New: Acknowledgement Of Information (IN943) New: Activity Log Report (IN946 / ALCDF1) New: Appointments by Date Created (IN947 / (APCDF2)

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1 CAI Indigent Software Release V6.3 Reports April 2013 New Reports: New: Acknowledgement Of Information (IN943) Acknowledgement letter regarding the County Medical Indulgency Assistance information Computer Arts, Inc. New: Activity Log Report (IN946 / ALCDF1) Location: Change Case File-Request / Activity / Print New report to print the activities on the activity log to print All or by a Date Range Computer Arts, Inc. / Computer Arts, Inc. / 18229F New: Appointments by Date Created (IN947 / (APCDF2) Report that lists creation date of appointments. Created Date, Request Number, Appointment, Name/Address/Phone, Appointment Type, Interviewer, Appointment Status. New Filter: Scheduled Appt To and From Date / 19883F Kootenai County New: Assets Report (IN500) Location: Change Case File-Request / Additional Information / Assets / Print New Report to list the assets on an applicant s request Kootenai County New: Case Worker Checklist (IN805CW / CFCDF8) Location: Change Case File-Request / Print New Checklist for the caseworker on a request Computer Arts, Inc. New: Cat Annual Report Excel Version (IN700EXL) Exportable report for excel for entry into the State Annual Cat Report Latah County New: CAT Fund Assignment Excel (IN960 / CFCDFN) CAT Fund Assignments to be exported into excel. Includes: County, Last Name, First Name, Anniversary Date, Total County Paid, Total Cat Paid Filter: CAT Anniversary From and To Date selection / 19709F Kootenai County New: CAT Paid By Request (IN013Req / RPCDF2 ) New report created for a CAT Issue Date Range that groups by the request number and subtotals the reimbursement amount paid on each request. New CAT paid report that groups by request and subtotals the amt paid on each request Computer Arts, Inc. New: Clerk s Statement of Findings Non Medical (IN804NM) Location: Change Case File-Request / Print New Clerks Statement of Findings for Non Medical requests that includes the Document Notes Lewis County April 2013 Software Indigent Revise v 6.3 Reports Page 1 of 32

2 New: Continuance of Hearing (IN961) Location: Change Case File-Request / Print New Continuance of Hearing on Denial of Indigent Aid. Created a new report that pulls the PARTY info from the Who requested the appeal table, the meeting date and time pulls from the active appointment - will print one report for every party that requested an appeal. There isn't any filter for this report CAI New: Deleted Assistance Payments (IN828 / DLCDF1) New report created to track deleted Assistance Payments. Includes: Request NO, Applicant Name, Deleted Date, Deleted Time, Deleted By, Deleted Reason, From DOS, To DOS, Vendor#, Warrant#, County Paid, CAT Paid. Filter: From and To Deleted Date Selection / 19909F Computer Arts, Inc. New: Deleted Reimbursement Payments (IN829 / PDCDF1) New report created to track deleted Reimbursement Payments. Includes: Request NO, Applicant Name, Deleted Date, Time, Deleted By, Deleted Reason, Payment Type, Ref#, Paid By, Paid Amt, CAT%, CAT Amt, Receipt#, AC Created. Filter: From and To Deleted Date Selection. new report that lists the deleted Reimbursement Payments 8588 /19914F Boundary County / Computer Arts New: Denial Codes List (IN906) Report that lists all Denial Codes that includes the Status of the code Computer Arts, Inc. New: Expense / Income Worksheet (IN944) New worksheet for Income and Expenses Madison County New: Label Reimbursement (IN505 / RECDF8) A report to print out Mailing Labels for applicants that have Active / Approved / Reimbursements for mass mailings / 20169F Bear Lake County New: Medical Records Request (IN942K) Location: Change Case File-Request / Assistance Payments / Medical Records New report that includes he Vendor for a specific provider, DOS and the Applicant\Request info. Report prints form the Medical Records button under the Assistance Payments Kootenai County New: Medical Review Cases (IN940 / CFCHAR3) New Report that lists the request cases sent for medical review and displays the Applicant Number, Name, Request Number, County Case Number, Cat Case Number, Request Date, Cat Anniversary Date, Review Cost, Savings and Findings. * Displays all cases for a date range that have the Medical Review box check on the Cat Medical Review Tab under Additional Information Kootenai County / Kootenai County / 19609F April 2013 Software Indigent Revise v 6.3 Reports Page 2 of 32

