Output_Inventory_MAQCS.xlsx
XLSX spreadsheet 322 KB Posted
- Attached to
- Montana Access to Quality Childcare System MAQCS
- Solicitation number
- DPHHS-RFP-2024-0492KH
- Issued by
- Montana
About this file
The file "Output_Inventory_MAQCS.xlsx" pertains to the Montana Access to Quality Childcare System (MAQCS), a state-level government contract opportunity issued by the State of Montana. The contract seeks a technology contractor to develop a comprehensive database system supporting child care licensing functions, including management of providers, facilities, subsidy programs, and contracting activities. While specific details about response dates, project timeline, and contract term are not fully specified in the provided document, the core objective is to create a centralized digital platform to streamline child care administrative processes.
The contract appears to be focused on enhancing state-level child care infrastructure through technological innovation, with an implied goal of improving accessibility, tracking, and management of child care services across Montana. The system would likely involve database design, potential integration with existing state systems, and functionality to support licensing, subsidy tracking, and administrative workflows. No specific budget allocation, funding sources, or pricing details are explicitly outlined in the provided document, suggesting that additional solicitation materials would be necessary to fully understand the financial and technical scope of the project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attach 8 - Technology Matrix.xlsx | XLSX spreadsheet | |
| 1175725-event.pdf | ||
| CCUBS_Production_Calendar_2023_MAQCS.pdf | ||
| Section_5_Cost_Sheet.xlsx | XLSX spreadsheet | |
| Project_Management_Deliverables_MAQCS.xlsx | XLSX spreadsheet | |
| CCUBS_Data_Dictonary_MAQCS.xlsx | XLSX spreadsheet | |
| CCUBS_ERD_Tables_MAQCS.pdf | ||
| Attach 7 - Resource Allocation Schedules.xlsx | XLSX spreadsheet | |
| Acronyms_Definitions_and_Terms_MAQCS.xlsx | XLSX spreadsheet |
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Text version
Output Inventory
| Inventory Number | Output ID | Legacy Reference # | Output Title/Name | Code | Effective_Begin_Date | Effective_End_Date | Resend_Original_PDF | Process_Notification | Peraton_Comments | Prioroty | Notificaiton / Report | Process Notification/Report Y/N | Comments | Purpose/Description | Functional Area | Sub Area | Sample File(s) or URL | Current system platform | Analyst | Status | Recipient | Priority | Decision-making Impact | Frequency of use | Frequency Generated | On Demand? | On Demand turn around time | Origin System | Criteria Description | Report Layout | Data Source | System Dependency | Output Dependency | Publication Format(s) | Delivery Mechanism | Published/ Storage Location | Location Path | Future Disposition | Future Method | Design Document ID | New Name | Difficulty | PV Number | PS Number | Org Number | Case Number | Provider information | Child Information | |
| 1 | CHC2000R | CHC2000R | New Provider Monthly Report | High | Report | 0 | Licensing | Admin | |||||||||||||||||||||||||||||||||||||||||
| 2 | CHC2001R | CHC2001R | New Provider Yearly Report | High | Report | 0 | Licensing | Admin | |||||||||||||||||||||||||||||||||||||||||
| 3 | CHC2010R | CHC2010R | Eligibility Determination Monthly Report | Report | 0 | Eligibility | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 4 | CHC2011R | CHC2011R | Eligibility Determination Yearly Report | Report | 0 | Eligibility | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 5 | CHC2020R | CHC2020R | Provider Closure Monthly Report | High | Report | 0 | Licensing | Admin | |||||||||||||||||||||||||||||||||||||||||
| 6 | CHC2021R | CHC2021R | Provider Closure Yearly Report | High | Report | 0 | Licensing | Admin | |||||||||||||||||||||||||||||||||||||||||
| 7 | CHC3000R | CHC3000R | Total Inspections Report | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 8 | CHC3005R | CHC3005R | Compliant Type Summary Report | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 9 | CHC3010R | CHC3010R | Allegation & Assessment Summary Report | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 10 | CHC3015R | CHC3015R | Compliant Response Time Report | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 11 | CHC3020R | CHC3020R | Total Deficiencies Count Report | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 12 | CHC3025R | CHC3025R | Total Deficiencies Count Report by ARMS | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 13 | CHC3030R | CHC3030R | Total Deficiencies Count Report by ARMS by Service Area | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 14 | CHC3031R | CHC3031R | Total Deficiencies Count Report by ARMS by Licensing Worker | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 15 | CHC3032R | CHC3032R | Total Deficiencies Count Report by ARMS by Assigned Worker | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 16 | CHC3050R | CHC3050R | Count of Persons, by Age, Receiving Eligibility | Report | 0 | Eligibility | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 17 | CHC3040R | CHC3040R | Inspection Report by Service Area | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 18 | CHC3041R | CHC3041R | Inspection Report by Licensing Worker | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 19 | CHC3042R | CHC3042R | Inspection Report by Assigned Worker | Report | 0 | Licensing | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 20 | CHC4010R | CHC4010R | Child Care Case Load Management | Report | 0 | Eligibility | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 21 | CHC4030R | CHC4030R | Warrant Number Update Report | Report | 0 | Fiscal | Admin | ||||||||||||||||||||||||||||||||||||||||||
| 22 | CHC4090R | CHC4090R | ACF-800 Report | High | Report | 0 | View of the CCUBS Data that is put into the ACF-800. Additional data outside of CCUBS is added to the ACF-800 and submitted through the CARS Site | Eligibility | Admin | ||||||||||||||||||||||||||||||||||||||||
| 23 | CHC4114R | CHC4114R | Child Care Case Load Management by County/Region | Report | 0 | Eligibility | |||||||||||||||||||||||||||||||||||||||||||
| 24 | CHC4120R | CHC4120R | Duplicate SSN Report | High | Report | 0 | Used by Eligibility Specialists. Need a version that shows only new duplicates. Need a way to be able to see if a duplicate has been researched already. | Administrative | |||||||||||||||||||||||||||||||||||||||||
| 25 | CHC4130R | CHC4130R | Duplicate FEIN Report | High | Report | 0 | Used by Eligibility Specialists. Need a version that shows only new duplicates. Need a way to be able to see if a duplicate has been researched already. | Administrative | |||||||||||||||||||||||||||||||||||||||||
| 26 | CHC4140R | CHC4140R | Workman Compensation Expiring Notice | WCE | 1/20/05 | N | Y | Notification | Y | Contract | Contractor | ||||||||||||||||||||||||||||||||||||||
