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ACCOMPLISHMENTS CONTINUED
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Continued involvement as core participants at MDT meetings, including:
* Child Death Review
* Children’s Assessment Center (CAC)
* Loma Linda University Children’s Hospital, Child Abuse Team
* Elder Abuse Team
√
Received 166 ArrowCare LIHP Appeals of Action; 32 were adjudicated; 26 actions upheld; 6
granted to claimant.
Quality Review Unit (QRU)
√
Performed 6,608 home visits in support of eligibility and benefit determinations.
√
Conducted 66,692 case reviews in support of the Quality Assurance/Quality Control function,
Failure to Provide function, Welfare-to-Work program, TAD Tier/Focus Review System and
CalFresh Negative Reviews.
√
Reviewed 52,861 CalWORKs cases to determine eligibility for adults based on time-on-aid.
√
Reconciled 90,662 earned income abstracts resulting in the establishment of $1,247,953
CalWORKs over-payments and $5,306,985 CalFresh over-issuances.
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Trained all QRU staff in Health Care Reform and Semi-Annual Reporting for CalWORks and
CalFresh.
√
Successfully transitioned to the SMART case review program for all quality assurance reviews and
re-reviews completed by QRU.
Appeals Unit (AU)
√
Received and processed 6,701 requests for hearing.
√
Disqualified 201 persons from participation in the CalWORKs and/or CalFresh programs
through the Administrative Disqualification process.
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Participated in state workgroups working towards improved statewide practices while preserving
the County’s interests.
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Partnered with ITSD and CFS in developing a new database for specific identified hearings that
involve both Appeals and CFS. The new database will provide for communication of hearing sta-
tus and results among all parties.
√
Adapted current and developed new processes relevant to numerous program changes including
the many components of Health Care Reform.
√
Provided excellent customer service to claimants through the resolution of filings within the first
few days of their filing a request for hearing.