UPM P-1555.15 - Processing Changes

CONNECTICUT DEPARTMENT OF INCOME MAINTENANCEPRIVATE UNIFORM POLICY MANUAL ______________________________________________________________________________ Date: 7-1-87 Transmittal: UP-87-2 P-1555.15 ______________________________________________________________________________ Section: Type: Eligibility Process PROCEDURES ______________________________________________________________________________ Chapter: Program: AFDC Interim Activity AABD _______________________________________________________________ MA Subject: FS Processing Changes ______________________________________________________________________________

P-1555.15 1. Obtain any information that you require to accurately assess and determine the effect of the change on case circumstances.

2. Evaluate the areas of potential involvement. For example, consider how the change impacts on:

° the assistance unit;

° other related assistance units;

° other programs if the assistance unit receives aid from multiple programs.

3. Whenever possible, make an assessment of whether or not the change was reported timely. This information is important in determining if a benefit error has occurred and the period of time that you will need to request verification for.

4. Notify the assistance unit of any actions it is required to perform and document your request. Also inform the unit of any time limits for compliance.

5. Once you have obtained sufficient information, take the appropriate steps to determine the effect on eligibility or benefit level.

6. Where appropriate, allow an assistance that has not taken timely action to establish good cause.

7. Consider all pertinent eligibility factors and financial information. Perform any required financial computations.

8. Perform a medically needy eligibility determination if the assistance unit is to lose its categorical eligiblity for the MA program.

9. Take steps to effect the appropriate changes in case circumstances.

CONNECTICUT DEPARTMENT OF INCOME MAINTENANCE UNIFORM POLICY MANUAL ______________________________________________________________________________ Date: 7-1-87 Transmittal: UP-87-2 P-1555.15 page 2 ______________________________________________________________________________ Section: Type: Eligibility Process PROCEDURES ______________________________________________________________________________ Chapter: Program: AFDC Interim Activity AABD _______________________________________________________________ MA Subject: FS Processing Changes ______________________________________________________________________________

P-1555.15 10. If an adverse action notice is required, issue one to the unit.

11. Review the data and determine if an overpayment has occurred or if the assistance unit is due a corrective payment.

12. Take the appropriate action if a benefit error has occurred.

13. Document your findings and actions in the case file.

14. Issue appropriate notice to the assistance unit.