| 27 | CHC4150R | CHC4150R | Contract Insurance Expiring Notice | IE | 3/3/05 | N | Y | Notification | Y | Contract | |||||||||||||||||||||||||||||||||||||||
| 28 | CHC4160R | CHC4160R | Active Child Care Case Listings | Report | 0 | Eligibility | |||||||||||||||||||||||||||||||||||||||||||
| 29 | CHC4180R | CHC4180R | Overpayment Recovery Notice | OR | 7/1/95 | N | N | NA | Notification | N | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | Administrative | |||||||||||||||||||||||||||||||||||||
| 30 | CHC5350R | CHC5350R | Contract (CITC) Application Rating | CAR | 7/14/05 | N | N | NA | Report | N | Not Currently Used - | Contract | |||||||||||||||||||||||||||||||||||||
| 31 | CHC6010R | CHC6010R | Voluntary Closure Notice | VC | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 32 | CHC6015R | CHC6015R | License Certificate | LC | 12/10/01 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 33 | CHC6016R | CHC6016R | Permissive License Certificate | PLC | 3/28/13 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 34 | CHC6020R | CHC6020R | Certificate of Registration | RC | 12/10/01 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 35 | CHC6021R | CHC6021R | License and Registraton Certificate Mailing Lables | Report | 0 | Licensing | |||||||||||||||||||||||||||||||||||||||||||
| 36 | CHC6022R | CHC6022R | License and Registraton Certificate Summary Report | Report | 0 | Licensing | |||||||||||||||||||||||||||||||||||||||||||
| 37 | CHC6030R | CHC6030R | Notice of Registration/License Approval | NRLA | 7/1/95 | N | Y | Notification | Y | Licensing | |||||||||||||||||||||||||||||||||||||||
| 38 | CHC6040R | CHC6040R | Individual Approval | IAL | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 39 | CHC6050R | CHC6050R | Request for Application Information | AS | 7/1/95 | 4/23/03 | N | N | NA | Notification | N | End Dated 04/23/2003 | Licensing | ||||||||||||||||||||||||||||||||||||
| 40 | CHC6060R | CHC6060R | Notice of Inspection Results | NIR | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 41 | CHC6070R | CHC6070R | Notice of Conclusions | AR | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 42 | CHC6080R | CHC6080R | Deficiency Cover Letter | FD | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 43 | CHC6090R | CHC6090R | Second Deficiency | SD | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 44 | CHC6100R | CHC6100R | Third Deficiency | TD | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 45 | CHC6110R | CHC6110R | Deficiency Notice | PDC | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 46 | CHC6120R | CHC6120R | Compliance | COM | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 47 | CHC6130R | CHC6130R | Notice of Application Denial | QADNAD | 12/10/01 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 48 | CHC6140R | CHC6140R | Immediate Suspension Pending Investigation | ISPI | 11/14/01 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 49 | CHC6150R | CHC6150R | Revocation/Suspension of Certificate/License | RSCL | 12/10/01 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 50 | CHC6160R | CHC6160R | Family/Group Center Registration Expiration Notice | FGCREN | 7/1/95 | 7/30/18 | N | N | NA | Notification | N | End Dated 07/30/2018 | Licensing | ||||||||||||||||||||||||||||||||||||
| 51 | CHC6165R | CHC6165R | Renewal of Day Care Center License | RDCCL | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 52 | CHC6170R | CHC6170R | Extended Registration/Licensing Agreement | ELRL | 7/1/95 | N | N | NA | Notification | N | No longer doing extended Registration/Licenses | Licensing | |||||||||||||||||||||||||||||||||||||
| 53 | CHC6175R | CHC6175R | Attestation Notice | ATN | 9/1/07 | 7/30/18 | N | N | NA | Notification | N | End Dated 07/30/2018 | Licensing | ||||||||||||||||||||||||||||||||||||
| 54 | CHC6180R | CHC6180R | Care Giver Application Denial | ACD | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 55 | CHC6190R | CHC6190R | Criminal Investigation Request - Open State | CIROS | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 56 | CHC6200R | CHC6200R | Criminal Investigation Request - Closed State, Fac | CIRCSF | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 57 | CHC6211R | CHC6211R | Criminal Investigation Request - Closed State, CG | CIRCSC | 7/1/95 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 58 | CHC6221R | CHC6221R | Provider License Expiry Notice to Parent | PLENP | 7/1/95 | N | N | Notification | N | Eligibility | |||||||||||||||||||||||||||||||||||||||
| 59 | CHC6230R | CHC6230R | Provider Insurance Expiration | PIE | 12/1/02 | N | Y | Notification | Y | Licensing | |||||||||||||||||||||||||||||||||||||||
| 60 | CHC6240R | CHC6240R | Provider Staff List | PSL | 11/5/09 | N | Y | Notification | Y | Licensing | |||||||||||||||||||||||||||||||||||||||
| 61 | CHC6245R | CHC6245R | Provider Staff List Online | PSLOL | 11/5/09 | N | N | Notification | N | Licensing | |||||||||||||||||||||||||||||||||||||||
| 62 | CHC6250R | CHC6250R | Expired Licenses and Registrations | Report | 0 | Licensing | |||||||||||||||||||||||||||||||||||||||||||
| 63 | CHC6255R | CHC6255R | Provider Rights and Responsibilities | IPRR | 2/15/12 | N | Y | Notification | Y | Eligibility | Provider | ||||||||||||||||||||||||||||||||||||||
| 64 | CHC6265R | CHC6265R | Provider Rights and Responsibilities - New Director | DN | 2/15/12 | N | Y | Notification | Y | Eligibility | Provider | ||||||||||||||||||||||||||||||||||||||
| 65 | CHC6275R | CHC6275R | Provider Rights and Responsibilities - New Facility | NPN | 2/15/12 | N | Y | Notification | Y | Eligibility | Provider | ||||||||||||||||||||||||||||||||||||||
| 66 | CHC6276R | CHC6276R | Provider Rights and Responsibilities - user Password | UPN | 2/15/12 | N | Y | Notification | Y | Eligibility | Provider | ||||||||||||||||||||||||||||||||||||||
| 67 | CHC6277R | CHC6277R | Provider Rights and Responsibilities - Revision | RPRR | 2/15/12 | N | Y | Notification | Y | Eligibility | Provider | ||||||||||||||||||||||||||||||||||||||
| 68 | CHC6278R | CHC6278R | Provider R & R - Payment Delay | PDN | 2/15/12 | N | Y | Notification | Y | Eligibility | Provider | ||||||||||||||||||||||||||||||||||||||
| 69 | CHC6279R | CHC6279R | Staff Access | SA | 9/16/13 | N | Y | Notification | Y | Eligibility | Provider | ||||||||||||||||||||||||||||||||||||||
| 70 | CHC6280R | CHC6280R | Active and Registered Providers | Report | 0 | Licensing | Administrative | ||||||||||||||||||||||||||||||||||||||||||
| 71 | CHC6285R | CHC6285R | Staff Access Password | SAP | 9/16/13 | N | Y | Notification | Y | Eligibility | Provider Staff | ||||||||||||||||||||||||||||||||||||||
| 72 | CHC6290R | CHC6290R | Negative Licensing Action Report - Individual | Report | 0 | Licensing | |||||||||||||||||||||||||||||||||||||||||||
| 73 | CHC6300R | CHC6300R | Negative Licensing Action Report - Statewide | Report | 0 | Licensing | |||||||||||||||||||||||||||||||||||||||||||
