Principal Provider Subsystem WMSMNU WELFARE MANAGEMENT SYSTEM MENU

Principal Provider Subsystem

WMSMNU WELFARE MANAGEMENT SYSTEM MENU USE APPROPRIATE SF KEY (1 - 24 ) OR INDICATE SELECTION NUMBER ^^ XMT ^ 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 PA / FS BUDGET CALCULATION MA BUDGET CALCULATION STATISTICS APPLICATION REGISTRY MENU DENIAL ENTRY (APP AND SVCS) SIGN OFF N – S DATA ENTRY & DISPOSITION MAPPER APPLICATIONS SERVICES FULL DATA ENTRY SERVICES UNDERCARE / MAINTENANCE CLIENT NOTICES MENU WMS CASE & INDIVIDUAL INQUIRY SCR MENU RFI BICS MENU WMSMNU (MENU KEY) 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 TIME LIMIT TRACKING MENU AUTO SDX / WMS MENU CCRS MENU EEDSS HOST SYSTEM MENU W 4139 R INQUIRY REPORT DOMESTIC VIOLENCE MENU GIS MENU PA / FS & MA QUARTERLY REPORTING MEDICAL ASSISTANCE MENU SSA 40 QUARTER MATCHING CIBIC MENU EMPLOYMENT MENU IV / A – IV / D RESPONDENT INFORMATION FAIR HEARING MENU MMIS INQUIRY MENU IRCS MENU

WMAMNU DIST DATE MEDICAL ASSITANCE SUBSYSTEM MENU SUBSYSTE FUNCTION CIN CASE NO. WORKE M ^ ^ ^^^^^^^^ R^^^^ SUBSYSTEMS : P - PRINCIPAL PROVIDER R - RESTRICTION / EXCEPTION C - PREPAID CAPITATION X - PAY - IN / EXCESS INCOME PAY - IN START DATE ^^^^ XMT FUNCTIONS: I - INPUT Q INQUIRY A AUDIT ^

WMAMNU DIST DATE MEDICAL ASSITANCE SUBSYSTEM MENU SUBSYSTE FUNCTION CIN CASE NO. WORKE M ^ ^ ^^^^^^^^ R^^^^ P I SUBSYSTEMS : AB 12345 A M 12345 P - PRINCIPAL PROVIDER R - RESTRICTION / EXCEPTION C - PREPAID CAPITATION X - PAY - IN / EXCESS INCOME PAY - IN START DATE ^^^^ XMT M 01 FUNCTIONS: I - INPUT Q INQUIRY A AUDIT ^

WMPPIQ PRINCIPAL PROVIDER INQUIRY CLIENT - AB 12345 A ID CL DATE DIST NAMESMITH JOHN WRKR PP PAGE 01 OF 01 092616 DATE M 12345 CASE - NO DATES OF SERV EXCEPTION PROVIDER FROM THRU T FROM 092616 29 M 01 01 091415 29 M 01 00 02 091415 29 M 01 03 091415 29 M 01 01 00303030 080115 090315 00201. 00 080615 090115 2 080615 00000. 00 AVAILAB AMT

WMPPIQ PRINCIPAL PROVIDER INQUIRY CLIENT - AB 12345 A ID CL DATE DIST NAMESMITH JOHN WRKR PP PAGE 01 OF 01 092616 DATE M 12345 CASE - NO DATES OF SERV EXCEPTION PROVIDER FROM THRU T FROM AVAILAB AMT 092616 29 M 01 01 00303030 091016 2 091016 0031000 090116 01 091415 29 M 01 00 090315 02 091415 29 M 01 00201. 00 090115 03 091415 29 M 01 01 00303030 080615 2 080615 00000. 00 080115

WMPPIQ PRINCIPAL PROVIDER INQUIRY CLIENT - AB 12345 A ID CL DATE DIST NAMESMITH JOHN WRKR PP PAGE 01 OF 01 092615 DATE M 12345 CASE - NO DATES OF SERV EXCEPTION PROVIDER FROM THRU T FROM AVAILAB AMT 01 092616 29 M 01 01 00303030 091016 2 091016 0031000 090116 02 091415 29 M 01 00 090315 03 091415 29 M 01 00201. 00 090115 04 091415 29 M 01 01 00303030 080615 2 080615 00000. 00 080115 ** INPUT ACCEPTED **

WMPPIQ PRINCIPAL PROVIDER INQUIRY CLIENT - AB 12345 A ID CL DATE DIST NAMESMITH JOHN WRKR PP PAGE 01 OF 01 092616 DATE M 12345 CASE - NO DATES OF SERV EXCEPTION PROVIDER FROM THRU T FROM AVAILAB AMT 01 092616 29 M 01 01 00303030 091016 2 091016 0031000 090116 02 091415 29 M 01 00 090315 03 091415 29 M 01 00201. 00 090115 04 091415 29 M 01 01 00303030 080615 2 080615 00000. 00 080115 ** DATA SUCCESSFULLY STORED ON DATABASE **