Policy History for  1.2.3 When to Verify

Release 07-06

1.2.7 When to Verify

Verify mandatory and questionable items at application, review, person addition or deletion, or when there is a change in circumstance that affects eligibility or benefit level. Do not reverify one time only verification items.

 

1.2.7.1 Application and Review

  1. Application

 

The time period for processing an application for MA is 30 days.  Advise the applicant of the specific verifications required within the 30 day processing time.  Give the applicant a minimum of ten calendar days to provide any necessary verification.

 

Do not deny eligibility for failure to provide the required verification until the later of::

 

    1. 11th day after requesting verification, or

    2. 31st day after the application filing date. .

 

If you request verification more than ten days prior to the 30th day you must still allow the applicant 30 days from the application filing date to provide the required verification.

 

 

  1. Eligibility Reviews

 

Do not deny the group's eligibility for failure to provide the required verification until the 11th day after requesting verification or the end of the review month, whichever is later.  

 

Example 1: Fred’s eligibility review is due in April.  He submits a mail-in review form on April 10th.  The eligibility worker requests verification of his income on April 11th.  If the verification is not submitted by April 30th, his eligibility will end on April 30th.

 

Example 2: Shannon’s eligibility review is due in June.  She requested a phone interview on June 20th and the eligibility worker schedules an appointment for June 30th.  If required verification (including signature) is not submitted by July 11th, her eligibility will end July 31st.

 

1.2.7.2 Changes

Advise the recipient of the specific verification required and allow a minimum of ten days to provide it.

 

 

This page last updated in Release Number: 07-05

Release Date: 07/10/07

Effective Date: 07/10/07