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Title 5: Centrally Administered Programs Page 39 Iowa Department of Human Services Employees’ Manual Chapter E: Healthy and Well Kids in Iowa (hawk-i) Income Revised August 20, 2010 Verification of Income When the household’s income is stable, a single pay stub (weekly, bi-weekly, twice monthly, or monthly) may be used to verify income if: ♦ Other evidence supports that the pay stub provided is indicative of future income (e.g., information from previous enrollment period, Wage A screens). ♦ The applicant indicates that is a good indicator of future income. The applicant’s statement does not need to be in writing. It is not necessary for the single pay stub to have been received in the 30 days before the application date. No additional proof of income is needed unless the income is questionable. This procedure may be used for initial eligibility application and renewal. If applicable, clearly document: ♦ That the applicant’s confirmation of predictable income is verbal. ♦ The reasons that verbal confirmation could not be obtained or relied upon if written confirmation of predictability is required. ♦ The reasons why you decided that a single pay stub could not be used to project future income (e.g., the pay stub furnished is too old, or the income statement is questionable). When income fluctuates from pay period to pay period or is irregular (employee works varying hours in pay period, etc.), it is not appropriate to accept one pay stub to project future income. Document the use of non-consecutive pay stubs or some other type of verification. Income From a Different Period The 30 days before the application date may not be the best information available. It may be necessary to use pay stubs or other acceptable verification from a longer period or from an earlier 30-day period. Circumstances where the 30 days before the application may not be representative of future income include, but are not limited to, seasonal workers, receipt of unemployment insurance benefits (UIB), or persons with ending employment. NOTE: Situations where pay stubs from a period other than the 30 days before the date of application are submitted will need to be evaluated on a case-by-case basis to determine if the pay stubs submitted are representative of future income.