315.01 Requirements for Developing Potential Sources of Income (MAM)

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Individuals who are potentially eligible to receive other income or a benefit are required to:

. apply for the other income or benefit, including providing all required information and verification and completing all forms as required in the application process for the other income or benefit;

. cooperate in taking the necessary steps to obtain the other income or benefit;

. accept the other income or benefit, if eligible; and

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

Refer individuals to the appropriate agency to apply for other income or benefits. Individuals must file an application for other income or benefits and verify that the application has been made and the individual is cooperating with the application process, and pursuing all appeal options, if required.

Terminate medical assistance for all adults in the assistance group if any individual in the group fails to apply or to accept benefits for which he or she is potentially eligible.

Exceptions:

. 12 Month EMA cannot be terminated for refusal or failure to apply for potential benefits. See Section 167.05, Ineligibility Reasons, for valid termination 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 DCSS.

References: He-W 652.07, 42 CFR 435.608, 45 CFR 233.20(a)(3)(ix)