| 74 | CHC6310R | CHC6310R | Registration and Licensing Totals | Report | 0 | Licensing | Administrative | ||||||||||||||||||||||||||||||||||||||||||
| 75 | CHC6320R | CHC6320R | Provider Mailing Labels | Report | 0 | Licensing | Administrative | ||||||||||||||||||||||||||||||||||||||||||
| 76 | CHC6321R | CHC6321R | Total Count of Labels | Report | 0 | ||||||||||||||||||||||||||||||||||||||||||||
| 77 | CHC6322R | CHC6322R | Mailing Labels for Head of Household Report by HOH Location | Med | Report | 0 | Related to 6322, 6323, 6333 could be combined into one report with parameter selections, and ability to export to excel. | Eligibility | |||||||||||||||||||||||||||||||||||||||||
| 78 | CHC6323R | CHC6323R | Mailing Labels for Head of Household Report by Care Location | Med | Report | 0 | Related to 6322, 6323, 6333 could be combined into one report with parameter selections, and ability to export to excel. | Eligibility | |||||||||||||||||||||||||||||||||||||||||
| 79 | CHC6333R | CHC6333R | HOH Mailing Report | Med | Report | 0 | Related to 6322, 6323, 6333 could be combined into one report with parameter selections, and ability to export to excel. | Eligibility | |||||||||||||||||||||||||||||||||||||||||
| 80 | CHC6334R | CHC6334R | HOH Mailing Labels | Report | 0 | ||||||||||||||||||||||||||||||||||||||||||||
| 81 | CHC6340R | CHC6340R | Licensing Worker Caseload - Active Providers | Report | 0 | ||||||||||||||||||||||||||||||||||||||||||||
| 82 | CHC6350R | CHC6350R | Licensing Worker Caseload - Active Comp. Inv. | Report | 0 | ||||||||||||||||||||||||||||||||||||||||||||
| 83 | CHC6360R | CHC6360R | Licensing Worker Caseload - State Totals | Report | 0 | ||||||||||||||||||||||||||||||||||||||||||||
| 84 | CHC6370R | CHC6370R | Child Care Facility Listings | Report | 0 | ||||||||||||||||||||||||||||||||||||||||||||
| 85 | CHC6380R | CHC6380R | Active Child Care Facilities - By County | Report | 0 | ||||||||||||||||||||||||||||||||||||||||||||
| 86 | CHC6390R | CHC6390R | Active Child Care Facilities - State Wide | Report | 0 | ||||||||||||||||||||||||||||||||||||||||||||
| 87 | CHC6400R | CHC6400R | Primary Caregiver Turnover Rate for Star Facilities | Report | 0 | ||||||||||||||||||||||||||||||||||||||||||||
| 88 | CHC6410R | CHC6410R | Tiered Reimbursement Quality Expenditures | High | Report | 0 | STARS | Administrative | |||||||||||||||||||||||||||||||||||||||||
| 89 | CHC6420R | CHC6420R | STAR Award Letter | SAW | 1/1/15 | N | Y | High | Notification | Y | STARS | Provider | |||||||||||||||||||||||||||||||||||||
| 90 | CHC6421R | CHC6421R | STAR Denial Letter | SDL | 1/1/15 | N | Y | High | Notification | Y | STARS | Provider | |||||||||||||||||||||||||||||||||||||
| 91 | CHC6422R | CHC6422R | STAR Termination/Reduction Notification | STRN | 6/1/15 | N | Y | High | Notification | Y | STARS | Provider | |||||||||||||||||||||||||||||||||||||
| 92 | CHC6500R | CHC6500R | LCP Initial Approval | LPSMA | 7/1/95 | N | Y | NA | Notification | Y | Not done anymore (LCI either) | Do not fill out data - NOT USED | |||||||||||||||||||||||||||||||||||||
| 93 | CHC6510R | CHC6510R | LCP Notice of Application Denial | NAD | 7/1/95 | N | Y | NA | Notification | Y | Not done anymore (LCI either) | Do not fill out data - NOT USED | |||||||||||||||||||||||||||||||||||||
| 94 | CHC6520R | CHC6520R | LCP Approval Notice | LOE | 7/1/95 | N | Y | NA | Notification | Y | Not done anymore (LCI either) | Do not fill out data - NOT USED | |||||||||||||||||||||||||||||||||||||
| 95 | CHC6525R | CHC6525R | LCP Inactive Approval Letter | LIA | 9/1/11 | N | Y | NA | Notification | Y | Not done anymore (LCI either) | Do not fill out data - NOT USED | |||||||||||||||||||||||||||||||||||||
| 96 | CHC6530R | CHC6530R | LCP Renewal Letter | LRL | 7/1/95 | N | Y | NA | Notification | Y | Not done anymore (LCI either) | Do not fill out data - NOT USED | |||||||||||||||||||||||||||||||||||||
| 97 | CHC6531R | CHC6531R | LCP Payment Notification | NA | Notification | 0 | Not done anymore (LCI either) | Do not fill out data - NOT USED | |||||||||||||||||||||||||||||||||||||||||
| 98 | CHC6540R | CHC6540R | Fingerprint Card | FP | 7/1/95 | 3/22/06 | N | N | NA | Notification | N | End Dated 03/22/2006 | |||||||||||||||||||||||||||||||||||||
| 99 | CHC6550R | CHC6550R | General Correspondence for Providers or Contracts | GCPC | 4/4/07 | N | N | High | Notification | N | Used on a regular basis | All Users | All Users | ||||||||||||||||||||||||||||||||||||
| 100 | CHC6560R | CHC6560R | Orientation Attendance for LCPs - Six Months From | NA | Report | 0 | Not done anymore (LCI either) | Do not fill out data - NOT USED | |||||||||||||||||||||||||||||||||||||||||
| 101 | CHC6570R | CHC6570R | Orientation Attendance for LCPs - One Year From | NA | Report | 0 | Not done anymore (LCI either) | Do not fill out data - NOT USED | |||||||||||||||||||||||||||||||||||||||||
| 102 | CHC6580R | CHC6580R | LCPs Approval, Denial, and Pending Six Months | NA | Report | 0 | Not done anymore (LCI either) | Do not fill out data - NOT USED | |||||||||||||||||||||||||||||||||||||||||
| 103 | CHC6590R | CHC6590R | Child Care Facilities - By County and Statewide | High | Report | 0 | |||||||||||||||||||||||||||||||||||||||||||
| 104 | CHC6600R | CHC6600R | Notepad Report | High | Report | 0 | Used on a regular basis | All Users | All Users | ||||||||||||||||||||||||||||||||||||||||
| 105 | CHC6700R | CHC6700R | Request for Information | RFI | 7/1/95 | N | N | High | Notification | N | Used on a regular basis | Eligibility | Parent | ||||||||||||||||||||||||||||||||||||
| 106 | CHC6801R | CHC6801R | FFN and RCE Initial Approval Letter | FRIAL | 9/1/18 | N | Y | High | Notification | Y | Should be RCE not RCP - Does show as Rce in CCUBS Forms | ||||||||||||||||||||||||||||||||||||||
| 107 | CHC6802R | CHC6802R | FFN and RCE Approval Notification | FRAN | 9/1/18 | N | Y | High | Notification | Y | Should be RCE not RCP - Does show as Rce in CCUBS Forms | ||||||||||||||||||||||||||||||||||||||
| 108 | CHC6803R | CHC6803R | FFN and RCE Denial Notification | FRDN | 9/1/18 | N | Y | High | Notification | Y | Should be RCE not RCP - Does show as Rce in CCUBS Forms | ||||||||||||||||||||||||||||||||||||||
| 109 | CHC6804R | CHC6804R | FFN and RCE Renewal Notification | FRRN | 9/1/18 | N | Y | High | Notification | Y | Should be RCE not RCP - Does show as Rce in CCUBS Forms | ||||||||||||||||||||||||||||||||||||||
| 110 | CHC7010R | CHC7010R | Recertification Reminder | RCR | 7/1/95 | 1/12/15 | N | N | NA | Notification | N | End Dated 01/12/2015 | |||||||||||||||||||||||||||||||||||||
| 111 | CHC7011R | CHC7011R | Authorization Ending - Parent Notification | AEPSN | 1/1/15 | N | Y | High | Notification | Y | Eligibility | Parent | |||||||||||||||||||||||||||||||||||||
| 112 | CHC7012R | CHC7012R | Authorization Ending - Provider Notifiation | AEPVN | 1/1/15 | N | Y | High | Notification | Y | Eligibility | Provider | |||||||||||||||||||||||||||||||||||||
