Demographics sub-tab

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The Demographics sub-tab is used to access and maintain a client's demographic information. Depending on your permission level and the client's current Certification status, you may not be able to update the information displayed on this screen.

When this screen initially displays in the Participant Folder, the system verifies if a certification attempt is currently in progress. If at least one certification is started and not completed, all controls on the tab are locked with the exception of data grids, tree lists, and list boxes (for viewing records), and any other controls that may have special conditions documented below under Screen Elements. Modifying information on or from the tab is not allowed until the certification attempt is complete.

This applies if a record exists for the selected STATEWICID in the CERTCONTACT table and the CERTCONTACT.CERTENDDATE and CERTCONTACT.CERTINELIGIBLEDATE are not valued.

Demographics sub-tab screen (Participant Folder)

Demographics sub-tab screen (Certification Guided Script and/or Mid-certification Assessment)

Screen Access

Screen Access

  • Display the Demographic Information screen > Click the Demographics sub-tab as necessary (this screen displays by default).

Interface Initialization

Upon initial display of the screen, the following occurs:

  • The Demographics sub-tab is visible and enabled, and is the default tab for the screen (the Demographics sub-tab is displayed when the screen is initially opened).

  • The AdditionalInfo1 sub-tab i

  • The AdditionalInfo2 sub-tab is visible and enabled.

  • The following controls are visible, enabled, and display the previously saved values: Last Name, First Name, MI, Date of Birth, Gender, Address, WIC Category, County, City, State, ZIP, Clinic Assigned.

  • The following controls are visible, enabled, and blank or are visible, enabled, and display the previously saved values: E-mail, PMI Number, ID Proof, Residency Proof, Telephone 1, (Telephone 1) Comment, Telephone 2, (Telephone 2) Comment, Physically Present radio button group, Maiden Name group box (if the WIC Category is Pregnant, Breastfeeding, or Non-Breastfeeding).

  • The following controls are visible and disabled: Date Verified, Fixed Nighttime Location, Reason Not Present, Maiden Name group box (if the WIC Category is Infant or Child).

  • The following check boxes are visible, enabled, and unchecked: Homeless, Migrant, Living with Foster Parent(s).

  • The Race/Ethnicity button is visible and enabled as the default.

  • The Mail group box is visible and contains the following control(s):

  • The Same as Residence button is visible and enabled as the default.

  • The Address text box is is visible, enabled, and initially displays the value recorded for the client on the Applicant Prescreening screen. If no information was previously recorded for the client, the text box is visible, enabled, and initially blank as the default.

  • The City text box is visible, enabled, and initially displays the value recorded for the client on the Applicant Prescreening screen. If no information was previously recorded for the client, the text box is visible, enabled, and initially blank as the default.

  • The State text box is visible, enabled, and initially displays the value recorded for the client on the Applicant Prescreening screen. If no information was previously recorded for the client, the text box is visible, enabled, and initially blank as the default.

  • The ZIP masked edit box is visible, enabled, and initially displays the value recorded for the client on the Applicant Prescreening screen. If no information was previously recorded for the client, the masked edit box is visible, enabled, and initially blank as the default.

  • If the value of the UsesBatchIssuance business rule equals "N", the Batch Issuance check box is not visible. If the value of the business rule equals "Y" and the participant is not currently in the middle of a certification (certification is started but not completed), the Batch Issuance check box is visible, disabled, and initially blank as the default.

  • If the value of the UsesMOV business rule equals "Y", the Balto Type text and value label is visible, disabled, and initially displays the value of the selection saved in the Household Balto Type drop-down list box on the EBT Household Demographics screen in the Clinic application module. If no selection has been saved in the Household Balto Type drop-down list box on the EBT Household Demographics screen in the Clinic application module, the Balto Type text and value label is visible, disabled, and initially displays "N/A" as the default. If the value of the business rule equals "N", the Balto Type text and value label is not visible.

In the Participant Folder:

  • The title bar text is set to "MEMBER.FIRSTNAME MEMBER.MIDDLEINITIAL MEMBER.LASTNAME - {descriptive value of age} - WIC ID: MEMBER.STATEWICID Household ID: MEMBER.HOUSEHOLDID", where {descriptive value of age} equals:

  • For infants, display "XX" Months "XX" Days, calculated from the Date of Birth.

