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will result in denial or termination of benefits for failure to cooperate in establishing eligibility. 3. Documentation Document the following in the application/redetermination workbook: a. Type of account (checking, savings, certificate of deposit (CD), money market, EBT account, Medicare Health Savings Account, etc.) b. Type of ownership/interest c. Account number and name of financial institution d. A/B’s statement of first moment balance for the verification month e. Source and date of third party verification, if required 4. Deduct Outstanding Checks a. Deduct from the first moment balance the amount of any check written by the a/b or financially responsible person which: (1) Is mailed or delivered prior to the first moment of the verification month; and (2) Had not cleared the bank prior to the first moment of the verification month. b. Do not deduct the check if it: (1) Was written as prepayment to a Medicaid provider for a service which is covered by Medicaid; or (2) Is more than six months old. Six months from the date a check is written it becomes stale dated and will not be honored by the bank. c. For MN cases over the resource limit as of the first moment, deduct checks written after the first moment as of the day the check is written. d. Verify the date a check cleared the bank by the bank statement, or by written or verbal contact with the bank. EXAMPLE: A check dated 10/12 did not clear the bank until 11/5. The check is “outstanding” on November 1st. e. If a check has not cleared the bank, compare the check book register or stubs to the bank statement to verify the date, check number, and payee of the outstanding check and sequence of checks. 71