| 113 | CHC7013R | CHC7013R | Eligibility Renewal Reminder | ERR | 1/1/15 | N | Y | Notification | Y | ||||||||||||||||||||||||||||||||||||||||
| 114 | CHC7014R | CHC7014R | Eligibility Ending | EE | 3/31/16 | 4/12/18 | N | N | NA | Notification | N | End Dated 04/12/2018 | |||||||||||||||||||||||||||||||||||||
| 115 | CHC7020R | CHC7020R | Tentative Approval | TAV | 7/1/95 | N | N | NA | Notification | N | Notification is not processed | ||||||||||||||||||||||||||||||||||||||
| 116 | CHC7030R | CHC7030R | Added to Waiting List | WAT | 7/1/95 | N | N | NA | Notification | N | Notification is not processed | Eligibility | HoH | ||||||||||||||||||||||||||||||||||||
| 117 | CHC7040R | CHC7040R | Non-payment of Co-payment | NPC | 7/1/95 | N | Y | High | Notification | Y | Eligibility | HoH | |||||||||||||||||||||||||||||||||||||
| 118 | CHC7045R | CHC7045R | Ineligible for Best Beginnings Scholarship | IBBS | 1/8/09 | N | Y | High | Notification | Y | Eligibility | HoH | |||||||||||||||||||||||||||||||||||||
| 119 | CHC7050R | CHC7050R | Explanation of Benefits Notice | EOB | 7/1/95 | N | Y | Notification | Y | ||||||||||||||||||||||||||||||||||||||||
| 120 | CHC7060R | CHC7060R | Overpayment Options | OVO | 7/1/95 | N | N | NA | Notification | N | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | ||||||||||||||||||||||||||||||||||||||
| 121 | CHC7070R | CHC7070R | Repayment by Increased Co-payment | NA | Notification | N | Not in the CCUBS Notification Types Table | ||||||||||||||||||||||||||||||||||||||||||
| 122 | CHC7080R | CHC7080R | Repay Overpayment by Check or Money Order | RCC | 7/1/95 | N | N | NA | Notification | N | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | ||||||||||||||||||||||||||||||||||||||
| 123 | CHC7090R | CHC7090R | Repay Overpayment is Complete | ROC | 7/1/95 | N | N | NA | Notification | N | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | ||||||||||||||||||||||||||||||||||||||
| 124 | CHC7100R | CHC7100R | Child Turning 13 or 19 | CTT | 7/1/95 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 125 | CHC7101R | CHC7101R | Child Turning 13 | CT13 | 6/1/18 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 126 | CHC7110R | CHC7110R | Scholarship Application Renewal Reminder | SARR | 7/1/95 | 12/2/09 | N | N | NA | Notification | N | End Dated 12/02/2009 | |||||||||||||||||||||||||||||||||||||
| 127 | CHC7120R | CHC7120R | General Correspondence | GC | 7/1/95 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 127.1 | CHC7123R | CHC7123R | Health Care Worker - Grace Period Eligible Ending | HCWGPEE | 11/1/21 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 127.2 | CHC7124R | CHC7124R | Health Care Worker - Eligible | HCWED | 11/1/21 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 127.3 | CHC7125R | CHC7125R | Health Care Worker - Ineligible | HCWIED | 11/1/21 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 127.4 | CHC7126R | CHC7126R | Health Care Worker - Grace Period Eligible | HCWGED | 11/1/21 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 128 | CHC7127R | CHC7127R | Eligibility Determination – Subsidized Adoption and Guardianship | EDSAG | 11/1/17 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 129 | CHC7128R | CHC7128R | Graduated Eligibility Determination Ineligible Notice | GEI | 1/1/17 | N | Y | Notification | Y | ||||||||||||||||||||||||||||||||||||||||
| 130 | CHC7129R | CHC7129R | Eligibility Determination – Non-TANF | NED | 1/1/17 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 131 | CHC7130R | CHC7130R | Eligibility Determination | ED | 7/1/95 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 132 | CHC7131R | CHC7131R | Graduated Eligibility Determination Notice | GEDN | 1/1/17 | N | Y | Notification | Y | ||||||||||||||||||||||||||||||||||||||||
| 133 | CHC7132R | CHC7132R | Non-TANF Eligibility Approval Notices (can't find report) | High | Notification | 0 | Eligibility | Parents | |||||||||||||||||||||||||||||||||||||||||
| 134 | CHC7133R | CHC7133R | Grace Period Eligibility Determination | GED | 10/1/15 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 135 | CHC7134R | CHC7134R | Grace Period Eligibility Ending | GPEE | 10/1/15 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 136 | CHC7135R | CHC7135R | Invoice Form - Scholarship (TAD) | TAD | 1/2/02 | N | Y | Not run - replaced by Webapp Invoice Form (W_TAD) | High | Notification | Y | Eligibility | Provider | ||||||||||||||||||||||||||||||||||||
| 137 | CHC7136R | CHC7136R | Eligibility Determination – TANF and WCR | TED | 1/1/17 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 138 | CHC7137R | CHC7137R | Eligibility Determination – CPS and Tribal IV-E | CED | 1/1/17 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 139 | CHC7138R | CHC7138R | Plan Auth - Certification Plan | PA | 7/1/95 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 140 | CHC7139R | CHC7139R | Eligibility Determination – Ineligible | IED | 1/1/17 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 141 | CHC7140R | CHC7140R | Case Closure | CC | 7/1/95 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 142 | CHC7141R | CHC7141R | Provider Case Closure | PRCC | 6/21/18 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 143 | CHC7142R | CHC7142R | Case Pending Closure | PCC | 2/26/15 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 144 | CHC7145R | CHC7145R | Co-payment Change | CP | 7/1/95 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 145 | CHC7147R | CHC7147R | Provider Co-payment Change | PCP | 7/1/95 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 146 | CHC7150R | CHC7150R | Statement of Remittance (SOR) | SOR | 7/1/95 | N | Y | Not run - replaced by Web Statement of Payment (W_SOP) | Y | ||||||||||||||||||||||||||||||||||||||||
| 147 | CHC7160R | CHC7160R | Overpayment Options (Provider) | OVOP | 7/1/95 | N | N | NA | Notification | N | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | ||||||||||||||||||||||||||||||||||||||
| 148 | CHC7170R | CHC7170R | Change of Information | COI | 12/10/01 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 149 | CHC7180R | CHC7180R | Background Check Notice | BCN | 9/1/06 | 5/30/17 | N | N | NA | Notification | N | End Dated 05/30/2017 | |||||||||||||||||||||||||||||||||||||
| 150 | CHC7185R | CHC7185R | CPR/First Aid Expiring Notice | CPRFA | 6/1/08 | N | Y | Notification | Y | ||||||||||||||||||||||||||||||||||||||||
| 151 | CHC7190R | CHC7190R | Caregiver Approval Notice | CGA | 5/10/07 | N | Y | Notification | Y | ||||||||||||||||||||||||||||||||||||||||
| 152 | CHC7300R | CHC7300R | Co-payment Obligation Report | Report | 0 | Eligibility | |||||||||||||||||||||||||||||||||||||||||||
| 153 | CHC7310R | CHC7310R | CCUBS Overpayment Sent Accounts Receivable | NA | Notification | 0 | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | ||||||||||||||||||||||||||||||||||||||||||
