C-630, Entries for Actions Taken During the Certification Period

C—631 Entries for Case Name Changes

Revision 02-3; Effective April 1, 2002

C—631.1 Case Name Changes with Same Household Members

Revision 02-3; Effective April 1, 2002

SNAP

Item 10 – Enter new case name.

Item 40 – Enter # to remove former head of household status.

Item 40 – Enter A for new head of household.

Item 78 – Enter type review.

C—631.2 Case Name Changes When Head of Household Leaves

Revision 02-3; Effective April 1, 2002

SNAP

Item 10 – Enter new case name.

Item 33 – Enter # to remove former head of household.

Item 40 – Enter A for new head of household.

Item 78 – Enter type review.

Item 83 – Enter new household number, if applicable.

C—632 Entries for Households Becoming Eligible for SSI

Revision 02-3; Effective April 1, 2002

C—632.1 TANF Caretaker Becomes Eligible for SSI

Revision 08-4; Effective October 1, 2008

TANF

Item 40 – Enter Code 9.

Item 41 – Enter Code V.

Item 66 – Enter new needs amount.

Item 131 – Enter type review code.

Item 132 – Enter Code 105.

Remove any income entries for the caretaker.

C—632.2 TANF Child Becomes Eligible for SSI

Revision 02-3; Effective April 1, 2002

TANF

Item 40 – Enter Code 3.

Item 41 – Enter Code J.

Item 66 – Enter updated budget entries.

Item 131 – Enter type review.

Item 132 – Enter action code.

Note: SAVERR will not allow a SIG 5 child on the same case a SIG 3 child.

C—633.1 Extending the Certification Period of an Active SNAP Case

Revision 02-3; Effective April 1, 2002

SNAP

Item 78 – Enter Code I.

Item 81 – Enter the new number of months certified.

Item 82 – Enter the new last benefit month.

C—633.2 Shortening the Certification Period of an Active SNAP Case

Revision 02-3; Effective April 1, 2002

SNAP

Item 78 – Enter type review Code I.

Item 81 – Enter the new number corresponding to the original certification date in Item 80 and the new last benefit month in Item 82. Example: If the certification date was 06/01/01, and the new last benefit month is 9/01, enter 04 in this item.

Item 82 – Enter the new last benefit month.

C—634 Miscellaneous Action Entries

Revision 02-3; Effective April 1, 2002

C—634.1 Death of an Active Client

Revision 02-3; Effective April 1, 2002

TANF

Item 40 – Reenter the original status in group codes for the deceased individual plus code X.

Item 47 – Enter the individual's date of death.

Item 131 – Enter the type review code.

Item 132 – If the case is also being denied because of death, enter Code 058 or 059.

C—634.2 Canceling a Previous SNAP Issuance

Revision 02-3; Effective April 1, 2002

SNAP

Item 179 – Enter Code N.

Item 180 – Enter cancellation Code G.

Item 181 – Enter number of the issuance being cancelled.

Item 182 – Enter the issuance date of the benefit being cancelled.

Item 183 – Enter the benefit month of the issuance being cancelled.

Item 185 – Enter the benefit value of the issuance being cancelled.

Item 186 – Enter the recoupment amount (if appropriate).

C—634.3 Households with Disqualified Members

Revision 02-3; Effective April 1, 2002

C—634.3.1 Households with Members Disqualified for Citizenship, or 18-50 Work Requirement, or Noncompliance with SSN Requirements

Revision 02-3; Effective April 1, 2002

SNAP

Make the following entries for the disqualified person:

Item 40 – Enter status in group Code K.

Item 41 – Enter Code T.

Items 42B-45 – Enter prorated income of disqualified person.

Item 60 – Enter appropriate shelter expenses.

Item 83 – Enter number of household members not disqualified.

Item 87 – Enter Code C if household has member disqualified as ineligible alien.

Item 88 – Enter number of household members disqualified as ineligible aliens.

Item 90 – Enter code for prorated shelter expense, if applicable.

Also make corresponding entries on Form H1000-C, Secondary Client Input, in Item 216 to identify the reason for disqualification.

