PROGRAM ELIGIBILITY SPECIALIST II

Position Information

Job Series: Program Eligibility – Career Path

Classification: Program Eligibility Specialist II

Class Code: PPE03P

Pay Grade: SGS06

Salary Range: $52,137 - $77,163

Job Summary

Primary Responsibilities

Review and process applications for state-administered assistance programs, ensuring timely and accurate determinations. Verify applicant information, including income, assets, residency, and household composition, in accordance with program guidelines. Maintain case records and documentation in compliance with state and federal regulations. Monitor ongoing eligibility of program participants and process renewals, changes, and appeals as needed. Identify potential discrepancies or fraudulent applications and escalate cases for further review. Provide clear and professional communication to applicants regarding eligibility requirements, application processes, and program benefits. Assist clients with completing forms, gathering necessary documentation, and understanding their case status. Address applicant inquiries and resolve eligibility-related issues in a timely and empathetic manner. Educate applicants on program policies and available resources to ensure full transparency. Ensure compliance with state and federal regulations governing program eligibility. Conduct quality control checks and audits to maintain accuracy in eligibility determinations. Generate reports and case summaries as required for internal review and audits.

Staff in this position carry out the following duties: assist parents of infants and toddlers with disabilities in obtaining access to needed early intervention services and other services identified in the IFSP, including making referrals to providers for needed services and scheduling appointments for infants and toddlers with disabilities and their families; coordinate the provision of early intervention services and other services (such as educational, social, and medical services that are not provided for diagnostic or evaluative purposes) that the child needs or is being provided; coordinate evaluations and assessments; facilitate and participate in the development, review, and evaluation of IFSPs; conduct referral and other activities to assist families in identifying available EIS providers; coordinate, facilitate, and monitor the delivery of services required under Part C to ensure that the services are provided in a timely manner; conduct follow-up activities to determine that appropriate Part C services are being provided;  inform families of their rights and procedural safeguards, as set forth in the IDEA and related resources; coordinate the funding sources for services required under Part C; and facilitate the development of a transition plan to preschool, school, or, if appropriate, to other services, and assist monitoring team and/or family engagement team to complete projects as needed to meet timelines. 

Knowledge and Skills

Minimum Qualifications

At least two years of experience in eligibility determination, case management, social service administration, or a related field.

Satisfaction of the minimum qualifications, including years of experience and service, does not entitle employees to automatic progression within the job series. Promotion to the next classification level is at the discretion of the department and the Office of Personnel Management, taking into consideration the employee’s demonstrated skills, competencies, performance, workload responsibilities, and organizational needs.

Licensure/Certifications