| 154 | CHC7320R | CHC7320R | Overpayment Activities | NA | Notification | 0 | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | ||||||||||||||||||||||||||||||||||||||||||
| 155 | CHC7330R | CHC7330R | CHIMES Match Report | Report | 0 | Eligibility | |||||||||||||||||||||||||||||||||||||||||||
| 156 | CHC7335R | CHC7335R | WoRC Referral Form | WRF | 11/1/12 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 157 | CHC7340R | CHC7340R | Certification Expiring Report | Report | 0 | ||||||||||||||||||||||||||||||||||||||||||||
| 158 | CHC7350R | CHC7350R | Application Renewals Due in 60 Days | 0 | |||||||||||||||||||||||||||||||||||||||||||||
| 159 | CHC7360R | CHC7360R | Outstanding Invoices | Med | Report | 0 | Eligibility | Administrative | |||||||||||||||||||||||||||||||||||||||||
| 160 | CHC7370R | CHC7370R | ARMS To CCUBS Exception Report | Report | 0 | Overpayments | Administrative | ||||||||||||||||||||||||||||||||||||||||||
| 161 | CHC7380R | CHC7380R | ARMS To CCUBS Transactions Activity Report | Report | 0 | Overpayments | Administrative | ||||||||||||||||||||||||||||||||||||||||||
| 162 | CHC7390R | CHC7390R | Case Event Person Authorization Report | Report | 0 | Eligibility | |||||||||||||||||||||||||||||||||||||||||||
| 163 | CHC7410R | CHC7410R | Children As Scholars Report | NA | Report | 0 | Eligibility | Administrative | |||||||||||||||||||||||||||||||||||||||||
| 164 | CHC7420R | CHC7420R | Stale Dated Invoices | Med | Report | 0 | Eligibility | Administrative | |||||||||||||||||||||||||||||||||||||||||
| 165 | CHC8000R | CHC8000R | Contract Application Denial | AD | 7/1/95 | 12/16/09 | N | Y | NA | Notification | Y | End Dated 12/16/2009 | |||||||||||||||||||||||||||||||||||||
| Process Notification is marked in CCUBS Forms, should not be | Contract | Contractor | |||||||||||||||||||||||||||||||||||||||||||||||
| 166 | CHC8010R | CHC8010R | Contract Denial | 0 | |||||||||||||||||||||||||||||||||||||||||||||
| 167 | CHC8015R | CHC8015R | Contract Termination | 0 | |||||||||||||||||||||||||||||||||||||||||||||
| 168 | CHC8020R | CHC8020R | Contract Grant Awarded | CA | 7/1/95 | 3/22/06 | N | N | NA | Notification | N | End Dated 03/22/2006 | Contract | Contractor | |||||||||||||||||||||||||||||||||||
| 169 | CHC8030R | CHC8030R | Mini Grant Award | MG | 7/1/95 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 170 | CHC8031R | CHC8031R | Apprentice Sponsor Award Letter (MCAP) | MCAP | 7/1/09 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 171 | CHC8032R | CHC8032R | Apprentice Award Letter (MCAA) | MCAA | 7/1/09 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 172 | CHC8040R | CHC8040R | Merit Pay Award | MP | 7/1/95 | N | N | N | Not used anymore | ||||||||||||||||||||||||||||||||||||||||
| 173 | CHC8041R | CHC8041R | Higher Education Merit Pay Award | MH | 11/5/04 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 174 | CHC8042R | CHC8042R | Infant Toddler Merit Pay Award | MI | 11/5/04 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 175 | CHC8050R | CHC8050R | Print Contract | PC | 7/1/95 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 176 | CHC8060R | CHC8060R | Monthly Invoice/Billing Statement (Contracts) | MIBS | 12/3/01 | N | Y | High | Report | Y | allow manual creation and ootput to excel | Contract | Contractor | ||||||||||||||||||||||||||||||||||||
| 177 | CHC8070R | CHC8070R | Contract Budget Exceeded | CNTBUDEX | 10/29/01 | 2/27/03 | N | N | NA | Notification | N | End Dated 02/27/2003 | |||||||||||||||||||||||||||||||||||||
| 178 | CHC8080R | CHC8080R | Decreased Payment | DECRPAY | 10/29/01 | 3/22/06 | N | N | NA | Notification | N | End Dated 03/22/2006 | |||||||||||||||||||||||||||||||||||||
| 179 | CHC8090R | CHC8090R | Outstanding Advance | OUTADV | 12/3/01 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 180 | CHC8100R | CHC8100R | Quarterly Report Not Received | NQRNR | 12/3/01 | N | N | Low | Report | N | Contract | Administrative | |||||||||||||||||||||||||||||||||||||
| 181 | CHC8110R | CHC8110R | Contract Summary Report | High | Report | 0 | Used on a regular basis | Contract | Administrative | ||||||||||||||||||||||||||||||||||||||||
| 182 | CHC8120R | CHC8120R | R&R Contract Summary Report | Low | Report | 0 | Not sure what this report is | Contract | Administrative | ||||||||||||||||||||||||||||||||||||||||
| 183 | CHC8130R | CHC8130R | Active Contracts | 0 | |||||||||||||||||||||||||||||||||||||||||||||
| 184 | CHC8140R | CHC8140R | Contract Monitoring Visit Report | CNTMVR | 12/3/01 | N | N | Low | Report | N | Not sure what this report is | Contract | Administrative | ||||||||||||||||||||||||||||||||||||
| 185 | CHC8150R | CHC8150R | Provider and Personal Listing by CCR&R District | 0 | |||||||||||||||||||||||||||||||||||||||||||||
| 186 | CHC8160R | CHC8160R | Contract Application Approval | CAA | 6/30/05 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 187 | CHC8170R | CHC8170R | Contract Application Denial (CITC) | CAD | 6/30/05 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 188 | CHC8180R | CHC8180R | Stipend Summary Form | SSF | 6/30/05 | N | Y | Y | |||||||||||||||||||||||||||||||||||||||||
| 189 | CHC8185R | CHC8185R | Stipend Summary Form Online | SSFOL | 6/1/08 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 190 | CHC8190R | CHC8190R | Contract Pending Termination | CPT | 6/30/05 | N | N | N | |||||||||||||||||||||||||||||||||||||||||
| 191 | CHC8200R | CHC8200R | CCR&R Invoice By District Report (Unreleased Invoice) | High | Report | 0 | Used on a daily basis |
Related 8200R, 8250R - Combine into one Report. Needs Revisions 192 CHC8250R CHC8250R Invoices Submitted Online by District High Report 0 Used on a daily basis Related 8200R, 8250R - Combine into one Report. Needs Revisions
| 193 | CHC8500R | CHC8500R | Worker Alerts | 0 | ||||||||||
| 194 | CHC8505R | CHC8505R | CAPS Rejection Alerts | 0 | ||||||||||
| 195 | CHC8510R | CHC8510R | Notice of Award of Quality Level | NAQL | 7/1/95 | 6/7/11 | N | N | NA | Notification | N | End Dated 06/07/2011 | STARS | Provider |
| 196 | CHC8520R | CHC8520R | Notice of Denial of Quality Level | NDQL | 7/1/95 | 6/7/11 | N | N | NA | Notification | N | End Dated 06/07/2011 | STARS | Provider |
| 197 | CHC8530R | CHC8530R | Notice of Quality Level Expiring | NQLE | 7/1/95 | 6/7/11 | N | N | NA | Notification | N | End Dated 06/07/2011 | STARS | Provider |
| 198 | CHC8540R | CHC8540R | Notice of Quality Level Termination | NQLT | 7/1/95 | 6/7/11 | N | N | NA | Notification | N | End Dated 06/07/2011 | STARS | Provider |
| 199 | CHC8550R | CHC8550R | Quality Level Providers | 0 | ||||||||||
| 200 | CHC8560R | CHC8560R | Quality Level Denials and Reasons | 0 | ||||||||||
| 201 | CHC8570R | CHC8570R | Regional Provider Workforce Report | High | Report | 0 | Used on a regular basis | Licensing | Administrative | |||||
| 202 | CHC8575R | CHC8575R | State Provider Workforce Report | High | Report | 0 | Used on a regular basis | Licensing | Administrative | |||||
