HCRTC26300 |
Preliminary Eligibility Determination Notification (en) |
| No | No | PRE_ELIGI_DETER_NOTIFICATION |
HCRTC26301 |
Eligibility Decision Individual Notification (en) |
| No | No | ELIGIBILITY_DECISION_INDIVIDUAL_NOTIFICATION |
HCRTC26302 |
Preliminary Eligibility Determination COC Notification (en) |
| No | No | PRE_ELIGI_DETER_COC_NOTIFICATION |
HCRTC26303 |
Employer Enrollment Notification (en) |
| No | No | EMPLOYER_ENROLLMENT_NOTIFICATION |
HCRTC26320 |
Account Transfer Inbound Transform (en) |
| No | Yes | HCR_AT_INBOUND_TRANSFORM |
HCRTC26321 |
Account Transfer Outbound Transform (en) |
| No | Yes | HCR_AT_OUTBOUND_TRANSFORM |
TC10000 |
Eligible for Medical Assistance Program with SpendDown (en) |
| No | Yes | ELIGIBLEFORMEDICALASSISTANCEPROGRAMWITHSPENDDOWN |
TC10001 |
SpendDown Program Coverage Active (en) |
| No | Yes | SPENDDOWNPROGRAMCOVERAGEACTIVE |
TC10002 |
Recalculation of SpendDown Amount Outstanding SpendDown Amount (en) |
| No | Yes | RECALCULATIONOFSPENDDOWNAMOUNTOUTSTANDINGSPENDDOWNAMOUNT |
TC10003 |
Recalculation of SpendDown Coverage Not Retained (en) |
| No | Yes | RECALCULATIONOFSPENDDOWNCOVERAGENOTRETAINED |
TC10004 |
CHIP Health Insurance Approved (Exempt) (en) |
| No | Yes | CHIPHEALTHINSURANCEAPPROVEDEXEMPT |
TC10005 |
CHIP Health Insurance Approved (en) |
| No | Yes | CHIPHEALTHINSURANCEAPPROVED |
TC10006 |
CHIP Health Insurance Denied (en) |
| No | Yes | CHIPHEALTHINSURANCEDENIED |
TC10007 |
CHIP Household Member(s) Added (en) |
| No | Yes | CHIPHOUSEHOLDMEMBERSADDED |
TC10008 |
CHIP Health Insurance Approved Outstanding Premium (en) |
| No | Yes | CHIPHEALTHINSURANCEAPPROVEDOUTSTANDINGPREMIUM |
TC10009 |
CHIP Premium Invoice (en) |
| No | Yes | CHIPPREMIUMINVOICE |
TC10010 |
| No | Yes | INTERNALREFERRAL |
TC13 |
Income Screening Confirmation Communication (en) |
| No | No | INCOMESCREENINGCONFIRMATIONCOMMUNICATION |
TC14 |
Income Screening Eligibility Communication (en) |
| No | No | INCOMESCREENINGELIGIBILITYCOMMUNICATION |
TC15 |
Income Screening Evidence Communication (en) |
| No | No | INCOMESCREENINGEVIDENCECOMMUNICATION |
TC16 |
Income Screening Verification Communication (en) |
| No | No | INCOMESCREENINGVERIFICATIONCOMMUNICATION |
TC17 |
Income Screening Non Eligible Communication (en) |
| No | No | INCOMESCREENINGNONELIGIBLECOMMUNICATION |
TC20 |
Appeal Cancellation Notice (en) |
| No | No | APPEALCANCELLATIONNOTICE |
TC21 |
Appeal Continuance Notice (en) |
| No | No | APPEALCONTINUANCENOTICE |
TC22 |
Appeal Court Petition (en) |
| No | No | APPEALCOURTPETITION |
TC23 |
Appeal Decision Notice (en) |
| No | No | APPEALDECISIONNOTICE |
TC24 |
| No | No | APPEALFEELETTER |
TC25 |
Appeal Rejection Notice (en) |
| No | No | APPEALREJECTIONNOTICE |
