120-142

Reason code Reason code description WAC references - Classic Medicaid Free form text - Classic Medicaid WAC references - MAGI-based Medicaid Free form text - MAGI-based Medicaid 120 Failed to Provide Proof of Citizenship/Identity You did not provide proof of citizenship for a member or members of your household. Proof of citizenship is required before a person can receive medical. 388-490-0005 Specify the persons who are ineligible due to lack of proof of citizenship 182-503-0535 None required 121 Ineligible Spouse of an SSI Recipient – Medical Because your spouse receives SSI, you aren’t eligible for Community First Choice services. See WAC rule (Washington Administrative Code): 182-512-0100 None required 130 Not TFA Eligible – Not Recipient of BF in Prior Month The people listed above will not get Transitional Food benefits with you because they did not get Basic Food benefits with you during the last month you got TANF. If you want to find out if you would get more food benefits by including others in your household, please apply for Basic Food. You can choose the program that gives you the most benefits, Basic Food or Transitional Food. 388-408-0035 388-489-0005 None required 131 A Member of the Household is now receiving TANF Someone who gets Transitional Food with you is approved for Temporary Assistance for Needy Families (TANF) or Tribal TANF. We will see if you can get Basic Food. You may need to turn in an eligibility review for us to see if you can get Basic Food. 388-489-0025 Specify the person who is receiving TANF or Tribal TANF. 141 Mid-Certification Review Not Returned We did not get your change report form. If you get us what we need before the end of the month, we will reconsider our decision. You must either: Turn in the form; or Call us to report your current circumstances. 388-418-0011 None required 142 Incomplete Mid-Certification Review We got your change report form. Some information is still missing. We sent you a letter telling you what you need to give to us. We did not get it. 388-418-0011 None required