3 New: Medical Review Invoice for Payment (IN824 / CFMREV) New export report for the CAT Board. Includes: CAT Case No. Diagnosis, Request Type, Billed Amount, Paid Amount, Recommendations, Medical Review Savings, Medical Review Cost, Amount CAT / 19887F Computer Arts, Inc. New: Medical Review Tracking (IN823 / CFCDFM) Report that tracks the cases that have the Medical Review box checked on the CAT Medical Review tab under Additional Information. Report Includes: CAT Case No, Request NO, Applicant Name, Request Type, Cat Anniversary Date, Reimb Sent To Cat, Reimb Received From Cat, Medical Review Cost, Medical Review Savings, Billed Amount. Selection by Application Received Date, Reimbursement Date Sent to CAT, Reimbursement Date Received From Cat for a Selected Date Range / 18372F Computer Arts, Inc. New: Mental Hold Statistics (IN510 / CFCDFR) New report that gives statistics related to mental holds / 20212F Canyon County New: Non-Medical Denial Letter (IN817NM / CFCDFQ) Location: Change Case File-Request / Print New Non-Medical Denial letter for applicants that includes the Document Notes Lewis County / Lewis / 20171F New: Non-Medical Findings of Fact (IN803NM) Location: Change Case File-Request / Print New Non-Medical Findings of Fact Conclusions of Law and Order of Reimbursement for request Lewis County / Lewis / Lewis New: Notice of Suspension (IN857) Location: Change Case File-Request / Print New Notice of Suspension report Bingham New: Order of Suspension (IN858 / CFCDF8) Location: Change Case File-Request / Print New Order of Suspension Jerome County New: Paid Amount by Classification Code (IN945) / CFCDFO) New Report that lists Requests by Classification Code for All or by Case Status for an Application Date Range selected from the Filter / 19615F Kootenai County / Kootenai County New: PCIP Case Listing (IN825 / CFPCIP) New report to review PCIP cases and payments. CAT Case No, Request No, Applicant Name, PCIP Flag, Request Type, Status, Coverage From, Cover To, Group #, Subscriber #, Classification Code, Payment Date, Description, PCIP Payment, Payment From, Payment To, Billed Amount, Paid Amount Filter Selection: Application Received Date / 19891F Computer Arts, Inc. April 2013 Software Indigent Revise v 6.3 Reports Page 3 of 32