TC26 |
Appeal Request Receipt - Hearing Case (en) |
| No | No | APPEALRECEIPTHEARINGCASE |
TC27 |
Appeal Request Receipt - Hearing Review (en) |
| No | No | APPEALRECEIPTHEARINGREVIEW |
TC28 |
Appeal Request Receipt - Judicial Review (en) |
| No | No | APPEALRECEIPTJUDICIALREVIEW |
TC29 |
Appeal Schedule - Hearing Review (Appellant) (en) |
| No | No | APPEALSCHEDULEREVIEWAPPELLANT |
TC30 |
Appeal Schedule - Hearing Review (Representative) (en) |
| No | No | APPEALSCHEDULEREVIEWREP |
TC31 |
Appeal Schedule - Hearing Review (Respondent) (en) |
| No | No | APPEALSCHEDULEREVIEWRESPOND |
TC32 |
Appeal Schedule - Home Hearing (Appellant) (en) |
| No | No | APPEALSCHEDULEHOMEAPPELLANT |
TC33 |
Appeal Schedule - Home Hearing (Representative) (en) |
| No | No | APPEALSCHEDULEHOMEREP |
TC34 |
Appeal Schedule - Home Hearing (Third Party) (en) |
| No | No | APPEALSCHEDULEHOMETHIRDPARTY |
TC35 |
Appeal Schedule - Home Hearing (Witness) (en) |
| No | No | APPEALSCHEDULEHOMEWITNESS |
TC36 |
Appeal Schedule - Location Hearing (Appellant) (en) |
| No | No | APPEALSCHEDULELOCATIONAPPELLANT |
TC37 |
Appeal Schedule - Location Hearing (Representative) (en) |
| No | No | APPEALSCHEDULELOCATIONREP |
TC38 |
Appeal Schedule - Location Hearing (Third Party) (en) |
| No | No | APPEALSCHEDULELOCATIONTHIRDPARTY |
TC39 |
Appeal Schedule - Location Hearing (Witness) (en) |
| No | No | APPEALSCHEDULELOCATIONWITNESS |
TC40 |
Appeal Schedule - Phone Hearing (Appellant) (en) |
| No | No | APPEALSCHEDULEPHONEAPPELLANT |
TC41 |
Appeal Schedule - Phone Hearing (Representative) (en) |
| No | No | APPEALSCHEDULEPHONEREP |
TC42 |
Appeal Schedule - Phone Hearing (Third Party) (en) |
| No | No | APPEALSCHEDULEPHONETHIRDPARTY |
TC43 |
Appeal Schedule - Phone Hearing (Witness) (en) |
| No | No | APPEALSCHEDULEPHONEWITNESS |
TC44 |
Appeal Statement Letter (en) |
| No | No | APPEALSTATEMENTLETTER |
TC45 |
Appeal Subpoena - Home Hearing (en) |
| No | No | APPEALSUBPOENAHOME |
TC46 |
Appeal Subpoena - Location Hearing (en) |
| No | No | APPEALSUBPOENALOCATION |
TC47 |
Appeal Subpoena - Phone Hearing (en) |
| No | No | APPEALSUBPOENAPHONE |
TC48 |
Appeal Transcript Letter (en) |
| No | No | APPEALTRANSCRIPTLETTER |
TC49 |
Appeal Schedule - Hearing Review (Third Party) (en) |
| No | No | APPEALSCHEDULEREVIEWTHIRDPARTY |
TC50 |
Appeal Schedule - Home Hearing (Interpreter) (en) |
| No | No | APPEALSCHEDULEHOMEINTERPRETER |
TC51 |
Appeal Schedule - Location Hearing (Interpreter) (en) |
| No | No | APPEALSCHEDULELOCATIONINTERPRETER |
TC52 |
Appeal Schedule - Phone Hearing (Interpreter) (en) |
| No | No | APPEALSCHEDULEPHONEINTERPRETER |
TC53 |
Appealed Case Rejection Notice (en) |
| No | No | APPEALEDCASEREJECTIONNOTICE |
