Change in Reporting Requirements from Simplified Reporting Household Over Gross Income to Simplified Reporting 430-05-67-45-20

(Revised 10/01/10 ML3233)

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If a categorically eligible or TANF I & R household certified as a simplified reporting household with income that exceeds the gross income limit for the household size, reports and verifies a change that results in income no longer exceeding the gross income limit for the household size, the worker must send notice F742 – Household Under Gross Income Limit Reporting Requirement.  This notice informs the household of their reporting requirements.  

Example:

A household of four reports and verifies gross income of $2500 that exceeds the gross income limit for the household size.  In calculating eligibility and level of benefits, the household is eligible for a $22.00 benefit.  The household reports a household member lost a job resulting in gross income decreasing to below the gross income limit for the household size. The worker must send the F742 – Household Under Gross Income Limit Reporting Requirement that informs the household of the gross income limit for the household size.  The household is now required to report if income exceeds the gross income limit for the household size.