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State of Wisconsin |
HISTORY |
The policy on this page is from a previous version of the handbook.
7 CFR 273.2(f)(1)(i)
Gross countable income must be verified for all food unit members prior to certification. Verify income for all food unit members through documentary evidence or collateral contact.
Documentary evidence is written confirmation of a food unit member's circumstances; examples include wage statements or check stubs, rent receipts, utility bills, and employment verification forms. Although documentary evidence should be the primary source of verification, acceptable verification cannot be limited to only this type of source and may be obtained through the member or other sources. Other sources may include collateral contacts (1.2.2.2 Collateral Contacts) which are oral confirmations of a member's circumstances by a person outside of the food unit.
If all attempts to verify the income have been unsuccessful because the person or organization providing the income has failed to cooperate with the applicant/member and agency (for example, by charging a fee or refusing to complete a verification form), and all other sources of verification are unavailable, determine an amount to be used for certification purposes based on the best available information. Clearly document the attempts to obtain verification and the reasoning for the estimate that is used.
You may use income received during the last 30 days as an indicator of the income that is and will be available to the food unit during the certification period, unless that income does not accurately reflect changes in income that have occurred or are anticipated to occur.
You may use statements from employers to verify prospective income.
You may also use the Employment Verification of Earnings (EVF-E) Form to verify prospective income. However, this form is not mandatory for FoodShare. An EVF-E is considered a valid source of earned income verification only if the form is returned as complete, and contains the employer's signature.
If income fluctuates to the extent that a 30-day period alone cannot provide an accurate indication of anticipated income, the agency and the applicant/member may use a longer period of past time if it will provide a more accurate indication of anticipated fluctuations in future income. To average widely fluctuating income, use the food units anticipated income including fluctuations anticipated over the certification period. In any case, make every attempt to accurately verify prospective income and clearly document the reasoning for the prospective income estimate.
| Example 1: |
If Joan's IM worker receives an employment verification form completed by the employer that includes all necessary information to make a reasonable estimate of prospective income and the information is not questionable, the IM worker must not also require Joan to submit check stubs. The opposite also holds true. If Joan submits all check stubs received in the most recent 30 days that include enough information to make a reasonable estimate of prospective income, and the information is not questionable, the IM worker must not also require Joan to submit a form completed by the employer. |
If all attempts to verify the income have been unsuccessful because the person or organization providing the income has failed to cooperate with the applicant/member and agency (for example, by charging a fee or refusing to complete a verification form), and all other sources of verification are unavailable, determine an amount to be used for certification purposes based on the best available information. Clearly document the attempts to obtain verification and the reasoning for the estimate that is used. Best available information may include but is not limited to:
One or more check stubs from past pay periods (i.e. more than 30 days ago).
An oral or written statement from applicant/member.
As in all cases, instruct the applicant/member to keep all statements and check stubs for future verification purposes.
Self-employment income is earned directly from one's own business - not as an employee with specified salary or wages. Self-employment income is verified with Self-Employment Income Reporting Forms (SEIRFs) and/or IRS tax forms.
7 CFR 273.2(f)(2) and 7 CFR 273.2(f )(3)
Assets are not considered in the FoodShare eligibility determination for broad-based categorically eligible FoodShare applicants and members since they are authorized to receive a TANFTANF -funded service. Although the amount of available liquid assets must be reported at the point of initial application to determine eligibility for priority service and expedited issuance (2.1.4 Expedited Service at Application), the reported assets are not required to be verified.
EBDEBD food units that have gross income that exceeds 200% of the FPLFPL are therefore not categorically eligible and are subject to the $3,500 asset limit. These food units must verify assets (4.4.1 Assets).
7 CFR 273.2(f)(3)
Verify expenses that are required to be verified, expenses that are deemed questionable at application, or when a change in expenses is reported. At application/reported change/or renewal ensure that there is up-to-date documentation in the file to support current CWWCWW entries.
7 CFR 273.9(d)(4)
Dependent care expenses required for food unit members to keep or obtain employment, receive training or education preparatory for employment, or comply with employment and training requirements should be deducted from income. Convert expenses to monthly amounts.
Dependent care expenses are not required to be verified in order for the expense to be used in the FoodShare benefit calculation, unless the applicant or member’s statement is deemed questionable. Examples of applicant/member statements that may be considered questionable include:
Claimed dependent care expenses exceed monthly income,
Reported amount seems unreasonably high compared to market rates, or
Applicant or member receives childchild care subsidy and reported the full amount rather than his or her share of the cost.
| Example 2: |
Vinny is a 10-year old child who attends Prestigious Prep Childcare four days a week during the summer while his parents are working. His parents indicate that this care costs $1,000 per week. The cost of care seems unreasonably high compared to the cost of other care in the area. The IM worker should request verification of this dependent care expense. |
Reminder: Only the amount of dependent care expenses that the food unit is responsible to pay can be used as a deduction. When a member has been approved for and receiving the dependent care through the child care subsidy program, Wisconsin Shares, the amount paid for through the subsidy would not be considered an allowable dependent care expense.
