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The date a change is reported is the date on which an individual reports the change in person, by phone, by fax, in writing to the DFR, or Document Center. This includes speaking directly to the eligibility worker or other staff member.
All reports of changes are to be accurately documented and should be entered in the eligibility system the same day the change is reported. The eligibility system establishes the date that the information is entered in the system as the date it was reported. The "occur date" is the date on which the change actually occurred. 2215.15.00 ELIGIBILITY WORKER RESPONSIBILITIES REGARDING CHANGES
The eligibility worker must take appropriate action on all reports of changed information promptly but no later than ten (10) days from the date of the receipt of the change. (f11)
If the eligibility worker does not have adequate information to process a change, a request for verification will be sent to the AG allowing 13 days for provision of the required verifications. • If the AG fails to provide the request verification within 13 days, the eligibility worker will, as of the first day following expiration of the 13-day period, take action to recalculate eligibility and authorize the appropriate action for each AG. • If verification is provided within the 13 days, appropriate action will be taken. • Verification of changes in medical expenses cannot be required during the certification period. If an unverified new or changed expense is reported, the previously verified expenses are to remain in the budget until the next redetermination.
Written notification of case change is automated within the eligibility system. If the change was reported by the AG, the AG will be notified even if there is no change in eligibility or benefit amount. 2220.00.00 PROCESSING CHANGES
If the action is negative (the case is to close or the benefit is to be reduced), another 13 days must be allowed for timely notice of adverse action prior to the action taking effect. (f12)
If an individual is attempting to cooperate but is unable to provide required verification, DFR staff will assist in obtaining verifications. If an extension of time allowed for verifications to be provided is necessary and granted, it must be clearly documented in case notes. Case processing times must be observed.
If all efforts to obtain verification are exhausted, the best available information is used to process the change and is documented in case notes. 2220.05.00 CHANGES REPORTED AND VERIFIED TIMELY
A change that is reported timely and is also verified within 13 days of the report date, action is taken as indicated below: