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1170 (07/2026) Chapter 8: Examples • Chapter 8: Examples ERDC Gena completed the application process by establishing a DOR, ERDC does not use a filing date, completed an interview, submitted needed verification for eligibility and cleared eligibility for Standard ERDC the month of October. When TANF is approved in November, Gena’s ERDC will switch to categorical ERDC and her certification will extend to align with her TANF certification. The copay will reduce to $0. REF This example does not apply to the REF program. MSP QMB Example 1: Gena completed the application process by establishing a DOR, completed an interview, submitted needed verification for eligibility and cleared eligibility. Gena is approved for the month of November. SMB/SMF Example 1: Gena completed the application process by establishing a DOR, completed an interview, submitted needed verification for eligibility and cleared eligibility. Gena is approved for the month of October. Gena is over income for retroactive benefits. OSIPM Example 1: Gena completed the application process by establishing a DOR, completed an interview, submitted needed verification for eligibility and cleared eligibility. Gena is approved for the month of October. HSD Example 1: For HSD medical programs, Gena completed the application process by establishing a DOR, Gena is not pended for medical, and eligibility can be determined for Gena and her children beginning in the DOR month of October. Multi-program example 2 Rukia comes to the office requesting to apply for REF, medical and SNAP on 4/16. A case note shows Rukia established a Date of Request by phone on 4/5. Staff adds the DOR date stamp of 4/5 for medical to the completed application with a date stamp for the filing date of 4/16 for both REF and SNAP. She is then scheduled an intake and submits all verification needed. SNAP Rukia completed the application process by establishing a filing date, completed an interview, submitted needed verification and cleared eligibility. TANF This example does not apply to the TANF program. ERDC This example does not apply to the ERDC program. REF Rukia completed the application process by establishing a filing date, completed an interview and submitted needed verification for eligibility.