Shelter and utility expenses are not required to be verified in order for the expense to be used in the FoodShare benefit calculation, unless the applicant or member’s statement is deemed questionable. Examples of applicant/member statements that may be considered questionable include:
Claimed shelter or utility expenses exceed monthly income,
Applicant or member receives housing subsidy but reported the market rent amount, or
Reported amount seems unreasonably high compared to market rates.
7 CFR 273.2(f)(1)(iv)
Verification at Application
The amount of medical expenses claimed by an EBDEBD individual must be verified at application in order for the expense to be used in the FoodShare benefit calculation.
7 CFR 273.2(f)(8)(ii) and 273.12(c)
Verification during the Certification Period
Verify changes in medical expenses reported by the food unit during the certification period if they are from a new source, if the total amount of previously verified medical expenses has changed by more than $25, or when the information is questionable. Do not act on changes reported by a source other than the food unit, which require you to contact the food unit for verification. Only act on changes in medical expenses that are reported by a source other than the food unit if those changes are verified upon receipt and do not require contact with the food unit.
| Example 3: | Edith, a disabled FoodShare member, provided proof of her $200 monthly prescription costs from her pharmacy at application. In the third month of her FoodShare certification period, she reports that she was hospitalized last month and now has a $1,300 obligation for a hospital bill. Edith and her IM worker agree that this bill will be averaged over the remaining months in Edith’s FoodShare certification. Edith’s IM worker explains that in order to receive the deduction for this new medical expense, verification is required. If verification is not provided, only the $200 deduction is allowed. |
| Example 4: | Mario, an elderly FoodShare member, reported and provided proof of his $90 monthly prescription costs at his most recent FoodShare renewal in December. In March, he reports that his prescription costs have increased to $114 per month. The IM worker updates his case and does not require verification of the increased medical expense because the total medical expenses did not change by more than $25. |
| Example 5: |
Violet, a disabled FoodShare member, is eligible for home and community-based waivers as a Group B participant. At application, Violet reports and provides proof of a recurring monthly medical expense for FoodShare. In the fifth month of her certification period, Violet’s IM worker receives notice from the Aging and Disability Resource Center of a medical/remedial cost to be used in her Group B Waiver cost share calculation. For FoodShare purposes, this change is not considered verified upon receipt. Violet’s IM worker updates her case by creating a new sequence, and uses the ‘OP – Out of Pocket Med/Remedial’ code on the Medical Expenses page. This will allow CWWCWW to budget the expense correctly for long-term care purposes and not impact her FoodShare determination. If the care manager had provided verification of the medical/remedial expense, the verification could be used as a FoodShare expense at the time the change was reported. The new FoodShare expense amount would be entered using the appropriate code on the Medical Expense page and used in the benefit calculation. |
7 CFR 273.2(f)(8)(i)(A)
Verification at Renewal
Previously unreported medical expenses and changes in total recurring medical expenses which have changed by more than $25, or when information is questionable, must be verified at renewal.
| Example 6: |
Sally reports and provides proof of a $150 recurring monthly prescription medical expense at her FoodShare application. At her renewal, she states that this monthly expense continues but that it has increased by $10. Sally’s IM worker updates her case and does not require verification. |
Examples of applicant/member statements that may be considered questionable include:
Applicant or member has private health insurance or is covered by Medicaid or BadgerCare Plus and is claiming unusually high out-of-pocket expenses for a time period when he or she had coverage, or
Claimed monthly medical expenses exceed monthly income.
If questionable, request verification, which includes: date of service, billing date, amount owed, and date amount is due.
Medical expenses are budgeted prospectively, so do not require eligible EBDEBD food unit members to verify recurring medical expenses monthly. Rely on estimates of recurring medical expenses during the certification period. Include changes that can be anticipated based on available information. Consider the food unit member's medical condition, public or private medical insurance coverage, and the current verified medical expenses incurred by the food unit member.
When converting medical expenses to monthly amounts, use the same calculation methods used for budgeting prospective income.
7 CFR 273.2(f)(1)(xii)
The legal obligation and actual payments made by a food unit member claiming to pay child support to non-food unit members must be verified.
This page last updated in Release Number: 18-01
Release Date: 01/08/2018
Effective Date: 01/08/2018
Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.
Publication Number: P-16001