loading…
loading…
loading…
Issuing Notice of Adverse Action For Incomplete Information Received
1. If information received is incomplete, request missing information or information required for verification.
1A. Issue a notice to request missing or required information and/or verification.
2. If requested, assist the client in obtaining information/verification.
Re-determining Eligibility
1. Receive reported change.
2. Document the date of the re-determination in the case record in all instances recording the information and method used to arrive at the best estimate.
3. Review case to determine if changes reported affect eligibility.
4. If eligibility is not affected, no further action is required. If the change increases the benefits, send an approval notice for the new program.
5. If determined no longer eligible, close case and send 15-Day Notice.
5A. Close case the first of the following month when a closure notice can be provided at least fifteen days prior to the end of the month.
5B. Close case the month after next if notice cannot be provided at least fifteen days prior to the end of the month.
Closing For Ineligibility, Non-Response, Or Missing Information/Verification
1. Close benefits the first day of the following month when a closure notice can be provided at least fifteen days prior to the end of the month.
2. If notice cannot be provided at least fifteen days prior to the end of the month, close benefits the month after next.
3. Issue a Notice of Adverse Action.
Receiving Information/Verification After Closure Or Denial
1. If information/verification is received more than 60 days from denial or 90 days from closure, require completion of a new application. See Section M401 .
1A. Refer to program policies to determine eligibility.
2. If information/verification is received within 60-days from denial or 90 days from closure, accept the information/verification and process without requiring a new application.
2A. Refer to program policies to determine eligibility.
3. If eligible, reopen the case and authorize benefits in the first month of eligibility.
4. If ineligible, issue a notice of adverse action.