CALHEERS OVERVIEW. What is CalHEERS?. CalHEERS is an acronym. It stands for ‘California Health Eligibility, Enrollment, and Retention System’.
What is CalHEERS?
CalHEERS will be accepting applications as of October 1, 2013; however, the interface between SAWS and CalHEERS will not go live until January 1, 2014.
A new page will be added to display Referrals Received from CalHEERS. When the current status is received they referral can be linked to a C-IV case. Once the EDBC has been run with this MAGI Determination, the status will update to “Complete”. (DRAFT Mock up)
A new page will be added to display changes reported from CalHEERS. This page will be a list of all the change reporting updates from CalHEERS.
The user will receive an auto-generated task when change reporting information is received. (DRAFT Mock up)
A new link will be added to C-IV entitled “MAGI Eligibility”. This page is where workers can run MAGI eligibility for a case, by selecting the month and clicking Run MAGI. (DRAFT Mock up)
After clicking Run MAGI, the MAGI Determination list page refreshed to indicate the request has been submitted to CalHEERS and the results will be provided by the message center. (DRAFT Mock up)
When the determination from CalHEERS has been received, the MAGI Determination Summary page will display the results. (DRAFT Mock up)
Since MAGI uses the tax household to determine family size, new pages will be added to C-IV to collect this information.