300 Series Reason Code Protocols

Revised September 2, 2015

Purpose:

  • 300 Series Reason Code Protocols
  • Go to the Reason Code Link chart to link directly to a specific reason code or scroll through the list below.
  • For ACES Procedures go to ACES Letters in the ACES User Manual.

Code

Reason Code Title / Text

WAC References

Recommended Free Form Text

300

Non-Payment of Premium According to our records, you have not paid all required premiums. See WAC rule (Washington Administrative Code):

182-523-0120

None Required

301

Exceeds Income Standard
Your income is over the limit that is allowed for this program. See WAC rule (Washington Administrative Code):

182-505-0100

182-505-0240

182-509-0001

182-511-1050

182-512-0010

182-513-1205

182-513-1245

182-513-1395

182-515-1508

182-515-1513

182-519-0050

182-517-0100

388-450-0015

388-450-0162

388-450-0165

388-478-0060

388-478-0090

None Required

302

Change In Child Support
The amount of legally obligated child support that you pay has changed. See WAC rule (Washington Administrative Code):

388-450-0185

The amount of child support you must pay changed from $_______ to $_____.

304

Additional Requirements Change
The amount of assistance you get for additional requirements has changed. See WAC rule (Washington Administrative Code):

388-478-0050

388-473-0010

388-473-0020

388-473-0040

388-473-0050

388-473-0060

The amount of money you get for (type of additional requirement) has changed from $__ to $__ because     .

305

Food Assistance Change Due To Change In Grant Amount
Your food assistance is changing because the amount of your cash assistance has changed. See WAC rule (Washington Administrative Code):

388-412-0015

388-450-0025

None Required

306

Change In Unearned Income
The amount of unearned income you get has changed. See WAC rule (Washington Administrative Code):

388-418-0020

388-450-0025

388-450-0162

182-504-0120

182-509-0320

182-509-0325

182-512-0750

388-492-0020 

388-492-0030

388-492-0070

Your income from (source) has changed from $___ to $__.

307

Change In Gross Earned Income
The amount of money that you earn has changed. See WAC rule (Washington Administrative Code):

388-450-0030

182-509-0001

182-509-0300

182-512-0010

182-512-0700

388-418-0020

388-450-0030

388-450-0162

Your gross earned income has changed from $___ to $___.

 

Code

Reason Code Title / Text

WAC References

Free Form Text

320

Exceeds Gross Income Limit
Your income is higher than the income limit for this program. See WAC rule (Washington Administrative Code):

182-509-0001

388-450-0165

388-478-0060

388-478-0090

The limit for your household size is $___.

321

Change In Net Deemed Income
The amount of income we consider available to you from an outside source has changed. See WAC rule (Washington Administrative Code):

388-450-0100

388-450-0105

388-450-0115

388-450-0120 

388-450-0155

388-450-0130

388-450-0140

388-450-0160

We are counting $__ of (Name)'s income.

323

Change In Home Maintenance Exemption
The income amount that you are allowed to keep to pay for home expenses is called a home maintenance allowance. Yours is changing because:

  • You have been getting it for 6 months;
  • Your doctor says you have to stay longer; or
  • The amount of your home expense has changed.

See WAC rule (Washington Administrative Code):

182-513-1380

Your home maintenance amount has changed because ________. (add specific details, e.g. “Your rent has changed from $____ to $_____.” Or “On __(date)___, Dr. _____ told us you can’t return home before _____.”)

324

Child Support More Than Grant
Your regular monthly child support payment is more than the grant payment. See WAC rule (Washington Administrative Code):

388-422-0030

None Required

327

Change In Recoupment
We are taking a different amount from your benefits to repay an overpayment. See WAC rule (Washington Administrative Code):

388-410-0005

388-410-0010

388-410-0015

388-410-0030

None Required

328

Excess Net Income - Food Assistance
You can’t get food assistance because your income is above the limit for your household size. See WAC rule (Washington Administrative Code):

388-478-0060

The limit for your household size is $      .

329

Change In Dependent Care Costs
The amount you pay for childcare or dependent care has changed. See WAC rule (Washington Administrative Code):

388-450-0170

388-450-0185

The amount you pay has changed from $____ to $____.

 

Code

Reason Code Title / Text

WAC References

Free Form Text

330

Lump Sum
Your resources are over the limit for this month because of your lump sum payment. See WAC rule (Washington Administrative Code):

182-512-0300

388-450-0245

388-470-0005

You got $__ from __ on 00/00/00. Your countable resources are now $__. Your resources cannot be more than $_____ (specify resource limit for household size).

If the grant is suspended:
We will be subtracting $_____ from next month’s grant. This reduction is for one month only.

If the grant is terminated:
Your lump sum payment is more than the need standard for two months. You can reapply for a cash grant in (month).

331

Excess Net Income - Cash Assistance
Your net income is over the limit for this program. See WAC rule (Washington Administrative Code):

182-512-0010

182-513-1300

182-515-1500

388-478-0020

388-478-0027

388-478-0033

388-478-0050 

388-478-0090

The limit for your household size is $ ____.