TC54 |
Appeal Schedule - Desk Hearing (Appellant) (en) |
| No | No | APPEALSCHEDULEDESKAPPELLANT |
TC55 |
Appeal Schedule - Desk Hearing (Representative) (en) |
| No | No | APPEALSCHEDULEDESKREP |
TC56 |
Attendance Cancellation Notice (en) |
| No | No | ATTENDANCECANCELLATIONNOTICE |
TC57 |
Hearing Adjournment Notice (en) |
| No | No | HEARINGADJOURNMENTNOTICE |
TC58 |
Appeal Schedule - Location Hearing (Appellant without AidStatus) (en) |
| No | No | APPEALSCHEDULELOCATIONWITHOUTAIDSTATUSAPPELLANT |
TC59 |
Appeal Request Receipt - Hearing Case (No Continue Benefits) (en) |
| No | No | APPEALRECEIPTHEARINGCASEWITHOUTCONTINUEBENEFITS |
TC61 |
Appeal Request Receipt - Hearing Review (No Continue Benefits) (en) |
| No | No | APPEALRECEIPTHEARINGREVIEWWITHOUTCONTINUEBENEFITS |
TC62 |
Appeal Request Receipt - Judicial Review (No Continue Benefits) (en) |
| No | No | APPEALRECEIPTJUDICIALREVIEWWITHOUTCONTINUEBENEFITS |
TC63 |
Appeal Schedule - Hearing Review (Appellant without AidStatus) (en) |
| No | No | APPEALSCHEDULEREVIEWWITHOUTAIDSTATUSAPPELLANT |
TC_LA_2 |
Hearing Adjournment Notice (en) |
| No | No | LAHEARINGADJOURNMENTNOTICE |
TC_LA_3 |
LegalAction Statement Letter (en) |
| No | No | LALEGALACTIONSTATEMENTLETTER |
TC_LA_4 |
LegalAction Schedule - Location Hearing (Witness) (en) |
| No | No | LALEGALACTIONSCHEDULELOCATIONWITNESS |
TC_LA_5 |
LegalAction Subpoena - Location Hearing (en) |
| No | No | LALEGALACTIONSUBPOENALOCATION |
TC_LA_6 |
LegalAction Schedule - Phone Hearing (Witness) (en) |
| No | No | LALEGALACTIONSCHEDULEPHONEWITNESS |
TC_LA_7 |
LegalAction Subpoena - Phone Hearing (en) |
| No | No | LALEGALACTIONSUBPOENAPHONE |
TC_LA_8 |
LegalAction Phone Hearing (en) |
| No | No | LALEGALACTIONSCHEDULEPHONE |
TC_LA_9 |
LegalAction Continuance Notice (en) |
| No | No | LALEGALACTIONCONTINUANCENOTICE |
TC31001 |
| No | Yes | AGREEMENTTEMPLATE |
WSPNT001 |
| No | No | INTAKEAPP |
WSPNT002 |
| No | Yes | ONLINEAPPEAL |
PNT1 |
Provider Approval Notification (en) |
| No | No | PROVIDERAPPROVALNOTIFICATION |
PNT2 |
Provider Closure Notification (en) |
| No | No | PROVIDERCLOSURENOTIFICATION |
PNT3 |
Provider Enrollment Notification (en) |
Provider Enrolment Notification (en_GB) |
| No | No | PROVIDERENROLLMENTNOTIFICATION |
PNT4 |
Provider Group Closure Notification (en) |
| No | No | PROVIDERGROUPCLOSURENOTIFICATION |
PNT5 |
Provider Group Enrollment Notification (en) |
Provider Group Enrolment Notification (en_GB) |
| No | No | PROVIDERGROUPENROLLMENTNOTIFICATION |
PNT6 |
Provider Group Re-opening Notification (en) |
| No | No | PROVIDERGROUPREOPENINGNOTIFICATION |
PNT7 |
Provider Rejection Notification (en) |
| No | No | PROVIDERREJECTIONNOTIFICATION |
PNT8 |
