A-2330, Setting Special Reviews

Revision 16-2; Effective April 1, 2016

TANF and Medical Programs

Advisors assign a special review when certifying a household that anticipates a change affecting eligibility before the next redetermination.

SNAP, TANF and Medical Programs

Advisors set special reviews when the household:

has questionable circumstances; or
includes a pregnant household member whose baby is expected before the next redetermination. Advisors schedule the special review on the first day of the month after her baby is due.

Exception: Advisors must not set a special review for SNAP SR households.

SNAP

Advisors set a special review for SNAP households according to the following chart:

For households ...	assign a special review ...
not designated as streamlined reporting,	when the household anticipates a change affecting eligibility before the next redetermination.
designated as streamlined reporting,	when the household anticipates they will have an increase in income that will cause the household to exceed 130 percent of the Federal Poverty Income Limits (FPIL); if at certification, the advisor is aware a household member will gain or lose alien status eligibility sometime during the certification period (for example, a lawful permanent resident [LPR] will reach the 5 years of qualifying immigrant status during the certification period); or when the household reports that an ABAWD who is currently eligible but is not meeting the average 20 hours a week work/training requirement moves into the SR household and will exhaust the individual's time limits and become ineligible on or before the last month of the certification period.

For households ...

assign a special review ...

not designated as streamlined reporting,

when the household anticipates a change affecting eligibility before the next redetermination.

designated as streamlined reporting,

when the household anticipates they will have an increase in income that will cause the household to exceed 130 percent of the Federal Poverty Income Limits (FPIL);
if at certification, the advisor is aware a household member will gain or lose alien status eligibility sometime during the certification period (for example, a lawful permanent resident [LPR] will reach the 5 years of qualifying immigrant status during the certification period); or
when the household reports that an ABAWD who is currently eligible but is not meeting the average 20 hours a week work/training requirement moves into the SR household and will exhaust the individual's time limits and become ineligible on or before the last month of the certification period.

TP 43, TP 44 and TP 48

If a change is reported during the continuous eligibility period, the advisor must schedule a special review in the first week of the sixth month of the certification period, before cutoff, so an expected change can take effect during the non-continuous eligibility period.

A—2330.1 Special Reviews for Known Changes

Revision 15-4; Effective October 1, 2015

SNAP

A known change is a change that the household reasonably anticipates will occur during the certification period.

Example: The individual has been employed in the past by the school district and will return to work at that job three months into the certification period.

Advisors must contact the household to confirm that a change occurred. If the household confirms that a change occurred, policy in B-600, Changes, applies. If the household confirms that no change occurred, the advisor must document in Case Comments the household's explanation to complete the special review.

If the advisor requests verification of the change on Form H1020, Request for Information or Action, Request for Information or Action, but the individual fails to respond, the advisor must consider the case situation questionable and follow procedures in B-635, Shortening Certification Periods as a Result of a Change, to shorten the certification period. Exception: Advisors must not shorten the certification period for SNAP SR households.

A—2330.2 Special Reviews for Questionable Changes

Revision 15-4; Effective October 1, 2015

SNAP

A questionable change is a change the household thinks may happen during the certification period or that the advisor expects to happen because the household's situation is unstable.

Example 1: The individual is unemployed at the time of the interview and is looking for work but does not have a definite job offer.

Example 2: The household expenses exceed income, and the individual cannot explain future management.

Advisors must contact the household to determine whether a change occurred. If the household confirms that a change occurred, the advisor follows policy in B-600, Changes. If the household confirms that no change occurred, the advisor documents the contact in Case Comments and the household's explanation to complete the special review.

Note: Advisors must not set a special review due to questionable changes for SNAP SR households.

Related Policy

Setting Special Reviews, A-2330
Streamlined Reporting Households, A-2350