Applications for Assistance - Information Needed to Determine Eligibility
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Applications for Assistance - Information Needed to Determine Eligibility


Revised November 1, 2013



Purpose: This section includes rules and procedures on what happens when a client applies for benefits and the department needs other information to determine eligibility.

WAC 388-406-0030Do I need to submit other information after I apply for benefits?

WAC 388-406-0030

WAC 388-406-0030

Effective February 6, 2011

WAC 388-406-0030 Do I need to submit other information after I apply for benefits?

1.    When we get your application for benefits, we decide if other information is needed to determine your eligibility for benefits. If so, we give you: 

a.    A written request for what is needed and for proof if required under WAC388-490-0005; and

b.    At least ten calendar days to give us the information.

2.    If you ask orally or in writing for additional time to give us requested information, then we give you at least ten additional calendar days.

3.    If your application is delayed beyond time limits under WAC 388-406-0040, and we can’t determine your eligibility, we deny your application for benefits.

4.    If you give us some of the information we requested in subsection(1) above, but we can’t determine if you are eligible, we allow you more time to turn in the rest of the information unless you are refusing to cooperate. We give you:

a.    A written request for what is needed to determine eligibility; and

b.    At least ten more calendar days to give us the information.

5.    If we deny your application and you meet the conditions described under WAC 388-406-0065, we will reconsider your eligibility for benefits without requiring a new application.

6.    If you are eligible for necessary supplemental accommodation (NSA) services under chapter 388-472 WAC, we help you comply with the requirements of this section.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION


EXAMPLE

Rayanna applies for food assistance on July 8th and has her interview on July 15th. The worker pends the food assistance for verification of income, due by July 25th. On July 25th, Rayanna requests extra time. If the worker determines the client is cooperating, the worker should extend the due date at least 10 days but may extend the due date more, to between August 4th (10 more days) and August 7th (30th day of application) without penalty. If Rayanna requests the due date to be extended past the 30th day of application, then we would delay the start date of benefits as applicable in WAC 388-406-0040.


WORKER RESPONSIBILITIES

*** As a result of implementation of the Affordable Care Act (ACA), this clarifying page may no longer be effective for medical coverage applications received on or after 10/01/2013. Please see the ACA Transition Plan for more information. Clients who need to apply for medical coverage on or after 10/01/2013 should be referred to Washington Healthplanfinder. ***

1.    See verification.  Whenever possible, obtain verification by phone.  For cash, food, family medical assistance, and long-term care programs, verify an applicant's circumstances if needed to determine eligibility.

2.    Use cross-matches and alerts whenever possible to verify a client’s income or expenses.

3.    Verification of income is required for pregnancy and children’s medical programs. Do not request information on resources.

4.    Do not request a specific form to determine eligibility. For example, do not request a landlord statement. Instead, ask for what is needed to determine eligibility such as an address, household composition, and shelter costs. Give or send the client any departmental or approved local-office forms that would help give us the information we need to determine eligibility.

5.    See WAC 388-406-0040  for what to do if the application process is delayed.

6.    When requesting further verification or requesting missing verification you can allow a ten-day extension on the due date as under WAC 388-406-0030, #4, as long as the client is not refusing to cooperate and the application processing time limits under WAC 388-406-0040 haven't passed.

Modification Date: November 1, 2013