Page 40

The individual’s death has been verified. The individual was discharged from the facility. Verification Requirements All changes in eligibility requirements must be verified. A request for a case to be closed must be made in writing and be signed and dated by the individual or his representative. The individual must be notified in writing of the items that must be verified and the date by which the verifications must be received. The individual must be given a minimum of 10 days to return the verifications. Additional time may be allowed in situations where the individual may have difficulty in obtaining the required verifications in the ten day time frame. If the individual asks for help in obtaining the required verifications, the eligibility worker must attempt to obtain them. Verification Not Provided If the required verifications are not provided and the eligibility worker is unable to obtain them, continued eligibility cannot be determined and the case must be closed. Eligibility Decisions on Changes An eligibility decision must be made on each reported change. The individual and his representative must be notified in writing of that decision. Possible decisions include: Ineligibility/Closure The agency determines the individual is ineligible based on his failure to meet one or more of the non-financial or financial eligibility requirements and the case must be closed.