4 New: PCIP Invoice for Payment Excel (IN827 / PAPCIP2) New Excel export report required by CAT board. Report will include Assistance Payments that have a Classification Code that is associated with the PCIP for a selected first date of service date range. *PCIP check box must be checked on the Change Case File-Request display / 19894F Computer Arts, Inc. New: PCIP Payments (IN826 / PAPCIP) New report to track PCIP payments. CAT Case No, Request No, Applicant Name, PCIP Flag, Request Type, Class Code, Paid Date, Reference, PCIP From, PCIP To, Billed Amount, Paid Amount, Filter Selection: Payment Date Selection / 19892F Computer Arts, Inc. New: Reimbursement Listing by Status (IN207 / RECDF7) New report created to review reimbursements and status by Regular Billing -Active and No Billing - Active. Report displays: Applicant Name, Request, Status, Bill Frequency, Bill Amount, Delinquent, Obligation Amt, Total Paid, Total Due, Last Paid. Filter selection includes: All, Active, Bankruptcy, Deceased, Incarcerated, Mental Hold, Non-Active, Paid In Full, Pending, Probate, Taken to Court, Turned to Collection / 20079F Gem County New: Rejected Letter Voucher (IN813K) Location: Change Case File-Request / Assistance Payments / Rejected Letter Custom report to be sent to the applicants provider. New report that is sent to the provider. Print the report from the Rejected Letter button Kootenai County New: Still Needed List (IN206 / PACDF5) Location: Change Case File-Request / Still Needed / Print Report includes: Created Date, Due Date, Completed Y/N, Completed Date, Description, Comment Canyon County New: Subpoena (IN941 / APCDF4) Location: Change Case File-Request / Print New standard Subpoena letter. *Subpoena letter displays the Active appointment. Filter Selection: Certificate of Service / Certificate of Mailing Revamp the way the subpoenas pull the hearing date and time / 20011F Computer Arts, Inc. New: Suspended Case Listing (IN830 / CFCDFP) New report for Suspended cases. Includes: Request#, Applicant Name, County Case #, Application Received Date, Suspended Date, Suspension Review Date, Suspension Comments, Total Suspended Cases Count. Filter: Application Received Date Range. New report that lists all of the cases in a suspended status as well as the date they need to be reviewed by / 19924F Computer Arts, Inc. New: Suspension Certificate (IN855 / CFCDF8) Location: Change Case File-Request / Print Suspended Report: New Report - Certificate of Suspension Bear Lake County April 2013 Software Indigent Revise v 6.3 Reports Page 4 of 32

5 New: Suspension Letter Provider (IN850) Location: Change Case File-Request / Print New report for the notifying providers detailing suspension information. Suspension / Notice of Suspension Letters Bear Lake County New: Suspension Notice of Application (IN859) Location: Change Case File-Request / Print New report for notice of suspension of application. Suspension / Notice of Suspension Letters Bear Lake County New: Title Types (IN907) New report to print out the title types Computer Arts, Inc. Report Enhancements: Account Balances (IN005 / CFCDF2) Updated the report to include: Incarcerated, Mental Hold. Updated Filter Computer Arts, Inc. Amended Determination of Approval (IN802 / IN802J / IN802K / IN802O / IN802T / IN802V / IN8021G / IN8021P / IN8022B / IN8023L) Updated the Application Indigence Status on the report to match the Approval Criteria and the check/unchecked boxes. Under the section 'Application Indigency Status and Diagnosis change the check boxes to manually enter the check. Update the check boxes to match the approval check boxes and added the suspension information Computer Arts, Inc. Amended Determination of Approval (IN802) Fix: Dates of Service/Determination were not showing on report Adams County / Adams County Case Listing with Status (IN032 / CFCDF1) Updated the report to *exclude mental health cases when selected from the filter. *If excluding mental health, any request that does not have a diagnosis code will not show up on the report / 19264F Canyon County Added a Case County by Status to the report that is broken out by Medical / Non- Medical. add a case count by status type broken out by medical and non medical (if they choose to run the report for all status') Kootenai County Cash Receipt (IN026) Fix: Balances were not including previous reimbursements made CAI Cat Application (IN040) Combined multiple requests on the CAT Application when the CAT Case numbers are the same. combine requests if they are in the same CAT year Payette County Updated the report to not include the Medical Review amount as an Assistant Payment bills or into the Reimbursement Rate totals on the report. *The Medical Review check box on the Assistance Payment must be checked in order for the report to exclude it. An Adjustment will need to be added on the Obligation amount to reduce it by the amount of the Medical Review Fee paid. Functionality - CAT Board April 2013 Software Indigent Revise v 6.3 Reports Page 5 of 32

