CalHEERS Release Notes 15 5 v4 - DHCS Homepage · 2019. 6. 22. · • Update CALSTARS Interface to Process Underpayments • SAWS Zip Files Transfer Process • NOD01-Appeal Language

CalHEERS Release NotesRelease 15.5

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Executive Summary

CalHEERS Feature Release 15.5 (deployed on 05/04/2015) contains the following:

• Budget Worksheet and Application • Updates to NOD01 NoticeHistory • IRS Schema for Annual Response

• Federal Poverty Level (FPL) Tables Processing• SAWS Zip Files Transfer Process• CalNOD62A (Original) Notice• Increase the Federal Poverty Levels for

Existing Pregnancy Aid Codes M9, M7,M0, and M8

• CALSTARS Interface• Update “Tax Filing Attestation” on

Arbitration Language• Learn More Link for Former Foster Care• Enrollment Assistance• Federal and State Interfaces• Individual Portal

••

Enable the Learn More LinkMaintain Report a Change 2014 Link forAdmins and Extend Batch Termination of2014 Enrollments

• Remove SEP Event (Informed of TaxPenalty Risk)

• Plan and Enrollment Management• Notices••

IRS 1095 ReportingNOD01-Appeal Language Update(English & Spanish) Snippet #260

The following Key New Features have been added or modified in this release:

• Budget Worksheet and ApplicationHistory

The following Key System Updates have been deployed in this release:

• Federal Poverty Level (FPL) Table forMAGI

• Updates to NOD01 Notice• IRS Schema for Annual Response

Processing

• Maintain Report a Change 2014 Link forAdmins and Extend Batch Termination of2014 Enrollments

• Remove SEP Event (Informed of TaxPenalty Risk)

• Additional Populations Identified for • Update “Tax Filing Attestation” onCalNOD62A (Original) Notice Arbitration Language

• Enable the Learn More Link • Update CALSTARS Interface to Process• Update Learn More Link for Former Underpayments

Foster Care• Increase the Federal Poverty Levels for

• SAWS Zip Files Transfer Process• NOD01-Appeal Language Update

Existing Pregnancy Aid Codes M9, M7,M0, and M8

(English & Spanish) Snippet #260

The following Key Fixes have been updated or resolved in this release:

• Enrollment Assistance • Notices• Individual Portal• Plan and Enrollment Management

• IRS 1095 Reporting• Federal and State Interfaces

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2CalHEERS Release Notes

Release 15.5The following Alternate Procedures have been provided with this release:

No Longer in Effect with this release• Individual Portal

New with this release• Individual Portal

Purpose and Scope

This document describes the contents of the CalHEERS Feature Release 15.5. Any known issues aredescribed together with key features of the release contents, alternate procedures, and actionsrequired.

Key New Features

The following summarizes the new features included in this release.

Budget Worksheet and Application History

Ref ID Type Previous Design/Problem New Functionality Pages Impacted9921 Change

RequestThis functionality did notpreviously exist.

Two new pages, BudgetWorksheet andApplication History, on theCalHEERS portal are nowaccessible to Admin usersto assist them whenmanually reviewing a casefor eligibility. TheApplication History pagedisplays historicaleligibility results and hasaccessible links to viewthe Eligibility Results pageassociated with each ofthe historical eligibilityrecords. From theEligibility Results page,Admin users can accessthe corresponding BudgetWorksheet page.

• BudgetWorksheet

• ApplicationHistory

• EligibilityResults

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Key System Updates

The following summarizes the modified features included in this release.

Federal Poverty Level (FPL) Table for MAGI

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Ref ID Type Previous Design/Problem New Functionality Pages ImpactedRequest Medi-Cal determinations. From 01/01/2015

forward for MAGI Medi-Cal determinations.

The Covered CA FPL tablewill retain the 2014 valuesfor the remainder of 2015,but their table for 2016has been updated now forthe future openenrollment.

