If the information does not match, the following alerts will be generated. The worker should check TPQY to determine if the benefit amount changed, if a person has become eligible for Medicare or if status of Medicare has changed. Not all data is displayed on TPQY.
This alert is generated when there is a conflict with another state. If the individual is receiving the income, make the appropriate entries in the eligibility system and complete an eligibility determination. Verify the correct amount of income and review the eligibility unit to determine if action is needed.
Make appropriate entries in the eligibility system and complete an eligibility determination. If verification is available, make the appropriate system entries, including the accurate verification code, and authorize the eligibility determination. If the verification has not been previously requested, request the verification using an FA Request for Information form. The FA Action Notice will be generated after the FA Adverse Action Notice expires, if the EU has not requested a hearing, including a request to continue receiving at the current rate pending the hearing decision.
An FA Action Notice is generated for a Temporary Assistance EU due to the mass adjustment, unless there is a pending adverse action at the time of the mass adjustment.
If there is a pending adverse action at the time of the mass adjustment, refer to the Conflict of Actions section in this memorandum to resolve. An FA Action Notice is generated for mass adjustment actions after the Adverse Action Notice expires, if the EU has not requested a hearing, including a request to continue receiving at the current rate pending the hearing decision.
When a budget adjustment is necessary, staff can enter the verification code HC or TC as appropriate. Any EU receiving an Adverse Action or Action Notice may request a hearing on the mass adjustment action within 90 days from the date of the notice. If the EU receives an FA Adverse Action Notice based on a previous determination in which a Conflict of Action was resolved due to the COLA mass adjustment and they request the hearing prior to the expiration of that FA Adverse Action Notice, they may continue at the level before the mass adjustment until the hearing decision is made.
Staff should inform the EU that if continued benefits are issued and the agency is determined to be correct, a claim will be established for the overpayment.
Refer to Changing an Adverse Action Status user guide for instructions. If the EU requests a hearing after the FA expires, the EU is not eligible for continuation of benefits at the level before the mass adjustment, but is still entitled to the fair hearing. If the EU receiving an FA Adverse Action Notice requests a hearing on the Child Care adjustment prior to the adverse action expiring, the EU may request benefits continue at the level before the mass adjustment until the hearing decision is made.
If the EU requests a hearing after the adverse action has expired, the EU is not eligible for continuation of benefits at the level before the mass adjustment, but is still entitled to the fair hearing. The following paragraphs may or may not be accurate dependent on when the PHE is officially ended. If the EU receiving an FA Adverse Action Notice requests a hearing on the MHN adjustment prior to the adverse action expiring, the EU may request benefits continue at the level before the mass adjustment until the hearing decision is made.
Full list of the BEER record data elements. CBSV is not for use by federal governments. It is typically used by companies who provide banking and mortgage services, process credit checks, provide background checks, satisfy licensing requirements, etc. These jurisdictions provide SSA with notification of deceased persons, enabling SSA to timely administer programs for beneficiaries of decedents.
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