PARIS Federal Income Match 448-01-50-40-15

(NEW 11/1/14 ML #3418)

View Archives

 

 

SSN’s are used to match state data with information from the Department of Defense (DOD) and Office of Personnel Management (OPM) to determine if recipients are receiving income/pensions or are eligible for Federal health care coverage from any of these sources.

 

Hits for this match will only be given if the recipient is eligible for Medicaid or TANF. Hits will not be given if the recipient is eligible for SNAP only or if the only eligible individual is a child who is in receipt of Subsidized Adoption or HCBS services. If the recipient is also in receipt of Basic Care, CCAP, LIHEAP or SNAP income verification received as a result of a PARIS hit must also be acted on.

Note: The amount listed on a hit may differ from the amount entered into the TECS or Vision system by $1.00. This is due to the rounding process when the payments are reported. The actual amount the individual is entitled to receive must be used to determine eligibility.

When a hit is received, if the verification is in the case file, the eligibility worker must determine if the verification was used correctly. If the verification is not in the case file, for Medicaid or TANF, the following steps must be used to verify the hit.

 

  1. The worker must send a notice within 30 days from the date of the PARIS hit, requesting the verification and informing the household they must clarify the federal income. The PARIS Income Verification notice should be used.

 

  1. If the household contacts the eligibility worker and requests assistance in obtaining the information, the eligibility worker must assist the household. A release of information may be required when contacting the source.

 

  1. If the household fails to respond within 30 days, an advance notice to close Medicaid or TANF must be sent to the household. However, the verification process must continue.

Note: If the household informs the eligibility worker that the requested information has not been received, additional time may be granted. This must be documented in the case file.

  1. If the household does not provide the information, the eligibility worker must contact the source to verify the information. A release of information may be required when contacting the source.

 

If the source does not provide the verification, refer to:

 

  1. If the household or the source provides the verification refer to:

 

The results must be recorded on the PATR screen and the narrative.