CLAIMS HANDBOOK - Department of Human Services
CLAIMS HANDBOOK - Department of Human Services
CLAIMS HANDBOOK - Department of Human Services
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BENEFIT RECOVERY (<strong>CLAIMS</strong>) <strong>HANDBOOK</strong><br />
Calculation <strong>of</strong> Timely Notice for FS and TANF Cases<br />
(10-10-14)<br />
FS - Non-SRR<br />
Customer must report change within 10 days <strong>of</strong> occurrence. Income changes must be reported<br />
within 10 days <strong>of</strong> receipt <strong>of</strong> new income. If not reported timely, EW counts from the 11 th day to<br />
the 20 th day “to act” and from the 21 st day to the 34 th day for timely notice. First possible month<br />
<strong>of</strong> overpayment is the ongoing month after the 34 th day.<br />
10-day time limit “to act” begins when report is received when changes are reported timely.<br />
Request for and receipt <strong>of</strong> verification is included in this 10 day period.<br />
FS – Financial Changes<br />
Customer is only obligated to report income exceeding the GIC for the entire month, and has<br />
until the 10 th day <strong>of</strong> the following month to report timely. If not reported timely, EW’s 10 days<br />
begins on the 11 th day <strong>of</strong> the month. Responsibility to report for another program DOES NOT<br />
affect SRR for FS. An overpayment may exist for the other program but not for FS.<br />
See FS policy manual, Section 3705 for additional information regarding adequate vs. timely<br />
notice requirements.<br />
TANF Financial Changes<br />
Customer must report a change in family income within 10 days <strong>of</strong> the change in income<br />
actually occurring. Change does not occur until customer receives money (first paycheck, for<br />
example). If report is untimely, the first possible month <strong>of</strong> overpayment is the ongoing month<br />
after the 34 th day.<br />
TANF Non-Financial Changes<br />
A non-financial change is experienced by the AU, and results in immediate ineligibility for the<br />
AU or for a single AU member. Regardless <strong>of</strong> date <strong>of</strong> report, the change in benefits must be<br />
effective for the ongoing month. Timely notice allowance and/or window period may create a<br />
valid overpayment for the ongoing month.<br />
TANF Non-Cooperation Changes<br />
A non-cooperation change is caused by the AU, usually by failing to respond to some request<br />
made by the agency. The agency must notify the AU <strong>of</strong> closure and allow the full 14 days timely<br />
notice for the customer to remedy the error. Date <strong>of</strong> notification <strong>of</strong> closure and timely notice<br />
must be documented.<br />
TANF and other Public Assistance Benefits<br />
Policy does not allow receipt <strong>of</strong> public assistance from two sources in the same month. If a<br />
TANF case is not closed prior to receipt <strong>of</strong> SSI or Relative Care subsidy, a TANF overpayment<br />
will result.<br />
Rev December ‘10 57