  • For children, display "XX" Year(s) "XX" Months "XX" Days calculated from the Date of Birth.

  • For pregnant women, display "XX" weeks gestation calculated from the LMP start date.

  • For pregnant women without an LMP date, display "XX" Year(s) calculated from the Date of Birth.

  • For breastfeeding and non-breastfeeding women, display "XX" Years calculated from the Date of Birth.

  • The tab title is set to "Demographics".

  • If the value of the CLN_DefaultStaffID business rule equals "N", the Staff Member drop-down list box is visible, enabled, and displays the previously saved value. If the value of the business rule is set to "Y", the Staff Member drop-down list box is not visible.

  • If the value of the HIDESSN business rule equals "N", the Social Security Number masked edit box is visible. If the value of the business rule equals "Y", the Social Security Number masked edit box is not visible.

  • If the value of the HideMedicaidID business rule equals "N", the PMI Number text box is visible, enabled, and initially displays to the previously saved value. If the value of the business rule equals "Y", the PMI Number text box is not visible.

  • If the value of the PHYSICALLYPRESENT business rule equals "N", the Physically Present radio button group is not visible. If the value of the PHYSICALLYPRESENT business rule equals "Y", the Physically Present radio button group is visible, enabled, and the previously saved radio button is selected.

  • If the value of the PHYSICALLYPRESENT business rule equals "N", the Reason Not Present drop-down list box is not visible. If the value of the PHYSICALLYPRESENT business rule equals "Y", the Reason Not Present drop-down list box is visible and defaults to the previously saved value.

  • The current system date and time is displayed in the status bar at the bottom right of the screen.

In the Certification Guided Script or Mid-certification Assessment:

  • The title bar text is set to "Demographic Information".

  • If the value of the CLN_DefaultStaffID business rule equals "N", the Staff Member drop-down list box is visible, enabled, and displays the currently logged in staff member. If the value of the business rule is set to "Y", the Staff Member drop-down list box is not visible.

  • If the value of the HIDESSN business rule equals "N", the Social Security Number masked edit box is visible. If the value of the business rule equals "Y", the Social Security Number masked edit box is not visible.

  • If the value of the HideMedicaidID business rule equals "N", the PMI Number text box is visible, enabled, and initially blank as the default.. If the value of the  business rule is set to "Y", the PMI Number text box is not visible.

  • If the value of the PHYSICALLYPRESENT business rule equals "N", the Physically Present radio button group is not visible. If the value of the PHYSICALLYPRESENT business rule equals "Y", the Physically Present radio button group is visible, enabled, and no radio button is selected.

  • If the value of the PHYSICALLYPRESENT business rule equals "N", the Reason Not Present drop-down list box is not visible. If the value of the PHYSICALLYPRESENT business rule equals "Y", the Reason Not Present drop-down list box is visible, disabled, and initially blank as the default.

  • The Income Calculator button is visible and enabled as the default.

  • The OK button is visible and enabled as the default.

  • The Cancel button is visible and enabled as the default.

Screen Elements

Unless otherwise stated below, all controls on the Demographics sub-tab screen are visible and enabled when:

Unless otherwise stated below, all controls on the Demographics sub-tab screen are visible and disabled when:

If one or more special conditions exist that affect a control on the Demographics sub-tab screen, the condition(s) are documented for that specific control below.

Last text box

  Enter the last name in the Last text box.

The text box allows the entry of alphabetic and special characters. Numeric characters are not allowed. Special characters are limited to the following: period (.), hyphen (-), apostrophe ('), and comma (,). The maximum size of the text box is twenty-five (25) characters.

First Name First

  Enter the first name in the First text box.

The text box allows the entry of alphabetic and special characters. Numeric characters are not allowed. Special characters are limited to the following: period (.), hyphen (-), apostrophe ('), and comma (,). The maximum number of characters that can be entered in the text box is twenty (20) characters.

MI text box

  Enter the first letter of the middle name in the MI text box.

The text box allows the entry of alphabetic characters only. Numeric and special characters are not allowed. The maximum number of characters that can be entered in the text box is one (1) character.

Address text box

  Enter the address information in the Address text box.

The text box allows the entry of alphabetic, numeric, and special characters. Special characters are limited to the following: period (.), comma (,), pound sign (#), hyphen (-), forward slash (/), ampersand (&), and apostrophe ('). The maximum number of characters that can be entered in the text box is fifty (50) characters.

