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

(Revised 4/1/16 ML #3464)

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

  1. Reported and verified timely
  • 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 the certificate must be updated for August. September’s payment will be made based on the updated certificate. Since the change was reported and verified timely, August benefits need to be re-determined and an underpayment issued.

  • Payments made for the month following the month the change occurred will be made based on the new certificate.

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

2. NOT timely reported, verified, or both:

  • Payments made for the month the change was verified will need to be made based on the new certificate.
  • Since the change has a positive impact, any underpayments that may have resulted for the month the change occurred through the month the certificate 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 closing notice to the caretaker on September 6th. The caretaker did not provide verification of the change until September 23rd. The change is implemented and the certificate must be updated for September. September’s payment will be made based on the updated certificate. Since the change was reported timely but not verified timely, the caretaker is not eligible for additional benefits for August.

  • Any payments made for the month the change occurred will need to be made based on the new certificate.
  • Any payments made based on the old certificate for months prior to the certificate 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 closing notice to the caretaker requesting additional information. The requested information was not verified until September 15th. The change is implemented and the certificate 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 the updated certificate.