| 203 | CHC8600R | CHC8600R | W-9 Notice | W9 | 7/1/07 | N | Y | High | Notification | Y | Payments | PS/PV/OG | ||
| 204 | CHC8610R | CHC8610R | Quality Level Award Notice | RFMS | 3/25/02 | 3/26/02 | N | N | High | Notification | N | Current Notification | STARS | Provider |
| 205 | CHC8615R | CHC8615R | Quality Level Denial Notice | PRRA | 2/15/12 | N | N | High | Notification | N | Current Notification | STARS | Provider | |
| 206 | CHC8620R | CHC8620R | Quality Level Expiration Notice | High | Notification | 0 | Current Notification | STARS | Provider | |||||
| 207 | CHC8625R | CHC8625R | Quality Level Hold Notice | High | Notification | 0 | Current Notification | STARS | Provider | |||||
| 208 | CHC8630R | CHC8630R | Quality Level Termination/Reduction Notice | High | Notification | 0 | Current Notification | STARS | Provider | |||||
| 209 | CHC8700R | CHC8700R | Post Barcode Notification Processing Report | High | Report | 0 | This is the 8 reports that get emailed on a daily basis to CCUBSSupport@mt.gov, molson@mt.gov, Etc… | Mailing | Administrative | |||||
| 210 | SHC6520R | SHC6520R | LUP Orientation Extension | 0 | ||||||||||
| 211 | W_EOB | Web Explantion of Benefits | W_EOB | 4/1/20 | N | Y | Y | |||||||
| 212 | W_SOP | Web Statement of Payment | W_SOP | 4/1/20 | N | Y | Y | |||||||
| 213 | W_PA | Webapp Authorization Plan | W_PA | 4/1/20 | N | Y | Y | |||||||
| 214 | W_TAD | Webapp Invoice Form | W_TAD | 4/1/20 | N | Y | Y | |||||||
| 215 | Provider Rights and Responsibilities Agreement | PRRA | 2/15/12 | N | N | |||||||||
| 216 | Temp change to RFMS | RFMS | 3/25/02 | 3/26/02 | N | N | ||||||||
| 217 |
Template Details
| Row | Inventory Fields | Description | Purpose | Values | Notes |
| 1 | Output ID | Inventory trakcing number | Tracking and management | number | |
| 2 | Legacy Reference # | Existing number/name of output | Tracking and management | Free Text | |
| 3 | Output Title/Name | Title | Tracking and management | Free Text | |
| 4 | Comments | Comments | Comments | Free Text | |
| 5 | Purpose/Description | Description | Understanding | Free Text | |
| 6 | Functional Area | Functional group owns/uses this report | Sorting, assigning, tracking | DPHHS, Federal, Eligibility, Licensing, Finance, Technology, Contracting, etc. | |
| 7 | Sub Area | Specific area | Sorting, assigning, tracking | COPA, Scholarship, Invoice, ARPA, etc. (list too big to put in here) | |
| 8 | Sample File(s) or URL | Document sample location | Design consideration | Provide example | |
| 9 | Current system platform | Location of code for output | Help identify which need to be moved to new platform | CCUBSweb, CCUBSforms,…. | |
| 10 | Analyst | Assigned analyst | Tracking and management | Name | |
| 11 | Status | Status of work on this output item | Tracking and management | Not Started, Assigned, In Process, In review, Accepted, Hold, Complete | |
| 12 | Recipient | Report user (not the person who runs the report) | Design consideration | Free Text | |
| 13 | Priority | Criticality of this output being generated | Design consideration | Critical, High, Medium, Low | |
| 14 | Decision-making Impact | Data informs user of action used to make descision | Design consideration | Management, program, business, notification, on-going status | |
| 15 | Frequency of use | Frequency this is used in daily work | Design consideration | Unknown, Never, Daily, Weekly, Monthly, Quarterly, Semi-Annual, Annual, Adhoc | |
| 16 | Frequency Generated | Frequency output is created | Design consideration | Daily, Weekly, Monthly, Quarterly, Semi-Annual, Annual, Adhoc | |
| 17 | On Demand? | Do users ask for this adhoc | Design consideration | Yes/No | |
| 18 | On Demand turn around time | How long does it take from request to delivery? | Design consideration | Same day, 3 days, 5 days, more than 5 | |
| 19 | Origin System | Trigger to generate output | Technology consideration | Batch job, file trigger, user demand, manual IT job | |
| 20 | Criteria Description | Parameters used to generate report | Design consideration | Free Text | |
| 21 | Report Layout | Report format characteristics - describe the main areas of the report | Design consideration | Free Text - describe Group, Sort, Sum, Totals and any filters that are available | |
| 22 | Data Source | Database/schema that provides information | Design consideration | Free Text | |
| 23 | System Dependency | Reliance on technology or other system to create/complete output | Technology consideration | This is "data in" - Database, file storage location, inbound file, etc. (AWACS, SansWrite, ECP) | |
| 24 | Output Dependency | Reliance on technology or other system to successfully generate output | Technology consideration | This is "data out" - Database, file storage location, email server, printer, etc. | |
| 25 | Publication Format(s) | Output type | Design consideration | File, printed on paper, saved, USPS mail, email, online alert, online other, interface file, etc. | |
| 26 | Delivery Mechanism | Delivery to report owner | Design consideration | Describe how report gets to owner/user of information | |
| 27 | Published/ Storage Location | Output publication location | Technology consideration | Describe where the output resides | |
| 28 | Location Path | Actual path to location or URL | Technology consideration | Identify where the output resides | |
| 29 | Future Disposition | Based on analysis, what is this going to happen to this output | Planning, normalization | Needed, Duplicate, Combine, Not Needed, Change, Other | |
| 30 | Future Method | Later - Based on analysis, where will this land after Oracle Reports is turned off | Planning, normalization | MPATH Rpt, Pentaho Rpt, Tableau Rpt, Online Alert, Online Notification, Email Letter, Paper Letter | |
| 31 | Design Document ID | Later - identify design document | Free Text | ||
| 32 | New Name | Later - output name | Free Text | ||
| 33 | Difficulty | Later - new output complexity level | Free Text | ||
| 34 | PV Number | Does report use this key field | Yes/No | ||
| 35 | PS Number | Does report use this key field | Yes/No | ||
| 36 | Org Number | Does report use this key field | Yes/No | ||
| 37 | Case Number | Does report use this key field | Yes/No | ||
| 38 | Provider information | Does report use this key field | Yes/No | ||
| 39 | Child Information | Does report use this key field | Yes/No | ||
| 40 | Provider information | Does report use this key field | Yes/No | ||
| 41 | Payment Informatin | Does report use this key field | Yes/No | ||
| 42 | Date Range | Does report use this key field | Yes/No | ||
| 43 | Specific Date | Does report use this key field | Yes/No | ||
| 44 | Name Fields | Does report use this key field | Yes/No | ||
| 45 | Age or DOB | Does report use this key field | Yes/No | ||
| 46 | Address Fields | Does report use this key field | Yes/No | ||
| 47 | Location or Region | Does report use this key field | Yes/No | ||
| 48 | Worker Info | Does report use this key field | Yes/No | ||