6 Application (IN040) - The medical review amount should not be included in the reimbursement rate totals and summary of all bills Bingham County Cat Case Listing (IN015 / CDCDFS) Updated the Indigent CAT Accounts report to new name and added additional information to make it useful / 20287F Computer Arts Clerks Statement of Findings (IN804 / IN804O / IN804T / IN804TC / IN8041G /IN8042B / IN8042C / IN8043L / IN8049B / IN804NM) Did not include: Medically Necessary, Application is Complete, Suspended}) - Updated the report to include the Approval Criteria check boxes: Medically Necessary Application is Complete, Suspended for other potential resources, Other Reasons. Under the section 'Application Indigency Status and Diagnosis change the check boxes to manually enter the check. Update the check boxes to match the approval check boxes Payette County Clerks Statement of Findings (IN804 / PACDFJ) Added the Assistance Payment detail to the report when selected from the filter / 18863F Washington County Current Address: Street Address was added under the Residency line on the report Washington County Updated report to choose the correct Denial Date if the request has a Denied status Washington County / Washington Updated report to print without an assistance payment / / 20088F Washington County Updated the report to print if it is a denied case, added the denied code to the report Power Continuance of Hearing (IN817 / IN8172C) Updated the report to include the Applicants Date of Birth Canyon County Delinquent Billed Reimbursements (IN016) Fix: Increased the Beginning Amount Report Totals column Kootenai County Delinquent Reimbursements (IN921 / CFDEL2) Added the County Case Number when chosen as a selection from the filter. Instead of using the 'Request No' on the report, use the 'County Case Number'. New Filter Added for a date range selection / 18859F Boundary County Denial Codes List (IN906) Updated the report to include the following fields: Status, Status Date Add the two new fields status and status date to the report Computer Arts, Inc. Findings of Fact (IN803) Updated wording has to have for applicants with spouses Blaine April 2013 Software Indigent Revise v 6.3 Reports Page 6 of 32

7 Follow Up Report (IN806K) Custom: Updated report to show 10 Day Non-Medical. Custom Changes - Shows burials and 31 Day Non Medical Kootenai County Hearing Notes (IN201 / IN8512C / IN8522C) Updated the layout of the Hearing Notes on reports to extend to right margin and print out in paragraph format Computer Arts, Inc. Hearing Notes (IN201) Increase the notes to extend to the right margin Computer Arts, Inc. Initial Determination of Approval All (IN800 / IN800K / IN8002C / IN8001P / IN802 / IN8021G / IN8021P / IN8022B / IN8023L / IN802J / IN802K / IN802O / IN802T /IN802V / IN804 / IN8041G / IN8042B / IN8042C / IN8043L / IN8049B / IN804O / IN804T) Added the Approval Criteria: Other check box and the comment field to the report Washington County Initial Determination of Approval (IN800) Added the County Logo, added to the Certificate of Mailing the Names and Addresses of the Providers Jerome County / Washington / Minidoka Fix: Updated the report to display the Welfare Director and Attest Signature line when selected from the filter Computer Arts, Inc. Fix: Commissioner signature lines are not printing if there are not any assistance payments Washington County / Canyon Fix: Mis-spelled word pursuant Canyon County Initial Determination of Approval (IN800 / IN8002C) Updated the report to Include the Applicants Date of Birth Canyon County Initial Determination of Denial (IN801 / PAPSTAT2) Displays the County Case number when selected from the filter, added the County logo to the report. New Filter: Copied and added from original filter. Display: Request Number or County Case Number / 18860F Washington County Updated the language to: All charges are subject to utilization management review and findings Canyon County Initial Determination of Denial (IN801 / IN8012C / IN8012CF) Updated the report to include the Applicants Date of Birth Canyon County Initial Determination and Final Determination Denial (IN8012C / IN8012CF) Custom - Update wording per county Canyon County Initial Determination of Denial (IN8012C / PACDFG) Added Payment Status to the report to account for all payment status. New Filter: Default the Print Certificate of Mailing Information to checked, updated filter to pull in April 2013 Software Indigent Revise v 6.3 Reports Page 7 of 32