Updates to NOD01 Notice


RequestModifications were made toexisting snippets and/or newsnippets were created tosupport language changes tothe CalNOD01 CoveredCalifornia EligibilityDetermination Notice,Redetermination, andVerification InconsistenciesNotice of Action. The release ofthis CR is a phased approach.With R11.2 implementation, 5snippets with text changes weremodified.

With this release, dynamicchanges to the CalNOD01notices have been made,including 15 snippetchanges. All snippets inthis release have beenupdated to include newadvocate languageprovided by CoveredCalifornia.

NA

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NOD01-Appeal Language Update (English & Spanish) Snippet #260


RequestCalNOD01 Covered CaliforniaEligibility Determination Notice,Redetermination, andVerification InconsistenciesNotice of Action said:

If you think we made a mistakeIf you think we made a mistakeor you don’t agree with ourdecision, you can appeal. To askfor an appeal, log on towww.CoveredCA.com and sendan appeal request. Or call theCovered California ReviewDepartment at 1-800-300-1506.

CalNOD01 CoveredCalifornia EligibilityDetermination Notice,Redetermination, andVerificationInconsistencies Notice ofAction says:

If you think we made amistakeIf you think we made amistake or you don'tagree with our decision,you can appeal. You have90 days from the date ofthe eligibility decision tofile an appeal. If you

NA

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http://www.coveredca.com/

http://www.CoveredCA.com






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Ref ID Type Previous Design/Problem New Functionality Pages Impacted

Si piensa que hemos cometidoun errorSi usted piensa que hemoscometido un error o no está deacuerdo con nuestra decisión,usted puede apelar.Para pedir una apelación,ingrese a su cuenta enwww.CoveredCA.com y envíeun pedido de apelación. O llameal Departamento de Revisión deCovered California al 1-800-300-0213.

appeal and we agree withyou, we may change ourdecision. If we change ourdecision, your familymembers’ coveragedecision may also change,even if they do not filetheir own appeal.You have the right toappeal any of thefollowing:• I did not qualify for a

Covered Californiahealth plan orpremium assistance.

• I did not qualify forMedi-Cal.

• The amount ofpremium assistance(federal tax credits tohelp lower mymonthly premium) Iqualify for is notcorrect.

• The level of cost-sharing reductions(help paying my co-payments anddeductibles) I qualifyfor is not correct.

• I did not get a decisionabout my applicationin a timely manner.(More than 10 daysafter receipt of acomplete applicationif I qualify for CoveredCalifornia or morethan 45 days if Iqualify for Medi-Cal).

You can request anappeal in any of thefollowing ways:

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Ref ID Type Previous Design/Problem Modified Functionality Pages Impacted

• Go towww.CoveredCA.comto download and printa "Request for a StateFair Hearing to Appeala Covered CaliforniaEligibilityDetermination" form.

• Fax your appeal to theState Hearings Divisionat: (916) 651-2789

• Mail your appeal to:CA Department ofSocial ServicesAttn: ACA BureauP.O. Box 944243Mail Station 9-17-37Sacramento, California94244-2430

• Email your appeal to:[email protected] (please do notemail privateinformation such asyour Social SecurityNumber)

• Request an appeal inperson at your CountyWelfare Department

• Call the State HearingsDivision and submityour appeal over thephone: 1 (855) 7950634.

• You may choose torepresent yourself, orbe represented by anattorney or anotherrepresentative.

• If you have animmediate need forhealth services and adelay could seriouslyjeopardize yourhealth, you can ask for

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an expedited appealby calling CDSS at 1(855) 795-0634.

• All hearings will beconducted bytelephone, videoconference, or inperson.

• You may requestcontinued enrollmentin your CoveredCalifornia health planwith your current levelof premium assistancewhile your appeal foran eligibilityredetermination ispending. You mustcontinue to timely payyour share ofpremium to qualify forcontinued enrollment.If you requestcontinued enrollment,please do not sendyour appeal by mail.Instead, call 1(855)795-0634 or usefax or email.

