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OBSOLETE POLICY CHIP MANUAL |
Effective: February 1, 2012 - July 31, 2012
The enrollee, the enrollee’s parent, or the responsible adult acting on behalf of the enrollee, must report certain changes within 10 days of the day the change becomes known. (See Section 102-3 for a description of changes that must be reported.)
Workers are to take appropriate action to verify any information which may affect the enrollee’s eligibility within 10 days of the date the information is received. (See section 102-4 for more information on date of report.)
If the 10th day is a non-business day, give the client until the first business day following the 10th day.
A report of a change or other information may be received from a source other than the recipient.
Reported changes must be evaluated to determine if they could affect eligibility during the 12 month enrollment period. See section 703.
Only act on income changes when the enrollee requests a Medicaid determination, asks for a new income determination or the reported change is an exception to the 12 month enrollment period. (See Section 703-1 #3 and 804-5.)
Use computer matches and collateral contacts whenever possible to verify items of eligibility.
Do not request hard copy verification of items that are not needed for eligibility or that have previously been verified and are not subject to change.
Provide a written request for verifications that are needed.
Workers must request any necessary verification within 10 days of the date a change is reported or information is received.
Give clients at least 10 days from the date you mail the written request to provide verifications. If the 10th day is a non-business day, give the client until the business day following the 10th day to provide verifications.
If the client does not return all requested verification by the verification due date, the eligibility agency ends benefits for the first month it can give 10-day advance notice.
If the client provides all requested verification by the verification due date, or by the end of the report month, whichever is later, the agency continues with the eligibility determination.
For an adverse action, make the change for the first month the eligibility agency can give 10 day notice.
If the action results in the same or a better benefit, make the change for the month immediately following the change report month.
If the eligibility agency receives all requested verification by the last day of the month following the effective closure date, consider this a new application with application time frames.
Mail returned by the post office with no forwarding address indicates a change. See Section 803-2 to decide what steps to take.
When a household reports a change of address, provide the household with voter registration information. (See Section 101).
Failure to make a timely report of a reportable change may result in an overpayment of benefits.