R414-308-7. Change Reporting and Benefit Changes

  (1) A recipient must report to the eligibility agency reportable changes as defined in Section R414-301-2 within 10 calendar days of the change.

  (2) The eligibility agency shall:

  (a) Act on the reported change; and

  (b) Request verification from the recipient if the change cannot be verified through an electronic interface or other credible source.

  (3) If verification is needed, the agency shall send a written request and give the recipient at least 10 calendar days from the notice date to respond.

  (a) If the recipient does not provide verification by the due date, the agency shall end eligibility after the month in which proper notice is sent.

  (b) If the recipient provides verification by the due date, the agency shall re-determine eligibility.

  (c) If the recipient provides verification during the month that follows the effective closure date, the eligibility agency shall treat the date as a new application date without requiring a new application.

  (d) If the recipient does not provide verification by the end of the month that follows the effective closure date, the recipient must submit a new application.

  (4) If the recipient does not provide verification, or a reported change does not affect all household members, the agency may only take action on those individuals who are affected by the change.

  (5) If a due date falls on a non-business day, then the due date shall be the close of the next business day.

  (6) If a change has an adverse effect on the recipient, the agency shall change eligibility after the month in which proper notice is sent.

  (7) If the agency can verify that a change is timely, the change becomes effective on the first day of the month of report.

  (8) If the agency cannot verify that a change is timely, the change becomes effective on the first day of the month in which the agency receives verification.

  (9) If a recipient requests to add a new household member, the effective date of the change is the date of request, and the following provisions apply:

  (a) The agency does not require a new application; and

  (b) The applicant must meet all other eligibility requirements.

  (10) An overpayment may occur if the recipient does not report changes timely, or if the recipient does not return verification by the verification due date.

  (a) The eligibility agency shall determine whether an overpayment has occurred based on when the agency could have made the change if the recipient had reported the change on time or returned verification by the due date.

  (b) If a recipient fails to report a change timely or return verification or forms by the due date, the recipient must repay all services and benefits paid by the Department for which the recipient is ineligible.