The details of a client's circumstances change over time as various factors come into play during the course of everyday life. These everyday changes can affect previously determined eligibility decisions, and in HCR can be reported in one of two ways, via evidence updated by the case worker, or via a client life event reported via the citizen account.
Case workers can record changes can updating existing evidence and activating these changes, invoking reassessment which results in a new set of eligibility and entitlement decisions being determined for the case. For example, a client who is made redundant by their employer and who was previously eligible for insurance assistance informs a caseworker who can update the income evidence related to that employment. Activating this evidence change results in the client being found eligible for Medicaid - the loss of employment resulted in a reduced household income below the Medicaid limit.
HCR makes use of an enhanced Universal Access so that when a citizen logs in the Citizen Account home page displays messages and campaign information. This is extended with an extra panel inserted to contain HCR-specific links – these links represent the same options that are available from the HCR landing page, where appropriate. The links are dynamic – for example, if you have an in-progress application (which includes one for which you still have outstanding enrollments to complete) the 'resume' option is provided, whereas this would not be available if the application has been fully processed and all enrollments are complete.
In addition to the functionality being used directly as part of the configuration of Universal Access a number of other features are now available in the underlying infrastructure which customers can make use of themselves. More information on those features are provided in the Universal Access configuration guide. Citizens have the ability to see the status of any applications or enrollments they may have, as well as report changes that can have an impact on their eligibility and entitlement.
To summarize, changes in circumstances can cause product deliveries cases to be reassessed, which can mean the following: