Review Certification for Errors (Process)

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The Review Certification for Errors (Process) will review all certification information to determine if required information is missing.

Screen Access

Screen Access

This is a non-interactive process. It is displayed in response to the following user actions:

Processes

Begin Review Certification for Errors Process

Upon starting the Review Certification for Errors process, the system will enter the following message in the review certification for errors event log:

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Certification error report for {participant name}

Evaluate Risk Factors

The system will check for pre-determined risk factors and assign the risk factor if the system determines that the participant meets the requirements for the risk factor.

For infants, the system will determine whether or not to assign the following risk factors:

For children, the system will determine whether or not to assign the following risk factors:

For breastfeeding women, the system will determine whether or not to assign the following risk factors:

For pregnant women, the system will determine whether or not to assign the following risk factors:

For non-breastfeeding women, the system will determine whether or not to assign the following risk factors:

Check for Demographic Information

The system will check that the required demographics information for the participant has been entered on all the tabs of the Demographic Information screen. If the Demographic Information screen has not been completed, the system will enter the following standard error message in the review certification for errors event log:

Error: No demographic information was found for current certification attempt.

Please review the Demographic Information screen.

Check for Income Screening Contact

The system will check for an income screening contact reported at the time of the certification attempt. If an income screening contact was not created at the time of the certification attempt, the system will enter the following standard error message in the review certification for errors event log and will not perform further income edits:

Error: No income screening contact was found for current certification attempt.

Please review the income information on the Demographics tab of the Demographic Information screen.

Check for Height/Weight Measurement

The system will check for a height/weight measurement contact reported at the time of the certification attempt. If a height/weight measurement contact was not created at the time of the certification attempt and any of the following criteria is met.

The system will enter the following standard error message in the review certification for errors event log:

Error: No height/weight measurement contact was found for current certification attempt. Please review the Height/Weight tab of the Height/Weight and Blood Work Information screen.

If a height/weight measurement was found for the current certification attempt, the system will check the measurement date of the record to determine if it is within 60 days of current system date. If the measurement date is more than 60 days previous to the current system date, the system will enter the following standard error message in the review certification for errors event log:

Error: Height/Weight measurement is over 60 days old. Please review the Height/Weight tab of the Height/Weight and Blood Work Information screen.

A height/weight measurement contact is not required at the time of the certification attempt if any of the following criteria is met.

Check for Valid Blood Work Contact (Woman)

The system will check for a blood work contact reported at the time of the certification attempt. If a blood work contact was not created at the time of the certification attempt and the any of the following criteria is not met:

The system will enter the following standard error message in the review certification for errors event log and will not perform further blood work edits:

Error: No blood work contact was found for current certification attempt. Please review the Blood tab of the Height/Weight and Blood Work Information screen.

A blood work contact is not required at the time of the certification attempt if any of the following criteria is met.

Check for Valid Blood Work Contact (Infant)

If the WIC Category of the participant is Infant and the participant is at least < the number of months value in the business rule INFANTBLOODWORK > months old as of the current system date, the system will check for a blood work contact reported at the time of the certification attempt. If a blood work contact was not created at the time of the certification attempt and any of the following criteria is not met:

The system will enter the following standard error message in the review certification for errors event log and will not perform further blood work edits:

Error: No blood work contact was found for current certification attempt. Please review the Blood tab of the Height/Weight and Blood Work Information screen.

A blood work contact is not required at the time of the certification attempt if any of the following criteria is met.

Check for Valid Blood Work Contact (Child)

The system will check for a blood work contact reported at the time of the certification attempt. If a blood work contact was not created at the time of the certification attempt and the any of the following criteria is not met:

The system will enter the following standard error message in the review certification for errors event log and will not perform further blood work edits:

Error: No blood work contact attached to Child certification attempt. Please review the Blood tab of the Height/Weight and Blood Work Information screen.

If a blood work contact was not created at the time of the certification attempt and the following criteria is not met:

The system will enter the following standard error message in the review certification for errors event log and will not perform further blood work edits:

Error: No blood work contact was found within 90 days of current system date. Please review the Blood tab of the Height/Weight and Blood Work Information screen.

If a blood work contact was not created at the time of the certification attempt and the any of the following criteria is not met:

The system will enter the following standard error message in the review certification for errors event log and will not perform further blood work edits:

Error: Blood work contact only valid for two (2) certification attempts. Please review the Blood tab of the Height/Weight and Blood Work Information screen.

A blood work contact is not required at the time of the certification attempt if any of the following criteria is met.

Check for Child Health Information (Infant, Child)

The system will check that the required health information for the participant with the WIC Category of Infant or Child has been entered on the Child Health Information screen. If the Child Health Information screen has not been completed, the system will enter the following standard error message in the review certification for errors event log:

Error: No child health information was found for current certification attempt.

Please review the Health Information screen.

Check for Woman Health Information (Pregnant)

The system will check that the required health information for the participant with the WIC Category of Pregnant has been entered on the Pregnancy Info tab of the Woman Health Information screen. If the Pregnancy Info tab has not been completed, the system will enter the following standard error message in the review certification for errors event log:

Error: No pregnancy health information was found for current certification attempt.

Please review the Pregnancy Info tab of the Woman Health Information screen.

Check for Woman Health Information (Breastfeeding, Non-breastfeeding)

The system will check that the required health information for the participant with the WIC Category of Breastfeeding or Non-breastfeeding has been entered on the Postpartum Info tab of the Woman Health Information screen. If the Postpartum Info tab has not been completed, the system will enter the following standard error message in the review certification for errors event log:

Error: No Postpartum health information was found for current certification attempt.

Please review the Postpartum Info tab of the Woman Health Information screen.

The system will then verify that infant information has been entered on the Infants Born from This Pregnancy screen from the Postpartum Info tab of the Woman Health Information screen. If the infant information has not been completed for the participant, the system will enter the following standard error message in the review certification for errors event log:

Error: No infants found that were born from the pregnancy.

Please review the infant information for the pregnancy on the Postpartum Info tab of the Woman Health Information screen.

Check for Presence of Risk Factors

The system will check for the presence of at least one (1) risk factor associated with the current certification attempt. If a qualifying risk factor is not found, the system will enter the following standard warning message in the review certification for errors event log:

Error: No risk factors associated with current certification.

Please review the Risk Factors screen.

Check for Referral

The system will check for the presence of at least one (1) referral to an external agency made during the current certification attempt. If a qualifying referral record is not found, the system will enter the following standard error message in the review certification for errors event log:

Error: No referrals found for current certification.

Please review the Referrals and Other Programs screen.

Check for Nutrition Education Documentation

If the CLN_NutritionEducationIsRequired business rule is set to "Y", the system will check for the presence of a nutrition education documentation made during the current certification attempt. If qualifying nutrition education documentation is not found, the system will enter the following standard error message in the review certification for errors event log:

Error: No nutrition education documentation found for current certification.

Please review the Nutrition Education Contact screen.

Check for SOAP Note Documentation

If the participant is considered to be high risk and the CLN_SOAPIsRequired business rule is set to "Y", a SOAP note must be created for the participant at the time of Certification to issue benefits. If the business rule is set to "Y", a SOAP note will always be required.

The system will check for the presence of a SOAP note created during the current certification attempt. If a qualifying SOAP note is not found, the system will enter the following standard error message in the review certification for errors event log:

Error: No SOAP note found for current certification.

Please review the Add SOAP Note screen.

Summary Information

Upon completion of the processes and if errors or warnings are found, the system will enter the following summary information in the review certification for errors event log:

XX error(s) found.

<<< Please correct the above error(s) to complete certification. >>>

Where XX is the count of errors found during the review certification for errors process.

Display Event Log

If more than one warning or more than one error was found, the system will display the Event Log - Review Certification for Errors.

If no warnings or errors were found, the system will display a standard confirmation message with the text of "Certification information is correct."

Certification Information is Correct

Upon completion of the processes and if no errors or warnings are found, a standard confirmation message is displayed with the text, "Certification Information is Correct." If displayed from the Review Certification for Errors menu option or toolbar button on the Certification Guided Script, focus is returned to the participant's guided script. If displayed from the End Certification Process menu option or toolbar button on the Certification Guided Script, the system will continue with the End Certification Process.

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