Medi-Cal Supervisor Review Step Chart

Medi-Cal Supervisor Review screen shots and steps are available on the DEBS Medi-Cal Corrective Action web page.

Step	Who	Action
1	EWS	May select and review sufficient Medi-Cal cases of their choice that have had: a Redetermination completed in the prior month, OR a recent task processed/ closed within the last 5 business days of the date of their supervisor review Conducts case review in CARMA Must enter and complete all supervisor reviews before the monthly supervisor due date. The EWS has discretion to determine the appropriate EW that is responsible for taking corrective action on Requests assigned, and CARMA should be updated accordingly. If errors are found, records error in CARMA, and determines a due date for follow up. Further action needed: No: Updates CARMA to reflect no errors were found Yes: Establish a due date in CARMA Monitors case correction
2	Eligibility Worker	Receives the notification email from CARMA Completes actions to correct case in CalSAWS by due date Updates CARMA review as corrected and submits review.
3	EWS	Reviews case for corrections Updates CARMA to corrected and closes review.

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