Notification

Provide adequate notification to the A/R of the eligibility determination. A copy may also be sent to a AREP at the request of the A/R. Adequate notification includes the reason(s) for any action taken.

The notice must include the following:

the basis for the approval, denial, or termination

the period of eligibility

the reason for the action

the A/R’s right to request a fair hearing (Refer to Appendix B - Hearings TOC )

the telephone number of the DFCS Call Center

the telephone number of legal services

the amount of medical expenses required to meet the ABD Medically Needy spenddown, if the A/R meets all eligibility requirements other than income.

For LA-D cases in which a penalty is imposed: the duration of the penalty, the Form 411 - Undue Hardship Waiver Form Application and information that the A/R has 14 days in which to submit the form with supporting information to the caseworker.

See Section 2342 - Transfer of Assets and Appendix F:Forms - TOC for the form.