8 rejected payments / 18220F Canyon County Internal Notes (IN2002C) Increase the height of the sentences on the report Canyon County Lien (IN1002CA) Increased the top margin to add space for the County Seal Canyon County Lien Releases (IN954K) Tracking tool for Denied Cases Kootenai County Lien Reports (IN100 / IN103)/ ( CLCDF9) Option to choose to print the Mailing Address or the Street Address on the lien / 18855F Boise County Notice of Lien Without $ (IN103 / CLCDF9) Updated report for user to choose the Street Address or Mailing Address to display on the Lien / 18855F Kootenai County Print Request (IN030) Updated the report to include the Diagnosis Codes and the Diagnosis Description Kootenai County Print Request (IN302C) Custom Added: Total Amount Billed, 60 month Payoff Amount, Number of days by Residency ; Deleted: Internal Notes Canyon County Reimbursement with Zero Balance (IN920) Updated the report to Include totals for the Obligation Amount and Total Paid Amount Kootenai County Request Follow Up List - (IN806K) Added to the report: 45 Day/Days Remaining and 60 Day/Days Remaining from the Application Received Date Kootenai County Request by Payment (IN049) Added the Assistance Payment reference number to the report. Fix: Lines on the report only list the Reference Number and nothing else Canyon County / Canyon County Fix: Report is not filtering out unpaid payments Payette County Fix: Cat Payments selected as Posted are not showing Minidoka County Request Proof List by App (IN020 / RPROOF) Updated the report to reflect the new case status of Suspended Filter: Updated the filter to include a status of Suspended / 20037F CAI April 2013 Software Indigent Revise v 6.3 Reports Page 8 of 32

9 Request Proof List by Vendor (IN021 / RPROOF) Updated the report to display the CAT amount regardless of the Payment Type selected on the filter Washington County Updated the report to reflect the new case status of Suspended Filter: Updated the filter to include a status of Suspended / 20037F CAI Reimbursement Payments (IN018) Aligned the Reports Total: Total Paid column CAI Reimbursement Payment Transactions (IN819 / RPCDF7) Updated the report to reflect date range of payments selected on new filter / 13944F Benewah County Statement (IN024) Updated the formatting of the stub information Kootenai County Statement (IN024 / IN024APP) Update the statement date to show the Month/ Year Kootenai County Included the CAT Payment detail amounts to the report Adams County / 8360 Fremont Updated the 30/60/90 Comments fields to account for the character increase in the program Computer Arts, Inc. Added the ability to print out statements by Current/ 30 Days Delinquent/60 Days Delinquent/90+Days Delinquent or Alphabetically by name depending on the selection chosen under the Statement Layout Control Kootenai County Added the ability to only print the Assistance Payments OR the Reimbursement Payments or Both Blaine County To Do List (IN205) Updated the report to include the Due Date Computer Arts, Inc. Turned to Collections (IN916) Updated report to include: Request Count, Case File Count, Applicant Count. Filter: Application Received Date Range, Enhancement (IN916) - Add totals to all the columns Kootenai County Response Due for Hearing (IN011 / CFCDF4) Added to the report: Continuance Date and Days Left. Filter: Updated filter / 20047F Payette County Voucher (IN8272C) Updated the report to print the new Remit to information on the report. Change the address and name to pull from the remit to fields in the provider table Canyon County Fix: Updated report to not round up to the nearest dollar Canyon County April 2013 Software Indigent Revise v 6.3 Reports Page 9 of 32

