133 NOTICES OF DECISION (NOD) SR 95-27, 02/95 (AAM-A)

Notify individuals of case decisions on Form 805, Notice of Decision (NOD). Each NOD must include all of the following:

• the name, address, and telephone number of the District Office,

• the individual’s name and address,

• the case number and current date,

• when possible, the name of the worker to contact for more information,

• the effective date of the action,

• an action message which describes the effect of the decision, the positive or negative change, or other action which requires notification to the individual, and

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• the calculation which determined the benefit level and amount, when the action being taken is the result of a financial eligibility determination.

A Notice of Decision will also include:

• a reason message which describes why a negative action is occurring, and the policy manual reference(s) on which the action is based or

• the names of eligible individuals in the household when a case is determined to be eligible. A reason message may also be included when more information is needed to explain a positive action.

The action and reason messages are derived from a financial eligibility calculation performed by the Eligibility Management System (EMS), a decision code entered on EMS by the worker, or a decision by the worker for which EMS may not be able to provide either a timely or a detailed message.

Include Form 810, Notice of Rights and Responsibilities, with every NOD.

Exceptions: Notify individuals of recoupment or corrective payments on Form 205, Notice of Underpayment or Overpayment.