City drop-down list box

  Select the city in the City drop-down list box.

The drop-down list box is filled with a sub-set of cities from the LOCALMUNICIPALITY table sub-set by COUNTYCD. The options in the drop-down list box are a sub-set of the LOCALMUNICIPALITY table restricted by HEALTHCOUNTYID. The options in the drop-down list box are sorted alphabetically in ascending order. Whenever a county is selected in the County drop-down list box, the City drop-down list box is refreshed and populated with options for all cities located in the selected county.

The control is enabled when:

Upon changing a value in the City for an existing record, if the City has only one ZIP code, the ZIP field is automatically populated. If the City has more than one ZIP code, the user will be prompted to select the correct ZIP code from a list. If there is an existing value in the ZIP field and the value is valid, the user will not be prompted to select a ZIP code even if the City has multiple ZIP codes.

If the City does not have a ZIP code associated with it in the database, a standard information message (I0048) displays.

State text box

  Enter the two-character abbreviation for the state in the State text box.

It defaults to your current state. The text box allows the entry of alphabetic characters only. Numeric and special characters are not allowed. The maximum size of the text box is two (2) characters.

ZIP masked edit box

  Enter the five- or nine-character code for the postal zone in the ZIP masked edit box.

The masked edit box allows the entry of numeric characters only. Alphabetic and special characters are not allowed. The mask for the masked edit box is "#####-####" to allow the entry of a five-character ZIP code and a four-character ZIP code extension (if known). If the four-character extension is not entered, the extension will be populated with zeros automatically when focus is removed from the control. A partial entry is not allowed. If any part of the five-character ZIP code is entered, a complete five-character ZIP code is required. If any part of the four-character ZIP code extension is entered, a complete nine-character ZIP code is required. The maximum number of characters that can be entered in the masked edit box is nine (9) characters.

Upon entering a value in the ZIP masked edit box, if the ZIP code entered  is found in the COUNTYCITYBYZIP table, the following fields will be automatically populated as follows:

If a value exists for the State text box, County drop-down list box, and City drop-down list box, and the user enters or modifies the ZIP masked edit box, the system will not overwrite the previous entry/selection.

Upon changing a value in the ZIP masked edit box for an existing record, if the ZIP code entered has more than one city associated with it, a dialog box displays the user is prompted to select the correct city from a list.

Upon entering a value in the ZIP masked edit box, if the ZIP code entered is not found in the COUNTYCITYBYZIP table, the system will bypass the automatic update process.

Note

NOTE: A standard warning message (W0020) displays when the City drop-down list box and/or the ZIP masked edit box are updated for the participant's physical address and data is saved on the Demographics screen for a participant that is currently marked as receiving Balto home delivery benefits on the EBT Household Demographics screen in the Clinic application module.

If the City drop-down list box and/or the ZIP masked edit box are updated for the participant's physical address and the participant's data has not yet been saved in the Participant Folder, when an action is attempted that displays another screen on top of the Participant Folder (such as selecting the EBT Household Demographics menu option on the Benefit Management menu), the standard warning message (W0020) displays when the screen closes and the user returns to the Participant Folder.

County drop-down list box

  Select the county in the County drop-down list box.

The options in the drop-down list box are sorted alphabetically in ascending order. Whenever a county is selected in the County drop-down list box, the City drop-down list box is enabled, refreshed, and populated with options for all cities located in the selected county. The drop-down list box is filled with a sub-set of counties in the COUNTY table restricted by STATECD.

The control is enabled when:

When an option is selected in the County drop-down list box, if the county selected has only one ZIP code, the ZIP masked edit box is automatically populated.

Note

NOTE: Counties, Legal Municipalities, Local Municipalities, and ZIP Codes are maintained on the following screens in the Reference Utility application module:

  • Counties/Legal Municipalities/Local Municipalities

  • County/City by ZIP Code

For additional information, see the following topics:

  • Maintaining Counties

  • Maintaining Legal Municipalities

  • Maintaining Local Municipalities

  • Maintaining County/City by Zip Code

Balto Type text and value label

  If the participant is eligible to receive food items for a benefit period by a contracted mail order vendor, view the type of Balto home delivery issuance specified for the participant's in the Balto Type text and value label.

Information in this control is read-only and cannot be changed. The value label displays in the inverse color of the screen.

The value label is populated with the value of the MOVTYPE column of the HOUSEHOLD table. If no value exists in the MOVTYPE column of the HOUSEHOLD table, the value label displays "N/A" as the default.

The control is visible when:

Note

NOTE: Participants become eligible to receive food items for a benefit period by a state-contracted mail order vendor when an option is selected in the Household Balto Type drop-down list box on the EBT Household Demographics screen in the Clinic application module. The Household Balto Type drop-down list box is visible and enabled on the EBT Household Demographics screen in the Clinic application module when the value of the UsesMOV business rule equals "Y".

E-mail text box

  Enter the e-mail address in the E-mail text box.

The text box allows the entry of alphabetic, numeric, and special characters. Only one at sign (@) is allowed. Any character can be entered before the at sign (@). After the at sign (@), the domain name is limited to alphabetic, numeric, and special characters. Special characters are limited to the following: hyphen (-) and period (.). The maximum number of characters that can be entered in the text box is one-hundred (100) characters. An e-mail address is considered valid when it includes at least once character before the at sign (@), and at least one character after the at sign (@) followed by a period and two (2) to four (4) alphabetic characters.

Birth Date calendar control

  Select or enter the date on which the person was born in the Birth Date calendar control.

The system will perform a calculation on the participant's birth date when entered. If the value of the AUTOWICCATEGORY business rule is set to "Y", the WIC Category drop-down list box will automatically be changed to "Infant" or "Child" if the date of birth entered is for a participant who is an infant or a child.

Note

NOTE: Depending on your WIC Program, the WIC Category drop-down list box may automatically be changed to "Infant" or "Child" if the birth date entered is for a participant who is an infant or a child.

Valid ages for WIC categories are as follows:

WIC Category

Minimum Date

Maximum Date

Infant

current system date

364 days previous to current system date (365 if spanning a leap year)

Child

one (1) year previous to current system date

Value set for State business rule MAXIMUMCHILDAGE previous to current system date

Pregnant

Value set for State business rule MINIMUMWOMANAGE previous to current system date

Value set for State business rule MAXIMUMWOMANAGE previous to current system date

Breastfeeding

Value set for State business rule MINIMUMWOMANAGE previous to current system date

Value set for State business rule MAXIMUMWOMANAGE previous to current system date

Non-breastfeeding

Value set for State business rule MINIMUMWOMANAGE previous to current system date

Value set for State business rule MAXIMUMWOMANAGE previous to current system date

If the value of the Date of Birth (or Birth Date) calendar control is invalid for the age of the selected WIC Category using the AGEDEFINITION table, a standard error message (E0066) displays.

Gender drop-down list box

  Select the client's gender in the Gender drop-down list box.

The control is enabled when:

The drop-down list box displays all Reference Dictionary descriptions contained in the REFERENCEDICTIONARY table where the Reference Dictionary category = 'GENDER'. The drop-down list box is arranged in alphabetic order

If the value selected in the WIC Category drop-down list box is Pregnant, Breastfeeding, or Non-breastfeeding, the value defaults to "Female" and the drop-down list box is disabled if a certification exists for the participant.

If the gender does not match the WIC category selected, standard error message (E0391) displays.

WIC Category drop-down list box

  Select the WIC category in the WIC Category drop-down list box.

The drop-down list box is filled with all WIC categories that currently exist in the DESCRIPTION column of the WICSTATUS table. The options in the drop-down list box are sorted alphabetically in ascending order.

If the value of the AUTOWICCATEGORY business rule equals "Y", the participant will automatically be changed to Infant or Child if the date of birth entered is for a participant who is an infant or a child.

If the participant has been previously certified but is not in a valid certification period, only the following WIC category changes may be made:

If the WIC Category for a Pregnant participant is changed to postpartum or a postpartum participant WIC category is changed to Pregnant the system displays a standard information message (I0017).

If the WIC Category is changed from Breastfeeding to Non-breastfeeding or from Non-breastfeeding to Breastfeeding, and the participant's current certification effective date is today, a standard information message (I0017) displays.

If the WIC Category is changed from Breastfeeding to Non-breastfeeding and the new certification end date (i.e., the actual delivery date plus six (6) months) is less than the current system date, a standard information message (I0049) displays.

If the WIC Category is changed from Breastfeeding to Non-breastfeeding or from Non-breastfeeding to Breastfeeding and the participant is not in a valid certification but was previously certified, a standard error message (E0368) displays.

