Family Healthcare (FAMIS) Manual – Table of Contents

0927.025.00 Reinvestigations (UWHS)

IM-#29 March 11, 2013

Complete a review of UWHS eligibility every 12 months. This requirement is the same as for MHF. Refer to Section 0905.025.01.

A UWHS reinvestigation can be completed using information from an application or recertification from another program. For example, a review is completed by a Food Stamp application initial approval or recertification when all members of the UWHS Eligibility Unit are in the Food Stamp Eligibility Unit or by a Temporary Assistance application approval when all members of the UWHS Eligibility Unit are in the Temporary Assistance Eligibility Unit. When a reinvestigation of this type occurs, completion of the reinvestigation form is not required.

When a UWHS review form (FA402) is received within the same month that the case closed due to failure to complete and return a review form, take appropriate action to cancel close the case and process the review using current procedures. Refer to FAMIS User Guide, “Completing a Temporary Assistance/Medical Assistance Reinvestigation in FAMIS” for instructions on how to complete a review in FAMIS.

NOTE:  Failure to enter a review in FAMIS when the case was cancel closed during the same month the reinvestigation is due will cause FAMIS to begin the adverse action process again for failure to complete and return the reinvestigation form and results in a delinquent reinvestigation. Therefore, the eligibility specialist must enter the reinvestigation during the same month the reinvestigation is due to avoid the case closing again and to avoid a delinquent reinvestigation.

EXAMPLE: Ms. Grey’s review is due in February. Ms. Grey failed to complete and return her review form by the due date, and the case closed for failure to complete the reinvestigation. On February 20, Ms. Grey provides her completed review form. The eligibility specialist’s supervisor cancel closes the case. The same day the eligibility specialist completes the review in FAMIS following current procedures.