Case Narrative Contents 415-05-35-05

(Revised 10/1/18 ML #3533)

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It is not necessary to repeat information in narrative that is on the forms. The case narrative should be used, however, to record the following:

  1. Support for decisions made regarding miscellaneous, premium, and emergency payments.
  2. The circumstances resulting in the use of the "prudent person concept" to obtain additional verification of eligibility factors, if this is not explained on the Form 530.
  3. Circumstances relating to overpayments and questions of suspected fraud, actions taken, and how resolved.
  4. Documentation of "outreach" efforts.
  5. Additional information for all cases reporting zero or near zero income regarding how the household is meeting other basic living needs such as shelter, food, medical expenses, etc. The case narrative will document that referrals have been made to other appropriate programs such as Supplemental Nutrition Assistance Program (SNAP), Medical Assistance, etc., to be certain the household is fully aware of all resources which might help during their financial crisis. Form 1681, "Near Zero Income Worksheet" may be used in place of or to supplement the case narrative.