case grouping history of the results of each subprogram's test including status dates
             and associated reasons and generate appropriate notices
COR78        The system shall have the ability to allow specified users to send referrals for support services to any
             provider who has access to the system based on security specifications.
  RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT F

                                             STATE OF TN
                                CORRESPONDENCE AND NOTICE REQUIREMENTS




 Reference
  Number                                                       Requirement
COR79        The system shall inform the provider of the client's eligibility for services via written notice or interface, as
             appropriate for Long Term Care and HCBS (institutionalized).
COR80        The system shall provide the ability to recreate previously sent notices, referrals, forms with the ability to
             send to different address and track as a forwarded mail document.
COR81        The system shall have the ability to print or mail a claim waiver request as needed.
COR82        The system shall generate notices for the Families First (FF) program.
COR83        The system shall generate notices for the Food Stamp (FS) program.
COR84        The system shall generate notices for the Child Care program.
COR85        The system shall generate notices for the TennCare Medicaid, TennCare Standard, QMB, SLMB, QI1 and
             the Medicare Part D programs.
COR86        The system shall generate notices for the Refugee Assistance program.
COR87        The system shall generate notices for the Foster Care program.
COR88        The system shall generate notices for the Adoption Assistance program.
COR89        The system shall generate notices on all reported changes including those that do not result in a benefit
             change.
COR90        The system shall generate all benefit issuance notices, for all programs.
COR91        The system shall generate EBT notices
COR92        The system shall generate appointment notices.
COR93        The system shall generate sanction, disqualification and penalty notices for all programs.
COR94        The system shall generate mass change (MC) notices
COR95        The system shall generate conversion notices associated with the implementation of the new system.

COR96        The system shall generate intercounty and caseload transfer notices.
COR97        The system shall generate benefit reduction due to bankruptcy notices.
COR98        The system shall generate conciliation notices.
COR99        The system shall generate free-form notices.
COR100       The system shall generate any required notices, correspondence or forms related to appeals.
COR101       The system shall generate all notices for the First Wheels program.
COR102       The system shall generate the six-language attachment to all correspondence as required.
COR103       The system shall generate program time limit notices.
COR104       The system shall generate verification request notices.
COR105       The system shall generate Customer Service Review notices and correspondence.
COR106       The system shall generate Child Care eligibility and certificate notices, for clients and providers.
COR107       The system shall be able to generate statements and notices related to Claims and Investigations from all
             programs.
COR108       The system shall generate correspondence for all service providers.

								
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