Review Start Gate
Review Staff must take and save this before starting review.
What is ownership?
This helps staff choose approve, deny, RFI, UTP, or escalate.
What is Decision Logic?
This RFI is issued by Review Staff.
What is a Review RFI?
This role enters Administrative Denial when authority is confirmed.
Who are Review Staff?
The notice must match the decision and this explanation.
What is the rationale?
Review cannot move forward if this is still active.
What is an RFI?
This pathway may apply when all requirements are met.
What is Administrative Approval?
Review RFI is used when more information is needed to make this.
What is a defensible decision?
Confirmed prior H0044 use may require denial or this.
What is escalation?
A notice should not be sent while this is still active.
What is an RFI?
Review Staff should make sure the authorization shell matches this request document.
What is the PAR?
This pathway may apply when a reviewable request cannot be approved.
What is Administrative Denial?
Do not issue Review RFI if the correct pathway is already this.
What is clear?
A possible second-deposit exception requires this before a decision.
What is escalation or policy exception review?
This is the correct notice type for Administrative Denial when required and available.
What is SSHP Admin Denial?
Review should not rely on a document if it is not available correctly in this system.
What is TruCare?
If policy or workflow guidance conflicts, staff should do this.
What is escalate?
Review RFI may be used when staff cannot confirm sequencing, dependencies, or this.
What are HSS requirements?
If reviewer authority is unclear, staff should do this before denial.
What is ask for help or escalate?
If the notice preview is wrong, staff should stop and do this.
What is correct it or escalate?
This is the checkpoint before Review Staff begin review activity.
What is the Review Start Gate?
Decision Logic should be used before entering this final action.
What is a determination?
After an RFI response is received, Review Staff must apply this again.
What is Decision Logic?
Unable to Process should not be used to avoid this Review-level pathway.
What is Administrative Denial?
Appeal rights must be included when this type of action requires them.
What is an adverse action?