Higgs: Case Study

Client came into social service after receiving a SUS appointment slip left at the front desk by CM 10/3/17 to meet on 10/5/17 at 4pm. Client stated she only had a few minutes to talk because she had to cook dinner. Client informed CM her PA account was closed and she replied once again. Client also reports she has to visit Connecticut, PA office for a letter stating her PA case is closed in that state. Client informed her CM all documents requested will be submitted within a weeks’ time. Client reports two of her four daughters Selah McKenzie and Olivia Lue have a doctor appointment tomorrow October, 5, 2017. The other two daughters, Trinity and Nyan McKenzie have appointments next week Tuesday on October 10,

Cassie (Program Manager, Employee Health) emailed Don Foster FML Denial letter informing Officer Foster his request for FMLA was not approved. Ms. Miles informed Officer Forster their was no enough information contained in the application for it to be approved. He was offer the option to request non-FML leave of absence. Officer Foster never attempted to call or contact Ms. Miles to provide a response. The FML letter was emailed to Officer Foster's immediate supervisor, who attempted to contact him to ensure he received the FML and leave of absence letter. Officer Foster did not answer nor did he return SSM Kaylor's phone

I sent the forms to the member on 06/06/2016 as per request but she doesn’t want to fill them out. She went to the Medicaid office (115 Chrystie St., NY, NY 10002) on Wednesday June 8,2016 and they informed that her case is being handle and not further documentation is needed. Medicaid Office gave this case # 0237738221E. That’s the reason why she doesn’t want to fill out further documentation.

Mr. Williams submitted his application for Medicaid benefits on August 5, 2015. The Gulfport Regional Office (RO) forwarded a Disability and Blindness Report to Disability Determination Services (DDS), who has the responsibility of making disability decisions for the Division of Medicaid (DOM), on August 13, 2015. DDS notified the RO on October 16, 2015, that Mr. Williams was not disabled for Medicaid purposes. The RO issued a Notice of Adverse Action on October 23, 2015.

This 59- year old is filing a DIB claim alleging disability due to diabetes, high blood pressure, high cholesterol, arthritis, amnesia and right eye problems as of 06/01/2015.

She asked if we will take a look into her case to see if the CW caseworker followed policy and laws, she was informed that since she appealed, the CW OPA will review her case, and also since she does not have a CW open case, the GAO only review complaints about open DHS cases.

Ms. Gonzalez PA case is currently in applying status. Ms. Gonzalez is aware of it and client state that she is waiting for a follow up. Client is currently employed, however client will start by 01/25/16.

I asked her if she has already reported to the APS, if not we both can do it, I will need more specific information about her mother. She then raising her voice said "you are not understanding, it has been happening or almost two and a half years" I asked her again if she had reported to APS, she said yes and now she wants this office to investigate her sisters and place criminal charges against them because when she called APS and investigator came out and found no evidence, so she is not happy with it. She said was Merrill Johnson. I asked her if she had reported to the police, she said yes, but nothing has been done.

Medical: Ms. Williams failed to submit her medical documentation. Ms. Williams is expected to submit her medical evaluation or physical by 11/2016.

good. "The denial letter, the only thing it really stated was that there were no records found and

Ms. Jansen remembers Ms. Carson came to drop off aforementioned documents on November 5, 2014. According to Ms. Jansen, the Feedback Form is sent out every year on November 1 and the office asks employees to return them

Thirty days from the date of written notice of a decision or action by a County Assistance Office, administering agency or service provider except for food stamps which time limits are indicated in paragraph (4).

On September 21, 2012, ACEDS Case Action Update/Display documented by Social Service Representative, Richard Gordon stated that Ms. Williams arrived to the agency to apply for Supplmental Nutrition Assistance Program (SNAP) benefits, and Medicaid for her child only. During the visit, CARE interface revealed that Ms. Williams had an open Medicaid case in Maryland (#47403882500). Maryland Social Services also reported that she was employed by CPR Medical as of August 9, 2012, and paid bi-weekly $850.00. Ms. Williams also reportedly received unearned monthly income from SSI in September 2012 in the amount of $440.34, and in October 2012, in the amount of $370.54. As a result, Ms. Williams was denied expedited Foodstamps pending paystubs and her application was marked as "pending."

Could you please assist me? My associate was reviewing appeal # APP-2018599 that was completed by Priscilla Wilkerson. She notice that all the claims checks were suppressed when they were not advised in the SOW to processed this way. In order for all 18 claims to be reprocessed, Danielle has been advised to redo the SOW. Since, this was not her error, I think that these claims need to be reprocessed again correctly by Priscilla or another claim analyst. Could you please review and advise? Attached is communication from Danielle trying to get assistance from Priscilla regarding the mistake that was made and Kishma advising of next steps.

Case manager met with client to develop and issue an independent living plan, which indicated client must apply for public assistance benefits within three business days. Client agreed to apply for full public assistance benefits. Client received and signed and appointment notice, which indicated, the appointment date, time, location, and travel directions. A metrocard was provided to client to attend this appointment. Client was notified that he/she must provide proof of applying by 19/13 Client understood and agreed to apply for PA on 1/2/13 and provide proof on 1/2/13 the client was also notified to comply with all follow up HRA appointments to maintain an active public