One-e-App - Maternal and Child Health Access
Contents
1. fa i rr g70 Joselito Karen Ruiz 10 14 1970 Lauterbach Raul Ruiz 3 13 1997 Karen 2 21 2007 Joa Lauterbach l l l Healthy nito Teyraig91 Maniu 12 11 2006 Dan Ruiz 10 20 1965 Juana Felix 12 13 2006 2 21 2007 200712 00153 200705100317 19001010510701 76 0 T 200705100317 19001020510731 69 50 ia 100634400374 1900107344065 67 50 ey N0634600247 3190007634606 67 50 R 00711600409 31900154115607 P s400 Print Documents and Forms Application ID 200711600409 Date Submitted 4 27 2007 11 days Person Information 31900153116078 Joel Ruiz 7 7 1970 Mae o 31900154116077 2 2 2005 Female Self Affidavit of Income Joel Ruiz Monthy 0 00 C Self Affidavit of Income Letter Miu eee Healthy Kids Summary Click on the highlighted field of the document you would like to Rights and Declarations reprint Healthy Kids PG Healthy Kids Summa ae EE Healthy Kids KConsen elease of Records amp Information gt UA t to RB Healthy Kids au LA County One e App User Manual 49 Help Desk 1 866 429 19792. The search results can be further filtered by the assistor s name and a creation date range Application Assistor First Name Last Name Creaton Date Range From To Unique Identifier Application ID Ferson ID SSN Search gt Reset 29 RETRIEVE FAX COVER SHEETS This function allows you to reprint the One e App Fax Cover Sheet created for the application You may need to do this if the applicant needs to fax in additional documentation or if you did not create one during the application submission process You will be prompted to conduct a search for the application LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions RETRIEVE FAX COVER SHEETS Retrieve Fax Cover Sheet To retrieve a fax cover sheet click on the fax link for the application Determined Applications Pending Submission Christina Sarah aiina manos eeh aaarzaoas rests ete wa ones200003frsoooeeszoosdse 60 Expired or Program Closed Applications No matching records were found Submitted Applications rer Cristiana Ashok K Healthy Andreas andr pise0es4sis06q 64 90 a al 12 12 1996 11 16 2006 00631900145 51900054319060 64 90 td Note Each R indicates a renewal application Note Each indicates a renewal application which has started and not completed through final eligibility review Note Each indicates Program Closed applica
3. LA County One e App User Manual 29 Help Desk 1 866 429 1979 Contact Management CAA Menu Functions CONTACT MANAGEMENT Application ID 200700300037 Related Applications N A Contact Search Criteria Persons I All Persons Joselito Rojas Letters Creation Date Range From E search Reset Funding Source List Joel Ruiz Betty Rojas Phone Calls Office Visit Joselito Rojas Betty Rojas La Add Edit Funding Source Contact List The Contact Management section allows you to add and track new contact with the client and record issues into the system View edit This function allows you to view and make changes to issues previously entered Add a New Issue This function allows you to add new presenting issues that are program specific Verification This function allows you to log enrollment verification Redetermination This function allows you to log information regarding the applicant s program redetermination Referral This function allows you to log and track referrals given No matching records were found La View Edit Contact Add New Contact Application Follow Up Item r OJIA amk were found la View Edit Follow Up Item Add New Follow Up Item Enrollment Verification Contact Type Phone Call we Description Select Qne Contact Date Contact Text Client called in to find or change provider Client called in seeking assistance in ge
4. Note Each R indicates a renewal application Applications in progress Displays the application that is still in the interview process for which preliminary eligibility has not been determined Note Each indicates a renewal application which has started and not completed through final eligibility review Determined Applications Pending Note Each indicates Program Closed application s person s Su bmission Displays the applications that were determined preliminarily Total number of applications in progress 9 eligible for different programs and are Total number of submitted persons 1 currently pending Submission Submitted Applications Displays the search applications that were submitted to Report a Bug Make a Sugge Yiew Current Session Contents program s for which the system screens Applications Not Yet Started are contacts that have been created without creating an application in One e App Add a new contact is used to create new contact information if a specific person was not found in the search results Contact Details First Name Home Phone Middle Name Cell Phone Last Name Work Phone If your search results locate the person Suffix What language does this Engish you can add contact information by person speak best Gender O male O Female clicking on the person s name Date Of Birth Email
5. Program Submission Workload Liz Ramirez 5C Persons Determined Preliminarily Program Name Ey Eligible nitted Healthy Families Healthy Kids or Women Total Interviews in Progress for Lramirez 1 Total Members Determined Prelirninarily Eligible for Lramirez U Total Members Submitted for Lramirez 4 Applications in Progress for Liz Ramire Note Each Gy indicates an extension of 2 days has been applied Note Each D indicates a reminder is associated to this application Mote Each R indicates a renewal application Note Each Y indicates application has been edited by another application assistor Reminders 9 Extend 9 Remove Bring Back 9 Generate Notice 14 SUPERVISOR WORKLOAD SUMMARY The Supervisor Workload Summary provides a summary of agency staff workloads It allows the supervisor to query by an individual CAA s application status by program The Supervisor Work Load Summary displays the following information for each user who reports to that supervisor Supervisors can filter down the information displayed on this workload by selecting assistor name or program name from the drop down list at the top and clicking search Interviews in progress Displays the count of applicants who are still in the interview process for whom the preliminary eligibility has not been determined Note Clicking on the count will navigate the supervisor to that particular user s Applications in Progress
6. e Place of birth Application Assistor CAA Name First Name When you search by CAA name all the ast Name E applications that have been created by Creation Date Range this assistor will appear From tae Unique Identifiers To e Application ID Unique Identifier Application ID e Person ID Person ID e Social Security Number Soh LA County One e App User Manual 22 Help Desk 1 866 429 1979 CAA Menu Functions CONDUCT APPLICATION SEARCH Applications in Progress i James Smit lt 1 2 2 1970 Suresh Govindarajalu 12 1 2006 200633400037 319000763340531 85 00 R O eee 3 gt gs E James Smith Mathivanan Kans 200702400017 N A 85 00 isansa i O H Aniyah Smith 2 17 2007 ice illo 8 10 2007 200722100027 319000072210741 78 00 Rigg m Jackline Smith 11 11 1970 Vishnu Katta 11 29 2006 200633200122 n as Determined Applications Pending Submission Emanuel 1 1 2001 Sarah 11 17 2006 Healthy Nya 200632000275 31900065320065 74 50 Smith Boehm Families Expired or Program Closed Applications p f dal dip AVW 4 ames Smith 10 10 1999 Snap 4 20 2007 N A N A 200710900156 31900036109076 85 00 p Jamy Smith 12 14 2006 12 14 2006 200634700211 319000653470681 82 50 E Jim Smith 2 3 2002 Sonali Joshi 12 1 2006 N A N A 200633400276 31900074334065 79 50 Jimmy Smith 10 10 1970 ppa 4 20 2007 na ma 200710900214 319000471090731 78 00 ie 1 1 2001 11 18 2006 N A N
