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Example 1 Sally and Fred are husband and wife and applied for SeniorCare in July. Both Sally and Fred were found eligible at Level 2a with a deductible for August. In September, Fred loses his job. He reports the change to the SeniorCare program. This change will not affect Sally or Fred’s SeniorCare benefits, because Fred reported the change after his case had been confirmed in CARES. If Fred had reported the change prior to his case being confirmed in CARES, the change would have been applied to Sally and Fred’s eligibility determination, and they would have paid the co-payment amounts for prescription drugs. If Fred and Sally wish, they may request to file a reapplication (see SECTION 33.11 RE-APPLICATION) and submit enrollment fees to have their eligibility redetermined and change their benefit level. Without the income from Fred’s job, Sally and Fred would be able to purchase prescription drugs at the co-payment level, if a reapplication is filed. 33.10.2 Correction of Errors All errors made on the SeniorCare Application (F -10076) must be reported by the member or their Authorized Representative, POA, or Guardian to the SeniorCare Customer Services hotline at 1- 800-657-2038 (TTY and translation services are available) or in writing to: SeniorCare P.O. Box 671 Madison, WI 53716-0710 An error may include, but is not limited to: 1. Doubling of income (for example, totaling income on the application incorrectly). 2. Incorrect entries (for example, income amounts are off by a factor of 100 due to the lack of decimal point). 3. Application processing errors. An applicant who wishes to report a change in circumstances from what was on their submitted application may do so, but to impact eligibility, this change should be reported prior to eligibility being confirmed in CARES (see SECTION 33.10.1 #5 CHANGE IN CIRCUMSTANCE). If a member has been found eligible for either an incorrect SeniorCare benefit level or spenddown amount due to an error, action will be taken to correct the mistake. The effective date of the correction is based on whether the error is determined to be due to agency error or applicant/member error, as follows. 33.10.2.1 Agency Error Agency errors for SeniorCare will be determined on a case-by-case basis. If the error resulted in an overpayment, the overpaid benefits will not be recovered. If the error resulted in an underpayment, corrected benefits will be restored back to the initial eligibility date of the current benefit period. 33.10.2.2 Applicant or Member Error If an applicant or member error resulted in an overpayment, the overpaid benefits will not be recovered. The correction is processed with an effective date based on adverse action notice. The member will be provided with at least 10 days notice before the effective date of an adverse action. If the error resulted in an underpayment and they reported the error within 45 days of the mail date of the notice of decision, corrected benefits will be restored back to the initial eligibility date of the benefit period. If the error is not reported within 45 days of the notice of decision mail date, the effective date of the correction is the first of the month in which the error is reported.