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Business Process

Description

1.1.2 Provider Switches During Pay Period - Permanently

 

This process is for if the number of hours between two Providers must change permanently. For example: If a consumer is authorized 40 hours and HCW A has 25 hours but they quit, so you need to lower their hours to zero and increase HCW B’s hours to 40.

1.1.3 Provider Switches During Pay Period - Temporary

 

This process is for if a number of hours between two Providers much change temporarily. For example: If HCW A is on vacation and HCW B must cover those hours.

1.1.4 Change Authorization

 

Process for if a change in the authorization is needed, including a change in mileage or hours, ending the authorization early, etc.

1.1.5 Relinking a Provider and ConsumerProcess used when a Provider begins working for a Consumer they previously had stopped working for.

1.2.1 Add a New Provider

Process used to add a new Provider.

1.2.2 Change Provider Status

Process used to update Provider informationwhen a Provider's status must be updated.

1.2.3 Update Provider InformationProcess used when you have to update information on a Provider's account.
1.2.4 Provider Number ReinstatedProcess used when a previously terminated Provider's Provider Number has been reinstated.

1.3.1 Add Consumer Information

Process used to add Consumer information.

1.3.2 Update Consumer Information

Process used to update Consumer information.

1.3.3 Consumer Transfers to a New Branch

Process used to transfer a Consumer to a new branch.

1.3.4. Return or Request a Fob in the Local OfficeProcess used when a Consumer requests a fob or returns a fob.

1.4.1 Add or Remove Consumer Employer Representative

Process used to add/remove Consumer Employer Representative.

1.4.2 Update Consumer Employer Representative Information

Process used to update Consumer Employer information.

1.4.3 Create Consumer Employer Representative Account

Create a Consumer Employer Representative Account.

1.5.3 Unlock an Account

Process to unlock an account.

1.6.0 Manually Adding or Updating Branch Info

Process to add or update branch information.

1.7.0 Setting Up EVV Options with Consumers and Providers

This process includes confirming the option they have chosen, confirming the landline, set up with the fob, set up telephony historical time entry (Consumer needs PIN), set up phone EVV, etc.

2.1.0 Increase in Weekly Cap

 

Business process needed for retroactive increased weekly cap hours.

2.12.0 Provider Goes Over Authorized Hours

 

Pended Entries Management where an entry pends due to the going over the authorized hours.

2.2.3 Correct Punch Entry Mistake

 

Process for if a Provider, State Staff Member, or Consumer notices a mistake in a punch entry after the Consumer has approved the entry (meaning the Provider cannot edit the entry in OR PTC DCI).

2.6.2 End Authorization, Expiration, Terminations

 

Process to follow when a Provider is terminated, an authorization ends, or their credentials expire. This process should be basically the same as it is in the current system with the addition of updating OR PTC DCI.

3.3.0 Consumer Passes Away

Process to follow when a Consumer passes away.

4.1.1 Pending Entries Management

 

The process for working the pend queue on a daily basis. The purpose is to either approve or reject time entries that have failed a business rule and resolving the issues that caused them to pend.

4.3.0 Time Entry

 

This is the process for entering time from OR PTC DCI into Mainframe.

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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