1322.1 Mandatory Verification That Affects Eligibility for Program Benefits

The worker shall verify the following information prior to approval for clients initially applying:

Nonexempt Income - Non-exempt income shall be verified in the following manner: Gross Nonexempt Income - Gross nonexempt income shall be verified prior to approval. However, where all attempts to verify the income have been unsuccessful because the person or organization providing the income has failed to cooperate with the household and the worker, and all other sources of verification are unavailable, the worker shall determine an amount to be used based on the best available information. Also refer to 7110 for rules regarding the prospective budgeting of earned income. Zero Earnings - Verification of zero earnings is required in the following manner: MDN, MediKan, and MSP - For Medically Needy (MDN), MediKan, and Medicare Savings Programs (MSP – QMB, LMB and ELMB), it is necessary to verify the absence of earnings. This is applicable to all applicants and their spouse who do not report earnings, report non-wage income only, such as self-employment or unearned income, or fail to answer questions about their income. System interfaces will be checked to verify that no earnings exist. The Reasonable Compatibility Test will be used in Tier 2 to verify that no earnings exist. See 7123(2) for rules related to Reasonable Compatibility. LTC and WKH - For long term care (LTC) and Working Healthy (WKH), self-attestation is accepted. It is not necessary to access earned income interfaces when an individual reports that they do not have earned income or fails to answer questions about earned income on their application. Proof of End of Income - The following is applicable when processing a review or case change where the consumer has reported a source of income has ended. Unearned Income - For all programs, verification is required when an ongoing recipient reports a source of unearned income has ended. Verification is not requested from the consumer if information related to the end of unearned income can be obtained through an interface. Eligibility shall be denied or discontinued if the consumer fails to provide proof unearned income ended in response to a request from the agency. Earned Income - For all programs except Working Healthy (WKH), proof of the end of earned income is required when an ongoing recipient reports earned income has ended. Verification is not requested of the consumer if information related to the end of earned income can be obtained through Tier 2 or Tier 3 interfaces, as appropriate. See 1322.4 . Eligibility shall be denied or discontinued if the consumer fails to provide proof earned income ended in response to a request from the agency. For Working Healthy (WKH) recipients, communication with the Working Healthy Benefits Specialist is necessary to determine when employment ended and whether a Temporary Unemployment Plan (TUP) is needed. See 2664.7 . Earned Income – For all programs, earned income shall be verified under the tiered process as specified in 1322.4 (and subsections).

Non-citizen Status - The worker shall determine from information on the application if individuals identified as non-citizens are eligible non-citizens, as defined in 2140 and subsections. Reserved Documentation of non-citizen status is required for each individual requesting Medical Assistance as described in 2145 . The agency may not request verification of non-citizen status from the applicant or recipient if that information can be verified through an available resource. The agency shall make every effort to verify non-citizen status through those resources. NOTE : If the individual already has a DCF-verified record that results in a qualifying alien/immigration status and does not reflect a change in immigration status, this would be considered a Tier 1 verification per 2146.6 . If the agency is unable to verify non-citizen status, verification shall be waived and a three (3) month reasonable opportunity period for the individual to provide the information shall be applied. If otherwise eligible, the applicant may be approved for assistance. The individual shall be contacted to provide verification and notified of the reasonable opportunity period. See 2146.6 .

Social Security Numbers - When an applicant who is required to apply for a Social Security number wishes to apply through the Social Security Administration, the individual shall be required to supply verification of application for the required SSN prior to the agency's certification of that individual unless the individual claims good cause or qualifies for exemption. The requirement to supply and verify an SSN does not apply to non-citizens who would only qualify for a non-work SSN, such as refugees, asylees, and special immigrants. Refer to 2133 . When an applicant fails to provide an SSN or proof of application for an SSN, they may qualify for a Good Cause exception, see 2133 . A copy of the Social Security Card is not required, and assistance cannot be denied for failure to provide the Social Security card when a number has been provided.

Reserved

Identity Reserved The identity of each person requesting coverage, who is claiming to be a U.S. citizen must be documented. See 2145.2 . This requirement does not apply to the following individuals: Current or former SSI recipients Current or former Medicare beneficiaries Current or former recipients of Social Security Disability benefits Children in foster care or recipients of foster care maintenance Children who are recipients of adoption assistance Children born on or after July 1, 2006, to a Medicaid recipient as outlined in KFMAM 2320 Identity for persons claiming to be non-citizens is accomplished through documentation provided under the requirements of 2146 . All documents used to verify identity must be retained in the case file indefinitely per 1711(9) . For persons exempt from the requirement due to SSI or Medicare status, verification of such status is required. The Reasonable Opportunity to Provide Documentation requirements of 2145.4 are also applicable to requests for identity verification. Acceptable documents and the hierarchical protocol for obtaining acceptable documents are described in the A-1, Non-Citizen Qualification Chart and as follows: Primary Document - a document that verifies both identity and citizenship (as described in 2145.2 and is further defined in the A-1, Non-Citizen Qualification Chart . The availability of a Primary Document shall be explored prior to using another identity document. A person born outside of the U.S. who is now a U.S. citizen, but was not a citizen at birth, must submit a Primary Document. Secondary Identity Document - a document that verifies identity only. The statement of the applicant/recipient that a Primary Document is not available is sufficient to seek a Secondary Document. However, if a primary document is not used, two different documents must be used to establish citizenship and identity. Additional Documents for Children Under Age 16 - Where Primary or Secondary documents are not available to verify identity, special documents may be used for children under 16. Declaration of Identity - As a final option, a written declaration may be used to establish identity for children under age 16 or disabled adults if no other documentation is available. If a declaration is used to establish citizenship it cannot be used for identity verification. Form item, P-7, Declaration of Identity – Child , and form Item P-9, Declaration of Identity – Disabled Adult , may be used for this purpose. The KanCare Clearinghouse manager must approve the declaration. The person making the declaration must: be a United States citizen sign the declaration under penalty of perjury in the presence of a witness, and for children, must be the parent, legal guardian, or caretaker relative of the child. for disabled adults, must be the director or administrator of a residential care facility where the individual resides. The signature of the parent, legal guardian, or caretaker relative made under penalty of perjury in the presence of a witness. When a declaration is used to establish identity, the original must be retained in the case file indefinitely. Any document which reasonably establishes identity shall be accepted and no requirement for a specific type of document, such as a birth certificate, will be imposed. If no such document is available, a collateral contact shall be made and documented in the case file. Multiple Documents - When none of the above items of identity are available, a client may submit three or more of the following documents as verification of identity: employer identification card high school or college diplomas, including GED marriage certificates property deeds/titles divorce decrees Multiple documents can only be used for identity if a second or third level of citizenship has been provided.

Disability - Disability must be verified for persons requesting medical assistance under a disability program (see 2662 ) or requesting MediKan (see 2646 ).

Reserved

Reserved

Resources All trust funds and accounts, including IDA's and annuities, are to be verified by providing a copy of the actual trust instrument as well as any supporting information necessary to establish the availability of the trust (e.g., bank ledgers documenting the value of the trust and wills funding the trust). In addition, all real property (excluding the home in which the applicant/recipient resides), stocks, bonds, and non-exempt retirement funds must be verified. Reported bank accounts shall be verified according to the tiered process described in 1322.4(2) for applications and 9333 for reviews. All burial agreements and plans, life insurance, checking accounts, savings accounts, debit card accounts, and other financial instruments must be verified prior to approval. Other resources, such as vehicles and resources involved in transfers of property, may be verified as the circumstances demand. NOTE: The balance of a Direct Express electronic debit account used for the deposit of federal benefits (Social Security, SSI, VA, Civil Service Annuities) need not be verified if the only monies in the account are from Social Security or SSI benefits, or the value of all countable resources, including the account, are not within $300 of the applicable resource limit.

Reserved

Citizenship Documentation of U.S. citizenship is required for each individual requesting medical assistance as described in 2145.2 . The agency may not request verification of citizenship from the applicant or recipient if that information can be verified through an available resource. The agency shall make every effort to verify citizenship through those resources. If the agency is unable to verify citizenship, verification shall be waived and a three (3) month reasonable opportunity period for the individual to provide the information shall be applied. If otherwise eligible, the applicant may be approved for assistance. The individual shall be contacted to provide the information and notified of the reasonable opportunity period. See 2145.4 .