The Case Dashboard allows workers to view all the information necessary to pass a case ‘at-a-glance’.

1. Eligibility Bar

Eligibility Bar offers a brief synopsis of the selected case. Overviews the case’s name, DOB, SSN, address Case or Registry number, and if applicable any attached spouse’s information. The application and request date will also be displayed.

The Eligibility Bar also shows a three month look back for the case. This feature is separate from the respective program’s total look back period. This allows users to see the case’s resource limit status in the immediate three months prior to application. Below this feature is program’s asset limit as set by the state.

2. Eligibility Decision

Eligibility Decision indicates whether a case is Pending Review, currently under review (i.e. Review in Progress) or, if the review is complete, the determination that was made (i.e. Transfer Penalty, Ineligible, or Eligible).

Note: Decisions made in the AVS Portal will not transfer over to the state’s eligibility system.

2.1 Review in Progress

When a worker updates the case status from “Pending Review” to “Review in Progress”, it signifies to workers, supervisors, and reporting that the case is currently being worked. This step is required. Users will be prevented from deciding cases without first selecting ‘Review in Progress’. Also, once a case is selected as “Review in Progress” a spouse cannot be added to that case.

2.2 Transfer Penalty

Indicates that the applicant is neither eligible nor ineligible, but that an account transfer occurred that is affecting the individual’s level of service.

2.3 Ineligible

Indicates that the case is currently unable to be considered for benefits. Ineligibility can be a record with any of the following reasons:

• Over Resources – Financial Accounts
• Over Resources – Real Property
• Over Resources – Real Property and Financial Accounts
• Other

2.4 Eligible

Indicates that the case satisfies current requirements for benefits.

2.5 Close/Withdrawn

Signifies a cancellation or removal of a case since the initial request (N/A – currently under consideration for development)

3. Application Information

Application Information conveys basic information regarding the request (i.e. nursing home) and case type (i.e. application or renewal).

Within the Application Information, each section can be collapsed or expanded to display specifics regarding the case:

3.1 Program information

Includes Request Type, Household Size, Resource Limit, Application Date, Balance at Institutionalization.

3.2 Case Information

Includes CIN, Case #, Registry #, Residence Address, Mailing Address, Transaction District, Local Office, Unit and Worker.

3.3. Applicant information

Includes Name, Date of Birth, and Address.

3.4 Spouse information (if applicable):

Includes Name, Date of Birth, Address, Applying? (asking whether the Spouse is also an Applicant or not), and Spouse SSN. If a spouse’s information was not provided at the time of request, it will not display unless it is later added.

4. Account Information

Account Information displays the value of current resources as of month of application. Here, two flags could potentially display from the Case Dashboard view if one or both conditions are met. Unreported Account, one of the potential flags, is selected by users who discover that an account was previously undisclosed. Excluded Accounts, the second potential flag, alerts users of the presence of excluded from the resource calculation. Examples: annuity, custodial (guardianship) or burial/funeral accounts. Therefore, any time one of these accounts appear, the excluded account flag is triggered automatically.

Within the Account information detail, users may view all account information gathered from asset request. Account detail, when expanded, includes total account value, balance history (account balances, dates, and interest earned), and the ability to flag previously undisclosed accounts.

To maintain organization, individual accounts are divided automatically into categories (Countable Accounts, Excluded Accounts, Unverified Accounts, or Verification Requests). Furthermore, individual accounts can be viewed either in Account View or Month View. The default view is the Account View from the Account View, users can access the Verification Request functionality.

4.1 Countable Accounts

Accounts that are considered as part of the overall resource calculation as determined by state policy.

4.2 Excluded Accounts

Accounts that are not included in the overall resource calculation as determined by state policy.

4.3 Unverified Accounts

A response from a specific bank stating that the identity requested cannot be verified. If a Name, for example, did not match SSN at the Financial Institution, there is not only an alert in the Case Queue but, there is a corresponding “Will Not Respond” message within the “Unverified Accounts”.

4.4 Verification Request

Account inquiry at a known Financial Institution (FI) by selecting the “Add Bank(s) for Verification” link. Can search for and request information from any FI in the United States.

Users can also adjust the view of the account information to ‘Month View’ from the default view which is ‘Account View’. The information remains the same, the display is the only change. Users can review any and all financial information that was returned with the balances on a month by month basis. Each month will show as a separate row.

Once a specific row or month is selected, it will drop down and display the financial information for that given time period. If multiple accounts were found for a case, then each account will show in the drop down with its respective monthly balance according to the first minute, of the first day of each month. The FI name, account type, account number, owner, and balance will all still display. Example below:

Note: SSA Direct Express and ABLE accounts will display as “Checking” or “Savings” accounts and will not be identified separately from other checking or savings accounts at this time. Guardianship accounts will display as custodial accounts as well.

5. Property Information

Property Information displays the value of any currently or previously owned properties from within the lookback period. Both the market and accessed total value should display for any found property.

Within the Property Information detail, data is organized depending on whether the property result is for currently or previously owned real property that was sold within the timeframe of the applicable look-back. Users must click the “Unreported” checkmark when a property was not disclosed by the applicant.

Properties will be matched to an applicant or spouse if their names and SSN’s are linked to a deed and assessment record.

5.1 Currently Owned Property

A current property or residence that is associated with the A/R’s name (or A/R’s spouse) during the applicable lookback period of the respective program.

5.2 Previously Owned Property

A former property or residence that is associated with the A/R’s name (or A/R’s spouse) during the applicable lookback period of the respective program.

6. AVS Summary

AVS Summary aggregates all the suspicious transfers or properties of an individual who is potentially ineligible based on available information.

A risk score is used to indicate whether the applicant is Under or Over Resources. Therefore, if an applicant/beneficiary was under resources, the risk score displayed in the portal would be 1-Under Resource. If the applicant/beneficiary was over resources, the risk score displayed in the portal would be 2-Over Resource. Additionally, if any suspicious asset transfers occurred, a Flagged Transfers signal would appear in the Case Dashboard view.

Furthermore, clicking on a specific month from the Flagged Account Resource Transfers drop-down in the AVS Summary effectively links the user to the Account Information (Account View) listing the flagged account. Likewise, clicking on a Flagged Total Account Transfers links the user to the Account Information (Month View) to the month with the flagged total account transfer.

The AVS Summary summarizes results into the following categories:

6.1 Flagged Account Resource Transfers

A list of detectable excessive transfers in individual accounts.

6.2 Flagged Total Account Transfers

List of detectable excessive transfers in total accounts.

6.3 Flagged Property Transfers

Properties sold for less than 80% of market value.

6.4 Flagged Deeds

Sold properties with Quit Claim deeds.

6.5 Generate Case Summary Report

Selecting this option will export all data within the case summary section, plus each bank account that was found and their monthly balances, into a printable format. A new tab will open after generating the report and will allow users to print out the data. Refer to the AVS Summary Report example shown here:

7. Eligibility History

Eligibility History identifies the number of times a request has been processed through the AVS Portal for this applicant/beneficiary. Cases that have not previously been entered into the AVS Portal will have an eligibility history of zero (0).

• For cases that do have an eligibility history, the previous case’s request will display for review.
• Users will be able to see which user was assigned to the previous case, along with the case details, program summary, account summary, property summary and any comments another user left of the case.