Current through September 17, 2024
If the application is not processed by the end of the
30th day, the following applies:
005.01
DELAYS CAUSED BY THE
HOUSEHOLD. The household is not entitled to benefits for the
application month when the delay is the household's fault. If the household
later cooperates with the application processing, benefits are prorated back to
the date the household took the required action to establish eligibility. The
following are considered the household's fault:
(A) Failing to complete the application
form;
(B) Failing to provide
complete verification;
(C) Missing
a scheduled interview; and
(D)
Failing to reschedule a missed interview within 30 days of the application
date.
005.02
DELAYS CAUSED BY THE DEPARTMENT. If eligibility has
not been determined by the 30th day following the
date the application was filed because of the Department's failure to act, the
following occurs:
(A) The household's
application will remain pending for an additional 30 days. The recipient will
be sent a notice by the 30th day after the
application was filed notifying the household of the status and any additional
action needed by the household;
(B)
The Department will provide benefits that are retroactive to the application
date if:
(i) The household is determined
eligible during the second 30-day period; and
(ii) The household was eligible for the
application month; or
(C)
The Department will deny the application if the household is determined
ineligible during the second 30 days.
005.03
DELAYS BEYOND 60
DAYS. When eligibility has not been determined within 60 days
following the date the application was filed, the following applies:
(A) If the Department caused the delay in the
second 30 days, the Department continues to process the original application
until an eligibility determination is made; or
(B) If the Department caused the delay in the
first 30 days but the household caused the delay in the second 30 days, then
the application is denied and the household must file a new application if the
household wishes to participate.
(C) The household is not entitled to
retroactive benefits if it caused the delay during the second 30 days. A notice
of denial is not necessary if the pending notice informed the household that it
must file a new application if it did not provide
verification.