7. Search Generate Notice Next gt New Application ID The application ID number will be reassigned every year that the family renews its case using One e App Make sure the application you are viewing is the most current one If the family has been disenrolled for over a month and would like to be added back to the program you can mark the box next to the most current application button This will start a new application with a link to the previous application LA County One e App User Manual 28 Help Desk 1 866 429 1979 CAA Menu Functions RETRIEVE FAX COVER SHEETS Menu Begin Application Renew Modify Application Conduct Application Search Contact Management Search Disenn Retrieve Fax Cover Sheets C Update Applicant Data View Assistor Workload Program Submission Workload View Expired Applications View Reminders Retrieve Fax Cover Sheet Before beginning a new application you must perform a search to find out whether the applicant s already exists in the system Please specify at least two criteria or a unique identifier by which you would like to search Person Detail First Name Tina Middle Name Last Name Turner Suffix Select One EJ Gender O male Female Date of Birth Person Place of Birth California County Select One EJ or US State Select One iv or Other Country Select One iv
8. 2008 Maternal and Child Health Access No part of this publication may be stored in a retrieval system or transmitted in any form or by any means electronic mechanical recording or otherwise without written permission of the publisher Maternal and Child Health Access The manual may be downloaded and photocopied and a link to the manual on our website may be posted with attribution maintained to Maternal and Child Health Access The most recent version may be found at www mchaccess org Please let us know if you have questions about the manual or its use at lizrp mchaccess org or 213 749 4261 LOS ANGELES USER MANUAL one app One Stop Access to Health Care 1 2008 Most Recent Update LA County One e App User Manual Help Desk 1 866 429 1979 Introduction to One e App One e App One Stop Access to Health Care Coverage One e App is a web based system for connecting families with a range of health and social service programs This approach can improve the efficiency and the face of the application process for families seeking health care coverage This training manual is intended for use by Certified Application Assistors CAA and CAA Supervisors using One e App in Los Angeles County In Los Angeles One e App submits the data electronically to four health coverage programs Medi Cal for Children and Pregnant Women Healthy Families Healthy Kids Child Health and Disability Prevention Program CHDP for CHD
9. Click OK to proceed future modify or renewal You can access this application in the future from the Renew Modify Menu function for more information please refer to the Menu Function Chapter This will complete the application AS IS to allow a future modify or LA County One e App User Manual 12 Help Desk 1 866 429 1979 One e App Supervisor Functions You must first check the box of the application you want to access N Clicking on the box will open up the roora MSNiReas App Status S7ig 2007 Moldavy iz Rami ee ae ees pull down menu 2007 Billie iz Ramirezi200712100052 gaei Prevention 1 Expired wokday Child Health a Selecting the Return to Worker 05 16 2007 re liz Ramirez200712100052 Disability Prevention 2 P option will return the expired application to the CAA Applications in progress workload JL You will receive a pop up indicating that the application has been brought back for the CAA to complete Expired Applications Windows Internet Explorer 4 Eh This will bring back the application for Liz Ramirez to complete Click F OK to proceed LA County One e App User Manual 13 Help Desk 1 866 429 1979 Supervisor Functions SUPERVISOR MENU FUNCTIONS Menu Begin Application Renew Modify Application Conduct Application Search Contact Management O Search Disenrolled Persons O Retrieve Fax Cover Sheets ik Review Supervisor Expired Applications
10. Total number of submitted persons 2 e Search 9 Renew Modify View Clipboard Report a Bug Make a Suggestion View Current Session Contents OR Person Information You can import data for the following individualis on an application Wo matching records were found E Close Remove Report a Bug Make a Suggestion View Current Session Contents Submitted Applications ally Ruiz 3 12 2000 Juana Felix 12 13 2006 Healthy Kids 200634600247 31900078346065 63 55 Elizabeth Johnson Smith 12 3 1980 Johnson 12 1 2006 Ooa 200633400532 31900142334063 52 75 ae i eee Hl i 21 SEARCH RESULTS The Search Results will provide you with possible matches based on the criteria entered in the search screen You can make changes by clicking on the applicant s name Applications you are authorized to coauthor are highlighted in green Coauthor means that you will be able to open and continue that application without going through the security screen Expired Or Program Closed Applications Displays the applications expired because they are incomplete or the programs to which they have applied closed Submitted Applications Displays the applications that were submitted to program s for which the system screens The One e App system will highlight all the Search Results that have a match score of 90 or higher If you use a Unique Identifier application ID person ID or SSN the se
11. 2006 200632800047 54 55 Submitted Applications 4 P ea 6 14 1991 je me 12 11 2006 Healthy he 00634400374 319001073440 moment 70 75 n A n a _ 200634600247 3190007634606 70 75 a a Medi Cal for Joe Sarah Children Dorh 1 1 1937 Deutsch 11 7 2006 a 200631000391 Pregnant Woman re 8 30 2006 12 13 2006 erg Fax 00634600247 31900079346064 HP 55 00 Note Each L x indicates a renewal application Note Each G indicates a renewal application which has started and not completed through final eligility review Note Each indicates Program Closed application s person s Note Each is a link to a person s application summary Note Eech o is a link to add a person to the clipboard Total number of applicatiop lt in progress 0 Total number of determined applications pefiding submission 2 Total number of submitted persons gt search Begin New Application Renew Metif View Clipboard Reporta Bug ma 19 SEARCH RESULTS The search will provide search results in the One e App system from all agencies working with One e App in Los Angeles County After you verify that your client is not in the search results you can begin a new application If your search comes back with a match and you can verify that it is the same person click on the Clipboard icon next to their name Then click on Begin New Application to continue Clicking on the clipboard icon will put the cli
12. Children Submitted Health e App Applicat for CHDP Child View Ticklers Search for an Application Before beginning an hea application you must perform a search to find out whether the applicant s already exists in the system Please specify at least two criteria or a unique identifier by which you would like to search Person Detail First Name Arrow You can view and print the Health e App dna cc fax cover sheet by clicking on the Fax Last Name head Suffix Select One E ren Sa Male Female For more information see Fax Cover Tip Date of Birth E Sheet in the Frequently Asked Questions Section Search Results DCN j z 0 0 7 4 4 2 D c 0 3 To retrieve fax cover of an application click on the fax Applications that you are authorizeyto coauthor are Listed health app Documentation Fax Cover Sheet This page must be the first page of the fax transmission Your documentation must be submitted within 24 hours Health E App Submitted Applications Date June 01 2007 To Healthy Famiies Medi C2 ennifer Head 5 5 2000 Liz Ramirez 5 2 2007 Healthy Fax P00712100086 31900011121070 63 50 ia imbar lt a oe Families From Arrow Head Address 1111 W 6th ST Los Angeles 90017 Phone Home 213 222 2222 Document Control Number 20074420908 Document Checklist Please check the appropnate box to indicate which documents you are attaching C Signed Rights and Responsibilities Page
