EAP - Attach AA - EAP Intake Site Scope of Work~3.pdf
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- Solicitation number
- 40DHHS-S3835
- Issued by
- Nevada
About this file
This is a Scope of Work document for Energy Assistance Program (EAP) Intake Site services between the State of Nevada, Department of Human Services, Division of Social Services (DSS), and contracted vendors. The contractor is responsible for assisting individuals with completing EAP applications, reviewing applications against published eligibility guidelines, counseling clients on alternative community resources when applicable, identifying and collecting required supporting documentation, and submitting fully completed applications to designated DSS offices within specified timeframes. The contractor must also complete an Application Checklist cover sheet within ten days of receiving a completed application with required verification and submit an Intake Site Log Form when requesting compensation. Applications submitted after the required timeframe will be considered stale claims and will not be compensated. The contractor must permit authorized state and federal personnel to monitor and audit all activities, procedures, cases, and accounting records and develop corrective action plans to address any identified noncompliance.
The DSS will provide compensation of $15 per completed and correctly submitted Application Packet that includes all required documentation submitted within required timeframes. Incomplete applications will not be compensated, though DSS will provide written reasons for the incomplete status. DSS commits to providing initial training and ongoing dissemination of published changes to application requirements and eligibility guidelines, as well as monthly reporting to the contractor detailing which applications were approved for compensation and reasons for denials. All information and data provided by the contractor to DSS shall remain confidential and may only be used for establishing client eligibility and benefits. The contractor is prohibited from using or disclosing any DSS information concerning applicants or recipients for purposes other than fulfilling contractual responsibilities.
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Text version
ATTACHMENT AA
SCOPE OF WORK
Energy Assistance Program Intake Sites
THE CONTRACTOR AGREES TO:
1. Assist individuals with the completion of Energy Assistance Program (EAP) applications to fully and accurately record family circumstances.
2. Review completed applications to determine if the client’s declared circumstances appear to be within Energy Assistance Program eligibility guidelines as published online at the Division of Social Services (DSS) website. Inform the customer of their legal right to apply for Energy Assistance Program consideration even when their declared circumstances have been reviewed and appear to be outside Energy Assistance
Program eligibility rules.
3. Counsel the customer on other community opportunities that might address their circumstances in the event their declared circumstances are outside Energy Assistance
Program eligibility rules.
4. Review the DSS application for those customers wishing to apply for Energy
Assistance Program consideration to determine what supporting documentation will be required to process the application.
5. Identify and collect the required documentation for the application process.
6. Submit fully completed applications as specified in Attachment CC with required supporting documentation to designated DSS office locations for Energy Assistance
Program eligibility determinations.
7. Complete and attach as a cover sheet with each completed application a Completed
Application Checklist (Attachment DD) by the tenth day after receipt of a completed application with the required verification. If not received within the required time frames, the application will be considered a stale claim and compensation will not be provided.
8. Complete and submit an Intake Site Log Form (Attachment EE) when submitting applications for compensation to DSS.
9. Permit authorized state and federal personnel to monitor and/or audit the activities, procedures, cases, and accounting records subject to this agreement, and develop corrective action plans to rectify any exceptions noted in monitoring and/or audit reports that result in noncompliance with this agreement or federal/state statutes and regulations.
ATTACHMENT AA
DIVISION OF SOCIAL SERVICES AGREES TO:
1. After review by DSS staff, provide compensation in the amount of $15 for each
Application Packet if the application was completed correctly and all required documentation was submitted within required time frames. When both conditions are met, DSS Staff will approve payment. DSS will accept incomplete applications, but compensation will not be provided. DSS will provide a reason for each Application
Packet that is considered incomplete.
2. Provide application, eligibility and required documentation training to the Contractor to facilitate satisfactory completion of the contractual responsibilities outlined in this agreement.
3. Provide timely dissemination of published changes to application, eligibility and required documentation.
4. Provide to the Contractor, at least monthly, a full listing of applications received and which applications were eligible for compensation and which were not and why.
BOTH PARTIES MUTUALLY AGREE:
1. Information/data provided to DSS by the Contractor shall remain confidential except as specified in this paragraph. DSS shall use such information for a client/household for the purpose of establishing the eligibility of and/or the benefit of a client/household.
2. The Contractor shall not use or disclose any information provided by DSS concerning an applicant/recipient of DSS services under this agreement for any purpose other than fulfillment of responsibilities set forth in this contract.
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