155 REDETERMINATION (AAM)

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Redetermine eligibility for all individuals at regularly scheduled intervals at least every 12 months. See PART 127, LENGTH OF ELIGIBILITY.

Review and verify all eligibility factors and criteria subject to change. Update eligibility and benefits, as necessary.

12-Month Redetermination

The following cases are redetermined via the online or mail-in redetermination process at 12-month intervals:

·   Adult categories of financial, with or without SNAP, and with all financial, medical and SNAP case sizes equal;

·   QMB, QDWI, SLMB, and SLMB135 with or without SNAP; and

·   Nursing Facility Care.

6-Month Redetermination

Adult categories of financial assistance with SNAP, and with varied financial/medical and SNAP case sizes, are redetermined via the online or mail-in redetermination process for the first 6-month redetermination; the next redetermination is conducted via face-to-face/phone redetermination process.

Continue this alternating method of redetermination as long as the assistance group remains eligible for benefits.

References: He-W 644.01, He-W 684.01, He-W 684.02, He-W 606.92, 42 CFR 435.916