13. The View Reminder function enew Ty Application Conduct Application Search will allow you to view and print Contact Management all messages that have been O Search Disenrolled Persons created Retrieve Fax Cover Sheets Update Applicant Data View Assistor Workload You can set reminders in the Application in Progress Workload Refer to page 34 aes Applications in Progress to View Reminders learn how Health e App Fax Cover Program Submission Workload Reminders 7 ee a ee 1 Ez ET an pc i r i A riri rh LE Pole J F MCa rnt Name Reminder Messages IL Dpi Caton L al Karl Kigsely Karl will return to finish application process on 1 24 07 01 24 2007 200702200045 9 Print LA County One e App User Manual 38 Help Desk 1 866 429 1979 CAA Menu Functions Health e App FAX COVER Menu Health e App FAX COVER Begin Application Renew Modify Application Conduct Application Search Contact Management O Search Disenrolled Persons Retrieve Fax Cover Sheets Update Applicant Data View Assistor Workload Program Submission Workload This function allows you to retrieve and print a Health e App fax cover sheet You will be prompted to conduct an application search View Expired Applications E View Reminders ling Health e App Applications for CHDP Children Submitted Health e App Applications for CHDP
14. The search results can be further filtered by the assistor s name and a creation date range LA County One e App User Manual 43 Help Desk 1 866 429 1979 CAA Menu Functions VIEW FAXES Submitted Applications RESULTS VIEW FAXES You can view and print the fax verification documents by clicking on the name of the applicant highlighted in green Susan larsa i I ca a als Susan Su pay i 3 20 3 Te aa See aa SEY ra assas fac a 1 18 1959 Araceli 12 4 2006 AE 00633700436 19001153370 67 50 L M 2 3 1975 Sonali Joshi 12 4 2006 Owa NA 00633700089 1900033337068 67 00 Dameroon Susana Erika oer se ea a PY Sere sor 1211 2006 205440055451 90008344067 0 te Susana Diana Healthy E El Susana sj54 4 Vilma aa 7 me El iS 7 27 1969 12 1 2006 wa wa foosssaoc 56 19001153340661 65 50 fy pi pere 2 18 1975 Za 12 4 2006 0063370045113190012533706 P4 50 7 f zi i Susana Manju aia Ei Isern 2064400574s1s0009830406s 63 00 Application ID 200633200271 Date Submitted 11 29 2006 i jana Sia i a days Click on the word FAX to view and print verification documents for Programs L 1000062332063 Susan Brownstle Medi Cal for Children and Pregnant Women Primap For tips on faxing documents you can fasts wendy sromaiae enti raris poy roter to the Fax Tip Sheet in the asonesz 0 kany rowst ves romes oime Frequently Asked Questions sect
15. Workload You have the ability to assign an application in progress to another CAA in your agency You must click on the box next to the Due Date and click on Assign You will be navigated to an Assign screen which has a list of CAAs to whom application can be assigned LA County One e App User Manual Help Desk 1 866 429 1979 Supervisor Functions SUPERVISOR MENU FUNCTIONS Liz Ramirez SC SUPERVISOR WORKLOAD Pee nee SUMMARY oe Persons Determined Preliminarily Healthy Families Sa aE ear es Healthy Kids ee o oo ani ae a a Women i different programs These applications Total Interviews in Progress for Lramirez 1 have not been submitted Total Members Determined Preliminarily Eligible for Lrarmirez U _ Total Members Submitted for Lramirez 4 Note Clicking on the count will navigate the supervisor to that particular user s Program Submission Workload Persons Submitted by Program Displays the count of applicants who were determined preliminarily eligible for different programs and whose applications have been submitted To the program s for which they qualified Note Clicking on the count will navigate the supervisor to that particular user s Program Submission Workload LA County One e App User Manual 19 Help Desk 1 866 429 1979 CHAPTER 3 Certified Application Assistant CAA Menu Functions one app One Stop Access to Health Care Help Desk 1 866 429 1979 Menu Begin Applicatio
16. have forgotten your password or your account has beers PASSWORD EXPIRATION Passwords must be changed every 30 days in both One e App and Health e App 7 days before your One e App password expires you will receive a tickler reminder that your password is about to expire It will be displayed on the tickler banner on the top of the Menu screen until the user changes the password Health e App does not remind about password changes It is recommended that you update your Health e App password on the Health e App website or by calling the Health e App help desk to reset every time your One e App password is reset That way you won t receive data transfer errors from the Health e App website from an expired password See www healtheapp net or 866 861 3443 Tips for password management You can use the One e App Password for Health e App but not the reverse See the Password Management Tip Sheet in the Resource section for more information When you get the reminder follow these steps 1 Change your password in One e App 2 Modify your profile in One e App to change your Health e App Password the same one you changed it to in One e App 3 Go to Health e App and change your password to the new password Getting Started LOGGING ON HOW TO LOG ON User Login Screen Enter your assigned user ID User IDs will most likely contain your first initial and last name There may be some User ID variation for agen
17. A 200632100026 3190000432106 iP 74 50 Smith Test User 23 RESULTS APPLICATION SEARCH You can make changes by clicking on the applicant s name Applications you are authorized to coauthor are highlighted in green The Search Results will provide you with possible matches based on the criteria entered in the search screen If you used a Unique Identifier the search results will show all results having an exact match to the Unique Identifier entered Applications in progress Displays the application that is still in the interview process and the preliminary eligibility has not been determined Determined Applications Pending Submission Displays the applications that were determined preliminarily eligible for different programs and are currently pending submission to corresponding programs Expired Applications Displays the application and or applicants who are expired due to incomplete submission Submitted Applications Displays the applications that were submitted to eligible program s for which the system screens LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions CONTACT MANAGEMENT Menu CONTACT MANAGEMENT Begin Application Renew Modify Application Condye cati Contact Management The contact management function provides you with the Seer oe eee ability to record and track contac
18. IETE TEE E One e App application and then click SY _z00702500195 _caralones sy Fae on Submit The application is then Jackson Compass Healthy Families 02 16 2002 i a e e batched with other applications that aroso oie wood restivremies S oor are pending submission The batch aooo or wood eatre S o zoorosoooorz parca saw sey Foie OUA AA A RA App 200705000023 Grace Green each night Once the application has MEE aa been successfully submitted it will show up in Submitted Health e App for CHDP children workload where you can print the Health e App summary Pe l THINGS TO CONSIDER Pending a CHDP application for a family is a big responsibility You are delaying the official date of application and must be sure there are no retroactive expenses needing coverage and that the child actually goes and receives his her CHDP Gateway full coverage in case of any need for coverage while the application is pending LA County One e App User Manual 40 Help Desk 1 866 429 1979 CAA Menu Functions submitted Health e App Applications for CHDP Menu SUBMITTED HEALTH E APP APPLICATIONS FOR CHDP Begin Application CHILDREN O Renew Modify Application Conduct Application Search Contact Management O Search Disenrolled Persons O Retrieve Fax Cover Sheets O Update Applicant Data O View Assistor Workload O Program Submission Workload View Expired Applications O View Remin
19. ITTED APPLICATIONS O AWAITING DISPOSITION O 200632500027 R pl nance aa Submitted Applications Awaiting ical R i a Disposition displays the applications PEL soossszoorse R tinde Garin Rares i that were submitted to the Healthy Kids zo63340040 R Carlos South Ramirez Lie program and are still awaiting a O ro06saao0010 R umes Ramirez Liz determination or disposition of their S eligibility m e Note Each R indicates a renewal application Note Each Ww indicates application has been edited by another application assistor 9 Generate Fax Cower This workload will give you the ability to search for Healthy Kids Applications that Status ALL have been submitted within a specified E time frame Submit Date Range OO O HH Application ID First Name O O Last Name O O ssn IC i C Save current Status and Days as my default setting Healthy Kids Applications Submitted Bsea rch Reset Number of Records Found 8 _ 200632500027 Janet Smith 200633300054 Janie Montoya Pending 200633400144 Jose Garcia Pending 200633400144 Linda Garcia Pending 200633400409 Carlos South Pending 200634400010 une Bug Pending 200634600064 Marco Martinez Pending 200634700021 Mega Bucks Pending LA County One e App User Manual 35 Help Desk 1 866 429 1979 CAA Menu Functions PROGRAM SUBMISSION WORK