• An appeal decision foryou or other membersof your householdmay result in a changein your eligibility orthe eligibility of othermembers of yourhousehold. Thechange in eligibilitymay result in aredetermination ofeligibility for allhousehold members.

• For free localassistance withappeals, please call

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the Health ConsumerAlliance: 1 (888) 8043536.

Si usted piensa quehemos cometido un errorSi usted piensa quehemos cometido un erroro no está de acuerdo connuestra decisión, ustedpuede apelar. Usted tiene90 días a partir de lafecha de la decisión deelegibilidad parapresentar una apelación.Si apela, y estamos deacuerdo con usted, esposible que cambiemosnuestra decisión. Sicambiamos nuestradecisión, la elegibilidadde los miembros de sufamilia también puedecambiar, incluso si nopresentan su propiaapelación.

Usted tiene el derecho deapelar a cualquiera de lossiguientes:• No califiqué para un

plan de salud deCovered California oayuda con las cuotas.

• No califiqué paraMedi-Cal.

• La cantidad de ayudapara las cuotas(crédito fiscal paraayudar a reducir lacuota mensual) no escorrecta.

• El nivel de laReducción de losCostos Compartidos

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(ayuda para pagar misco-pagos y deducibles)no es correcta

• No pude obtener unadecisión sobre misolicitud a tiempo. (Sicalifico para CoveredCalifornia fue más de10 días después derecibir una solicitudcompleta, o más de 45días si califico paraMedi-Cal).

Usted puede pedir unaapelación de variasmaneras:• Puede ir a

www.CoveredCA.compara descargar eimprimir unformulario de"Solicitud para unaAudiencia imparcialdel Estado para apelaruna Determinación deElegibilidad deCovered California"

• Por Fax a la Divisiónde Audiencias delEstado al: (916) 6512789

• Envíe por Correo suapelación a:CA Department ofSocial ServicesAttn: ACA BureauP.O. Box 944243Mail Station 9-17-37Sacramento, California94244-2430

• Puede enviar suapelación por correoelectrónico a:SHDACABureau@DSS.

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CA.gov (por favor noenvíe por correoelectrónicoinformación privadatal como su númerode Seguro Social)

• Puede solicitar unaapelación en personaen su Departamentode Bienestar delCondado

• Puede llamar a laDivisión de Audienciasdel Estado y enviar suapelación por teléfonoal: 1 (855) 795-0634

• Usted puede optarpor representarse a símismo, o serrepresentado por unabogado u otrorepresentante.

• Si usted tiene unanecesidad inmediatade servicios de salud yuna demora podríaponer en grave riesgosu salud, usted puedesolicitar una apelaciónacelerada llamando aCDSS al 1 (855) 7950634.

• Todas las audienciasse llevarán a cabo porteléfono, videoconferencia, o enpersona.

• Usted puede solicitarla inscripción continuaen su plan de salud deCovered California consu nivel actual deayuda con las cuotasmientras su apelación

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para una nuevadeterminación deelegibilidad estápendiente. Usteddebe seguir pagandopuntualmente sucuota para calificar enla inscripcióncontinua. Si ustedsolicita inscripcióncontinua, por favor noenvíe su apelación porcorreo. En cambio,llame al 1 (855)7950634 o use el fax ocorreo electrónico.

• Una decisión deapelación para usted uotros miembros en suhogar, podría resultaren un cambio de suelegibilidad o deelegibilidad para otrosmiembros de suhogar. El cambio enelegibilidad puederesultar en unaredeterminación deelegibilidad paratodos los miembrosdel hogar.

• Para obtenerasistencia localgratuita con lasapelaciones, por favorllame al HealthConsumer Alliance, al:1 (888) 804-3536.