Provider Re-opening Notification (en) |
| No | No | PROVIDERREOPENINGNOTIFICATION |
PNT9 |
Provider Service Offering Approval Notification (en) |
| No | No | PROVIDERSERVICEOFFERINGAPPROVALNOTIFICATION |
PNT10 |
Provider Service Offering Approval Denial Notification (en) |
| No | No | PROVIDERSERVICEOFFERINGAPPROVALDENIALNOTIFICATION |
PNT11 |
Provider Suspension Notification (en) |
| No | No | PROVIDERSUSPENSIONNOTIFICATION |
PNT12 |
License Approval Notification (en) |
| No | No | LICENSEAPPROVALNOTIFICATION |
PNT13 |
License Suspension Notification (en) |
| No | No | LICENSESUSPENSIONNOTIFICATION |
PNT14 |
License Rejection Notification (en) |
| No | No | LICENSEREJECTIONNOTIFICATION |
PNT15 |
License Renewal Notification (en) |
| No | No | LICENSERENEWALNOTIFICATION |
PNT16 |
Provider Contract Cover Letter (en) |
| No | No | PROVIDERCONTRACTCOVERLETTER |
PNT17 |
Provider Flat-Rate Contract(Regular) (en) |
| No | No | PROVIDERFLATRATECONTRACTREG |
PNT18 |
Provider Group Flat-Rate Contract(Regular) (en) |
| No | No | PGFLATRATECONTRACTREG |
PNT19 |
Provider Flat-Rate Contract(Total) (en) |
| No | No | PROVIDERFLATRATECONTRACTTOTAL |
PNT20 |
Provider Group Flat-Rate Contract(Total) (en) |
| No | No | PGFLATRATECONTRACTTOTAL |
PNT21 |
Provider Utilization Contract (en) |
Provider Utilisation Contract (en_GB) |
| No | No | PROVIDERUTILIZATIONCONTRACT |
PNT22 |
Provider Group Utilization Contract (en) |
Provider Group Utilisation Contract (en_GB) |
| No | No | PGUTILIZATIONCONTRACT |
PNT23 |
Provider Contract Activation Notification (en) |
| No | No | PROVIDERCONTRACTACTIVATIONNOTIFICATION |
PNT24 |
Provider Group Contract Activation Notification (en) |
| No | No | PGCONTRACTACTIVATIONNOTIFICATION |
PNT25 |
Provider Contract Termination Notification (en) |
| No | No | PROVIDERCONTRACTTERMINATIONNOTIFICATION |
PNT26 |
Provider Group Contract Termination Notification (en) |
| No | No | PGCONTRACTTERMINATIONNOTIFICATION |
PNT27 |
Provider Contract Renewal Notification (en) |
| No | No | PROVIDERCONTRACTRENEWALNOTIFICATION |
PNT28 |
Provider Group Contract Cover Letter (en) |
| No | No | PGCONTRACTCOVERLETTER |
PNT29 |
Provider Group Contract Renewal Notification (en) |
| No | No | PGCONTRACTRENEWALNOTIFICATION |
PNT36 |
Corrected Service Invoice Line Item Overpayment Notification (en) |
| No | No | SILICORRECTIONOVERPAYMENTNOTIFICATION |
PNT37 |
Service Invoice Line Item Denied Notification (en) |
| No | No | SILIDENIEDNOTIFICATION |
PNT38 |
Corrected Service Invoice Line Item Underpayment Notification (en) |
| No | No | SILICORRECTIONUNDERPAYMENTNOTIFICATION |
PNT39 |
Service Rate Update Notification (en) |
| No | No | SERVICERATEUPDATENOTIFICATION |
PNT3040 |