20. LOAD Menu Begin Application Renew Modify Application Conduct Application Search Contact Management Search Disenrolled Persons O Retrieve Fax Cover Sheets Update Applicant Data View Assistor Workload Program Submission Workload View Expired Applications 33 VIEW ASSISTOR WORK LOAD This menu function can assist with the management of your applications When you select View Assistor Workload you will be navigated to three different workloads e Applications in progress e Determined Applications Pending submission e Submitted Applications Awaiting Disposition LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions VIEW ASSISTOR WORKLOAD Applications in Progress Due Date pation Date Applicant Name Application ID Go ED 1 29 2007 1 15 2007 Brian Lopez Y 200701400067 ___ EBe G indicates an extension of 2 days has been applied te Each i indicates a reminder is associated to this application te Bac R indicates a renewal application j indicates application has been edited by another application assistor Generate Notice You can set a reminder by clicking on the little box near the due date of the applicant then click reminder You will be able to add notes that will be linked with the application 34 Applications in Progress This displays applications that are still in the interview proces
21. LOAD Menu PROGRAM SUBMISSION WORK LOAD Begin Application Renew Modify Application The Program Submission Conduct Application Search Workload contains two tables Contact Management O Search Disenrolled Persons O Retrieve Fax Cover Sheets Update peace Data e Applications Submitted e Applications Pending Submission Ovi K C Program Submission Workload View Expired Applications O View Reminders Health e App Fax Cover Applications Pending Submission Applications Pending Submission e Incomplete applications that are awaiting submission OR Applications Submitted e Applications that have passed Flores Sandy Medi Cal for Children ans An ee E 200632400106 lores Sandyyza 21 20067007414 Pregnant women eA selina Ma the preliminary eligibility Fores Today 1172172008 edi Cal for Children an 200632400186 Flores Toddy 11 21 2006 2007414 Breana amen pima an alth e App 200632500027 Smith Janet n A n a Healthy Kids Primary N screen Smith Medi Cal for Children and 200632500027 Micheal 1 22 2006 22 20062007441 Preanant Women Primary Health e App Applications Submitted These are applications that have been completed and submitted LA County One e App User Manual 36 Help Desk 1 866 429 1979 CAA Menu Functions VIEW EXPIRED APPLICATIONS Menu Begin Application O Renew Modify Application Conduct Application Search Contact Management O S
22. Middle Name Last Name Gender Male Female Date of Birth LA County One e App User Manual 31 Help Desk 1 866 429 1979 CAA Menu Functions UPDATE APPLICANT DATA Profile of Joel Ruiz Effective Date Home Address do not use PO Box Delivery Type Street Address Street Number 525 Street Name Ardmore Post Direction Select One oo Number APT 125 City Los Angeles Zip 90022 County Los Angeles ki E Verify Are home and mailing address same Ferson Details Demographics Effective Date 01 10 2008 First Name Joel Middle Name Last Name Ruiz SON 666 66 6006 L Generate Universal Summary Mailing Address Deliwery Type Street Monyper Prefix Street Name Post Direction Unit Type and Number City State Zip Primary Informant s First Name Primary Informant s Middle Name Primary Informant s Last Name Primary Informant s Preferred Spoken Language English a Informant STi B Preferred Written Language Engish Save amp Joselito Rojas 32 You will be navigated to a page where you can update Addresses Telephone numbers Names including the primary informant Click on the box in the section that you would like to update data Include an effective date of the change Update the data and click on the Save icon LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions VIEW ASSISTOR WORK
23. P providers One e App uses an interactive interview approach to help simplify data collection and entry Instead of writing an address four times it is written once for four programs One e App helps to improve the quality and completeness of applications As the data is entered the system performs routine error checks providing immediate notification when a required field is incomplete or data is incorrectly entered The system features drop down menus radio buttons and other familiar computer navigation tools Other features include Real time English and Spanish versions of the application Ability to select a provider and a health plan Printable documents in some threshold languages Electronic document storage Ability to personalize reminder and notification letters Contacts and Ticklers that enable application assistants to remind families about their upcoming annual redeterminations One e App will ultimately be linked to the Children s Health Outreach Initiative CHOI case management system This linkage will allow assistors to transfer application data but users will still have to go directly to CHOI for case management reporting use of services and retention of benefits and to report troubleshooting of problems encountered One e App is currently used in seven California counties to screen and electronically route applications to programs such as Medi Cal Healthy Families Healthy Kids and county indigent ca
24. Total number of applications submitted 1 C Proof of income pay stub last year s federal income tax filing etc LA County One e App User Manual 39 Help Desk 1 866 429 1979 CAA Menu Functions Pending Health e App Applications for CHDP Menu Pending Health e App Applications for CHDP Children Begin Application Renew Modify Application Conduct Application Search O Contact Management O Search Disenrolled Persons Retrieve Fax Cover Sheets Update Applicant Data View Assistor Workload Program Submission Workload This menu function will list the applications that have been held 30 days for children who have been referred to the CHDP program This will allow families to utilize the temporary full scope Medi Cal that can be received by accessing the CHDP program There are some exceptions to receiving the temporary full scope Medi Cal View Expired Applications View Reminders C Pending Health e App Applications for CHDP Children Submitted Health e App Applications for CHDP Children View Ticklers A tickler is automatically sent to you after the 30 day hold has expired This will alert you that this application is ready to be submitted to Health e App Pending Health e App Applications for CHDP Children You will need to click to check the One e app APP ID Person Name Preliminary Eligibility Received Date Jorasa P
25. arch results will show all results having an exact match to the Unique Identifier entered LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions CONDUCT APPLICATION SEARCH Menu CONDUCT APPLICATION O Begin Application SEARCH O Renews Modify Application Conduct Application Search Conduct Application Search Cort or T allows you to view applications Search Disenrolled Persons that have been started vale re a a completed or are pending O Update Applicant Data submission View Assistor Workload Program Submission Workload View Expired Applications O View Reminders Search for an Application You will be prompted to conduct an application search The more criteria you enter the more narrow the search Try entering a few criteria first then narrow Before beginning a new application you must perform a search to find out whether the applicant s already exists in the system Please specify at least two criteria or a unique identifier by which you would like to search F Detail i i ppr the search if needed by adding more First Name l l criteria Enter criteria as follows Middle Name Last Name Person Detail enter at least two of the Suffix Select One following Gend nder Male Female First name Date of Birth e Last name eo ee e Gender California County Select One US State Select One e Date of birth Other Country SelectOne