IRS Schema for Annual Response ProcessingRef ID Type Previous Design/Problem Modified Functionality Pages Impacted39985 Change

RequestThe CalHEERS IRS annualresponse processing job pointedto an October 2014 schema file.

The CalHEERS IRS annualresponse processing jobpoints to a December2014 schema file.

NA

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Additional Populations Identified for CalNOD62A (Original) Notice

Ref ID Type Previous Design/Problem Modified Functionality Pages Impacted40809 Change

RequestSpecific populations ofconsumers were not receivingthe CalNOD62A IRS 1095-AHealth Insurance MarketplaceStatement (Original).

The batch job for theCalNOD62A IRS 1095-AHealth InsuranceMarketplace Statement(Original) notices has beenmodified so thatConsumers will receive theCalNOD62A.• New rules defined to

address DuplicateSpouses – defect11683

• New rules defined toaddress DuplicateAddresses – defect20231

• New rules defined toaddress DuplicatePrimary tax filer –defect 20229

NA

Enable the Learn More Link


RequestThe Learn More links weredisabled on all applicationpages, the Report a ChangeSummary page, and theApplication Signature forReported Changes page.

The Learn More links areenabled on all applicationpages, the Report aChange Summary page,and the ApplicationSignature for ReportedChanges page.

• All applicationpages• Report a Change

Summary• Application

Signature forReportedChanges

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Update Learn More Link for Former Foster Care


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RequestLearn More links displayed onall application pages, the Reporta Change Summary page, andthe Application Signature forReported Changes page.On the Apply for Benefits – GetHelp with Costs page, whenUsers clicked on the If you areapplying for someone who waspreviously in foster care,click here to learn more link,the Former Foster Care popupdid not include a URL.

Learn More links havebeen removed on allapplication pages, theReport a Change Summarypage, and the ApplicationSignature for ReportedChanges page.On the Apply for Benefits– Get Help with Costspage, when Users click onthe If you are applying forsomeone who waspreviously in foster care,click here to learn morelink, the Former FosterCare popup includeshttp://www.dhcs.ca.gov/services/medi-c al/eligibility/Pages/FFY.aspx.

• All applicationpages• Report a Change

Summary• Application

Signature forReportedChanges

• Changes Applyfor Benefits –Get Help withCosts

Increase the Federal Poverty Levels for Existing Pregnancy Aid Codes M9, M7, M0, and M8


30041 ChangeRequest

The Federal Poverty Level (FPL)for the following pregnancy aidcodes was:• M9 (Pregnant Women:

Citizen/Lawfully Present;limited scope)60-213%

• M7 (Pregnant Women:Citizen/Lawfully Present;full-scope)0-60%

• M0 (Pregnant Women:Citizen/Lawfully present;undocumented)60-213%

• M8 (Pregnant Women:Citizen/Lawfully Present;undocumented)0-60%

With SB 857, the FederalPoverty Level (FPL) for thefollowing pregnancy aidcodes has increased to:• M9 (Pregnant Women:

Citizen/LawfullyPresent; limitedscope)-138%-213%

• M7 (Pregnant Women:Citizen/LawfullyPresent; full-scope)0-138%

• M0 (Pregnant Women:Citizen/Lawfullypresent;undocumented)138-213%

• M8 (Pregnant Women:Citizen/Lawfully

NA

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http://www.dhcs.ca.gov/






CalHEERS Release NotesMaintain Report a Change 2014 Link for Admins and Extend Batch Termination of 2014 Enrollments

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Release 15.5


41431 ChangeRequest

The special enrollment periodwas scheduled to end on March31, 2015.

The Report a Change 2014 linkwould have been disabled onthe Admin view of the Individualhomepage starting on March 31,2015.

2014 active enrollments werescheduled to be terminated atthe end of the specialenrollment period on March 31,2015.

The special enrollmentperiod has been extendedto October 31, 2015.

The Report a Change 2014link will remain accessibleto Service Center staff toallow for the 1095correction process untilOctober 31, 2015.

