1402 Proof Needed at Renewal

Age (MA501)

Does not need to be verified again at renewal.

NOTE          If the customer is in a program that has an age limit, age must be reviewed to see if the customer still meets the age requirement for the program.

Blindness (MA504)

Does not need to be verified again at renewal, unless Social Security has determined that the person is no longer blind.

Disability (MA509)

Does not need to be verified again at renewal, unless Social Security has determined that the person is no longer disabled.

U.S. Citizenship (MA507)

Does not need to be verified again at renewal.

Residency (MA531)

Does not need to be verified again at renewal unless it is questionable.

Valid Social Security Number (MA532)

Does not need to be verified again at renewal unless the customer:

·        Provided proof of application for an SSN, but has not yet provided the SSN; or

·        Is exempt from providing a valid SSN.

Non-Citizen Status (MA524)

Does not need to be verified again at renewal unless there has been a change in the customer’s immigration status.

NOTE          For qualified non-citizen who only gets emergency services due to the 5-year bar, the status date must be reviewed to see if the bar period has ended.

Not an Inmate (MA525)

Does not need to be verified again at renewal unless there is a discrepancy with hub data.

NOTE          See MA1502V for specific instructions if the person is an inmate.

Not in an IMD (MA514)

Only verify if it is reported that the child is residing in an IMD.

Medicare Entitlement (MA523)

Does not need to be verified again at renewal unless there is a discrepancy with hub data source information.

No Creditable Coverage (MA515)

Does not need to be verified again at renewal unless the customer reports a new source of insurance coverage.

Ineligible for other MA programs (MA522)

Must be verified at each renewal.

Good Cause for not cooperating with DCSS (MA503)

If the customer claims good cause for not cooperating, it must be verified at each renewal.

Insurance Coverage for Dependent Children (MA518)

Must be verified at each renewal.

NOTE          Verification should be available from the hub data sources. If the child is receiving MA, this requirement is verified.

Not eligible for State employee health benefits (MA517)

Does not need to be verified again at renewal unless the customer reports employment with a State Agency.

Potential Benefits (MA526)

Only verify when:

·        The customer previously applied for potential benefits and the outcome of that application is not known;

·        There is a new source of potential benefits. For example, the customer was recently laid off and may qualify for Unemployment Insurance; or

·        There was a change in circumstances in which the customer may need to reapply for that potential benefit. Circumstances could include added or removed household members, deceased parent or spouse, income, age, disability, work history, or living arrangement.

Income (Chapter 600)

Must be verified at each renewal.

Resources (Chapter 700)

All countable resources that can be expected to change and could affect eligibility must be verified at each renewal.

When AVS returns an account value that does not put the customer over the resource limit, it is reasonably compatible and verified. Otherwise, request proof.

Trusts

(Chapter 800)

How trusts are reviewed at renewal depends on whether the trust is a:

·        Non-Special Treatment Trust; or

·        Special Treatment Trust.

Cancer Treatment Status (MA505)

Must be verified at each renewal.

Employed (MA510)

Must be verified at each renewal.

Caretaker Relative of a Dependent Child (MA506)

Does not need to be verified again at renewal unless questionable.

Pregnancy (MA527)

Must be verified at each renewal. However, the woman’s statement that she is pregnant is accepted unless there is strong reason to question it.

Living Arrangement (MA521)

Does not need to be verified again at renewal unless questionable.

Student Status

Only verify if the only child living with the caretaker relative is 18 years old (MA506).

Must be verified at each renewal.

Renewal

All Programs