26. circumstances that makes the child ineligible or cancelation coverage Search Disenrolled Persons O Retrieve Fax Cover Sheets Update Applicant Data View Assistor Workload Program Submission Workload View Expired Applications View Reminders Search for a Disenrolled Applicant Spee You must conduct a search to First Name locate the file Middle Name Last Name Suffix Select One EJ Gender O male O Female Date of Birth Person Place of Birth California County Select One a or US State Select One J or Other Country Select One iv The search results can be further filtered by the assistor s name and a creation date range Application Assistor First Name Last Name Disenrollment Date Range Fror Ta Unique Identifier Application ID Fersan IE SSN Search Reset LA County One e App User Manual 2 Help Desk 1 866 429 1979 CAA Menu Functions SEARCH DISENROLLED PERSONS Healthy Kids Disenrolled Applicants Search Results RESULTS SEARCH DISENROLLED Healthy Kids D lled Appl t PERSONS No matching records were found This search results screen will show you more details about the disenrollment such as the date and reason for disenrollment from the Healthy Kids program Note Each indicates a renewal application which has started and not completed through final eligibility review
27. cy staff with similar names You then add the county extension of la This lets One e App know which county you are from la for Los Angeles For example for Sara Martinez enter smartinez la in the user ID field You will receive your User ID and password information from your Agency System Administrator Password Requirements The following are requirements for the password you create each 30 days lt must be at least 8 characters in length It must contain at least one number It must be a combination of upper and lower case characters lt must contain at least one special character like It must be case sensitive It matters if you type in capital or lower case letters LA County One e App User Manual Help Desk 1 866 429 1979 Getting Started LOGGING ON User Login RESETTING YOUR PASSWORD Please login using the username with county extension and password that were assigned to you Example username For 4 username of caa and County ID of cec enter caa cec username User Id Password What can I do if forget my password ou have forgotten your password or your account has been disabled RESETTING YOUR PASSWORD You have 5 attempts to correctly enter your password and User ID before your account becomes disabled e You use the Hyperlink Click here that can help you reset your password if you forgot it or if your account has been disabled The lin
28. ders Health e App Fax Cover Pending best Peappince sae Submitted Health e App Applications for CHDP Children View Ticklers View Faxes LA County One e App User Manual 41 Help Desk 1 866 429 1979 CAA Menu Functions VIEW TICKLER Menu Begin Application Renew Modify Application Conduct Application Search O Contact Management O Search Disenrolled Persons O Retrieve Fax Cover Sheets O Update Applicant Data O View Assistor Workload Program Submission Workload View Expired Applications O View Reminders Health e App Fax Cove Pending Health e 4gf Applications for CHDP Children 0 Submitted HealMi e App Applications for CHDP Children View Ticklers View Faxes View Notes e Add Tickler Add New Tickler Tickler Type Description Start Date End Date 42 VIEW TICKLER Ticklers are reminders or alerts that you create or are generated by the One e App system Some ticklers can also be sent to you by other users The View Tickler function allows you to e View all your ticklers e Add a new tickler When you log on to One e App a tickler banner running at the top of your screen will tell you how many ticklers you have saved Click on the banner to view all ticklers You can add a tickler by clicking on Add Tickler Tickler Types e General e Required Doc
29. dify Applications Conduct Application Search Contact Management Search for Disenrolled Persons Retrieve Fax Cover Sheets Update Applicant Data View Assistor Workload Program Submission Workload View Expired Application View Reminders Health e App Fax Cover Sheets Pending Health e App Applications for CHDP Children Submitted Health e App for CHDP Children View Tickler View Faxes View Notes View Application Workflow History Re print Forms Processing Applications Healthy Kids Applications Medi Cal and Healthy Families Applications Healthy Families Renewals Transfer Error Problems Suspending an Application How to Report Bugs or Issues Resources and Health Care Program Alternatives Table of Contents Page 11 16 18 20 22 24 27 29 31 33 36 37 38 39 40 41 42 43 45 46 48 50 75 78 97 99 102 104 108 LA County One e App User Manual Help Desk 1 866 429 1979 f Getting Started one app One Stop Access to Health Ca Help Desk 1 866 429 1979 The One e App website for CAAs is https thecenter oneeapp org You will be taken to the Welcome Page for Los Angeles County and will choose English or Spanish User Login Please login using the username with county extension and password that were assigned to you Example username For a username of caa and County ID of ccc enter caa cec username User Id Password Click here if you
30. earch Disenrolled Persons Retrieve Fax Cover Sheets O Update Applicant Data View Assistor Workload O Program Submission Workd6ad View Expired Applications O View Reminders Health e App Fax Cover Expired Applications No matching records were found Note Each amp indicates an extension of 2 days has been applied Note Each indicates a renewal application Reminders Generate Notice Next gt 37 VIEW EXPIRED yA od od OFAN LO NE The Expired Application function will list applications that have passed the 14 days allowed in the system Remember that you can extend the application twice for two days each time prior to the expiration date Expired Application Deadline Applications will expire 14 days from the application creation date unless they are extended You can continue to work on the application if it has expired but your CAA Supervisor must Bring Back the application and assign it to you Once your CAA Supervisor returns the expired application into your Applications in Progress workload you have 14 days to submit it before it expires again You can generate notices that can be sent to the client to remind them to complete the application For more information on notices refer to page 34 LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions VIEW REMINDERS Menu VIEW REMINDERS egin Applicatio z ie PRP licati
31. ent s information in the new application or pre populate it Verify that the information previously entered is still current and correct You have the choice of Interview mode or Data Entry mode e Interview mode is recommended when working directly with a client e Data Entry mode is recommended when taking an application over the phone or when agencies have a dedicated person entering data after the client interview or application is complete LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions RENEW MODIFY APPLICATION ct Application Search Contact Management O Search Disenrolled Persons Retrieve Fax Cover Sheets Update Applicant Data View Assistor Workload Program Submission Workload View Expired Applications Person Detail First Name Kathy Middle Name 0 Last Name smith Suffix 5elect One Gender O Male Female Date of Birth or lor lig El Person Place of Birth California County 5elect One E or Us State 5elect One or Other Country 5elect One The search results can be further filtered by the assistor s name and a creation date range Application Assistor First Name Liz Last Name Ramirez 20 RENEW MODIFY APPLICATION Renew Modify Application allows you to do the following Renew Search for clients who are due to renew their coverage This function is available within t