2014 active enrollmentswill now be terminatedafter October 31, 2015.

Individualhomepage

Remove SEP Event (Informed of Tax Penalty Risk)


41429 ChangeRequest

The Do any of the followingqualifying life events orsituations apply to you?dropdown list contained anInformed of Tax Penalty Riskdropdown value.

The Do any of thefollowing qualifying lifeevents or situations applyto you? dropdown list nolonger contains anInformed of Tax PenaltyRisk dropdown value.

ApplicationSignature forReportedChangesApplicationSignature

Update “Tax Filing Attestation” on Arbitration Language


39963 ChangeRequest

The Provide eSignature pagesaid, “I agree to file a (2015) taxreturn before (April 15, 2016) toclaim the Premium Tax Credit.”

The Provide eSignaturepage says, “I agree to filea (2015) tax return on orbefore (April 15, 2016) toclaim the Premium TaxCredit.”

ProvideeSignature

Update CALSTARS Interface to Process Underpayments


39961 ChangeRequest

ABE created a manual work itemin order to process partialpayments from Carriers on theIndividual PMPM invoice.

ABE can now processpartial payments fromCarriers on IndividualPMPM invoiceautomatically.

NA

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SAWS Zip Files Transfer Process


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40699 ChangeRequest

The original design in theCalHEERS SAWS outbound SFTPprocess called for a single zip,specific to County and Case, todeliver both images andnotices. As the volumessurpassed the performancelimitations, a mitigationstrategy to manually bundlethe singleton zips into a furtherbundled zip had beenimplemented upon everydeployment to react to thevolume.

The original design hasbeen updated to make thebundling process a part ofthe base functionality. Assuch, no humanintervention on the part ofthe Release Managementand Build/Deploy teams isneeded to configure thisprocess. This process isnow automated. Also,Image transfer has beenremoved from thisprocess, and will beaddressed in CR # 10020.

NA

Key Fixes

The following summarizes the key defect fixes implemented in this release.

Enrollment Assistance

Ref ID Type Previous Design/Problem Modified Functionality Pages Impacted20328 Defect

FixThe “How would you like us tocontact you?” question on theCertified Enrollment Counselorpage did not have a defaultanswer (the radio button wasnot prepopulated).

The “How would you likeus to contact you?”question on the CertifiedEnrollment Counselor pagedefaults to Phone (theradio button isprepopulated).

CertifiedEnrollmentCounselor

Individual Portal


20756 DefectFix

When a User clicked on the Editbutton in the HouseholdRelationships section on theHousehold Summary page, thesystem did not navigate theUser to the Relationships page,but stayed on the HouseholdSummary page.

When a User clicks on theEdit button in theHousehold Relationshipssection on the HouseholdSummary page, theRelationships pagedisplays.

HouseholdSummary

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19709 DefectFix

After C-IV completed a RAC on acontinuing case via SAWS(income amount change andnew pregnancy), the newincome of $1,716 plus theended income of $1,364 werecombined for a total of $3,080,which displayed, but was notcounted in the benefitcalculation

Only the new income of$1,716 is displayed as thatis the countable incomefor benefit calculation.Note: This was a displayonly issue.

• EmploymentIncome

• IncomeSummary

20841 DefectFix

Deprecated income values werereturned for existing cases inunsolicited DERs.

Deprecated income valuesare no longer returned forexisting cases inunsolicited DERs.

NA

19711 DefectFix

The Transactions Table andChange Log table on theTransaction History pageappeared blank for a withdrawncase.

The Transactions Tableand Change Log table onthe Transaction Historypage display data for awithdrawn case.

TransactionHistory

Plan and Enrollment Management


FixFor cases with two enrollments(one terminated and oneenrolled) that had the samesubscriber ID and CMS_plan_ID,when a User tried to terminatethe active enrollment, a “Noactive enrollment found” errormessage displayed.