332

Change In CPI Allowance
Your Personal Needs Allowance (PNA) changed. See WAC rule (Washington Administrative Code):

182-513-1380

182-513-1385

182-513-1205

182-513-1215

182-513-1225

182-515-1507

182-515-1509

182-515-1512

182-515-1514

None Required

334

Exceeds Earned Income Limit

Your earned income is over the limit for this program

388-478-0035

The limit for your household size is $____.

335

Change In Uncovered Medical Expense Allocation
The amount you can use to pay medical expenses has changed. See WAC rule (Washington Administrative Code):

182-513-1380

182-515-1509

182-515-1514

The amount you can use to pay for the following medical expenses has changed: (Type of expense) from $__to $      .

336

Change In CSMA / FMMA Allocation
The amount we can allow for the maintenance of your family members at home has changed. See WAC rule (Washington Administrative Code):

182-513-1385

Your allocation changed from $___  to $___because __________.

338

Not Eligible Until Month After Application Month
The person listed above cannot get food assistance for the month they applied in. See WAC rule (Washington Administrative Code):

388-406-0055

388-418-0020

None Required

339

Medical Extension Ends
Your medical extension expired and we did not get your review form. If we get it before the end of the month, we will reconsider our decision. If you have already sent it, let me know. If your medical benefits stop and you decide that you still want them, you need to reapply. See WAC rule (Washington Administrative Code):

182-523-0100

182-505-0115

None Required.

 

Code Reason Code Title / Text WAC            References                   Free Form Text

340

QMB Ineligible - Client Is Not Institutional Related
You are no longer eligible for assistance that pays for all or part of your Medicare costs and premiums. The department must count your income differently when you are no longer eligible for Long-Term Care Services, such as Nursing Facility Care, COPES or CAP/OBRA Services. See WAC rule (Washington Administrative Code):

182-517-0100

182-517-0300

182-517-0310

182-517-0320

None Required

341

SSP Rate Change

The state supplemental payment rate for all SSI recipients has changed. See WAC rule (Washington Administrative Code):

388-478-0055

None Required

342

Termination/Denial Due to Non-Payment of Premium

You didn't pay required premiums.

182-505-0225

None Required

343

Third Party Resource Amount Changed

The amount of Third Party Resources you get has changed. See WAC rule (Washington Administrative Code):

182-501-0200

182-513-1380

182-515-1509

The amount of your third party resource has changed from $___ to $__.
345

Home Maintenance Exemption Changed

We changed the housing deduction due to one or more of the following: The amount of your housing costs changed.

Your income changed.

The amount we allow for your housing costs changed.

182-513-1380 None Required.
346

Home Maintenance Exemption Exceeds Time Limit

We ended your housing deduction because you received it for the maximum of 6 months.

182-513-1380 None Required.
347

Home Maintenance Exemption Discontinued

We ended your housing deduction due to one or more of the following: Your living situation changed.

You no longer have a housing cost.

Your doctor doesn't expect you to go home within 6 months.

Your income or expenses changed.

Your marital status changed.

182-513-1380 None Required.
348 Exceeds Ineligible Parent TANF Time Limits
A parent in your home received 60 months of TANF/SFA cash assistance for themselves or on behalf of their child(ren) and doesn’t qualify for a time limit hardship extension.

388-484-0005

388-484-0006

388-484-0010

Specify the name of the parent that is referenced.
349

NCS Permanently Disqualified

 A person is permanently disqualified from receiving TANF/SFA when their case is closed 3 or more times for WorkFirst non-compliance sanction. 
 

388-310-1600

388-400-0005

None Required

 

Code Reason Code Title / Text WAC References     Free Form Text

350

Household Exceeds Allowable Income

Household Exceeds Allowable Income

388-450-0162 Your household income of $______is over the limit for this program.  The income limit for a household of__ is $_____      (300% of the Federal Poverty Level)
351

Not Aged, Blind, or Disabled -Cash

You aren't eligible for benefits under this program because you aren't age 65, blind, or likely to be disabled.  42 CFR 435.541

388-449-0001 None Required

 

Code Reason Code Title / Text WAC         References             Free Form Text

386

Diversion Cash Assistance - No Bona Fide Need
The expenses you need help with are not covered by the Diversion Cash Assistance program.  DCA can only be used to pay for childcare, housing, transportation, expenses to get or keep a job, food and medical expenses.  See WAC rule (Washington Administrative Code):

388-432-0005

You asked for help with the following expenses:

(List expenses)

We cannot cover these expenses because (specify why need is not “bona fide” or is not covered. For example, “You did not give us a written estimate of how much it would cost to fix your car.” Or “You told us you have income of $____ and expenses of $ ____. Based on that, you should have enough money to pay for move-in expenses without our help.”).

388

WA Fund CAP For QI-1 Already Reached
Washington gets a limited amount of money for the Qualified Individual (QI-1) Program. There are no more funds available for this year. You can reapply in December for next year. See WAC rule (Washington Administrative Code):

182-517-0300

None Required