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COMBINED MANUAL
ISSUE DATE 02/2022
RECERTIFICATION PROCESS
0009.06
Recertify clients whose certification period is ending. The clients and the agency must follow the time frames of each program for completing the recertification process. See 0009.06.03 (Recertification Processing Standards).
MAXIS will generate program specific cover letters and mail the following forms: ● Combined Application Form (CAF) (DHS-5223) (PDF).
● Combined Six-Month Report (DHS-5576) (PDF).
● Combined Six-Month Report Supplement for Cash Programs (DHS-5576A) (PDF).
● Combined Annual Renewal for Certain Populations (DHS-3727) (PDF).
● Other notices or forms required at recertification according to each program’s provisions below.
All questions on the form must be answered for the form to be considered complete.
MAXIS will mail packets around the 15th of the 2nd month prior to the end of the certification period. The processing period for a recertification begins when the packets are mailed out to the unit.
Accept an MNbenefits application from a current participant as a recertification if received within the recertification processing period. If an MNbenefits application submitted during the recertification processing period contains a request for a new assistance program, process the MNbenefits application as a new application for the new program.
The recertification process is similar to the application process. To complete the recertification process: ● Review eligibility for the client’s current programs, possible new programs, and emergency need. If clients qualify for new programs or emergency assistance, process the recertification request as an application for assistance. See 0004 (Emergencies), 0005 (Applications), 0009.06.03 (Recertification Processing Standards).
● Get mandatory verifications. See 0010.18 (Mandatory Verifications). To request verifications, send the Notice of Late or Incomplete Household Report Form, Health Care Renewal Form or Combined Six-Month Report or Recertification (DHS- 2414) (PDF) to the unit with the following information:
- The date benefits will be terminated. - The date the recertification form was received. - The verifications that are needed.
● Notify the unit of the eligibility determination. See 0026 (Notices).
Accept the Combined Application Form (CAF), MNbenefits application, Combined Six-Month Report (CSR) or Combined Annual Renewal for Certain Populations even if the client does not live in your county. See 0005.12 (Accepting and Processing Applications).
In addition to MAXIS-generated recertification packets, you may be required to provide certain additional forms to clients at the face-to-face recertification interview. See 0007.12 (Agency Responsibilities for Client Reporting), 0009.06.06 (Recertification Interview).
Give a 10-day notice before terminating benefits if the unit fails to comply with the recertification process. See 0009.06.03 (Recertification Processing Standards).
If a 10-day notice is not sent, continue to issue benefits until a 10-day notice of adverse action can be given. This applies even if the certification period has ended.
MFIP: For MFIP units subject to monthly reporting, the recertification form must be signed and dated by the caregiver(s) on or after the