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Business Process

Description

1.1 Provider Switches During Pay Period - Permanently

 

There is a need for a permanent switch in provider(s) during a pay period.

1.2 Provider Switches During Pay Period - Temporarily

 

There is a need for a one-time switch in provider(s) during a pay period.

Business Process - 1.3 Updating Vouchers

An update to a provider's vouchers is neededSteps to updating an authorization in OR PTC DCI.

1.1.5 Relinking a Provider and ConsumerProvider begins working for a Consumer they previously had stopped working for.

1.2.1 Add a New Provider

A new provider needs a profile

1.2.3 Update Provider InformationProvider information must be updated.

1.3.1 Add a New Consumer

A new consumer needs a profile in OR PTC DCI.

1.3.2 Update Consumer Information

Consumer information must be updated in OR PTC DCI.

1.3.3 Consumer Transfers to a New Branch or Program

A long-term care consumer moves to a new branch or program.

1.3.4. Return or Request a Fob in the Local OfficeA fob is returned to the local office.

1.4.1 Add or Remove Consumer Employer Representative

CER needs to be added.

1.4.2 Update Consumer Employer Representative Information

CER information must be updated.

1.5.1 Managing Staff Profiles

Staff member needs an OR PTC DCI profile to be created, modified, or closed.

1.5.3 Unlock a Profile

OR PTC DCI profile must be unlocked.

2.2.3 Correct Entry Mistake

 

A mistake has occurred or a consumer/CER disputes an entry.

2.3.0 Entries Claimed After 365 DaysProvider has time to turn in past 365 days.

2.6.2 End Authorization, Expiration, Terminations

A provider is terminated, an authorization ends, or their credentials expire.

3.3.0 Consumer Passes Away

A consumer passed away.

4.4.0 Over and Underpayments

How to process under and over payments.

6.1.0 Case with Multiple Providers & Varying Hours

The process for handling cases that have multiple Providers who have varying hours every pay period.

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