Eligibility
Programs such as Medicaid, SNAP (Foodstamps) and Unemployment Insurance are grappling with a cumbersome process to determine eligibility. Providers waiting on payment are often delayed waiting to see if their clients will receive assistance. With a simple tool from AutoGov, a numerical score determines the risk of each candidate for these programs based on historical data for the worker charged with that decision.
By deploying AutoGov software, CaseVue, at the point of determination for eligibility risk is reduced at “the front door.” With CaseVue’s scoring engine, each client’s risk is rated by a score based on changing data. It is inexpensive, simple to run with existing systems and creates a threshold for your organization to determine timely eligibility while reducing errors.
Today the area of health and human services faces a burdensome quantity of data, fewer caseworkers and voluminous regulations resulting in stagnation and low morale.
Workers are called upon to understand multiple programs across many services. For example one caseworker may need to be versed in three hundred pages of Medicaid regulation as well as multiple documents related to SNAP. Even those who are specialized in a particular area face similar challenges. Case managers and business office managers in hospitals, nursing homes and doctor’s offices are also affected by the complexities and resulting delays. Ultimately it is the clients who feel the impact.
As the volume of data has increased, the usefulness of the data has decreased. More or current information is not necessarily accurate or useful information. As the economic climate worsens, staffs are cut. Caseworkers are burdened with more clients to review and more complex caseloads.
Managing eligibility in the context of conflicting mandates and rising caseloads is taxed by diminishing resources. The challenge faced by government professionals today can be met with a simple, inexpensive, easy to use tool: AutoGov’s CaseVue.