10 UPDATED: Denial Fields (IN906 /IN951K /IN954K /IN8011G /IN8011J /IN8011P /IN8012A /IN8012B /IN8012C /IN8012CF /IN8012F /IN8012J /IN8012M /IN8013B /IN8013L /IN8018B /IN8019B /IN8122C /IN801 /IN801K /IN801O /IN801S /IN801SM /IN801SM2 /IN801T /IN801V /IN801W /IN803T /IN817NM) Reports to reflect the increased Denial field Computer Arts, Inc. UPDATED: Document Notes (Print Request IN030 / IN804 / IN204 / IN2041L / IN8041J / IN0301G - Internal Notes need to be fixed. / IN0302B / IN8041G / IN8041J / IN8042B / IN8042M / IN8042M1 / IN8042M2 / IN8042MX / IN8049B / IN804O / IN804T / IN804TC / IN950K / IN950KTD / IN951K) Updated the Document Notes to extend the right margin Computer Arts, Inc. UPDATED: Stipulation Notes ( IN801 /IN801K / IN801O / IN801S / IN801SM / IN801SM2 / IN801SM2C / IN801T / IN801V / IN801W / IN8011P / IN8012A / IN8012B / IN8012C / IN8012J / IN8012M / IN8013B / IN8013L / IN8018B / IN8019B / IN203 / IN802 / IN813 / IN0212F / IN800 / IN8021G / IN8021P / IN8021P / IN8022B / IN8023L / IN802J / IN802K / IN802O / IN802T / IN802V / IN8122C / IN8131K / IN8131P / IN8138B / IN8162M / IN816W / IN950K / IN951K) Updated the Stipulation Notes to extend to the right hand margin Computer Arts, Inc. UPDATED: Internal Notes (Print Request IN030 /Internal Notes IN200 / Internal Notes IN200V / Clerks Statement of Findings IN8042J / Order of Dismissal IN81222J) Updated the internal notes on the report to extend to the right margin Computer Arts, Inc. UPDATED: Lien Notes (IN100 / IN1002CA / IN1001P / IN1002B / IN1002C / IN1002CA / IN1002F / IN1002J / IN1004B / IN1005B / IN1008B / IN100N1G / IN100V / IN100W / IN1011J / IN101V / IN103 / IN1031P / IN1032B / IN1034B / IN1035B / IN1038B / IN103W / IN8081J) Updated the layout for the Lien Notes on the reports to extend to the right hand margin Computer Arts, Inc. UPDATED: Reimbursement Notes (IN202 / IN8091G / IN8091M / IN8098B / IN809O) Updated the Layout of the Reimbursement Notes to extend to the right margin Computer Arts, Inc. UPDATED: Suspended Case Status: - (Request Proof List By App - IN020 / Request Proof List by Vendor - IN021 / Appointments W Hearing Date - IN027 / Case Listing with Status - IN032 / Self Employment - IN933K) Updated the reports to include Suspended case status Computer Arts, Inc. April 2013 Software Indigent Revise v 6.3 Reports Page 10 of 32

11 Examples of New Reports: New: Acknowledgement Of Information (IN943) Acknowledgement letter regarding the County Medical Indigent Assistance information. April 2013 Software Indigent Revise v 6.3 Reports Page 11 of 32

12 New: Activity Log Report (IN946 / ALCDF1) New report to print the activities on the activity log to print All or by a Date Range New: Appointments by Date Created (IN947 / (APCDF2) Report that lists creation date of appointments. Created Date, Request Number, Appointment, Name/Address/Phone, Appointment Type, Interviewer, Appointment Status. New Filter: Scheduled Appt To and From Date. April 2013 Software Indigent Revise v 6.3 Reports Page 12 of 32

13 New: Assets Report (IN500) New Report to list the assets on an applicant s request. New: Case Worker Checklist (IN805CW / CFCDF8) New Checklist for the caseworker on a request. April 2013 Software Indigent Revise v 6.3 Reports Page 13 of 32

14 New: Cat Annual Report Excel Version (IN700EXL) Exportable report for excel for entry into the State Annual Cat Report. April 2013 Software Indigent Revise v 6.3 Reports Page 14 of 32

15 New: CAT Fund Assignment Excel (IN960 / CFCDFN) CAT Fund Assignments to be exported into excel. New: CAT Paid By Request (IN013Req / RPCDF2 ) New report created for a CAT Issue Date Range that groups by the request number and subtotals the reimbursement amount paid on each request. April 2013 Software Indigent Revise v 6.3 Reports Page 15 of 32

16 New: Clerk s Statement of Findings Non Medical (IN804NM) New Clarks Statement of Findings for Non Medical requests that includes the Document Notes. April 2013 Software Indigent Revise v 6.3 Reports Page 16 of 32

17 New: Continuance of Hearing (IN961) New Continuance of Hearing on Denial of Indigent Aid. New: Deleted Assistance Payments (IN828 / DLCDF1) New report created to track deleted Assistance Payments. April 2013 Software Indigent Revise v 6.3 Reports Page 17 of 32

