127 PENDING INFORMATION (MAM)

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If more information or verification is needed to complete the application, allow the individual at least 10 calendar days to provide it. The due date must be a workday.

New HEIGHTS will generate the AE0026, Verification Checklist, which explains what information or verification is needed and the date the information or verification is due. The AE0026 is automatically generated anytime something is entered onto the Application Entry screen, marked "Not Yet Verified," and eligibility is run. If New HEIGHTS is unavailable, use the paper backup DFA Form 808, Proof Needed to Determine Your Assistance.

If the individual does not provide the information or verification by the due date, deny the application on the due date.

Exceptions:

. If the eligibility factor in question does not affect the eligibility of the entire case, disqualify the ineligible member(s) and open the remaining members.

. If the assistance is being denied due to lack of verification and the individual provides all the required verification within 30 days of the date of the denial notice:

- have the individual fill out DFA Form 800, Application for Assistance, with their name, address, program of assistance, and signature;

- ensure that no other changes have occurred in the case that would affect eligibility and that no new program services have been requested on DFA Form 800 other than those which were originally denied; and

- if the individual continues to meet all program eligibility requirements, generate medical benefits in accordance with PART 121, Initiation of Medical Assistance.