2120 Cooperation - The client must cooperate with all program requirements. In addition, the client shall cooperate with the agency in the establishment of eligibility including providing necessary information, reporting changes, as required, cooperating in the application process, cooperating in quality assurance reviews, and, for cash and medical purposes, cooperating in obtaining resources.
2121 Supplying Information - The client (or ineligible caretaker) shall supply information essential to the establishment of eligibility; give written permission on prescribed forms for release of information regarding resources when needed; and report changes in circumstances in accordance with 9121 or 9122 as appropriate.
Failure to provide information necessary to determine eligibility shall result in ineligibility. However, the agency may not terminate or deny assistance solely because the client or caretaker refuses to cooperate with or consent to a home visit. A case which has been closed for failure to provide information is to be reinstated when the required information is provided by the end of the month following the effective date of closure and all other eligibility requirements are met. Refer to 1423.
2122 Application and Review Process - To determine eligibility, the application form must be completed and signed, if applicable, a face-to-face interview conducted per 1412.1, and certain information on the application must be verified. If denied or terminated for refusal to cooperate, the client may reapply but shall not be determined eligible until he or she cooperates.
The client shall also be determined ineligible if he or she refuses to cooperate in any subsequent review of its eligibility, including reviews generated by reported changes and recertification. For medical, the formal review requirement does not apply to pregnant women and children under the age of 1 who have continuous eligibility under the Medicaid program or are eligible under the SI program.
2123 Reserved
2123.1 Reserved
2124 Potential Resources- A client shall cooperate with the agency to obtain potential resources. The client is required to take action to:
obtain any resources due such client
with respect to whom assistance is claimed; and
obtain any income due such client
with respect to whom assistance is claimed, except for CTM; and
identify and provide information to assist the agency in pursuing any third party who may be liable to pay for medical services under the medical programs.
2124.1 Requirements
- The client is required to take any necessary action to acquire
potential resources. In many instances, legal action may be necessary.
In general, any source must considered. It is the responsibility of the
client to demonstrate all required actions have been taken to make the
resource available. The special situations listed below are applicable:
The client must cooperate with the
Medical Subrogation Unit as well as cooperate with the requirements
of the Health Insurance Premium Payment System (HIPPS)
including enrollment in the employer health insurance plan if cost
effective. (See 2912.)
A pregnant woman is not required
to pursue unemployment compensation (UC)
for medical programs. In either situation cooperation is required
when the postpartum period as defined in KFMAM expires.
Persons may not be rendered ineligible
for failure to apply for or receive SSI
benefits unless qualifying for MediKan
per 2181.
Recipients who are, or have been, married are expected to fully pursue any spousal elective share rights when the current or former spouse dies. Under Kansas law, a spouse is entitled to a portion of the augmented estate (generally any estate less the homestead). If all resources do not properly pass onto the surviving spouse at the time death, the surviving spouse may file a probate claim to obtain the allowed spousal share. Failure to pursue any spousal elective share rights shall result in ineligibility. Legal staff in the Estate Recovery Unit (ERU) are available to assist with technical details regarding potential actions. All cases involving potential spousal elective share issues shall be referred to ERU. When spousal rights have been forfeited a transfer of property penalty may be applied (see 5722).
Reserved
2124.2 Failure
to Comply - Failure to meet these requirements without good cause
shall:
Reserved
Render the client ineligible for assistance. However, minor children will not be impacted by a caretaker's failure to meet these requirements on behalf of himself or the minor.
If the client is cooperating in obtaining the identified potential resource, assistance shall continue.