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reviewed to determine if a mistake was made. See section 4110-5 Corrective Action for a Mistake Once Approved and Care Authorized.

1. CCPO Eligibility and Benefits Staff assigned to thePolicy Mailbox will: a. Enter the request on the fiscal year’s hearing tracking spreadsheet;

b. Create an electronic folder within the Appeals and Hearing Requests fiscal year’s folder in the CCPO shared drive, based on if the request is from a family or aprovider. • The format for a family folder is: Last Name, First Name, ICCIS #; and • The format for a provider folder is: Facility Name(or provider Last, First name if no facility name);

c. Enter a case note in the family or provider’s case in ICCIS using subject heading: CCAP Hearing Request Rcvd MM/DD/YYYY; the body of the case note is to contain the CCPO Eligibility and Benefits Staff member assigned to the pre-hearingconference and the hearing reference number assigned from the on-line submission tool (ie: ##-##-######-FH)

d. Scan all documents to the electronic folder;

e. Create a manila file and forward it to the assigned CCPO Eligibility and Benefits Staff from the tracking spreadsheet;

f. Complete the on-line submission tool through the DPA Web intranet for a Fair Hearing Referral identifying the CCPO Eligibility and Benefits Staff member assigned to the pre- hearing conference.

2. CCPO Eligibility and Benefits Staff Assigned to the Pre-Hearing Conference will: Determine if a family is eligible for a continuation of CCAP benefits, when requested, pending the hearing decision and if so, notify the Designee for appropriate action. Action may include issuing benefits at the level previously authorized back to the date the initial action was taken, unless other factors which were not contested, result in a benefit change. Benefits will be authorized on a month-by-month basis until the date the hearing authority’s decision is rendered. The renewal process actions, including setting alerts in ICCIS, must be continued by the Designee. The