Medicaid
Client submits a Medicaid application and requests retro. Case Manager pings hub with statement of current income and it RCD.
Does a 7105 still need sent to request retro income?
Yes. Just because ongoing is denied for over income, it does not mean that the AG is not eligible for retro.
What does E-DRS look for?
Snap Violations
Client applies in 06/2025 and is ABAWD required.
What is the RE Due Month?
09/2025
Is an applicant AG still eligible for expedites benefits if they claim they currently have zero income, but the worker finds out they have had income in the last 30 days.
Yes or No
Yes, look at what is income in the month of application based on client statement.
When updating new information that was reported by the AG, do you add or edit the existing record?
ALWAYS add
Client is due for their 6-month TMA Report, but fails to provide verification of their TMA Report and discontinues.
Does client have 90-day reinstatement?
No. If client fails to provide their TMA Report prior to discontinuance, client must reapply.
Client applies for Cash Assistance and completes interview. What is the time frame that a Cash Assistance referral needs sent to Donna/Mitch.
Same day as interview was completed.
OMJ will assign the assessments right away.
How many hours is an ABAWD required to work per week?
20 hours
If an application is determined to be expedited an initial screening, what is the time frame to complete the intake interview.
All applications must be screened and intake interview completed within 7 days.
What is the shorted certification period that can be given for Snap?
4 months
Mark submits a Medicaid Renewal for himself and reports zero income.
What is your next step?
Ping the hub for zero income.
Client reports during the Snap interview that they do not pay any utilities as they receive a utility subsidy.
What is your next steps?
Check HEAP- if AG received $20 in HEAP in the last 12-months no verifications of utilities are needed.
Verify utility subsidy and request all utility bills.
If a client applies for Snap and Time Limit screen currently states 3/36 months.
Does an Interview need completed? Yes or No
Yes. You still need to complete an interview to see if the client meets an exemption.
Would we use EDBC Discovery Override if approving Snap after receiving the 3804 to comply an ABAWD?
When the AG was ineligible on the date of application due to a sanction, but resolves the ineligibility within 30 days of the date of application, EDBC Discovery Override would be appropriate the day the completed JFS 03804 was received in the agency.
What date do you use for PE for beginning date of eligibility?
The date you are exploring for PE eligibility.
SWICA Match received and two notices were sent for Medicaid and then discontinued for FTV Income.
Is client eligible for Reinstatement?
No
In what instances does the household have to pass the resources limit for Snap?
Name at least 4 ABAWD exemptions?
Under 18 or 55 years or older
Parent of or residing with an AG member under age 18
Pregnant
Veteran
Homeless
Under 25 and aged out of foster care
What is the only required verification needed for expedited Snap?
ID for the Primary Applicant
An AG moved and was in receipt of HEAP at the prior address. Must the AG verify their heating/cooling expenses at the new address?
No. The agency would requesting verification of the address changes including rent and utilities, however if the AG received $20 from HEAP in the last 12-months, the AG is still eligible to receive SUA.
Anne applies for Medicaid on 04/02/2025. Anne is self employed, and the hub pings verified of Anne's reported self employment income. She requests retro for 01/2025 - 03/2025.
Can the agency use the hub ping for retro?
Yes. The hub ping verification can be used for retro months ONLY when the individual is self employed. manual income verification is needed in all other retro circumstances.
Is Renter's Insurance an allowable expense?
No. It's only allowable if the AG is required to cover the structure of the home.
An ABAWD has reached their time limit.
How can they regain eligibility?
Becoming Exempt
In the 60-days prior to applying, working or participating in a work program (or both) for 80 hours in a 30-day time period.
What is Date of Discovery?
Date of Discovery is when an application is screened as a non expedite however, it is determined that the individual is in fact expedite eligible. When the worker "discovers" they are expedited, they have 7 days from that time to schedule and process the application. That is the date entered into Date of Discovery field.
When process a household individual change, Intake or Recertification. How far back on SWICA matches must you go back?
12-months from the reported change, Intake or Recertification date.