18 New: Deleted Reimbursement Payments (IN829 / PDCDF1) New report created to track deleted Reimbursement Payments. April 2013 Software Indigent Revise v 6.3 Reports Page 18 of 32

19 New: Denial Codes List (IN906) Report that lists all Denial Codes that includes the Status of the code. New: Expense / Income Worksheet (IN944) New worksheet for Income and Expenses. April 2013 Software Indigent Revise v 6.3 Reports Page 19 of 32

20 New: Medical Records Request (IN942K) New report that includes he Vendor for a specific provider, DOS and the Applicant\Request info. Report prints form the Medical Records button under the Assistance Payments. New: Medical Review Cases (IN940 / CFCHAR3) New Report that lists the request cases sent for medical review. April 2013 Software Indigent Revise v 6.3 Reports Page 20 of 32

21 New: Medical Review Invoice for Payment (IN824 / CFMREV) New export report for the CAT Board. New: Medical Review Tracking (IN823 / CFCDFM) Report that tracks the cases that have the Medical Review box checked on the CAT Medical Review tab under Additional Information. New: Mental Hold Statistics (IN510 / CFCDFR) New report that gives statistics related to mental holds April 2013 Software Indigent Revise v 6.3 Reports Page 21 of 32

22 New: Non-Medical Denial Letter (IN817NM / CFCDFQ) New Non-Medical Denial letter for applicants that includes the Document Notes. April 2013 Software Indigent Revise v 6.3 Reports Page 22 of 32

23 New: Non-Medical Findings of Fact (IN803NM) New Non-Medical Findings of Fact Conclusions of Law and Order of Reimbursement for request. New: Notice of Suspension (IN857 / CDCDF8) New Notice of Suspension report. April 2013 Software Indigent Revise v 6.3 Reports Page 23 of 32

24 New: Order of Suspension (IN858 / CFCDF8) New Order of Suspension. April 2013 Software Indigent Revise v 6.3 Reports Page 24 of 32

25 New: Paid Amount by Classification Code (IN945) / CFCDFO) New Report that lists Requests by Classification Code for All or by Case Status for an Application Date Range selected from the Filter. April 2013 Software Indigent Revise v 6.3 Reports Page 25 of 32

26 New: PCIP Case Listing (IN825 / CFPCIP) New report to review PCIP cases and payments. April 2013 Software Indigent Revise v 6.3 Reports Page 26 of 32

27 New: PCIP Invoice for Payment Excel (IN827 / PAPCIP2) New Excel export report required by CAT board. New: PCIP Payments (IN826 / PAPCIP) New report to track PCIP payments. CAT New: Reimbursement Listing by Status (IN207 / RECDF7) New report created to review reimbursements and status by Regular Billing -Active and No Billing - Active. April 2013 Software Indigent Revise v 6.3 Reports Page 27 of 32

28 New: Rejected Letter Voucher (IN813K) Custom report to be sent to the applicants provider. New report that is sent to the provider. Print the report from the Rejected Letter button. April 2013 Software Indigent Revise v 6.3 Reports Page 28 of 32

29 New: Reimbursement Listing by Status (IN207 / RECDF7) New report created to review reimbursements and status by Regular Billing -Active and No Billing - Active. New: Subpoena (IN941 / APCDF4) New standard Subpoena letter. *Subpoena letter displays the Active appointment. April 2013 Software Indigent Revise v 6.3 Reports Page 29 of 32

30 New: Suspended Case Listing (IN830 / CFCDFP) New report for Suspended cases. New: Suspension Letter Provider (IN850) New report for the notifying providers detailing suspension information. April 2013 Software Indigent Revise v 6.3 Reports Page 30 of 32

31 New: Suspension Notice of Application (IN859) Location: Change Case File-Request / Print New report for notice of suspension of application. Suspension / Notice of Suspension Letters Bear Lake County April 2013 Software Indigent Revise v 6.3 Reports Page 31 of 32

32 New: Title Types (IN907) New report to print out the title types April 2013 Software Indigent Revise v 6.3 Reports Page 32 of 32