FAA1.A Background and Introduction : 04 Handling Special Cases - Overview : C Handling Special Cases - Relatives
Handling Special Cases - Relatives
 
REVISION 48
(01/01/20 - 12/31/20)
When an DBME employee’s, contractor’s, volunteer’s or temporary employee’s relative (by blood or marriage) is an active or past participant in an FAA program, they must report this to their supervisor as a conflict of interest. (See Conflict of Interest Employee, Contractor, Volunteer, or Temporary Employee Reporting Responsibility)
 
Relatives include, but are not limited to, those within a third-degree relationship of the following:
 
●A spouse(g) (current and former)
●A child (natural, adopted, foster, stepchild, grandchild, great grandchild)
●A parent
●A grandparent
●A great grandparent
●A sister or brother (including step)
●An aunt or uncle
●A niece or nephew
●A cousin
●An in-law
 
NOTE This includes past relationships due to former marriages.
 
DBME employees, contractors, volunteers, or temporary employees must not have case involvement(g) with the case of any participant who is related to them. DBME case involvement includes, but is not limited to, the following:
 
●Accessing and viewing or making changes to the case file
●Determining eligibility of benefits
●Registering applications
●Interviewing the participant
●Case specific discussion with another DBME employee, contractor, volunteer, or temporary employee about their case
●Issuing EBT cards on these cases
●Submitting verification on behalf of a participant with whom a conflict of interest exists
 
WARNING
All AZTECS, OnBase(g) and HEAplus inquiries are recorded and monitored. Actions that display on a case in which there may be a conflict of interest may be considered suspicious or potentially fraudulent activity.
 
When a DBME employee, contractor, volunteer, or temporary employee is assigned a case belonging to their relative, the following must occur:
 
●The employee, contractor, volunteer, or temporary employee must immediately report this to their direct supervisor or Office Manager (LOM).
●The LOM or direct supervisor determines who the case should be transfers the case to another unit.
 
When an FAA employee, contractor, volunteer, or temporary employee in a rural area is assigned a case belonging to their relative, have the participant call the Customer Support Center for Health-e-Arizona Plus
 
DBME employees, contractors, volunteers or temporary employees are not allowed to request information from co-workers regarding their relatives’ case.
 
EXCEPTION
A DBME employee, contractor, volunteer, or temporary employee is allowed to request information from co-workers regarding their relatives’ case when they are an authorized representative on the case. (See Handling Special Cases, Contractors, Volunteers or Temporary Employees for additional information and restrictions.)