/ APD INFORMATION SYSTEMS ACCESS AUTHORIZATION
Type A & Type B ContractArea Agency on Aging Individual User Profilefor Management of ADRC, OAA And OPI Programs
Check only applicable choices: / Add a New User ID indicate RACF ID of a User at same address:hs
Modify Access Reinstate User Revoke User RTZ User
Change name on User ID(name is modified in system, racf id remains same)
Employed By: / AAAName: Agency Acronym:
AAA Contractor: Other(Specify):
AAA District #: Home Branch #: Default Branch #:

End-User Information (the individual who needs access to DHS-owned applications)

Name Last, First, M.I. / RACF ID
(leave blank if not assigned yet) / Effective Date
Empl ID/or last 5 SSN #: / PositionTitle / Email Address
Work Address, City and Zip
, OR / Phone
() -

SUA Use only: □Citrix processed □OA pw □HE pw

Manager Information

Name First, M.I. Last / Position Title
Division/Work Unit(ifapplicable) / Phone
() - / Email
Signature / Today’s Date January 29, 2019
MAINFRAME USER GROUPS
Add / Del / User Group / Description
 / SSUCSRCH / Client Find - webm, find DHS Mainframe function
SSUHKOPI / HCW voucher issue/payment processing
SSUHKINQ / Housekeeper Inquiry user group
SSUPROIQ / Provider Inquiry user group
OREGON ACCESS SECURITY GROUPS
Add / Del / User Group / Description
APS Read Only / View Adult Protective Service information – Supervisor only
CA/PS General Read / View all CA/PS screens (CA/PS is old module)
CAPS 2 – HR Exception T2 / Approve exception hours up to office limits -Supervisor only
CAPS 2 Asmt Stat Admin Act / Allows change in assessment status – Supervisor only

SUBMITTAL INSTRUCTION:

E-mail electronic copy of IUP and fax signed copy to Lori Watt or Sandy Abrams or at 503.373.1133.

NEED ASSISTANCE? Contact Lori at 503.945.6237 ) or Sandy at 503.947.2391). DHS 784 for Type A AAA’s (Last updated December 2016)

Page 1 of 2

OREGON ACCESS SECURITY GROUPS - CONTINUED
Add / Del / User Group / Description
CAPS 2 Update - OPI Type / View/Update all CA/PS2 screens
OAA Client Billing Update / View/Update OPI Client “Billing” module
OAA Provider Maintain / View/UpdateOAA providermodule and OAA sites
OAA/OPI General Update / View/Update all screens related to OAAOPI business
RAIN – NAPIS Preparer / View SPR data & Update SPR Management pages
RAIN – NAPIS Report Review / View SPR data pages
Screening Update / View/Write/Update screening, Call & Resource modules
 / User Base / Allows user to maintain password
OREGON ACCESS STATE-WIDE SECURITY GROUPS
Add / Del / User Group / Description
SW-Registry Inquiry / View Statewide HCW registry/referral system
 / SW-NAPIS/OAA Service Update / View/update all OPI/OAA screens statewide
RTZ GETCARE
Add / Del / User Group / Description
Caretool / View/Update Caretool module for Options Counseling, OPI
Caretool Read Only / View but not update Caretool module
I&R / View/Update Information and Referral module
I&R Read Only / View but not update Information and Referral module
Listing Maintenance / View/Update Resource listing maintenance module
Agency Information / View/Update home agency information in ADRC
System Administrator / State Unit on Aging Staff only
Issue Manager / Report system issues
Reports / All I&R Only Options Counseling Only
Options Counseling (OC) / OC OC MDSQ OC Enhancing Equity
OPI / Oregon Project Independence
OPI Pilot / OPI for ages 18-59
Digital Signature / Caretool Access Requirement
Medicaid Branches / For use in transmitting data to OACCESS

SUBMITTAL INSTRUCTION:

E-mail electronic copy of IUP and fax signed copy to Lori Watt or Sandy Abrams or at 503.373.1133.

NEED ASSISTANCE? Contact Lori at 503.945.6237 ) or Sandy at 503.947.2391). DHS 784 for Type A AAA’s (Last updated December 2016)

Page 1 of 2