Programs can be authorized from the application and the integrated case.
The caseworker initiates check eligibility once all the information for the household has been entered. Check eligibility can be executed multiple times. The caseworker can view the eligibility check results. The caseworker sets the application as ready for determination where the agency has a separate eligibility worker role. The eligibility worker selects to review eligibility results. This displays the most recent eligibility check initiated for each program/coverage type. Here the eligibility worker can authorize, decline or deny results.
The caseworker authorizes eligible assistance units for each program separately. A client cannot be authorized for the same program in multiple assistance units with the exception of specific Medical Assistance coverage types; a client may have Qualified Medicare Beneficiary (QMB) or Specified Low-Income Medicare Beneficiary (SLMB) along with another Medical Assistance coverage type.
A program may be declined where the client is eligible but chooses not to receive the program. A program is considered ineligible when there is no eligible decision determined for the program. The caseworker can select to deny such program.
Once all eligible assistance units are authorized or declined the application will automatically be disposed. If there are no eligible results for a program, the application for that program is automatically disposed.
Caseworkers are comprised of either an intake worker and eligibility worker or a combined worker. The combined worker carries out the whole intake process. Smaller agencies sometimes only have a combined worker rather than two separate workers i.e. intake and eligibility worker.
The caseworker also has the ability to authorize results from the integrated case without the need for an application. The caseworker can initiate eligibility checks from the integrated case, authorize the result, and create a new product delivery if the unit is not already in receipt of the program being authorized. Program authorization at integrated case level supports movement between Medical Assistance coverage types without the requirement for an application.