(1) Vendor needs to provide resumption of medicaid eligibility determination staffing services to support as it prepares for the resumption of eligibility determinations for all state and federal programs to the government authority located in Providence, Rhode Island.
- Staffing needs to be scalable to meet changing demand, as well as meet all statutory and regulatory requirements, system security requirements and provide for the confidentiality, integrity, and availability of systems and data.
- Human Services including:
• Medicaid eligibility rules
• Experience using a medicaid eligibility system(s)
• Call center processing
• Customer support
- The staff proposed by the vendor will be expected to work forty billable hours per week, 8 hours per workday
• Assist applicants and recipients in knowing their rights and responsibilities, completing applications, and securing supporting evidence in order to ensure that complete and accurate information is obtained
• Provide information to applicants and recipients and to other interested parties by mail, telephone or in person, about laws, rules, regulations, policies and procedures, and eligibility requirements to ensure an understanding of available program benefits
• Assist the customer through the customer portal to complete required forms
• Refer to social service personnel those applicants and recipients who express a need for service-oriented functions
• Prepare reoccurring and special reports, including simple statistical breakdowns
• Utilize an automated database for case processing, including using the equipment and related routines in the performance of assigned duties
• To report suspected cases of child and elder abuse or neglect to appropriate authorities
• Research and perform customer outreach using undeliverable mail to update customer address and other information
• Process Change Reports
• Make and received phone, fax, and email communication with DHS customers to provide information of benefit changes, obtain needed demographic information and/or clarify information needed for processing or maintaining benefits
• Data entry into RI Bridges to prepare case to processing by Eligibility Technicians
• Handling Complaints (non-case specific)
• General information on programs, local offices and referrals
• Taking requests to replace forms and letters, including requests for blank new applications
• Scheduling and rescheduling applications
• To perform other duties
• Provide the following read-only information from the system
(2) All the questions must be submitted no later than January 30, 2023
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