| 49 | Phone | Does report use this key field | Yes/No | ||
| 50 | Does report use this key field | Yes/No | |||
| 51 | Eligible | Does report use this key field | Yes/No | ||
| 52 | Invoice Number | Does report use this key field | Yes/No | ||
| 53 | Invoice Date | Does report use this key field | Yes/No |
Output Inventory Not Used
| Inventory Number | Output ID | Legacy Reference # | Output Title/Name | Code | Effective Begin Date | Effective End Date | Resend Original PDF | Process Notification | Prioroty | Notificaiton / Report | Comments / | ||||||||||||||||||||||||||||||||||||||
| Peraton Comments | Purpose/Description | Functional Area | Sub Area | Sample File(s) or URL | Current system platform | Analyst | Status | Recipient | Priority | Decision-making Impact | Frequency of use | Frequency Generated | On Demand? | On Demand turn around time | Origin System | Criteria Description | Report Layout | Data Source | System Dependency | Output Dependency | Publication Format(s) | Delivery Mechanism | Published/ Storage Location | Location Path | Future Disposition | Future Method | Design Document ID | New Name | Difficulty | PV Number | PS Number | Org Number | Case Number | Provider information | Child Information | Provider information | Payment Informatin | Date Range | Specific Date | Name Fields | Age or DOB | Address Fields | Location or Region | Worker Info | Phone | Eligible | Invoice Number | Invoice Date | |
| 169 | CHC8000R | CHC8000R | Contract Application Denial | AD | 7/1/95 | 12/16/09 | N | Y | NA | Notification | If End Dated "Process Notification" should be changed to "N" | Contract | Contractor | ||||||||||||||||||||||||||||||||||||
| 140 | CHC7135R | CHC7135R | Invoice Form - Scholarship (TAD) | TAD | 1/2/02 | N | Y | NA | Notification | Not run - replaced by Web Statement of Payment (W_SOP) | |||||||||||||||||||||||||||||||||||||||
| If not run "Process Notification" should be changed to "N" | Eligibility | Provider | |||||||||||||||||||||||||||||||||||||||||||||||
| 92 | CHC6500R | CHC6500R | LCP Initial Approval | LPSMA | 7/1/95 | N | Y | NA | Notification | Not done anymore (LCI either) - Chance process Notification to NO | Do not fill out data - NOT USED | ||||||||||||||||||||||||||||||||||||||
| 93 | CHC6510R | CHC6510R | LCP Notice of Application Denial | NAD | 7/1/95 | N | Y | NA | Notification | Not done anymore (LCI either) - Chance process Notification to NO | Do not fill out data - NOT USED | ||||||||||||||||||||||||||||||||||||||
| 94 | CHC6520R | CHC6520R | LCP Approval Notice | LOE | 7/1/95 | N | Y | NA | Notification | Not done anymore (LCI either) - Chance process Notification to NO | Do not fill out data - NOT USED | ||||||||||||||||||||||||||||||||||||||
| 95 | CHC6525R | CHC6525R | LCP Inactive Approval Letter | LIA | 9/1/11 | N | Y | NA | Notification | Not done anymore (LCI either) - Chance process Notification to NO | Do not fill out data - NOT USED | ||||||||||||||||||||||||||||||||||||||
| 96 | CHC6530R | CHC6530R | LCP Renewal Letter | LRL | 7/1/95 | N | Y | NA | Notification | Not done anymore (LCI either) - Chance process Notification to NO | Do not fill out data - NOT USED | ||||||||||||||||||||||||||||||||||||||
| 184 | CHC8100R | CHC8100R | Quarterly Report Not Received | NQRNR | 12/3/01 | N | N | NA | Notificaiton | Contract | Administrative | ||||||||||||||||||||||||||||||||||||||
| 188 | CHC8140R | CHC8140R | Contract Monitoring Visit Report | CNTMVR | 12/3/01 | N | N | NA | Notificaiton | Contract | Administrative | ||||||||||||||||||||||||||||||||||||||
| 99 | CHC6550R | CHC6550R | General Correspondence for Providers or Contracts | GCPC | 4/4/07 | N | N | NA | Notification | All Users | Provider/Contractors | ||||||||||||||||||||||||||||||||||||||
| 105 | CHC6700R | CHC6700R | Request for Information | RFI | 7/1/95 | N | N | NA | Notification | Eligibility | Parent | ||||||||||||||||||||||||||||||||||||||
| 29 | CHC4180R | CHC4180R | Overpayment Recovery Notice | OR | 7/1/95 | N | N | NA | Notification | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | Administrative | ||||||||||||||||||||||||||||||||||||||
| 31 | CHC6010R | CHC6010R | Voluntary Closure Notice | VC | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 32 | CHC6015R | CHC6015R | License Certificate | LC | 12/10/01 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 33 | CHC6016R | CHC6016R | Permissive License Certificate | PLC | 3/28/13 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 34 | CHC6020R | CHC6020R | Certificate of Registration | RC | 12/10/01 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 38 | CHC6040R | CHC6040R | Individual Approval | IAL | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 39 | CHC6050R | CHC6050R | Request for Application Information | AS | 7/1/95 | 4/23/03 | N | N | NA | Notification | End Dated 04/23/2003 | Licensing | |||||||||||||||||||||||||||||||||||||
| 40 | CHC6060R | CHC6060R | Notice of Inspection Results | NIR | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 41 | CHC6070R | CHC6070R | Notice of Conclusions | AR | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 42 | CHC6080R | CHC6080R | Deficiency Cover Letter | FD | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 43 | CHC6090R | CHC6090R | Second Deficiency | SD | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 44 | CHC6100R | CHC6100R | Third Deficiency | TD | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 45 | CHC6110R | CHC6110R | Deficiency Notice | PDC | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 46 | CHC6120R | CHC6120R | Compliance | COM | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 47 | CHC6130R | CHC6130R | Notice of Application Denial | QADNAD | 12/10/01 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 48 | CHC6140R | CHC6140R | Immediate Suspension Pending Investigation | ISPI | 11/14/01 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 49 | CHC6150R | CHC6150R | Revocation/Suspension of Certificate/License | RSCL | 12/10/01 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 50 | CHC6160R | CHC6160R | Family/Group Center Registration Expiration Notice | FGCREN | 7/1/95 | 7/30/18 | N | N | NA | Notification | End Dated 07/30/2018 | Licensing | |||||||||||||||||||||||||||||||||||||
| 51 | CHC6165R | CHC6165R | Renewal of Day Care Center License | RDCCL | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 52 | CHC6170R | CHC6170R | Extended Registration/Licensing Agreement | ELRL | 7/1/95 | N | N | NA | Notification | No longer doing extended Registration/Licenses | Licensing | ||||||||||||||||||||||||||||||||||||||
| 53 | CHC6175R | CHC6175R | Attestation Notice | ATN | 9/1/07 | 7/30/18 | N | N | NA | Notification | End Dated 07/30/2018 | Licensing | |||||||||||||||||||||||||||||||||||||