If the value of the WIC Category is changed:

The system displays the C0013 standard confirmation message. Yes and No options will be available.

When No is clicked, the user is returned to the Demographics sub-tab screen and the system will retain the original values.

When Yes is clicked, the participant's WIC Category will be changed to the value selected while in Certification Guided Script. The MEMBER.WICSTATUS field will be updated with the new value selected. The system will automatically remove the pending certification. A child, woman, postpartum, or pregnant record will be inserted into the appropriate table depending on the selected WIC Category. The Certification Guided Script will be closed and the Participant Folder will be refreshed to display the WIC Category for the value selected during Certification Guided Script.

Additional edits are performed for the WIC Category drop-down list box within the Certification Guided Script. The drop-down list box is enabled when the screen is active, but will not allow the user to change its value selected for a Pregnant, Breastfeeding or Non-breastfeeding participant. IsNewPregnancyDefaults = "Y".

If the WIC Category is changed while the participant has an active certification, and the user saves the changes, the system displays a standard information message (I0019).

When the WIC Category is changed from breastfeeding to non-breastfeeding or non-breastfeeding to breastfeeding and no risk factors remain after changing the WIC Category, a standard error message (E0384) displays.

If the participant was on WIC as an infant or child and the WIC category is changed to pregnant, breastfeeding, or non-breastfeeding, a standard information message (I0065) displays.

The Mother's WIC Category Change screen displays when the WIC category is changed from Breastfeeding to Non-breastfeeding or from Non-breastfeeding to Breastfeeding and the participant has one or more linked infants. The participant must not have been certified before or be in a current certification.

Social Security Number masked edit box

  Enter the participant's Social Security Number in the Social Security Number masked edit box.

The masked edit box allows the entry of numeric characters only. Alphabetic and special characters are not allowed. The mask for the masked edit box is "###-##-####" to allow the entry of a nine-character Social Security Number. A partial entry is not allowed. If any part of the Social Security Number is entered, a complete nine-character Social Security Number is required. The maximum number of characters that can be entered in the masked edit box is nine (9) characters.

The control is visible and enabled when:

PMI Number text box

  Enter the client's Medicaid identification number in the PMI Number text box.

The text box allows the entry of alphabetic and numeric characters. Special characters are not allowed. The maximum number of characters that can be entered in the text box is sixteen (16) characters. The actual length of the PMI Number text box is controlled by the Reference Dictionary ST_DFMEDICAIDIDLENG setting.

The control is visible and enabled when:

Note

NOTE: Depending on your WIC Program, the Social Security Number and PMI Number may not be available.

Mail group box

  Complete the information in the Mail group box.

The group box includes controls that allow you to view, enter, or update mailing address information. The title text of the group box is set to "Mail". The following controls are included in the group box:

Same as Residence button

Click this button to copy information entered for the residential address into the controls in the Mail group box.

Upon selection of the Same as Residence button, the system will copy the value of the residence Address text box to the mailing Address text box, the value of the residence City drop-down list box to the mailing City text box, and the value of the residence ZIP masked edit box to the mailing ZIP masked edit box.

Address text box

View, enter, or update the address information in the Address text box. The text box allows the entry of alphabetic, numeric, and special characters. Special characters are limited to the following: period (.), comma (,), pound sign (#), hyphen (-), forward slash (/), ampersand (&), and apostrophe ('). The maximum number of characters that can be entered in the text box is fifty (50) characters.

City text box

View, enter, or update the name of the city in this text box. The text box allows the entry of alphabetic, numeric, and special characters. Special characters are limited to the following: period (.), comma (,), pound sign (#), hyphen (-), forward slash (/), and apostrophe ('). The maximum number of characters that can be entered in the text box is thirty (30) characters.

State text box

View, enter, or update the two-character abbreviation for the state in this text box. It defaults to your current state. The text box allows the entry of alphabetic characters only. Numeric and special characters are not allowed. The maximum size of the text box is two (2) characters.

The text box defaults to the two-character abbreviation for your state.

ZIP masked edit box

View, enter, or update the five- or nine-character code for the postal zone in this masked edit box. The masked edit box allows the entry of numeric characters only. Alphabetic and special characters are not allowed. The mask for the masked edit box is "#####-####" to allow the entry of a five-character ZIP code and a four-character ZIP code extension (if known). If the four-character extension is not entered, the extension will be populated with zeros automatically when focus is removed from the control. A partial entry is not allowed. If any part of the five-character ZIP code is entered, a complete five-character ZIP code is required. If any part of the four-character ZIP code extension is entered, a complete nine-character ZIP code is required. The maximum number of characters that can be entered in the masked edit box is nine (9) characters.

Initial Contact button

  Click the Initial Contact button to add or view an initial contact for the participant.

The Initial Contact screen displays when the button is clicked.

The control is enabled when:

Address History button

  Click the Address History button to display the address change history for the participant.

The Display Household History screen displays when the button is clicked.

Copy Demographics button

  Click the Copy Demographics button to copy demographic information recorded for another member of the client's household into the current client's record.

The Copy Demographics from Another Household Member screen displays when the button is clicked.

Race/Ethnicity button

  Click the Race/Ethnicity button to specify the client's race and ethnicity.

The Race/Ethnicity screen displays when the button is clicked.

Income value label

  View the monthly total for all of the line items comprising the income screening contact associated with the current certification attempt in the Income value label.

Depending on the value of the INCOMEVIEWFREQ business rule, the text in the value label is displayed as either "Monthly Income" or "Yearly Income".

Information in this control is read-only and cannot be changed. The value label displays in the inverse color of the screen.

Income Calculator button

  Click the Income Calculator button (pictured below) to work with income information for the current client and/or household.

It has a picture of a calculator keypad and the ToolTip text is "Use the Income Calculator".

Upon selection of the Income Calculator button, if you do not have appropriate permissions (Income History.Add or FullControl), a standard error message (E0006) displays.

Information entered via this button does not determine eligibility for the household. Instead, it indicates whether an applicant/participant or household would be eligible based upon the information entered.

The Income Calculator screen displays when clicked if the user has the appropriate permissions.

It does not have a mnemonic.

Homeless group box and check box

  Select the Homeless check box to indicate the client is homeless, then complete the information in the Homeless group box.

This group box includes controls that allow you to indicate the client is homeless and select the date verified and fixed nighttime location. The title text of the group box is set to " Homeless". The following controls are included in the group box:

Date Verified calendar control

Select or enter the date on which the client's homeless status was verified in this calendar control.

The control is enabled when:

The date selected or entered must be less than or equal to the current system date. If it is not, a standard error message (E0008) displays when the screen is processed.

If the date entered is equal to or greater than thirty (30) days prior to the current system date, a standard error message (E0067) displays when the screen is processed.

Fixed Nighttime Location drop-down combo box

View, enter, or select the fixed location at which the client spends the night in this drop-down combo box.

The control is enabled and required when:

The drop-down combo box is filled with all FIXEDLOCATIONDESC from the FIXEDLOCATION table in alphabetic order. If no selection is made, a standard error message (E0001) displays when the screen is processed.

If the fixed nighttime location isn't available in the drop-down combo box as an option, you can enter the name of the location directly in the drop-down combo box. The drop-down combo box allows the entry of alphabetic, numeric, and special characters. Special characters are limited to the following: pound sign (#), period (.), dash (-), forward slash (/), and apostrophe ('). Alphabetic characters are converted to upper case when entered. The maximum number of characters that can be entered in the text box is thirty (30) characters.

The name of the location entered cannot match an existing value. If it does, aa standard error message (E0060) displays. Otherwise, upon saving the client's demographic information, the new value will be added as an option to the drop-down combo box for future use and it is also added to the FIXEDLOCATION table.

ID Proof drop-down list box

  Select the form of identification used by the client or an authorized representative to prove the client's identity in the ID Proof drop-down list box.

If the MEMBER. WICSTATUS is Infant or Child, The drop-down list box displays all Reference Dictionary descriptions contained in the REFERENCEDICTIONARY table where the REFERENCEDICTIONARY category = "IDPRFCHILD".

If the CLN_AllowPendingProof_ID business rule is set to "N", the option of "Pending Proof" is not available. Instead, a blank option displays in the drop-down list box and may be selected when not completing a certification. If the business rule is set to "Y", "Pending Proof" is available.

If the MEMBER. WICSTATUS is Pregnant, Breastfeeding or Non-breastfeeding, The drop-down list box displays all Reference Dictionary descriptions contained in the REFERENCEDICTIONARY table where the REFERENCEDICTIONARY category = 'IDPRFWOMAN'.

