HuBERT
Structured Exercises
End Certification
CRITERIA:
Complete “Create New Household 2” exercise
Complete “Individual Adjunctive Eligibility” exercise
Complete “Multiple Income Items” exercise
Complete “Copy Demographics” exercise
Complete “Link Mom & Baby” exercise
Complete “Linked Infant’s Health Information” exercise
Complete “Child Over 2 and Health Information” exercise
Complete “Height/Weight & Blood” exercise
Complete “Assign Risk Factors in Nutrition Assessment” exercise
Complete “Delete Nutrition Assessment contact” exercise
Complete “Add Referral” exercise
Complete “Edit Referral Contact” exercise
Complete “Food Prescription” exercise
Household ID:
End certification for mom and baby w ithout issuing benefits.
End certification for child and issue benefits for entire household.
How to end certification for multiple household members being certified simultaneously::
o Click mom’s participant folder/CGS button on taskbar
o In mom’s CGS, click on End Certification icon
o “Certification information is correct.” message should appear

If any required components were missed, an Event Log will open listing what was
missed. If all exercises were completed as indicated, this log will not open.
o Click OK button
o Click on Schedule Appointment checkbox to remove checkmark
o Click on Generate Certification Notice checkbox to remove checkmark
o Click OK button
o Click Capture Electronic Signature button

Participant required to sign for Rights and Responsibilities statement
o Using the stylus, press the Next button on the signature pad
o Using the stylus, sign the signature pad (participant’s signature)
o Using the stylus, press the OK button on the signature pad
o Click the Save Signature button
o Click Capture Electronic Signature button

CPA required to sign that eligibility has been determined
o Using the stylus, press the Next button on the signature pad
o Using the stylus, sign the signature pad (CPA’s signature)
o Using the stylus, press the OK button on the signature pad
o Click the Save Signature button
o Select the infant record if not already highlighted in the Work with Another Household Member
Certification window
o Click OK button
o Click OK button on “Another copy of folder for this participant…” prompt
o CONTINUED ON NEXT PAGE…
o In infant’s CGS, click on End Certification icon
o “Certification information is correct.” message should appear
o Click OK button
o Click on Schedule Appointment checkbox to remove checkmark
o Click on Generate Certification Notice checkbox to remove checkmark
o Click OK button
o Click the Save Signature button on the Capture Electronic Signature screen for the Rights and
Responsibilities statement.

The participant only needs to sign one time for all of the certifications
o Click the Save Signature button on the Capture Electronic Signature screen

The CPA only needs to sign one time for all of the certifications
o Select OK button on Work with Another Household Member Certification window
o Click OK button on “Another copy of folder for this participant…” prompt
o In child’s CGS, click Issue Benefits link
o Click OK button on “Certification information is correct.” Prompt
o Click OK button
o Click on Schedule Appointment checkbox to remove checkmark
o Click on Generate Certification Notice checkbox to remove checkmark
o Click OK button
o Click Print for Household button to issue benefits
o Click Capture Electronic Signature

Participant required to sign for benefits printed
o Using the stylus, press the Next button on the signature pad
o Repeat until signature line appears on signature pad
o Using the stylus, sign the signature pad (participant’s signature)
o Using the stylus, press the OK button on the signature pad
o Click the Save Signature button

Signature pad does not clear until Save Signature button clicked
o Click the Save Signature button on the Capture Electronic Signature screen for the Rights and
Responsibilities statement.
o Click save on the Capture Electronic Signature screen (CPA signature should display)