32. he last three months of clients coverage also known as the renewal period Modify A modify allows you to make changes to an application after it has been submitted changes such as Add a family member who was not previously included during the initial contact Change in status of eligible members like income or pregnancy When Renew Modify Application is chosen you will be routed to the Search for Application screen You will be prompted to conduct an application search Note One e App does not allow either Applications In Progress or Determined Applications Pending Submission to be modified LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions RENEW MODIFY APPLICATION Search Results To renew or modify an application click on the applicant s name Applications that you are authorized to coauthor are highlighted Expired or Program Closed Applications No matching records were ft Submitted Applications lz PNY Ng b DJE banet Smith 3 3 1995 Liz Ramirez 11 22 208 stay Fax 200632500027 N g00007325065 65 40 k Note Each R indicates a renewal application Note Each indicates a renewal application which has started and NN completed through final eligibility revied Note Each indicates Program Closed application s person s Note Each Dis a link to a person s application summary Note Each 5 is a link to add a person to the clipboard
33. ion Healthy Kids Disposition Details Assigned User Verification Documents Proof of Income Proof of Los Angeles County Residenc LA County One e App User Manual 44 Help Desk 1 866 429 1979 CAA Menu Functions viEW APPLICATION WORKFLOW HISTORY Menu Begin Application O Renew Modify Application Conduct Application Search Contact Management O Search Disenrolled Persons O Retrieve Fax Cover Sheets O Update Applicant Data View Assistor Workload Program Submission Workload View Expired Applications O View Reminders Health e App Fax Cover Pending Health e App Applications fof CHDP Children O Submitted Health e App Applicatiops for CHOP Children View Ticklers View Faxes View Application Workflow Histon O Re print Forms Search Results To retrieve and continue with an application click on the applicant s name Applications that you are authorized to coauthor are highlighted in blue Teac can Date OF ub ger 5 10 2005 1 4 2007 aac 0070030003 r Sool etn 77970 fire 7007 mf na wa ee Psi 7750 fae sinr wa WA poorer hod Joselito Karen eae pee l pe bd aan u a pornos iste mu 572071878 vas 34 2007 wa wa poorie1oozagprooo088161074 75 00 fy 46 APPLICATION WORKFLOW HISTORY This function will provide you with a complete history of the application application creation preliminary eligibility deter
34. k will navigate you to a screen where you will be asked to answer the secret question that you chose when you first logged into One e App If you answer the secret question correctly the password is reset to the default password available from your System Administrator If you haven t set up your secret question you don t answer the secret question correctly or after five consecutive failed tries to log on you will have to contact your One e App System Administrator the person in charge at your agency to reset your password LA County One e App User Manual 8 Help Desk 1 866 429 1979 Getting Started LOGGING ON USER LOGIN TYPES Depending on your job function s you You have the following User Types may have access to one or more user Please select one user type to proceed type logins wee eee One E Certified Application Assistant L E 1 51 a CAA SN User Login When you log in as a Certified Application Assistant CAA you will have the ability to process applications and record and track continuing contact with the applicant You will be able to note and set reminders for any issues that require follow up and or advocacy Every CAA user type must have a CAA Supervisor assigned to them When you log in as a CAA Supervisor you have additional functions To learn more about the additional functions a CAA Supervisor can access refer to the Supervisor chapter on PAGE 11 User Login You have the follo
35. lifornia County Select Gne US State Select One oor Other Country Seleck One w The search results can be further filtered by the assistor s name and a creation date range 18 fo search Begin Application When you begin a new application the One e App system will always prompt you to conduct an application search You can search for the Primary Informant who is the person you interview for the application or any other family member The primary informant does NOT need to be applying for health coverage and does NOT necessarily need to live in the home This search will assist in eliminating duplicate applications in the system Later you will search for other people on the application When you conduct searches for an applicant enter at least two of the following criteria applicants name gender or date of birth During the initial application search it is not necessary to fill out this section beyond those initial fields LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions BEGIN APPLICATION Search Results To retrieve and continue with an application click on the applicant s name Applications that you are authorized to coauthor are highlighted in blue Applications in Progress No matching records were found Determined Applications Pending Submission Expired or Program Closed Applications fil Jules Ray 1 22 2000 eS 11 25
36. lthy Families will only answer questions from the CAA who originally helped the client until the application is accepted or denied or that person him herself the parent or teen If you are not the original assistor it may be necessary to have the client on the phone in person or with a three way phone call Call 800 880 5305 to find out about the status of an application or an existing or previous case Healthy Kids lf the applicant thinks she or he might have a Healthy Kids case call LA Care at 888 452 5437 for assistance Child Health and Disability Prevention Program CHDP For general information to find a provider or to see if a child may be currently eligible for an exam call 1 800 993 CHDP 1 800 993 2437 You may also find a provider at http lapublichealth org cms chdp provider_finder asp THINGS TO CONSIDER According to our Department of Public Social Services some 60 of the denied Medi Cal applications for children that arrive in Los Angeles monthly either already have Medi Cal or already have started the process to apply Duplicate submissions waste resources that could be used to help more children with enrollment and finding health care LA County One e App User Manual 4 Help Desk 1 866 429 1979 Introduction Ch 1 Ch 2 Ch 3 Ch 4 Ch 5 Getting Started Logging on User Types Work Location CAA Supervisor Certified Application Assistant Menu Functions Beginning Application Renew or Mo
37. mination submission and application expiration You will be prompted to conduct an application search To access the workflow history you must click on the stack of books LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions viEW APPLICATION WORKFLOW HISTORY Workflow History for One e App Application ID 200712300082 Modified s Screen will provide you with a Renew Modify Application ID 200711600409 complete history of the application application creation preliminary Pre Preliminary Determination History eligibility determination submission e EEEE T E EEE a and renewed application with the new Application ID Post Preliminary Determination History as p T Child Health Disability Applications Pending Lizzie Ruiz 2 AA ly ON oe aaa 05 04 2007 319001541160 l aig ais Lizzie Ruiz Healthy Kids ae ae im 05 04 2007 3190015411607 Lizzie Ruiz Healthy Kids Signed Pending 95 94 2007 319001541160 Submission Lizzie Ruiz Healthy Kids Completion 05 04 2007 319001541160 Lizzie Ruiz aS Child Health Disability 05 19 2007 319001541160 Prevention Program LA County One e App User Manual 47 Help Desk 1 866 429 1979 CAA Menu Functions RE PRINT FORMS sacle RE PRINT FORMS Begin Application Renew Modify Application This menu function will provide you Conduct Application Search the ability to re print forms you have Contact Manageme