Residency Proof drop-down list box

  Select the form of verification used by the client or an authorized representative to prove the client's residency in the Residency Proof drop-down list box.

The control is disabled when:

The drop-down list box displays all Reference Dictionary descriptions contained in the REFERENCEDICTIONARY table where the REFERENCEDICTIONARY category = "RESIDPROOF". If the selection "Not a resident of {your state}" (key value "J") is selected in the Residency Proof drop-down list box, the system displays the Mark Applicant as Ineligible screen. If the current system date is equal to or falls within the value defined as acceptable by the DAYSALLOWRESIDENCYCOPY business rule, the system updates the proof of residency for all members of the household upon a change of the current Residency Proof selection.

If the CLN_AllowPendingProof_Residency business rule equals "N", the option of "Pending Proof" is not available. Instead, a blank option displays in the drop-down list box and may be selected when not completing a certification. If the value of the CLN_AllowPendingProof_Residency business rule equals "Y", "Pending Proof" is available.

If the value of the ENABLECOPYRESIDENCY business rule equals "Y", the selection of "Pending Proof" during a Certification Guided Script transfers to all household members who are in a currently valid certification. If the value of the ENABLECOPYRESIDENCY business rule equals "N", the selection "Pending Proof" does not transfer to other household members. In the Participant Folder, selecting "Pending Proof" does not transfer to any other household members with valid certifications.

Telephone 1 masked edit box

  Enter the complete ten-character telephone number in the Telephone 1 masked edit box.

The masked edit box allows the entry of numeric characters only. Alphabetic and special characters are not allowed. The mask for the masked edit box is "###-###-####" to allow the entry of a three-character area code and seven-character telephone number. A partial entry is not allowed. If any part of the telephone number is entered, a complete ten-character telephone number is required. The maximum number of characters that can be entered in the masked edit box is ten (10) characters.

Comment text box

  Enter the comment associated with the telephone number in the Comment text box.

The text box allows the entry of alphabetic, numeric, and the following special characters: period (.), comma (,), hyphen (-), and apostrophe ('). The maximum number of characters that can be entered in the text box is thirty (30) characters.

Telephone 2 masked edit box

  Enter the complete ten-character telephone number in the Telephone 2 masked edit box.

The masked edit box allows the entry of numeric characters only. Alphabetic and special characters are not allowed. The mask for the masked edit box is "###-###-####" to allow the entry of a three-character area code and seven-character telephone number. A partial entry is not allowed. If any part of the telephone number is entered, a complete ten-character telephone number is required. The maximum number of characters that can be entered in the masked edit box is ten (10) characters.

Comment text box

  Enter the comment associated with the telephone number in the Comment text box.

The text box allows the entry of alphabetic, numeric, and the following special characters: period (.), comma (,), hyphen (-), and apostrophe ('). The maximum number of characters that can be entered in the text box is thirty (30) characters.

Physically Present radio button group

  Select an option in the Physically Present radio button group.

This radio button group includes controls that allow you to indicate whether the client is physically present at the clinic during the Certification attempt. The title text of the radio button group is set to "Physically Present".

The control is enabled when:

The control is disabled when:

The following radio buttons are included in the radio button group:

Yes radio button

Select this radio button to indicate that the client is physically present at the clinic during the Certification attempt.

No radio button

Select this radio button to that whether the client is not physically present at the clinic during the Certification attempt.

Reason Not Present drop-down list box

  Select the reason the client was not physically present in the Reason Not Present drop-down list box.

The control is enabled when:

The control is disabled when:

It displays all Reference Dictionary descriptions contained in the REFERENCEDICTIONARY table where the REFERENCEDICTIONARY category = 'REASONNOTPRESENT'.

The drop-down list box is disabled when the screen is active in the Certification Guided Script and the Yes radio button is selected in the Physically Present radio button group or when the screen is active in the Participant Folder. The default selection is the option previously-selected during certification.

Batch Issuance check box

  Select the Batch Issuance check box to indicate whether the participant is able to receive batch-mailed benefits.

The control is visible and enabled when:

Maiden Name group box

  Complete the information in the Maiden Name group box.

