9120 Household Responsibility for Reporting Changes After Approval -
Medical assistance households are required to report certain changes in circumstances. Section 9121 describes the 10 day change reporting requirement. All households are to be notified of the appropriate reporting requirements upon approval for benefits. Staff are to utilize the appropriate informational notice(s).
9121 Households Responsibility to Change Report - Households are required to report certain changes in circumstances within 10 days of the date the change becomes known to the household. See subsection (2) below. Households may report a change in their circumstances by telephone, in person, in writing, or by use of the change report form. Changes which are not required to be reported need not be reported until the next review.
1. The following are the types of changes that are required to be reported for each category of assistance:
a. Caretaker
Medical, Medically Needy, CI program recipients:
i. Change
in the source of income (earned and unearned).
ii. Change
in the amount of income (earned and unearned).
iii. Change
in household compostion, including marriage, separation or divorce.
iv. Change
in residence, including moving to or from an instituion or hospital.
v. Resources
reach or exceed the applicable resource limit.
vi. Entitlement
to or termination of Medicare coverage.
vii. Change
in any third party health insurance coverage.
viii. Decrease
in health insurance premium amount.
ix. Transfer
of resources.
x. Loss
of SSA disability status (MS only).
b. SSI
program recipients:
i. SSI
paynents begin or end.
ii. Change
in residence, including moving to or from an instituion or hospital.
iii. Entitlement
to or termination of Medicare coverage.
iv. Change
in any third party health insurance coverage.
v. Transfer
of resources.
vi. Loss
of SSA disability status.
2. For
purposes of this provision, the term "becomes known to the household"
is defined as the following:
a. Change
in the source or amount of earned income - Receipt of the first pay check.
b. Change
in the source or amount of unearned income - Receipt of first payment.
c. Change
in household composition - Day the person enters or leaves the residence,
day of marriage, separation, or divorce.
d. Change
in residence - Day of the move.
e. Resources
reach or exceed to applicable limit - The last day of the month in which
resources exceed the limit.
f. Entitlement
to or termination of Medicare coverage - The effective date of the change.
g. Change
in any third party health insurance coverage - The effective date of the
change.
h. Decrease
in health insurance premium amount - The effective date of the change.
i. Transfer
of resources - The effective date of the change.
j. Loss
of SSA disability status - The effective date of the change.