OBSOLETE POLICY CHIP MANUAL |
Recipients must report changes within 10 calendar days of the day they learn of the change. Failure to report changes timely may create an eligibility payment error (806). (For information on how to treat reported changes, see section 804.)
The date of report is the date the recipient tells the eligibility agency through an online reporting process, in person, by telephone, by fax or by mail about a change when that report is received by the close of business. The agency will date change reports received after the close of business as received on the next business day. When a recipient mails information, the business day the agency receives the mailed change report is the date of report.
The change is reported timely when:
The agency receives the information by the close of business on the 10th day after the client learns of the change; or
If a due date for reporting a change falls on a Saturday, Sunday or state holiday, the client has until the close of business on the next business day to report the change.
Change reports delivered to an outreach location at a time when the office is closed will be dated as received on the last business day that an outreach staff person was working at that location. Based on the date the change report is dated as received at an outreach location, timeliness then follows the rules in A. and B.
If the agency cannot give 10-day notice for an adverse action, it must continue benefits to the following month. See Section 803 for exceptions to advance notice requirements.
Recipients must report the following changes (See section 804)
A recipient begins to receive coverage under a group health plan or other health insurance coverage.
A recipient begins to have access to coverage under a health insurance plan offered by an employer.
A recipient begins to be covered or gains access to coverage under a state employee’s group health plan due to a parent’s or legal guardian’s employment with the state.
A recipient leaves the household or dies
A recipient or the household moves out of state.
A recipient or the household changes their address.
A recipient enters a public institution or an Institution for Mental Disease.
An individual who intentionally provides false information is responsible for repaying any incorrect benefits they received. An individual acting on behalf of a recipient who intentionally provides false information is responsible for repaying any incorrect benefits received by the recipient.
Verifications
Recipients who provide reports, forms, or verifications by any one of the dates listed below have provided the information on time:
When the local office receives the information by 5:00p.m. on the due date; or
When the due date is on a Saturday, Sunday or State holiday, the local office receives the information by 5:00p.m. of the first working day after the due date; or
When the recipient faxes in the information and the fax date shows it was faxed by 5:00p.m. on the due date.
If the agency cannot give 10-day notice for an adverse action, it must continue benefits to the following month. (See Section 803 for exceptions to the advance notice requirements.)