Compliance

The individual is added to the AU the month the requirement is met, or Good Cause is established.

Use the following chart to determine required action when Good Cause is established, or the enumeration requirement is met following non-compliance.

Chart 2220.2 - Good Cause in Enumeration IF THEN Good Cause is established at application processing OR Good Cause is established when an individual joins the AU document the following: the AU’s statement of the reason for non-compliance the reason for establishing Good Cause the offer of assistance in obtaining needed verification. Include the individual in the AU and/or BG. Monitor Good Cause assertion on a monthly basis by the following methods: contact the A/R in writing, in person, or by telephone AND document the current status of the Good Cause determination. the non-enumerated individual meets the enumeration requirement OR establishes Good Cause document that the enumeration requirement has been met. Add the individual to the AU/BG the month in which the requirement is met, or Good Cause is established. Good Cause assertion is denied at application processing document the following: the AU’s statement of the reason for non-compliance the reason for denial of the Good Cause claim the offer of assistance in applying for an SSN Complete the application. Do not include the non-enumerated individual in the AU. Refer to Chart 2220.1 . Issue a notice to the AU. Include the following information in the notice: the reason for the action the eligibility of the remaining AU members the action the individual must take to be added to the AU. Good Cause assertion is denied when an individual joins the AU document the following: the AU’s statement of the reason for non-compliance the reason for denial of the Good Cause claim the offer of assistance in applying for an SSN Do not include the non-enumerated individual in the AU. Issue a notice to the AU. Include the following information in the notice: the reason for the action the eligibility and benefit level of the remaining AU members the action the individual must take to be added to the AU. AU member initially complies with enumeration but refuses to resolve discrepancies identified during the SSA validation process document the following: the AU’s statement of the reason for non-compliance the reason for denial of the Good Cause claim the offer of assistance in applying for an SSN Do not include the non-enumerated individual in the AU. Issue a notice to the AU. Include the following information in the notice: the reason for the action the eligibility and benefit level of the remaining AU members the action the individual must take to be added to the AU. AU member is currently receiving benefits OR Good Cause for non-compliance no longer exists document the reason Good Cause no longer exists. Issue a timely notice to the AU. The notice must include the following information: the reason for the action the eligibility of the remaining AU members the action the individual must take to be added to the AU. Remove the non-enumerated individual from the AU effective the month following the month timely notice expires. (Refer to Chart 2220.1 .)

Use the following chart to determine the procedures for various situations related to problems with SSNs.

Chart 2220.3 – System Related Enumeration Problems IF the A/R’s SSN THEN appears on the system generated SSN discrepancy listing research the case record to determine if the information regarding the A/R’s full name, DOB and SSN matches information on the A/R’s official documents. Correct any information that is found to be in error. Refer the client to SSA for corrective action if the SSA information is found to be the source of the error. matches with another SSN known to the system screen and research both SSNs to determine which number on the system is correctly assigned. Contact with another DFCS office/county may be necessary. Take action to have any erroneously entered SSNs corrected in the system. OR refer the A/R to SSA for corrective action if multiple individuals are verified to have been assigned the same SSN. is incorrect and is validated by the system contact the EMPI Help Desk at empi.helpdesk@dhs.ga.gov .