Required Action on Mandatory Changes 400-28-125-30

(Revised 10/1/20 ML #3574)

When a mandatory change is reported, it must be determined if the change was:

Reported and verified timely

If the change results in an increase in benefits, or has a positive impact, the change is implemented in the month the change occurred.

If a payment has been made for the month the change occurred, an underpayment may need to be issued for that month.

Example: A change occurred that had a positive impact on August 25th and was reported and timely verified on September 3rd. August benefits were paid on September 1. The change is implemented and CCAP must be updated for August. September’s payment will be made based on the updated eligibility. Since the change was reported and verified timely, August benefits need to be re-determined and an underpayment issued.

If the change results in a decrease in benefits, or has a negative impact, the change is implemented in the month following the change occurred.

Payments made for the month following the month the change occurred will be made based on the new eligibility that has been determined.

Example: A change occurred that has a negative impact on August 25th and was reported and timely verified on September 3rd. The change is implemented and CCAP must be updated for September. August payments will be made based on prior eligibility. Payments beginning September will be made based on the updated eligibility.

2. NOT timely reported, verified, or both:

If the change results in an increase in benefits, or has a positive impact, the change is implemented in the month the change is verified.

Payments made for the month the change was verified will need to be made based on the updated eligibilty.

Since the change has a positive impact, any underpayments that may have resulted for the month the change occurred through the month eligibility was updated are not issued since the change was not reported timely.

Example: A change occurred that benefited the household on August 25th and was reported on September 3rd. The eligibility worker sent a request for verification notice to the household on September 6th. The household did not provide verification of the change until September 23rd. The change is implemented and CCAP must be updated for September. September’s payment will be made based on updated eligibility. Since the change was reported timely but not verified timely, the caretaker is not eligible for additional benefits for August.

If the change results in a decrease in benefits, or has a negative impact, the change is implemented the month the change occurred.

Any payments made for the month the change occurred will need to be made based on the updated eligibility.

Any payments made based on prior eligibility for months prior to CCAP being updated are subject to overpayments.

Example: A change occurred that has a negative impact on August 25th and was reported on September 3rd. On September 3rd, the eligibility worker sends a request for verification notice to the household requesting additional information. The requested information was not verified until September 15th. The change is implemented and CCAP must be updated for August. Since the change was not verified timely, August benefits need to be re-determined and an overpayment established. Payments issued beginning September will be based on updated eligibility.

A notice must be sent for any changes that result in ineligibility. CCAP must close at the end of the month in which the notice was sent.