For cases with twoenrollments (oneterminated and oneenrolled) that have thesame subscriber ID andCMS_plan_ID, a User isable to terminate the activeenrollment.

TerminateParticipation

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FixWhen a User clicked on the X(close) button in the Spanishversion of the PremiumAssistance popup on the YourCart page, another popupcontaining incorrect text ('and &iguest;) displayed thatsaid, “Usted ha hecho cambiosla cantidad de 'la ayudacon los primas'que ustedtoma. &iguest;Quiere guarderestos cambios?” and the OK andCancel buttons displayed inEnglish.

When a User clicks on theX (close) button in theSpanish version of thePremium Assistancepopup on the Your Cartpage, another popupcontaining correct textdisplays that says, “Ustedha hecho cambios lacantidad de la ayuda conlos primas que ustedtoma. Quiere guarderestos cambios?” and theOK and Cancel buttonsdisplay in Spanish.

Your Cart


20489 DefectFix

The Spanish version of the firstand third Premium Assistancepopups on the Your Cart pagedisplayed commas instead ofdecimal points and vice versa inthe APTC amount (e.g., $113,00instead of $113.00 and$1.934,24 instead of $1,934.24).

The Spanish version of thefirst and third PremiumAssistance popups on theYour Cart page displaycommas and decimalpoints where appropriatein the APTC amount (e.g.,$113.00 and $1,934.24).

Your Cart

8975 DefectFix

The Spanish version of the YourCart popup contained a buttonthat displayed English andSpanish and said, “Continuecomprando.”

The Spanish version of theYour Cart popup containsa button that displays onlySpanish and says, “Seguircomprando.”

Your Cart

19821 DefectFix

With regard to ADA compliance,the following issues werepresent on the Change AppliedPremium Assistance popup onthe Plan Enrollment Summary byProgram page:

• Alignment of text whenzoomed in/out was notconsistent using thecommonly used browsers(IE, Google Chrome, Mozilla

The following items arenow ADA compliant onthe Change AppliedPremium Assistancepopup on the PlanEnrollment Summary byProgram page:

• Alignment of textwhen zooms in/out isconsistent using thecommonly used

Plan EnrollmentSummary byProgram

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and Safari).• Missing borders of the table

in the popup in GoogleChrome and Safari.

• The popup did not display ingreyscale

• Cancel button appeared astext instead of appearing asa button.

• OK button appeared as textinstead of appearing as abutton.

• “The function hasencountered an error andwill not work on this page”error message displayed.

browsers (IE, GoogleChrome, Mozilla andSafari).

• Borders are presenton the table in thepopup in GoogleChrome and Safari.

• The popup displays ingreyscale

• Cancel button appearsas a button.

• OK button appears asa button.

• No error messagedisplays.

20149 DefectFix

The Spanish version of theProvide eSignature pagedisplayed incorrect text, “MeComprometo A Presentar UnaDeclaraci?n De Impuestos(2014), En O Antes Del (April 15,2015).”

The Spanish version of theProvide eSignature pagedisplays the correct text,“Me Comprometo APresentar UnaDeclaracion de ImpuestosEn o antes del (15 de Abril2015).”

ProvideeSignature

20233 DefectFix

After reporting a change, ahousehold member wasterminated from the plan. Theincorrect generic maintenancereason code of "AI" passed forthe terminated member.

After reporting a change,a household member wasterminated from the plan.The correct maintenancereason code of "07"passes for the terminatedmember, whichdesignates a change inhealth coverage.

NA

20312 DefectFix

During reinstatement for 2014enrollments, the system waspopulating coverage end date as31-Dec-2015 in Plan Memberstables.

During reinstatement for2014 enrollments, thesystem is populatingcoverage end date as 31-Dec-2014 in PlanMembers tables.

