Current through Vol. 42, No. 1, September 16, 2024
(a)
Continuing eligibility
determination. The worker determines continued eligibility at
appropriate intervals, per (b) of this Section. The worker is responsible for:
(1) informing the recipient of his or her
change reporting responsibilities, per Oklahoma Administrative Code (OAC)
340:65-5-1, at each
contact;
(2) contacting the
recipient when possible changes are indicated to ensure continuing
eligibility;
(3) synchronizing
renewal dates for all benefits received by the household when possible;
and
(4) determining continuing
eligibility.
(b)
Benefit renewal time frames. The periodic renewal time frame
varies depending on the program.
(1) A benefit
renewal is completed at six-month intervals with a:
(A) Temporary Assistance for Needy Families
(TANF) recipient due to:
(i) pending required
immunizations, per OAC
340:10-14-1;
(ii) payment standard reductions because of
program violations, per OAC
340:10-3-57(g) or
(h);
(iii) hardship extension approvals, per OAC
340:10-3-56(a)(2)(E);
(iv) earned income, per OAC
340:10-3-31 through
340:10-3-40; or
(v) a work eligible person's exemption from
TANF Work activities because of his or her incapacity or to care for a disabled
family member living in the household, per OAC 340:102-1; or
(B) food benefit recipient subject
to a mid-certification renewal, per OAC
340:50-9-5(d) and
(e).
(2) A benefit renewal is completed at
12-month intervals, unless an earlier renewal date is warranted, with a:
(A) TANF recipient unless (b)(1)(A) of this
Section applies;
(B) State
Supplemental Payment (SSP) recipient who does not receive Supplemental Security
Income (SSI). When the recipient receives SSI, the system passively renews the
SSP and SoonerCare (Medicaid) benefit;
(C) Child Care Subsidy recipient, per OAC
340:40-9-1;
(D) food benefit household subject to an
annual mid-certification renewal, per OAC
340:50-9-5(b) and
(c);
(E) food benefit household whose Supplemental
Nutrition Assistance Program (SNAP) certification renewal is completed at
12-month intervals, per OAC
340:50-9-6; or
(F) SoonerCare (Medicaid) recipient, per OAC
317:35, when the recipient does not receive SSI. When the recipient receives
SSI, the system passively renews the SoonerCare (Medicaid) benefit.
(3) The worker completes a SNAP
certification renewal at 24-month intervals for households subject to an annual
mid-certification renewal, per OAC
340:50-9-5(b) and
(c).
(c)
Benefit renewal
notification. The recipient receives a notice when the benefit renewal
is due, informing the recipient he or she must complete the benefit renewal
within a specified time frame to continue receiving benefits.
(1) The worker sends Form 08AD092E, Client
Contact and Information Request, to TANF recipients.
(2) A computer-generated notice is sent to:
(A) child care recipients;
(B) food benefit recipients due for
mid-certification renewal and certification renewal; and
(C) SSP and SoonerCare (Medicaid) recipients
who do not receive SSI.
(3) Since SoonerCare (Medicaid) and SSP
recipients who receive SSI are passively renewed, they receive a notice
informing them that their benefits were renewed. The renewal notice includes
the income used to renew their benefit(s). Recipients are asked to sign and
return the renewal notice if the income shown on the notice is incorrect. When
the notice is signed and returned, the worker contacts the recipient to obtain
current information.
(d)
Signature requirements. The recipient, guardian, or a person
acting on the recipient's behalf, such as an authorized representative or a
person with power-of-attorney, signs the benefit renewal for all programs
except TANF. The recipient signs TANF renewals. When the recipient lives with
his or her a spouse, both must sign the TANF renewal.
(e)
Interview requirements.
Benefit renewal interview requirements vary depending on the program.
(1) Per Section 206.10 of Title 45 of the
Code of Regulations, the TANF program requires a face-to-face certification
renewal interview every 12 months. The face-to-face interview may be conducted
in the OKDHS office, at a home visit, or through a virtual video conference.
(2) A phone or face-to-face
interview is required for a:
(A) SNAP
certification renewal, except for (e)(3)(C) of this Section, per OAC
340:50-3-1; or
(B) Supplemental Security Income-Disabled
Children's Program service plan renewal, per OAC
340:15-3-1.
(3) An interview is not required for:
(A) any of the SoonerCare (Medicaid) programs
when the client signs and completes the renewal, provides all required proof,
and none of the information is questionable. When necessary, the worker
contacts the recipient to complete the renewal;
(B) passive renewals completed for SoonerCare
(Medicaid) or SSP recipients;
(C)
Child Care Subsidy program renewals; or
(D) food benefit households completing a:
(i) mid-certification renewal, at six- or
12-month intervals; or
(ii) SNAP
certification renewal when all household members are elderly or disabled and
there is no earned income in the household, per OAC
340:50-3-2(a)(2).
(f)
Eligibility determination. The worker determines eligibility after
the benefit renewal is signed, all required proof is provided, an interview, if
required, is conducted, and all information evaluated.
(1) The worker may:
(A) complete the benefit renewal without
changes;
(B) complete the benefit
renewal with changes; or
(C) close
the benefit or benefits.
(2) When benefits close and the recipient
provides required proof by the last day of the closure month, benefits may be
reopened.
Amended at 8 Ok Reg 3271, eff 7-15-91 (emergency); Amended
at 9 Ok Reg 2815, eff 7-13-92; Amended at 10 Ok Reg 1147, eff 3-9-93
(emergency); Amended at 10 Ok Reg 1445, eff 4-26-93; Amended at 10 Ok Reg 2303,
eff 6-11-93; Amended at 11 Ok Reg 4505, eff 7-22-94 through 7-14-95
(emergency); Amended at 13 Ok Reg 353, eff 12-11-95; Amended at 14 Ok Reg 592,
eff 12-12-96 (emergency); Amended at 14 Ok Reg 1369, eff 5-12-97; Amended at 15
Ok Reg 179, eff 11-1-97 (emergency); Amended at 15 Ok Reg 1644, eff 5-11-98;
Amended at 18 Ok Reg 2096, eff 7-1-01; Amended at 19 Ok Reg 401, eff 12-1-01
(emergency); Amended at 19 Ok Reg 1784, eff 6-14-02; Amended at 24 Ok Reg 1042,
eff 6-1-07; Amended at 25 Ok Reg 265, eff 11-1-07 (emergency); Amended at 25
Ok Reg 958, eff 6-1-08; Amended at 26 Ok Reg 1272, eff 6-1-09 ; Amended at 28
Ok Reg 880, eff 6-1-11; Amended at 29 Ok Reg 812, eff 7-1-12; Amended at 30 Ok
Reg 691, eff 6-1-13
