11111 Situations Requiring Correction of Understated Eligibility

Understatement of eligibility shall be corrected promptly using the program policies in effect for the month(s) in which the error occurred.

The following are situations in which a correction of understated eligibility is required.

The understated eligibility was the result of agency error. See 11121.1 .

The agency failed to give the household sufficient time to verify a medical expense that resulted in the understated eligibility.

The agency failed to take timely action on reported changes that resulted in the understated eligibility.

There is a fair hearing decision in favor of the household.

Reserved

Case correction is ordered as a result of a class action lawsuit or other legal proceeding.

A recipient may also be entitled to correction of understated eligibility where a change has been reported and verified timely, but the future month has already been authorized due to system cutoff date.