On Friday, February 14, HCA offices will open at 10 a.m. If you are planning to come to Cherry Street Plaza, please use caution. Phone lines will be available during normal business hours. View ways to connect with us.
| HPF Number | HPF Letter Name | Description | Freeform Text Requirement | Triggering Action/Sent When |
|---|---|---|---|---|
| EE001*** | Additional Verification Required (conditionally approved - or pending verification) | Produce a correspondence to an individual who needs to provide additional verifications to finalize their eligibility status | Yes - able to add free form text |
Auto generated Status of conditionally eligible is returned for an individual for HIPTC/QHP Status of active is returned for an individual for WAH
|
| EE0034*** | Complete Your Application | Reminder to complete application | None - unable to add free form text |
Auto generated When an individual has started an application, but has not completed it |
| EE005 | WAH Information Request | Information request for individuals with outstanding verifications for WAH | Yes - able to add free form text |
When an individual designates their application as "partially submitted". When a worker manually triggers EE005 through an individual's dashboard |
| EE008 | WAH Renewal | Correspondence for automatic renewal for WAH (Medicaid/CHIP) coverage | None - unable to add free form text |
Auto generated When an individual is currently enrolled in WAH and their new eligibility determination at renewal indicates a status of "approved" for WAH for the subsequent coverage period. |
| EE009 | WAH Renewal - Action Required | Correspondence notifying an individual of action required to complete a WAH renewal 60 days ahead of the end of the eligibility period. | None - unable to add free form text |
Auto generated When HBE calls the Eligibility Service (ES) engine 60 days before the end of a household's WAH eligibility period and receives a status indicating that all members of the household cannot be auto renewed. |
| EE010 | WAH Denial | Correspondence notifying an individual who is denied for WAH | Yes - able to add free form text |
When a worker forces "denial" on an individual's application with an eligibility status of "pending". When an individual receives the EE005 Information Request for a partially submitted application and has not responded by the due date specified in the Information Request. |
| EE011 | WAH Termination | Correspondence notifying an individual who is being terminated for WAH coverage |
When a status of "termination" is returned for an individual or household who is currently part of WAH When a worker forces termination of WAH through the Application Review screen. NOTE: When HBE runs an eligibility determination for a household that has a 19-year-old, HBE will receive a status of "denied" with a reason code of "failure to renew". At that point, HBE business logic will determine whether the household has a 19-year-old and will add the appropriate tag next. Forced termination reason code text is included in this correspondence. |
|
| EE013 | General Correspondence | Correspondence used by staff to provide custom information to individuals | Yes - able to add free form text |
When a worker clicks the "next" button on the free form text screen |
| EE015 | Eligibility Results | Correspondence for determination of WAH, APTC, QHP during the initial application, at change reporting or renewal period | None - unable to add free form text |
Auto generated When an individual receives their eligibility determination as part of the initial application, change reporting or renewal process |