General Verification Requirements - All Categories of Medical Assistance and Low-Income Subsidy Assistance

(a) All general, categorical, technical, and financial factors related to the determination of eligibility and level of benefit for low-income subsidy assistance, pursuant to 42 USC 1396u -5, and all categories of medical assistance, shall be verified at:

(1) Initial determinations;

(2) Redeterminations of eligibility;

(3) Whenever a change occurs; or

(4) When questionable as, defined in He-W 801.06.

(b) Providing acceptable verification shall be the sole responsibility of the individual, except where otherwise noted.

(c) Failure to verify any factor required for the determination of eligibility or level of benefit shall result in denial or termination of assistance for the entire assistance group, except where otherwise noted.

Source. #13875, eff 2-21-24