NA

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Notices


FixAfter submitting an unsubsidizedapplication, the user reported achange in order to switch theapplication type to subsidized.Before submitting the changereport, they clicked on the Save& Exit button on the HouseholdIntroduction page and they werenavigated to the Individualhomepage. From there, theyclicked on the Resume buttonand were navigated to the ReviewApplication page instead of theHousehold Introduction pagewhere they left off.

When a User clicks on theResume button on theIndividual homepage, theyare navigated to the lastpage they visited.

Individualhomepage

IRS 1095 Reporting


FixIRS-1000-DD-02: The MonthlyPremium Amount of SecondLowest Cost Silver Plan (SLCSP)on the 1095-A only included theMedi-C al plan pricing.

IRS-1000-DD-02: TheMonthly PremiumAmount of Second LowestCost Silver Plan (SLCSP)on the 1095-A includes theMedi-C al and dentalplan pricing.

NA

20860 DefectFix

The Associated Policy section inthe IRS - 2015 Monthly XML filewas repeated twice.

The Associated Policysection in the IRS - 2015Monthly XML file displaysonly once.

NA

20717 DefectFix

The 1007 batch job failed todelete the decrypted monthlyfile from the encrypted folder.

The 1007 batch jobdeletes the decryptedmonthly file from theencrypted folder.

NA

17991 DefectFix

IRS-1003-DD-01: The ResponseManifest File was incorrectlynamed as a nack.xml file.

IRS-1003-DD-01: TheResponse Manifest File iscorrectly named as amanifest.xml file.

NA

18100 DefectFix

IRS-1003-DD-01 - Content fileswere processing ack/nack file.

IRS-1003-DD-01 - Contentfiles no longer processack/nack file.

NA

Version 4

Release 15.520


FixIRS-1003-DD-01 – Whenprocessing the response filesreceived by CMS, IRS-1003 jobdid not keep the error filesseparate, which made it difficultfor the User to easily identify theerror files.

IRS-1003-DD-01 – Whenprocessing the responsefiles received by CMS, IRS1003 now keeps the errorfiles separate, which makesit easy for the User toidentify the error files.

NA

19608 DefectFix

IRS-2003-DD-01: Did not pointto IRS schema received inDecember for annual responsejob.

IRS-2003-DD-01: Points toIRS schema received inDecember for annualresponse job.

NA

20128 DefectFix

IRS-2003-DD-01: This batch jobwas not updatingIRS_ACK_FLAG.

IRS-2003-DD-01: This batchjob now updatesIRS_ACK_FLAG.

NA

CalHEERS Release Notes

Federal and State Interfaces


FixFields in the Verification andIndividual EligibilityDetermination (VIED) responseto capture Budget Worksheetand Application History did notexist.

New fields have beenadded in the VIEDresponse to displayBudget Worksheet andApplication History

NA

Alternate Procedures

Summary of Alternate Procedures

This section summarizes Alternate Procedures No Longer in Effect as of this release. Except for thefollowing (and those noted in previous release notes), all other Alternate Procedures from previousreleases remain in effect.

Individual Portal

# New Alternate Procedures Ref ID Planned Release154 The Edit Button in the Household Relationships section on

the Household Summary Page Does Not WorkDefect20756

15.5

This section summarizes the NEW Alternate Procedures for known issues agreed to be resolved in afuture release.

# New Alternate Procedures Ref ID Planned Release157 After RAC, clicking on the Save & Exit Button on the

Application Signature for Reported Changes Page, andreturning to complete the RAC, the Your Changes sectiondoes not display.

Defect20987

15.7

Version 4

Individual Portal


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# New Alternate Procedures Ref ID Planned Release161 When Application is Withdrawn and User Reapplies, the

Relationships Page Displays When the User Clicks on theContinue Button on the Household Primary Contact Page

Defect21211

TBD

162 Manage VerificationLink Does Not Display on the Individual Homepage

Defect21152

TBD

Detailed Alternate Procedures

The following provides detailed alternate procedures for known issues:

Alternate Procedure 157 – After RAC, clicking on the Save & Exit Button on the Application Signature forReported Changes page, and returning to complete the RAC, the Your Changes section does not display.

