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VIRGINIA DEPARTMENT OF SOCIAL SERVICES SNAP EMPLOYMENT & TRAINING

10/25 VOLUME V, PART XXV, PAGE 12

1. The work site personnel must immediately complete the Employer’s First Report of Accident form (VWC Form No. 3). The original and all copies must be clearly coded in the upper right-hand corner with 0765-000e, SNAP WORK EXPERIENCE PARTICIPANT. See Appendix II of this Part. The Employer’s First Report of Accident form is in Appendix II.

2. The Local Agency Supervisor must develop a Panel of Physicians (with no less than three physicians) to offer to the injured employee. The Panel of Physicians form is available at http://www.covwc.com/physicianform.php . Providers should be in close proximity if possible and have skills related to employee’s needs. A provider list is available at http://www.covwc.com/pponetwork.php. If you need help navigating the search tool or assistance with locating a provider, please contact our network partner, Care Works at client.services@careworks.com or by calling (800) 734-4460.

3. The work site must submit all correspondence (forms, bills. etc.) regarding injury and accidents to Managed Care Innovations (MCI) in one of four ways:

Upload the documents with the Claim Reporting Portal by visiting froi.sedgwick.com Email to covimaging@yorkrsq.com Fax to 804-371-2556 Mail to P.O. Box 1140, Richmond, VA 23218-1140

4. The work site must send a copy of the accident report to the SNAP E&T Worker at the local agency.

5. Physicians should be instructed to submit their invoices and Attending Physician’s Report directly to the claims office at the MCI. All invoices must show the participant’s/employee’s social security number.

5. Education

This component provides educational programs or activities to improve basic skills or otherwise improve employability or job retention of participants. Education services are allowed for up to 90 days after employment. The Education component qualifies as a work program for the purpose of maintaining SNAP eligibility for individuals who are subject to the work requirement.

a. Educational placements must be based on an assessment which indicates that placement is necessary to develop job readiness and that educational deficit seems the primary barrier to employment.

b. Educational programs to which participants may be assigned include, but are not limited to: 1. Adult Basic Education; 2. GED;

TRANSMITTAL #36