UPM 1505.45 - Reopening Denied Applications

CONNECTICUT DEPARTMENT OF SOCIAL SERVICESPRIVATE UNIFORM POLICY MANUAL ______________________________________________________________________________ Date: 10-1-05 Transmittal: UP-05-15 1505.45 ______________________________________________________________________________ Section: Type: Eligibility Process POLICY ______________________________________________________________________________ Chapter: Program: AFDC The Application Process AABD _______________________________________________________________ FS Subject: MA Reopening Denied Applications ______________________________________________________________________________

1505.45 A. FS Requirements

1. Provisions

a. FS applicants who failed to complete the application and were denied on the thirtieth day following the date of the application, are given an additional thirty days to take the required action before requiring them to file a new application.

b. The denied case is reopened if within the second thirty-day period the applicant takes the required action to complete the application process.

c. The provision for reopening a denied application applies only to those FS applicants who were denied assistance on the last day of the thirty day processing period because the Department could not take any further action on the application due to the fault of the applicant.

2. Applications

a. The Department may not require the applicant to file a new application if the case is reopened within the second thirty day period.

b. A new application is required only if:

(1) the case is not reopened in the second thirty day period; or

(2) a reopened case is denied a second time.

3. Loss of Benefits

a. The applicant's failure to complete the application process within the first thirty day period results in a loss of entitlement to benefits for the original month of application.

CONNECTICUT DEPARTMENT OF SOCIAL SERVICES UNIFORM POLICY MANUAL ______________________________________________________________________________ Date: 4-1-06 Transmittal: UP-06-08 1505.45 page 2 ______________________________________________________________________________ Section: Type: Eligibility Process POLICY ______________________________________________________________________________ Chapter: Program: AFDC The Application Process AABD _______________________________________________________________ FS Subject: MA Reopening Denied Applications ______________________________________________________________________________

1505.45 A. 3. Loss of Benefits (continued)

b. A reopened case that is found eligible in the second thirty day period is entitled to benefits beginning the date the FS applicant provides the necessary information or takes the necessary action to complete the application process.

4. Processing the Application

a. The Department processes the reopened application by the end of the second thirty day period.

b. The applicant must complete the application process by the sixtieth day following the original date of application or the application is denied.

c. A complete investigation of all material relevant to eligibility and benefit level is conducted. The applicant may be contacted, but is not required to appear for a second office interview if one has already been held.

d. The rules established in this chapter for determining eligibility apply equally to reopened applications, including;

(1) The provision to pend the reopened application until the thirtieth day of second processing period if it is incomplete; and

(2) The provision to continue processing the application for administrative delays beyond the sixtieth day following the original date of application.

B. AABD, MA Requirements

1. The Department reopens the denied application of AABD or MA applicant who:

a. was denied assistance for failing to meet the disability criteria; and

b. successfully appeals the SSI decision.

2. The case is reopened retroactive to the original date of application when the Department is notified that SSI has been awarded due to a successful appeal.