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1000.13 TANF MANUAL 10/18 PAGE 55

d. The Economic Assistance and Employment Unit of the Division of Benefit Programs at VDSS must:

1. Maintain case names and numbers received from local agencies of persons who do not have Medicaid and provide that information to the Department of Human Resource Management (DHRM).

2. Pay premiums per individual in a CWEP placement to DHRM.

3. Maintain a file of all Employer’s Accident Report forms.

4. Notify the local department of social services of the disposition of the Workers’ Compensation application.

e. DHRM’s claims administrator (Managed Care Innovations):

1. Will notify VDSS when a claim for Workers’ Compensation has been filed.

2. Contact both the injured worker and the work site supervisor for information about the accident.

3. Notify both the injured worker and VDSS home office of the disposition of the claim.

f. The VIEW participant must:

1. Immediately notify the work site supervisor in writing of workplace accident facts.

2. Inform the doctor when the visit is necessitated by an injury at work and that a claim for Workmen’s Compensation has been filed. The doctor should submit a medical report and bills to MCI.

g. Workers’ Compensation Hearings

1. When a request for Workers’ Compensation has been denied, the VIEW participant may request a hearing. The request must be made to the Virginia Workers’ Compensation Commission.

2. The Office of the Attorney General represents the state on cases in litigation. Managed Care Innovations will manage and coordinate the defense of the case with the Office of the Attorney General. Should any witnesses or supervisory testimony be required, the Office of the Attorney General will provide immediate notification to that individual.

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