Case Management Hub

Participant Name: [Name]

Participant Telephone: [Telephone]

Participant Email: [Email Address]

Participant Address: [Address]

Referral Date: [Date]

The HELP Center received a direct referral from the North Carolina Department of Health and Human Services (NCDHHS) for the FNS recipient to participate in our virtual Employment & Training Program. Upon review, it was determined that the referral form was submitted without the participant’s signature. As a result, standard outreach procedures were initiated to determine the participant’s interest in participating in The HELP Center’s Employment & Training Program and to provide information regarding available services.

Participant Name: [Name]

Participant Telephone: [Telephone]

Participant Email: [Email Address]

Participant Address: [Address]

Referral Date: [Date]

The HELP Center received a direct referral from the North Carolina Department of Health and Human Services (NCDHHS) for the FNS recipient to participate in our virtual Employment & Training Program.

Participant Name: [Name]

Participant Telephone: [Telephone]

Participant Email: [Email Address]

Participant Address: [Address]

Course of Interest: [Name]

The HELP Center received a direct referral from Forsyth County Department of Social Services through our More Than a Job – North Carolina (MTAJ-NC) partnership. The referral packet was transmitted by the county to initiate potential enrollment into The HELP Center’s employment and training services.

The HELP Center received a direct referral through MTAJ-NC bot automation for the participant. Upon review, it was identified that the referral documentation did not include the participant’s required signature. The referral was returned to MTAJ-NC with a request for the participant’s signature to complete the enrollment process.

As of this date, the two-week turnaround timeframe for receipt of the signed referral has been exceeded, and the required documentation has not been received. As a result, the case is being closed and documented as never enrolled due to incomplete referral requirements.

CM - [Name]

The HELP Center, MTAJ-NC Provider

Participant Name: [Name]

Participant Telephone: [Telephone]

Participant Email: [Email Address]

Participant Address: [Address]

Referral Date: [Date]

The HELP Center processed a reverse referral for the participant and formally submitted the referral to Mecklenburg County Department of Social Services (DSS) for review and approval. The purpose of the referral is to enroll the participant in The HELP Center’s virtual Employment and Training Program.

Date: 

Contact Method:

Telephone Number:

Email Address: 

The HELP Center attempted to contact the participant via (contact method) on (date), but was unsuccessful. (Voicemail was left with callback information/No voicemail option was available/Message was sent requesting a response.)

Date: [Date]

Participant Name: [Name]

Certification Period: [Dates]

The HELP Center received a direct referral from More Than a Job-NC for the above-named participant. Upon review of the referral documentation and SNAP eligibility status, it was determined that the participant is currently ineligible for enrollment in the Employment & Training Program due to an expired SNAP certification period. No further action will be taken at this time unless eligibility is re-established.

Enclosed: SNAP E&T Screening & Referral Form

Date: [Date]

Participant Name: [Name]

Desired Component: [Component]

The HELP Center received a direct referral from the North Carolina Department of Health and Human Services (NCDHHS) for the FNS recipient to participate in our virtual Employment & Training Program. The participant has been deemed ill-suitable for the SNAP Employment & Training (E&T) Program at The HELP Center, due to no offering of the specified component. The HELP Center will contact the participant to inquire if they are interested in any services provided by The HELP Center.

Enclosed: SNAP E&T Screening & Referral Form

CM - [Name]

Date: [Date]

Participant Name: [Name]

Case Manager: [Case Manager]

Telephone: [Telephone]

Previous Attempt Dates: [Dates]

Participant Name: [Name]

Participant Telephone: [Telephone]

Participant Email: [Email Address]

Participant Address: [Address]

Referral Date: [Date]

The HELP Center received a direct referral from the North Carolina Department of Health and Human Services (NCDHHS) for the FNS recipient to participate in our virtual Employment & Training Program. The participant has been deemed suitable for the SNAP Employment & Training (E&T) Program.