Healthplanfinder letters
| 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 |