317.07 Cooperation Requirements for Developing Potential Sources of Income SR 06-12, 10/06 (FAM-A)

Individuals who are potentially eligible to receive a benefit are required to cooperate in applying for, and pursuing receipt of, the benefit. This means that the individual must:

• provide all required information and verification required by the eligibility-determining agencies or individual(s) responsible for the other income or benefit;

• complete all forms as requested in the application process for the other income or benefit in the timeframes and manner required by the eligibility-determining agencies or individual(s) responsible for the other income or benefit; and

• pursue all appeal options within the timeframes set by the eligibility-determining agencies or individual(s) responsible for the other income or benefit, up to, but not including, court action, if found ineligible for the income or benefit due to medical reasons.

Deny or terminate financial assistance for the entire assistance group and terminate medical assistance for all adults in the assistance group if any individual in the assistance group who is potentially eligible for other income or benefits:

• refuses or fails to complete the application process for the other income or benefit;

• refuses of fails to provide information or verification to obtain the other income or benefit;

• refuses or fails to cooperate with the eligibility-determining agencies or individual(s) responsible for the other income or benefit;

• refuses to accept the benefit if found eligible; or

• refuses or fails to pursue all appeal options up to, but not including, court action, if found ineligible for the income or benefit due to medical reasons.

Exceptions:

• TANF-related extended medical assistance cannot be terminated for refusal or failure to apply for potential benefits. See PART 173, ELIGIBILITY CRITERIA FOR 12-MONTH COVERAGE, for valid closing reasons.

• Women who are pregnant or are within the 60-day post-partum medical coverage period, cannot be terminated from medical assistance for failure or refusal to:

-  obtain third party medical coverage; or

-  cooperate with Child Support Services.