W-2420 Renewals

Revision 21-3; Effective July 1, 2021

TIERS mails out the HTW renewal application in the 9th month of the 12-month certification period. TIERS uses the Form TF0001, Notice of Case Action, address hierarchy when mailing this correspondence.

Determine if the HTW recipient has provided a new mailing or confidential address for the HTW EDG on their HTW renewal application. Perform an inquiry in the Issuance Address page to determine if the mailing or confidential address has changed or was not entered.

Determine if the person has a different mailing address for the HTW renewal than their other EDGs.

If the mailing or confidential address:

  • is different from their other EDGs, then enter the mailing or confidential address into the Issuance Address page for the HTW EDG;
  • is different from the Issuance Address page, enter the new mailing or confidential address into the Issuance Address page for the HTW EDG;
  • was never provided, enter the mailing or confidential address into the Issuance Address page; and
  • is the same as the current mailing address for the other EDGs, no action is required.

If the physical address is different on the HTW renewal packet than what is verified in TIERS, report the new address using current change processes for the other EDGs.

Related Policy

Medical Program Administrative Renewals, B-122.4
Changes, B-600
How to Report a Change, W-2110