169.03 Changes During the Four-Month Coverage Period SR 06-12, 10/06 (FAM-A)

If an individual reports changes in eligibility factors during the four-month coverage period, take action as indicated below:

• Add eligible individuals to the assistance group if they join the household during the coverage period and inclusion of their resources will not cause the case to terminate.

• Add eligible children born during the coverage period as of their date of birth.

• If the individual reports a decrease in income which would make the assistance group eligible for financial assistance and the individual wishes to receive financial assistance, take the following action:

- obtain a completed Form 800, Application,

- ensure all TANF/UP program criteria and resource requirements are met, and

- reopen financial assistance.

• Process other changes in income without changing the individual’s eligibility for four-month extended medical assistance.

• If the individual reports an increase in resources beyond the categorically needy resource limit but less than the medically needy resource limit, change the level of eligibility to medically needy.

• If resources increase beyond the medically needy limit, terminate medical assistance.

• If an individual reports a change in program criteria or nonfinancial criteria which makes the individual or group ineligible, terminate medical assistance.