38. n Renew Modify Application Conduct Application Search O Contact Management O Search Disenrolled Persons Retrieve Fax Cover Sheets Update Applicant Data View Assistor Workload Program Submission Workload View Expired Applications View Reminders Health e App Fax Cover Pending Health e App Applications for CHDP Children O Submitted Health e App Applications for CHDP Children View Ticklers View Faxes View Notes View Application Workflow History O Re print Forms 17 CAA Menu Functions This section reviews all the following topics that appear on the opening menu of choices you have as you start your work on One e App LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions BEGIN APPLICATION Begin Application O Renew Conduct Application Search O Contact Management Search Disenrolled Persons Retrieve Fax Cover Sheets O Update Applicant Data View Assistor Workload Program Submission Workload ry Application search for an Application Before beginning 4 new application you must perform a search to find out whether the applicant s alreafy exists in the system Please specify at least two criteria or a unique identifier by which you would li First Name Nancie Middle Name Last Name Rigetti Gender Male Female Date of Birth o2 oz 1970 Person Place of Birt Ca
39. nt filled out or that you forgot to print Search Disenrolled Persons before Retrieve Fax Cover Sheets Update Applicant Data e Healthy Kids Rights and View Assistor Workload Declarations Program Submission Workload e Healthy Kids Consent to release View Expired Applications of records gt View Reminders eee eee e Income Affidavits Pending Health e App Applicafons for CHDP Children O Submitted Health e App Aplications for CHDP Children View Ticklers e Universal Summary View Faxes View Notes View ApplicationMVorkflow History e Healthy Families Add a Child e One e App Fax Cover Sheets e Healthy Families Renewal forms You will see applicant s signature on the Healthy Kids form Search for an Application You will be prompted to conduct an application search Before beginning a new application you must perform a search to find out whether the applicant s already exists in the system Please specify at least two criteria or a unique identifier by which you would like to search Person Detail First Name Middle Name Last Name Suffix Select One Gender Male Female Date of Birth LA County One e App User Manual 48 Help Desk 1 866 429 1979 CAA Menu Functions RE PRINT FORMS Submitted Applications SEARCH RESULTS RE PRINT FORMS You can view and re print forms by clicking on the finger with a ribbon tied around it
40. pplications assigned to them User Login You have the following User Types Please select one user type to proceed Select Gne Ne Certified Ar plication Assistant CAA Supervisor Menu Begin Application Renew Modify Application Conduct Application Search Contact Management Search Disenrolled Persons area ove steers Review Supervisor Expired Applications View Assistor Workload Program Submission Workload Expired Applications NIE holida Child Health FI J 5 16 2007 ae Liz Ramirez 200712100052 Disability Prevention 1 Expired Program Ann Static APP Slots When you log in as a CAA Supervisor you have three additional Menu options 1 Review Expired Applications 2 See Preliminarily Eligible and Submitted Applications 3 View Supervisor Workload Summary Review Supervisor Expired Applications will provide you with a list of your agency s expired applications You have the option to Close the Application or Return the Application to the Worker You must first check the box of the application you want to access This will open up the pull down menu Then select Close Application to remove it from the Expired Application workload You will receive a pop up indicating that the e a E ee ai ranak Disability Prevention eS aaa application will remain AS IS to allow a Pro aes Windows Internet Explorer P renewal
41. re One e App offers counties the flexibility to choose which programs they would like to include and each of the counties has taken a different approach to implementation To learn more about One e App and how it is being used in other California counties visit www oneeapp org In the future One e App in Los Angeles may include additional benefits programs like WIC Kaiser Child Health Plan and Medi Cal for adults and children19 and over This manual provides information on referrals to CHDP but does not provide information on the CHDP Gateway submission process For information on the CHDP Gateway see hitp www dhs ca qov pcfh cms chdp chdpgateway htm LA County One e App User Manual 2 Help Desk 1 866 429 1979 Introduction to One e App Who should use One e App Application Assistors may currently use One e App to apply for four health coverage programs e Medi Cal for Children and Pregnant Women e Healthy Families e Healthy Kids e Child Health and Disability Prevention Program CHDP lt is the perfect response for children who have temporary Medi Cal such as through the CHDP Gateway but who need to apply for full scope Medi Cal Pregnant women who have not received prenatal care and may be eligible for Presumptive Eligibility should be referred directly to an appropriate provider for Presumptive Eligibility services see Resources The follow up applications for Medi Cal for pregnant women should be faxed or sent to
42. s for which preliminary eligibility has not been determined Additional functions in this workload can assist you in managing the application The Extend icon extends the application beyond the 14 days that are allowed to keep an application in progress It will extend for two additional days You can extend an application twice The Remove icon removes an application if the client is no longer interested in applying or if you find the application to be a duplicate You will be prompted by the system to choose a reason for removal The Bring Back icon brings back an application that had been removed because the client was no longer interested in applying Once the application has been brought back you will be able to complete the application process Generate Notice can help to remind a client when you have an application that has been sitting in your workload for a long time One e App can generate letters for reminders at 7 and 13 days after the application was suspended Once you click on Generate Notice the system will produce the appropriate 7 or 13 day reminder letter that you can send to your client The 7 day reminder tells the client the application is about to expire the 13 day notice tells the client the application has expired and to contact you LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions VIEW ASSISTOR WORKLOAD Submitted Applications Awaiting Disposition SUBM
43. se call the Health Consumer Center of Los Angeles at 800 896 3203 if you have questions about health coverage applications for an individual or family or questions about immigration information LA County One e App User Manual 3 Help Desk 1 866 429 1979 Introduction to One e App One e App SEARCH FIRST Searching for an Existing Application in One e App As one of the first steps in One e App assistors must conduct a search for the applicant or a household member to determine whether an application has already been started in One e App One e App does not show where else the applicant may have submitted an application It is extremely important to be sure that the applicant and all of the family members applying have not already applied somewhere other than One e App or that they don t already have benefits Application Assistors should use the following resources Medi Cal e If the client is unsure whether or not she or he has applied use the Department of Public Social Services Questions to Ask see Resources to see if the client might have a Medi Cal case It might be that a recently closed within the last 30 days case can be re opened e If the client thinks she or he has a case or a child in the family has a Medi Cal case open use SAEVS or AEVs see Resources or materials from MCH Access or National Health Foundation CHAMP training online or by phone or call 877 597 4777 Healthy Families Hea
