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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. |
| 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 Consumer | Process used when a Provider begins working for a Consumer they previously had stopped working for. |
Process used to add a new Provider. | |
Process used when a Provider's status must be updated. | |
1.2.3 Update Provider Information | Process used when you have to update information on a Provider's account. |
1.2.4 Provider Number Reinstated | Process used when a previously terminated Provider's Provider Number has been reinstated. |
Process used to add Consumer information. | |
Process used to update Consumer information. | |
Process used to transfer a Consumer to a new branch. | |
1.3.4. Return or Request a Fob in the Local Office | Process used when a Consumer requests a fob or returns a fob. |
Process used to add/remove Consumer Employer Representative. | |
Process used to update Consumer Employer information. | |
Create a Consumer Employer Representative Account. | |
Process to unlock an account. | |
Process to add or update branch information. | |
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. | |
| 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). |
2.3.0 Entries Claimed After 365 Days | Process that details what a staff user should do to assist a Provider in submitting time entries that are older than 365 days. |
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. |
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. |
| This is the process for entering time from OR PTC DCI into Mainframe. |
How to process under and over payments. | |
The process for handling cases that have multiple Providers who have varying hours every pay period. |
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