40.27 Continuing eligibility.

40.27(1) Eligibility factors will be reviewed at least every six months for the family investment program. An interview may be conducted at the time of a review. 40.27(2) A redetermination of specific eligibility factors will be made when: a. The recipient reports a change in circumstances. b. A change in the recipient’s circumstances comes to the attention of a staff member. 40.27(3) Information for semiannual reviews shall be submitted on a review form prescribed by the department. a. The department will supply the review form to the recipient as needed or upon request. The department will pay the cost of postage to return the form. (1) When the review form is issued in the department’s regular end-of-month mailing, the recipient shall return the completed form to the department by the fifth calendar day of the following month. (2) When the review form is not issued in the department’s regular end-of-month mailing, the recipient shall return the completed form to the department by the seventh day after the date it is mailed by the department. (3) A copy of a review form received by fax or electronically will have the same effect as an original form. b. When the client has completed the application form prescribed by the department for another purpose, this form may be used as the review document. c. The review form shall be signed by the payee, the payee’s authorized representative, or, when the payee is incompetent or incapacitated, someone acting responsibly on the payee’s behalf. 40.27(4) Responsibilities of recipients. For the purposes of this subrule, recipients shall include persons who received assistance subject to recoupment because the persons were ineligible. a. The recipient shall cooperate by giving complete and accurate information needed to establish eligibility and the amount of the family investment program grant. b. The recipient shall complete the required review form when requested by the department in accordance with subrule 40.27(3). Failure to return a completed form will result in cancellation of assistance. A completed form is a form with all items answered, signed, dated and accompanied by verification as required in 441—paragraphs 41.27(1)“i” and 41.27(2)“h.” Human Services[441] Ch 40, p.6 IAC 5/14/25 c. The recipient has the primary responsibility for providing information and verification needed to establish eligibility and the amount of the family investment program grant. The recipient shall supply, insofar as the recipient is able, information and verification needed within ten working days from the date a written request is mailed by the department to the recipient’s current mailing address or given to the recipient. The department will extend the deadline when the recipient requests an extension because the recipient is making every effort to supply the information or verification but is unable to do so. (1) “Supply” means that the requested information or verification is received by the department by the specified due date. (2) When the recipient is unable to furnish information or verification needed to establish eligibility and the amount of the family investment program grant, the recipient shall request assistance from the department. (3) Failure to supply the information or verification requested or to request assistance and authorize the department to secure the requested information or verification from other sources will serve as a basis for cancellation of assistance. Signing a general authorization for release of information to the department does not meet this responsibility. d. The recipient or applicant shall cooperate with the department when the recipient’s or applicant’s case is selected by quality control for verification of eligibility. The recipient or applicant shall also cooperate with the front end investigations conducted by the department of inspections, appeals, and licensing to determine whether information supplied to the department by the client is complete and correct regarding pertinent public assistance information unless the investigation revolves solely around the circumstances of a person whose income and resources do not affect family investment program eligibility (more information can be found in 481—Chapter 72). Failure to cooperate will serve as a basis for cancellation or denial of the family’s assistance. Once denied or canceled for failure to cooperate, the family may reapply but will not be considered for approval until cooperation occurs. e. The recipient, or an individual being added to the existing eligible group, shall timely report any change in the following circumstances: (1) Beginning or ending income, including receipt of a nonrecurring lump sum. (2) Resources. (3) Members of the household. (4) School attendance of a child. (5) Mailing or living address. (6) Receipt of a social security number. f. A report will be considered timely when made within ten days from: (1) The receipt of resources or income or the date income ended. (2) The date the address changes. (3) The date the child is officially dropped from the school rolls. (4) The date a person enters or leaves the household. (5) The receipt of a social security number. g. When a change is not timely reported, any excess assistance paid will be subject to recovery. 40.27(5) After assistance has been approved, eligibility for continuing assistance and the amount of the grant will be effective as of the first of each month. Any change affecting eligibility or benefits reported during a month will be effective the first day of the next calendar month except as follows: a. When the recipient reports a new person to be added to the eligible group and that person meets eligibility requirements, a payment adjustment will be made for the month of the report, subject to the effective date of grant limitations prescribed in rule 441—40.26(239B). b. When cancellation of assistance occurs later because issuance of a timely notice, as required by rule 441—16.2(17A), requires that the action be delayed until the first day of the second calendar month, any overpayment received in the first calendar month will be recouped. c. When the recipient reports a change in income or circumstances timely, as defined in subrule 40.24(1) or 40.27(4), the department will determine prospective eligibility and the grant amount for the following month based on the change. (1) A payment adjustment will be made when indicated. Human Services[441] IAC 5/14/25 Ch 40, p.7 (2) Recoupment will be made for any overpayment, with one exception. When a change in income is timely reported by a recipient and timely acted upon by the department, but the timely notice, as required by rule 441—16.2(17A), requires the action be delayed until the second calendar month following the month of change, and eligibility continues, recoupment will not be made. d. When an individual included in the eligible group becomes ineligible, that individual’s needs will be removed prospectively effective the first day of the next calendar month. When the action must be delayed due to administrative requirements, a payment adjustment or recoupment will be made when appropriate. e. When a sanction under 441—paragraph 41.22(6)“f” is implemented, the change will be effective: (1) The first day of the next calendar month after the change has occurred when the income maintenance unit determines noncooperation; or (2) After the income maintenance unit receives notification from the child support recovery unit when child support services determines noncooperation. f. When a sanction under 441—paragraph 41.22(6)“f” is removed, the change will be effective the first day of the next calendar month after the recipient has expressed willingness to cooperate, as described in 441—paragraph 41.22(6)“f.” However, action to remove the sanction will be delayed until: (1) Cooperation has actually occurred; or (2) The income maintenance unit has received notification from child support services that the client has cooperated. g. A different effective date will be applied when specifically indicated in family investment program rules, such as in 441—subrule 41.25(5) and 441—subparagraph 41.27(9)“c”(2). [ARC 9276C, IAB 5/14/25, effective 7/1/25]