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• the application has been voluntarily withdrawn or abandoned; or • funding for the program is exhausted.

The applicant must be notified of the denial, the reason for the denial, and his/her right to a fair hearing.

Application Extension 2.6.9

An applicant should be given an extension of up to 15 days to establish IDA eligibility under the following circumstances:

• a determination of disability is pending with the Medical Review Team; or • the Medical Review Team has found that additional information is needed to determine disability and the information cannot be provided by the 60th day.

Conditional Denial 2.6.10

Because funding for the IDA program is capped, no new applications can be approved once funding of benefits to current recipients through the end of the fiscal year reaches the funding level. Applicants denied benefits because funding is exhausted will be placed on a waiting list and approved for benefits when funds are available. A notice of conditional denial must be sent. Applicants, who have been denied benefits and placed on the waiting list, will be re-considered for benefits in the order in which they applied, based on the date of application.

Notices 2.6.11

A notice indicating a decision to deny an application for IDA benefits must be issued by the 60th day after the date of application. If the applicant is denied benefits, the notice must include the reason for the denial and provide information on the applicant's right to a fair hearing. If the application is approved, the notice must be issued by the 60th day from the date of application, or within 10 days of establishing eligibility, if eligibility is established after the 50th day from the date of application. An approval notice should indicate the effective date of the approval, and notify the applicant of his/her right to request a fair hearing.

CASE MAINTENANCE 2.7

Recertification 2.7.1

IDA recipients must recertify for benefits within 12 months of their month of approval and every 12 months thereafter. The following eligibility requirements must be re-determined and re-verified at the IDA review:

• residency, • income, • resources, and • status of the SSI claim.

IDA recipients are not required to submit new medical information to continue IDA eligibility.

If the recipient provides all information needed to re-determine eligibility, confirming that s/he continues to meet all financial and non-financial eligibility requirements, the SSR will recertify IDA benefits for an additional 12 months.