Current through 2024-38, September 18, 2024
1.
GENERAL RULE
The right to participate ends with the last day of the
certification period. The Department shall provide each household a notice of
expiration by the beginning of the last full month of the certification period.
Benefits shall not be continued beyond the certification period unless the
Department determines the household is still eligible. For the Department to
make a determination that the household is ineligible, or still eligible, the
household must -
A. submit a signed
recertification form,
B. provide
any necessary verifications, and
C.
complete an interview with the following exceptions:
(1) The Department shall process all annual
eligibility reviews without an interview until the earlier of December 31,
2021, or the end of the month after the month in which the public health
emergency (PHE) declaration related to COVID-19 is lifted by the U.S. Secretary
of Health and Human Services unless -
(a) the
household requests an interview,
(b) there is unclear information on the
recertification form, or
(c) the
household would be determined to be ineligible based on information provided on
the recertification form.
(2) Households which have no earned income
and in which all adult members are elderly and/or have disabilities will not be
required to complete an interview at annual eligibility review unless -
(a) there is unclear information on the
recertification form, or
(b) the
household would be determined to be ineligible based on information provided on
the recertification form.
The Department will conduct an interview if the household
requests one.
NOTE: Advance notice of adverse action is
not required when benefits change from one certification period to
another.
2.
TIMELY REVIEW
A. The household is considered to have met
the requirements of a timely review if they:
(1) file the recertification form by the
15th day of the last month of the certification
period,
(2) complete an interview,
if required, by the end of the certification period, and
(3) submit necessary verifications by the
later of ten calendar days of the request or the end of the certification
period.
B. If the
household meets the requirements of a timely review, the Department shall
determine eligibility and notify the household of the Department's
determination by the end of the household's current certification period. The
Department shall allow eligible households to continue their normal issuance
cycle in the month following the end of their current certification
period.
C. If, due to the time
allowed for submitting requested verification, the Department is unable to
determine a household's eligibility in time for an eligible household to
participate in their normal issuance cycle, the Department shall allow any
eligible household to participate within five working days after the household
submits the missing verification.
3.
UNTIMELY REVIEW
A. The household shall lose their right to
uninterrupted benefits for failure to-
(1)
file the recertification form by the 15th day of the last month of the
certification period,
(2) complete
a scheduled interview, if required, prior to the end of the certification
period, or
(3) submit requested
mandatory verifications by the later of ten calendar days of the request or the
end of the certification period.
B. If the household loses their right to
uninterrupted benefits due to such failures but is otherwise eligible after
correcting such failures, the Department shall provide benefits within the
later of-
(1) 30 days after the
recertification form is filed,
(2)
ten days of the date the required interview is completed, or
(3) ten days of the date the required
verification is provided.
C. If the household does not file the
recertification form until after the end of the previous certification period,
the allotment to be issued for the initial month of the new certification
period shall be prorated from the date the recertification form is received,
per the process at Section 555-6(2)(B).
4.
DENIALS
The Department shall process denials -
A. on the last day of the current
certification period if continued eligibility cannot be determined prior to
that date, or the household is ineligible and no interview could be
completed,
B. within 30 days after
the date the recertification form was filed, when the filing is untimely, if
the household is ineligible and no interview could be completed, or
C. within ten days of determining the
household is ineligible, if an interview has been completed and the household
fails to provide requested mandatory verifications timely.
5.
VERIFICATION
A. The household must provide verification of
the following -
(1) income if the source has
changed or the amount has changed by more than $50 per month,
(2) allowable medical expenses which were
previously unreported or which have changed by more than $25 per
month,
(3) the legal obligation to
pay child support, including the obligated amount, and the amount
paid,
(4) utility expenses when the
household requests to use the actual cost, not the utility allowance, and the
amount has changed by more than $25 per month, and
(5) information which is questionable
including, but not limited to, factors affecting the composition of a household
and instances where documentation appears to be outdated, inaccurate, or
potentially falsified.
B.
Acceptable verification is not limited to any single type of document. The
Department may obtain verification from the household or other sources.
Whenever documentation cannot be obtained, is questionable, unclear, or is
insufficient to make a determination of eligibility or benefit level, the
Department shall require collateral contacts.
6.
NOTICES
A. Participating households which meet the
"timely review" standards listed in 666-9(2) shall be mailed an adequate notice
of the Department's determination by the end of the household's current
certification period.
B.
Participating households which do not meet the "timely review" standards shall
be mailed an adequate notice of the Department's determination within 30 days
after the date the recertification form was filed.