C—634.3.2 Households with Members Disqualified for SNAP Employment Services Noncompliances, Felony Drug Convictions, Refusing to Cooperate with the Quality Control Process, or Being a Fugitive

Revision 08-3; Effective July 1, 2008

SNAP

Make the following entries for the disqualified person:

Item 40 – Enter status in group Code K.

Item 41 – Enter Code T.

Items 42B-45 – Enter total income of disqualified person.

Item 60 – Enter total shelter expenses.

Item 83 – Enter number of household members not disqualified.

Item 90 – Enter appropriate code for shelter expense.

Also make corresponding entries on Form H1000-C, Secondary Client Input, in Item 216 to identify the reason for disqualification.

C—634.4 Reinstating a Person Disqualified for Intentional Program Violation When the Disqualification Expires

Revision 02-3; Effective April 1, 2002

SNAP

Make minimum entries for certification or changes.

Item 40 – Enter the appropriate code.

Item 41 – Enter the appropriate code.

Item 49 – Make no entry.

Item 83 – Enter number of eligible household members including the person who is no longer disqualified.

C—634.5 Reporting Increases in Household Composition with More than 11 Persons

Revision 02-3; Effective April 1, 2002

All Programs

Use more than one set of forms. In addition to the standard entries on the first Input document, complete Item 04, page 1.

Use a Form H1000-A, Notice of Application, packet. Separate the NOA and the Case Index Card from the packet and destroy, leaving the H1000-A Input and case record copy intact. White out the preprinted application number, enter the case number in Item 01, and make the following entries:

Item 03 – Sequence Number

Item 04 – Page

Item 06 – Budgeted Job Number

Item 07 – Mail Code

Item 09 – Case Name

Items 32-50 – Begin with line "b"

Staple the Input document together and batch as one.

C—634.6 Change of Payee or Caretaker

Revision 02-3; Effective April 1, 2002

TANF

Item 10 – Enter new case name.

Items 32-37 – Enter information about case name if the person was not previously included in the case.

Items 40-41 – Enter code for new case name.

Item 46 – Enter medical effective date for new case name if the person is certified as a caretaker and was not previously included in the case.

Item 33 – Enter # to remove previous individual if the individual is to be removed from the case.

Items 40-41 – Enter new codes if the previous case name is to remain in the case.

Item 131 – Enter type review code.

Item 132 – Enter Code 120.

Enter budget and Item 66 entries for situations with these changes.

C—634.7 Three Months Prior Medicaid – No Gap in Coverage on an Active Case

Revision 05-4; Effective August 1, 2005

TANF

Item 46 – Enter new medical effective date.

Item 131 – Enter the type review code.

Item 132 – Enter reinvestigation Code 107 if sustaining or other codes if raising or lowering.

Item 133 – Enter number of months of prior eligibility.

Item 134 – Enter three months prior application date.

To change a medical effective date for more than six months before the current process month, send a memo with supervisor's approval to State Office Data Integrity (SODI) Section, Systems Control Division, State Office, Y-922, explaining why the information needs to be processed.

C—634.8 Entering the 90% Earned Income Deduction and Child Care to Ensure Automatic Removal of the Deduction

Revision 05-4; Effective August 1, 2005

TANF

Item 42B – Enter gross earned income.

Item 58 – Enter standard work expense deduction. Do not enter childcare or 90% deduction.

To report child care deduction:

Item 149, line 1 – Enter C.

Item 152, line 1 – Enter total child care deduction.

To report the 90% earned income deduction:

Item 149, line 2 – Enter 9.

Item 151, line 2 – Enter the last month of the four month eligibility period.

Item 152, line 2 – Enter the total allowable 90% earned income deduction.

Item 59 – Enter the remainder of Item 57 minus Items 58 and 152.

SAVERR automatically removes the 90% deduction after cutoff in the month before the month entered in Item 151. If the case is denied, SAVERR transfers assistance to Type Program 37 and adds 12 or 18 months to the month in Item 151.

When processing the automatic removal of the 90% deduction, SAVERR notifies the individual and sends the advisor an updated H1000-Bsequence.

SAVERR will not automatically remove the 90% deduction or transfer the case to TP 37 when a case is on hold. If a Form H1000-B, Record of Case Action, is submitted to remove the hold, remove the 90% deduction by entering

  • 9 in Item 149, and
  • 0 in Item 152.

If denying the case, process a transfer to TP 37.