This group box includes controls that allow you to view, enter, or update the maiden name of a woman who has changed her name as a result of marriage. The title text of the group box is set to "Maiden Name". The following controls are included in the group box:

Last text box

View, enter, or update the last name in the Last text box. The text box allows the entry of alphabetic and special characters. Numeric characters are not allowed. Special characters are limited to the following: period (.), hyphen (-), apostrophe ('), and comma (,). The maximum size of the text box is twenty-five (25) characters.

First text box

View, enter, or update the first name in the First text box. The text box allows the entry of alphabetic and special characters. Numeric characters are not allowed. Special characters are limited to the following: period (.), hyphen (-), apostrophe ('), and comma (,). The maximum number of characters that can be entered in the text box is twenty (20) characters.

MI text box

View, enter, or update the first letter of the middle name in this text box. The text box allows the entry of alphabetic characters only. Numeric and special characters are not allowed. The maximum number of characters that can be entered in the text box is one (1) character.

Migrant check box

  Select the Migrant check box to indicate the client is a migrant worker.

If the Migrant check box is selected and the participant's certification is valid, the system creates a pseudo cert and assigns the Migrancy (802) risk factor. The check box is enabled when the screen is active.

Living with Foster Parent(s) check box

  Select the Living with Foster Parent(s) check box to indicate the client is living with foster parents.

The check box has an initial value of unchecked.

Clinic Assigned drop-down list box

  Select the clinic to which the client is assigned in the Clinic Assigned drop-down list box.

The drop-down list box initially displays the clinic name of the currently logged in user. The drop-down list box contains an option for each clinic in the SERVICESITE table associated with the Agency in the AGENCY table and Administration Site in the SERVICESITE table selected when the user logged into the system.

Staff Member drop-down list box

  Select the staff member in the Staff Member drop-down list box.

It is populated with the names of staff members from the USERPROFILE table who have permission to record Demographics sub-tab events. The list items are sorted in ascending order by first name then last name. The list items are in the following format: "{USERPROFILE. FIRSTNAME} {USERPROFILE. LASTNAME}".

The control is visible and enabled when:

OK button

  Click the OK button to process the screen.

It is the default button for the screen, unless otherwise noted.

The control is visible and enabled when:

It does not have a mnemonic. Its keyboard shortcut is the Enter key.

The Certification Guided Script screen displays when the button is clicked.

Edits for the controls are performed upon confirmation of the screen, and are not performed when switching among the sub-tabs.

Upon selection of the OK button, the system will validate the controls on the Demographics sub-tab screen, AdditionalInfo1 screen, and the AdditionalInfo2 screen.

If the selection "Not a resident of {your state}" (key value "J") is selected in the Residency Proof drop-down list box or the participant is determined to be ineligible (categorically, income, or residency) based on the demographic information entered on the Demographic Information screen, the system displays the Mark Applicant as Ineligible screen.

If data is entered or changed in the following fields on the screen, the EBT Household Demographics displays for EBT-enabled clinics:

The system will set the check mark on the Certification Guided Script DEMOGRAPHICSENTERED value to "Y".

Cancel button

Click the Cancel button to close the screen without processing or saving data.

The control is visible and enabled when:

It does not have a mnemonic. Its keyboard shortcut is the Esc (escape) key.

The Certification Guided Script screen displays when the button is clicked.

Processing

If data can be validated and saved on the screen, the following processes occur when the screen is processed:

If no data can be validated and saved on the screen:

If changes are made that must be sent to the EBT Processor system and a connection to the EBT Processor cannot be established, a standard information message (I0014) displays.

Note

NOTE: A standard warning message (W0020) displays when the City drop-down list box and/or the ZIP masked edit box are updated for the participant's physical address and data is saved on the Demographics screen for a participant that is currently marked as receiving Balto home delivery benefits on the EBT Household Demographics screen in the Clinic application module.

If the City drop-down list box and/or the ZIP masked edit box are updated for the participant's physical address and the participant's data has not yet been saved in the Participant Folder, when an action is attempted that displays another screen on top of the Participant Folder (such as selecting the EBT Household Demographics menu option on the Benefit Management menu), the standard warning message (W0020) displays when the screen closes and the user returns to the Participant Folder.

Data Map

The Data Map defines the values saved for all controls on the screen. If available, any additional notes or comments are displayed in the Notes column.

For more information about the Data Map for this screen, see the Demographic Information Data Map topic.

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Clinic