Users Impacted All Users -Consumers (Individuals), Admins, CECs

Area Impacted Individual Portal

What’s HappeningNow

When a Report a Change (RAC) is initiated and the user clicks on the Save & Exitbutton on the Application Signature for Reported Changes page and then returnsto the page to finish processing the RAC, the Your Changes section does notdisplay. After the User submits the RAC, the change displays on the Individualapplication pages, but the change indicator is set to ‘N’ when sent to SAWSpartners.

Version 4


Alternate Procedure 157 – After RAC, clicking on the Save & Exit Button on the Application Signature forReported Changes page, and returning to complete the RAC, the Your Changes section does not display.

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Actions to Take Options

1. If the Save & Exit button has been clicked on and the User does not see theYour Changes section on the Application Signature for Reported Changes pagewhen they return to complete the RAC:

a. From the Application Signature page, click on the Covered Californialogo in the header (Admins: Click on the Consumer Home button inthe header.). The Individual homepage displays.

b. Click on the Withdraw Change Report link. The Withdraw ChangeReport Confirmation popup displays.

c. Click on the Yes button. The popup closes.d. Click on the Report a Change link. The Report a Change Summary

page displays.e. Click on the Edit button in the section for which a change needs to be

reported. The corresponding page displays.f. Make the needed change.g. Click on the Return to Summary button. If the Confirm Your Address

popup displays, select the correct address and then click on the OKbutton.

h. The Report a Change Summary page displays.i. Click on the Continue button. The Application Signature for Reported

Changes page displays.j. Enter information in all required fields.k. Click on the Submit button. The Eligibility Results page displays.

2. If the RAC has already been submitted even though the User did not see theYour Changes section on the Application Signature page:

Follow steps d – k above to report the same change as before. This willensure that the change indicator is set to ‘Y’ when sent to SAWS partners.

SCR/Defect Defect #20987

Planned Release 15.7

Alternate Procedure 161 – When the application is withdrawn and user reapplies, the Relationships PageDisplays When the User Clicks on the Continue Button on the Household Primary Contact Page.

Users Impacted Consumers (Individuals), Admins, CECs, etc.



After withdrawing an application and reapplying, when Users click on theContinue button on the Household Primary Contact page, the Relationships pagedisplays instead of the Household Members page.

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Alternate Procedure 161 – When the application is withdrawn and user reapplies, the Relationships PageDisplays When the User Clicks on the Continue Button on the Household Primary Contact Page.

Actions to Take 1. From the Relationships page, click on the Back button. The HouseholdMembers page displays.

2. Complete all required fields on the Household Members page.3. Complete the remaining pages in the application.4. Submit the application.

SCR/Defect Defect #21211

Planned Release TBD

Alternate Procedure 162 – Manage Verification Link Does Not Display on the Individual Homepage.

Users Impacted Consumers (Individuals), Admins, CECs, etc.



The Manage Verifications link does not display on the Individual homepage forUsers who are Conditionally Eligible to MAGI Medi-Cal due to attesting to havingan “SSN waiver”. Therefore, Users are not able to submit verification documentswhen an Admin has already modified some of the verification statuses.

Actions to Take 1. After an Admin modifies (passes/fails) verification statuses on thePersonal Verification page and clicks on the Save button, the HouseholdVerifications page displays.

2. Click on the Redetermine Eligibility button. Eligibility is redetermined.3. Click on the Consumer Home button in the header. The Individual

homepage displays and the Manage Verifications link now displays.

SCR/Defect Defect # 21152

Planned Release TBD

Version 4

Documents

CalHEERS Release Notes 15 5 v4 - DHCS Homepage · 2019. 6. 22. · • Update CALSTARS Interface to Process Underpayments • SAWS Zip Files Transfer Process • NOD01-Appeal Language