44. t ee ee with applicants such as address Update Applicant Data changes notices received View Assistor Workload additional information needed Program Submission Workload and issues raised with you View Expired Applications during phone calls or meetings As you learned in the previous section you must conduct a search to locate the application Contact Management Please specify any combination of the following criteria to search for an application and view the contact information Person Detail First Name Sara Middle Name Last Name Flores suffis Select One Gender Male Female Date of Birth Person Place of Birth California County Select One or US state Select GOne or Other Country Select One The search results can be further filtered by the assistor s name and a creation date range LA County One e App User Manual 24 Help Desk 1 866 429 1979 CAA Menu Functions CONTACT MANAGEMENT Contact Management RESULTS CONTACT To retrieve and continue with an application click on the applicant s name MANAG EM ENT PA lications in Date ress 1 You can make changes by clicking on the applicant s name Determined Applications Pending Submission Applications you are authorized to Sandy Flores 5 17 2000 Liz Ramirez 11 21 2006 Fax 200632400186 _ 86 95 coauthor are highlighted in green Submitted Applications Application Not Yet Started
45. the County fax or address in the Resource section but you may also use One e App All pregnancy applications should be followed closely to be sure that they are received and sent to the County for Medi Cal processing All applications sent to the County directly should be followed closely as well When should a paper application be used Future plans for One e App include adding programs for adults and older children Currently the system will notify the Department of Public Social Services that an adult is interested in applying but the One e App form does not serve as an application for an adult and will not hold the date of application Until additional programs are added other application processes are more appropriate means of applying for health coverage when the person e is from another county One e App is currently only for Los Angeles County residents e is 19 or over unless pregnant e is disabled or applying for coverage on the basis of disability or receive SSI income e needs sensitive services confidential for sexual assault family planning diagnosis and treatment of a Sexually Transmitted Infection pregnancy mental health issues or substance abuse treatment Adults should apply elsewhere if they e need health coverage quickly or e need to apply to cover past months bills This is especially true if the date is near the end of the month since Medi Cal can cover three months retroactive coverage Plea
46. tion s person s 1 Total number of determined applications pending submission Total number of submitted persons 2 Search Report a Bug Make a Suggestion iew Current Session Contents Parmanant Documents Dalz AM air a FoneSapp Fax Cover Sheet Apoiication ID 203712100088 1 Lii a tisi ETTET Frimary infoment Amowv Head Other Persons Jannis Hea Adcress 2329 With 8T Los Angaiae CA Zip B1017 Home Phone 21122 2 Pies ma an Y in the check box mest io each document you are taxing Example Piem ario 1 e TT o 8273 Coouments Attached Pree of CaliteeahplULS Hatiaeal De cermmetaticn anita Heel 30 RESULTS RETRIEVE FAX COVER SHEET To retrieve existing Fax Cover sheets click on the Fax link For additional tips see Fax Cover Sheet Tip Sheet in the Frequently Asked Question Section LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions UPDATE APPLICANT DATA Menu UPDATE APPLICANT DATA Begin Application Renew Modify Application O Conduct Application Search O Contact Management This function will allow you to update e Addresses e Telephone numbers e Family names including the primary informant O Program Submission Workload Search for an Applicant You will be prompted to conduct an application search Please specify any combination of the following criteria to search for an applicant Person Detail First Name
47. tting doctor s appointment Contacted dients with reminder to mail premiums Contacted dients to request additional information Action Item 1 Contacted dients to request verification documents Contacted family to assist with finding or changing a provider Helped cients make appointment with physician utilization Helped cients make appointment with dentist utilization Helped dients make appointment with eye doctor utilization Contacted State or local agency regarding dient s case Action Item i Status Filed eligibility appeal on cdient s behalf 5 Filed a complaint confict resolution appeal with health plan and or provider Action Item 2 Contacted dient with reminder about upcoming Annual Eligibility Review AER Completed Annual Eligibility Review AER Completed Add a Person Form Assisted dient to re enrall after a disenrollment Schedule appointment with dient Action Item 2 Status Select One LA County One e App User Manual 26 Help Desk 1 866 429 1979 CAA Menu Functions SEARCH DISENROLLED PERSONS Menu SEARCH DISENROLLED PERSONS Begin Application Renew Modify Application Conduct Application Search This search function can provide information regarding any person who was enrolled in the One e App system and has been disenrolled from the Healthy Kids program for the following reasons non payment aging out moved out of county incomplete renewal a change in family
48. uments e Premium e Appointment with client Office Visit e Appointment with client Phone Call e Application Modified LA County One e App User Manual Help Desk 1 866 429 1979 CAA Menu Functions VIEW FAXES Menu VIEW FAXES biti alain aie The View Faxes function will apron jones will allow you to view and print the verification documents that were faxed using the One e App Contact Management Search Disenrolled Persons O Retrieve Fax Cover Sheets Fax Cover Sheet Update Applicant Data View Assistor Workload Program Submission Workload View Expired Applications View Reminders Health e App Fax Covey Pending Health e Apg Applications for CHDP Children Submitted Health App Applications for CHDP Children View Ticklers O View Faxes View Notes View Application Workflow History View Faxes You will first be prompted to Before beginning a new application you must perform a search to find out whether the applicant s already perform an application search exists in the system Please specify at least two criteria or a unique identifier by which you would like to search Person Detail First Name Middle Mame Last Name Suffix Select One Gender O Male D Female Date of Birth U E Person Place of Birth California County 5elect Gne or US State 5elect One E or Other Country Select One
49. wing User Types Please select one user type to proceed Select One 5el CAA Supervisor PLEASE NOTE There are other user types that are not explained in this manual System Administer amp CHDP only LA County One e App User Manual 9 Help Desk 1 866 429 1979 Getting Started LOGGING ON WORK LOCATION Work Location The work location lists various sites your agency uses for One e App application assistance This function will track the Work Location applications that are completed at each of Other Location your agency s worksites Please select a work location Save as default location Applications taken at specific application assistance events can also be counted lt is important that you select the correct location each time you log on If you work out of one location only you can click on the box below to save that location as the default location This means It will be the location that automatically appears to save time when you log on LA County One e App User Manual 10 Help Desk 1 866 429 1979 CHAPTER 2 CAA Supervisor one app One Stop Access to Health Care Help Desk 1 866 429 1979 One e App Supervisor Functions Every CAA must have a CAA Supervisor assigned to them from their agency The CAA Supervisor is someone who can view the status of and manage applications of all the CAAs A CAA Supervisor must also be a CAA as they can process a
Download Pdf Manuals
Related Search