| 54 | CHC6180R | CHC6180R | Care Giver Application Denial | ACD | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 55 | CHC6190R | CHC6190R | Criminal Investigation Request - Open State | CIROS | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 56 | CHC6200R | CHC6200R | Criminal Investigation Request - Closed State, Fac | CIRCSF | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 57 | CHC6211R | CHC6211R | Criminal Investigation Request - Closed State, CG | CIRCSC | 7/1/95 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 58 | CHC6221R | CHC6221R | Provider License Expiry Notice to Parent | PLENP | 7/1/95 | N | N | NA | Notification | Eligibility | |||||||||||||||||||||||||||||||||||||||
| 61 | CHC6245R | CHC6245R | Provider Staff List Online | PSLOL | 11/5/09 | N | N | NA | Notification | Licensing | |||||||||||||||||||||||||||||||||||||||
| 98 | CHC6540R | CHC6540R | Fingerprint Card | FP | 7/1/95 | 3/22/06 | N | N | NA | Notification | End Dated 03/22/2006 | ||||||||||||||||||||||||||||||||||||||
| 110 | CHC7010R | CHC7010R | Recertification Reminder | RCR | 7/1/95 | 1/12/15 | N | N | NA | Notification | End Dated 01/12/2015 | ||||||||||||||||||||||||||||||||||||||
| 114 | CHC7014R | CHC7014R | Eligibility Ending | EE | 3/31/16 | 4/12/18 | N | N | NA | Notification | End Dated 04/12/2018 | ||||||||||||||||||||||||||||||||||||||
| 115 | CHC7020R | CHC7020R | Tentative Approval | TAV | 7/1/95 | N | N | NA | Notification | Notification is not processed | |||||||||||||||||||||||||||||||||||||||
| 116 | CHC7030R | CHC7030R | Added to Waiting List | WAT | 7/1/95 | N | N | NA | Notification | Notification is not processed | Eligibility | HoH | |||||||||||||||||||||||||||||||||||||
| 120 | CHC7060R | CHC7060R | Overpayment Options | OVO | 7/1/95 | N | N | NA | Notification | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | |||||||||||||||||||||||||||||||||||||||
| 122 | CHC7080R | CHC7080R | Repay Overpayment by Check or Money Order | RCC | 7/1/95 | N | N | NA | Notification | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | |||||||||||||||||||||||||||||||||||||||
| 123 | CHC7090R | CHC7090R | Repay Overpayment is Complete | ROC | 7/1/95 | N | N | NA | Notification | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | |||||||||||||||||||||||||||||||||||||||
| 126 | CHC7110R | CHC7110R | Scholarship Application Renewal Reminder | SARR | 7/1/95 | 12/2/09 | N | N | NA | Notification | End Dated 12/02/2009 | ||||||||||||||||||||||||||||||||||||||
| 151 | CHC7160R | CHC7160R | Overpayment Options (Provider) | OVOP | 7/1/95 | N | N | NA | Notification | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | |||||||||||||||||||||||||||||||||||||||
| 153 | CHC7180R | CHC7180R | Background Check Notice | BCN | 9/1/06 | 5/30/17 | N | N | NA | Notification | End Dated 05/30/2017 | ||||||||||||||||||||||||||||||||||||||
| 172 | CHC8020R | CHC8020R | Contract Grant Awarded | CA | 7/1/95 | 3/22/06 | N | N | NA | Notification | End Dated 03/22/2006 | Contract | Contractor | ||||||||||||||||||||||||||||||||||||
| 181 | CHC8070R | CHC8070R | Contract Budget Exceeded | CNTBUDEX | 10/29/01 | 2/27/03 | N | N | NA | Notification | End Dated 02/27/2003 | ||||||||||||||||||||||||||||||||||||||
| 182 | CHC8080R | CHC8080R | Decreased Payment | DECRPAY | 10/29/01 | 3/22/06 | N | N | NA | Notification | End Dated 03/22/2006 | ||||||||||||||||||||||||||||||||||||||
| 199 | CHC8510R | CHC8510R | Notice of Award of Quality Level | NAQL | 7/1/95 | 6/7/11 | N | N | NA | Notification | End Dated 06/07/2011 | STARS | Provider | ||||||||||||||||||||||||||||||||||||
| 200 | CHC8520R | CHC8520R | Notice of Denial of Quality Level | NDQL | 7/1/95 | 6/7/11 | N | N | NA | Notification | End Dated 06/07/2011 | STARS | Provider | ||||||||||||||||||||||||||||||||||||
| 201 | CHC8530R | CHC8530R | Notice of Quality Level Expiring | NQLE | 7/1/95 | 6/7/11 | N | N | NA | Notification | End Dated 06/07/2011 | STARS | Provider | ||||||||||||||||||||||||||||||||||||
| 202 | CHC8540R | CHC8540R | Notice of Quality Level Termination | NQLT | 7/1/95 | 6/7/11 | N | N | NA | Notification | End Dated 06/07/2011 | STARS | Provider | ||||||||||||||||||||||||||||||||||||
| 208 | CHC8610R | CHC8610R | Quality Level Award Notice | RFMS | 3/25/02 | 3/26/02 | N | N | NA | Notification | STARS | Provider | |||||||||||||||||||||||||||||||||||||
| 209 | CHC8615R | CHC8615R | Quality Level Denial Notice | PRRA | 2/15/12 | N | N | NA | Notification | STARS | Provider | ||||||||||||||||||||||||||||||||||||||
| 97 | CHC6531R | CHC6531R | LCP Payment Notification | NA | Notification | Not done anymore (LCI either) | Do not fill out data - NOT USED | ||||||||||||||||||||||||||||||||||||||||||
| 121 | CHC7070R | CHC7070R | Repayment by Increased Co-payment | NA | Notification | Not in the CCUBS Notification Types Table | |||||||||||||||||||||||||||||||||||||||||||
| 157 | CHC7310R | CHC7310R | CCUBS Overpayment Sent Accounts Receivable | NA | Notification | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | |||||||||||||||||||||||||||||||||||||||||||
| 158 | CHC7320R | CHC7320R | Overpayment Activities | NA | Notification | Not Currently Used, Process, other than tracking amounts is outside of CCUBS. Discussion with management if would want to put process back in CCUBS, but these forms as is are probably obsolete and best to be redone entirely | |||||||||||||||||||||||||||||||||||||||||||
| 30 | CHC5350R | CHC5350R | Contract (CITC) Application Rating | CAR | 7/14/05 | N | N | NA | Notification | Not Currently Used - | Contract | ||||||||||||||||||||||||||||||||||||||
| 173 | CHC8030R | CHC8030R | Mini Grant Award | MG | 7/1/95 | N | N | Notification | |||||||||||||||||||||||||||||||||||||||||
| 152 | CHC7170R | CHC7170R | Change of Information | COI | 12/10/01 | N | N | Notification | |||||||||||||||||||||||||||||||||||||||||
| 160 | CHC7335R | CHC7335R | WoRC Referral Form | WRF | 11/1/12 | N | N | Notification | |||||||||||||||||||||||||||||||||||||||||
| 174 | CHC8031R | CHC8031R | Apprentice Sponsor Award Letter (MCAP) | MCAP | 7/1/09 | N | N | Notification | |||||||||||||||||||||||||||||||||||||||||
| 175 | CHC8032R | CHC8032R | Apprentice Award Letter (MCAA) | MCAA | 7/1/09 | N | N | Notification | |||||||||||||||||||||||||||||||||||||||||
| 176 | CHC8040R | CHC8040R | Merit Pay Award | MP | 7/1/95 | N | N | Notification | Not used anymore | ||||||||||||||||||||||||||||||||||||||||
| 177 | CHC8041R | CHC8041R | Higher Education Merit Pay Award | MH | 11/5/04 | N | N | Notification | |||||||||||||||||||||||||||||||||||||||||
| 178 | CHC8042R | CHC8042R | Infant Toddler Merit Pay Award | MI | 11/5/04 | N | N | Notification | |||||||||||||||||||||||||||||||||||||||||
| 179 | CHC8050R | CHC8050R | Print Contract | PC | 7/1/95 | N | N | Notification | |||||||||||||||||||||||||||||||||||||||||
| 183 | CHC8090R | CHC8090R | Outstanding Advance | OUTADV | 12/3/01 | N | N | Notification | |||||||||||||||||||||||||||||||||||||||||
| 193 | CHC8185R | CHC8185R | Stipend Summary Form Online | SSFOL | 6/1/08 | N | N | Notification |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .