Page 12

12

a. Send a DHB-5097/DHB-5097S, Request for Information to request income verification. Indicate income verification is needed to determine continued eligibility or deductible amount.

b. Upon receipt of verification, convert the income to a gross monthly amount following procedures in IV.

c. Use base period income to determine eligibility up to the month the first changed income was received. Send a timely notice if the change results in a deductible or lesser benefit. Send an adequate notice if benefits remain the same or continue.

2. Beneficiary Reports Change Late

a. Send a DHB-5097/DHB-5097S, Request for Information, to request income verification. State on the notice income verification is needed to determine continued eligibility or deductible amount.

1) If you are able to get the actual changed income for each month, use that amount for each month. Use the most recent 4 weeks to project for the rest of the certification period.

2) If you are unable to get the actual income for each month, attempt to get the most recent changed income.

b. Upon receipt of verification of the changed income, convert income to a gross monthly amount following procedures in IV.

c. Verify the point at which the change occurred to determine from what month to calculate if fraud/overpayment occurred.

d. Use base period income plus the changed income to determine eligibility. Refer to MA-2340, Change in Situation. Send a timely notice if there is a change in benefits or deductible.

E. Terminated Income

1. Count terminated income through the month household receives final pay from the source.

2. If a deductible is applicable in the case, follow the procedures in MA- 2340, Change in Situation, for revising the deductible due to reduction in income.