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15
The ten (10) day count begins the day after the date the adverse action notice is mailed. Designees must be aware of the day the prepared notice will actually go out in the mail. Designees and CCPO Staff are to use the Adverse Action Calendar for determining the due date on Pend and Information Needed notices, the eligibility end date to use in the Information Needed, Closure and End of Status notices, and the date to send the Closure and End of Status notices to families and providers and the action completion date by staff.
When requesting information from families and providers, based on the date the notice will be mailed, use the listed ten (10) day Request for Information (Pend) date unless policies and procedures prescribe a longer specific time.
5. Due Date Before Adverse Action Date When the due date in an Information Needed Notice is before the Adverse Action date in the Adverse Action Calendar for the current month, the eligibility end date in this notice is to be the last day of the current month. The business day following the due date in the Information Needed Notice, a Closure or End of Approval Status Notice is to be mailed to the family or provider informing them that their eligibility will end the last day of the current month. The eligibility end date is the same in each notice, however, if the Closure or End of Approval Status notice is not sent timely and before the Adverse Action date, the eligibility end date must be changed to the last day of the following month.
Example: An Information Needed notice is sent on 4/3/18, telling the family or provider information is due by 4/16/18 (they have until the close of business on this day to submit to the Designee), or if not received by the Designee their eligibility will end 4/30/18. This is because on 4/17/18, when the Closure Notice or End of Approval Status Notice is to be sent, it is still before the Adverse Action day in the Adverse Action Calendar for the current month and action is taken to close that case 4/30/18.
Exception: When requesting information or verification from a family to support a reported change, the eligibility end date to use is the last day of the family’s certification period. The change will not be made without the required verification; however, it will not end their eligibility.