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1.2.4 questionable items

1.2.4.1 Tuberculosis

1.2.4.2 Farm and Self-employment Income

Information is questionable when:

1. There are inconsistencies in the group’s oral or written statements.
    

2. There are inconsistencies between the group’s claims and collateral contacts, documents, or prior records.
    

3. The client or his/her representative is unsure of the accuracy of his/her own statements.
    

4. The client has been convicted of MA recipient fraud or has legally acknowledged his/her guilt of recipient fraud.  Do not require a client to provide verification for the sole reason that they have acknowledged or been convicted of fraud in any other public assistance or employment program.
    

5. The client is a minor who reports that s/he is living alone.  This does not apply to minors applying solely for FPW.
    

6. Unclear or vague (i.e., information provided, but not clear).
    

7. Income will not be available on any data exchange accessible by IM workers.
   
   In certain cases, data exchange resources do not exist or are unavailable to IM workers for eligibility determinations.  For example, data exchange are not available for persons who do not supply their SSN or where the income reported is not part of an existing data exchange.  Under these circumstances, self-declared income is not acceptable and must be verified.
   
   The following are examples of persons for who a data exchange will never exist and, therefore, income verification is required at eligibility determination:
    

8. 1. Ineligible persons who do not provide an SSN and whose income would be counted in the eligibility determination (Fiscal Test Group member);
       

   2. Non-citizens without an SSN applying for emergency services or the BadgerCare Prenatal Program;
       

   3. Persons whose employers do not report wages to the Department of Workforce Development (DWD) in Wisconsin, such as Wisconsin residents who work out of state and persons who work for the federal government.
       

   4. Persons with income from sources that are never available to IM workers through a data exchange, such as self-employment, pensions, retirement income, dividends, interest, etc.

1.2.4.1 Tuberculosis

See 5.11.7.1 for appropriate verification items if information provided is questionable.

1.2.4.2 Farm and Self-employment Income

See 4.2.6 for appropriate verification items if information provided is questionable.

This page last updated in Release Number: 06-02

Release Date: 07/14/06

Effective Date: 07/14/06