Corrected Service Invoice Line Item Payment Notification (en) |
| No | No | SILICORRECTIONPAYMENTNOTIFICATION |
PNT3041 |
Paper Roster Notification (en) |
| No | No | PAPERROSTERNOTIFICATION |
PNT3042 |
Corrected Provider Roster Line Item Underpayment Notification (en) |
| No | No | PRLICORRECTIONUNDERPAYMENTNOTIFICATION |
PNT3043 |
Corrected Provider Roster Line Item Overpayment Notification (en) |
| No | No | PRLICORRECTIONOVERPAYMENTNOTIFICATION |
PNT3044 |
Roster Line Item Denied Notification (en) |
| No | No | ROSTERLINEITEMDENIALNOTIFICATION |
PNT3045 |
Roster Submission Reminder Notification (en) |
| No | No | ROSTERSUBMISSIONREMINDERNOTIFICATION |
TC3001 |
Default Referral Client Template (en) |
| No | Yes | DEFAULTREFERRALCLIENTTEMPLATE |
TC3002 |
Default Referral Provider Template (en) |
| No | Yes | DEFAULTREFERRALPROVIDERTEMPLATE |
TC3003 |
Referral Client Template (en) |
| No | Yes | REFERRALCLIENTTEMPLATE |
TC3004 |
Referral Provider Template (en) |
| No | Yes | REFERRALPROVIDERTEMPLATE |
PROVSP4001 |
New Service Plan Contract (en) |
| No | Yes | PROVIDERSERVICEPLANCONTRACT |
TC1 |
Case Closure Client Notification (en) |
| No | Yes | CASECLOSURECLIENTNOTIFICATION |
TC2 |
Case Closure Supplier Notification (en) |
| No | Yes | CASECLOSURESUPPLIERNOTIFICATION |
TC3 |
Case Reactivation Client Communication (en) |
| No | Yes | CASEREACTIVATIONCLIENTCOMMUNICATION |
TC4 |
Case Appeal Creation Supplier Notification (en) |
| No | Yes | CASEAPPEALCREATIONSUPPLIERNOTIFICATION |
TC5 |
Case Appeal Cancellation Supplier Notification (en) |
| No | Yes | CASEAPPEALCANCELLATIONSUPPLIERNOTIFICATION |
TC6 |
Case Referral Creation Supplier Notification (en) |
| No | Yes | CASEREFERRALCREATIONSUPPLIERNOTIFICATION |
TC7 |
Case Suspended Client Communication (en) |
| No | Yes | CASESUSPENDEDCLIENTCOMMUNICATION |
TC8 |
Case Unsuspended Client Communication (en) |
| No | Yes | CASEUNSUSPENDEDCLIENTCOMMUNICATION |
TC9 |
Case Created Client Communication (en) |
| No | Yes | CASECREATEDCLIENTCOMMUNICATION |
TC10 |
Unemployment Benefit Client Form (en) |
| No | Yes | UNEMPLOYMENTBENEFITCLIENTFORM |
TC11 |
| No | Yes | |
TC12 |
Case Referral Cancellation Supplier Notification (en) |
| No | Yes | CASEREFERRALCANCELLATIONSUPPLIERNOTIFICATION |
TC60 |
Service Plan Contract (en) |
| No | No | SERVICEPLANCONTRACT |
TC70 |
External Party Registration Notification (en) |
| No | No | EXTERNALPARTYREGISTERNOTIFICATION |
TC71 |
External Party Closure Notification (en) |
| No | No | EXTERNALPARTYCLOSURENOTIFICATION |
TC72 |
External Party Reopen Notification (en) |
| No | No | EXTERNALPARTYREOPENNOTIFICATION |
TC2000 |
| No | Yes | CONTACTLOGPREVIEW |
TC2001 |
| No | Yes | ACTIONPLAN |
ISEPNT001 |
| No | No | MEETINGMINUTES |