The IMU5 Code Sheet has been revised.
It has been updated to include the following changes and additions:
Field 5 - CASE ACTION
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01 - Open Cash
-
05 - Reopen Cash
Field 7 - REASON FOR REJECTION OR CLOSING
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70 - Reached lifetime limit refused to cooperate
-
71 - Reached lifetime limit over income
-
72 - Reached lifetime limit over resources
-
73 - Reached lifetime limit not eligible for
extension
-
74 - Other
-
75 - Received within 12 months (PC only)
Field 13F - UNRELATED GUARDIAN
-
Separated the GAFP only codes under the heading
GAFP ONLY
-
Removed codes N, O, P as Nutritional Assistance
Program is now obsolete
Field 13G - LEVEL OF CARE
-
A - GR, MA-GR, SAB, BP SP
-
$ - Temporary Assistance Cash
Field 13G2 - SANCTION REASON/REASON FOR T-XIX
ONLY
TEMPORARY ASSISTANCE ONLY
Sanctioned and Included in Cash
Grant
-
C - Refusal to cooperate with DCSE
-
F - Refusal to comply with work participation
requirement
Sanctioned and NOT Included in Cash
Grant
-
B - Refusal to cooperate with Vocational Rehabilitation
-
J - Received multiple benefits by misrepresenting
identity
-
U - Drug Conviction
-
V - Fleeing Felon: probation/parole violator
-
N - Refusal to apply for or provide SSN
MAF ONLY SANCTIONS
-
C - Refusal to cooperate with DCSE
-
N - Refusal to apply for or provide SSN
THE FOLLOWING ARE FOR LOC "T" ONLY
-
T - Title XIX only; no sanction
-
L - BCCT Presumptive Eligibility
-
W - BCCT
-
S - Spenddown
-
H - HCB or MOCDD
-
P - PACE
-
O - 1619 AB
-
1 - Basic Coverage Group-Premium
-
2 - Basic Coverage Group-Non-Premium
-
3 - Medically Improved Group-Premium
-
4 - Medically Improved Group-Non-Premium
Field 13M1 - QMB/SLMB
-
N - No
-
Q - QMB
-
L - SLMB Level 1
-
2 - SLMB Level 2
-
3 - SLMB Level 3
-
W - QDWI
Field 13P1 - WORK REQUIREMENT CODES
-
H - Extension for Hardship
-
D - Mandatory Referred to DWD
-
W - Volunteer Referred to DWD
Field 13P2 - EXEMPTION/EXTENSION REASONS
-
20 - Domestic Violence
-
21 - Substance Abuse
-
22 - Mental Health
-
23 - Team Conclusion
-
24 - Active in Children's Services and Income
Maintenance
-
25 - Family Crisis
-
26 - Pending Review
Field 23
-
T - Basic Coverage Group
-
I - Medically Improved Group
Field 27 - A (removed $10 min pay)
Field 42 - DOMESTIC VIOLENCE
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