IM-125 09/19/03 OCTOBER
BENEFIT ADJUSTMENT
FOOD STAMP MANUAL REVISION #34; 1105.015.00;
1105.015.05; 1115.035.05
1115.035.25.05; 1115.035.25.15; 1115.099.00;
1130.099.00 APPENDIX A
SUBJECT: |
OCTOBER BENEFIT ADJUSTMENT; FOOD STAMP MANUAL REVISION #34; 1105.015.00; 1105.015.05;1115.035.05; 1115.035.25.05; 1115.035.25.15; 1115.099.00; 1130.099.00 APPENDIX A |
DISCUSSION: |
The weekend of September 20, 2003, the
October food stamp mass adjustments will occur. This memorandum addresses
the following issues related to the mass adjustments:
The following changes are made during the mass adjustment:
Mass adjustments are being run in FAMIS only. The Food Stamp Budget Summary (FM4A) and the Worker Initiated Budget Calculation Area - WIBCA (FMXN) are updated with the new amounts for October 2003 budgets effective September 22, 2003. While the updates are being completed, FAMIS will be in inquiry mode only and no actions can be taken until September 22, 2003. After the eligibility determination is run during the mass adjustments, workers can see the following actions on cases active in FAMIS, depending on the action taken during mass adjustments.
Decreased Benefits or Case Closings Some EUs will receive adverse actions to decrease their benefits or close their case after the mass adjustments. This will happen if the EU is subject to simplified reporting and there are disregarded changes in FAMIS. As the mass adjustment is considered a change that must be acted on, and all cases are required to be adjusted to accurately reflect deductions and benefit amounts, all information known to FAMIS at the time of the mass adjustment is used to determine eligibility. If the EU's benefits are being decreased or the case is closing, a PAAP action is created and displayed on the EU Action Log (FM40) for 102003 during the mass adjustments. Another process will run Monday, September 22, 2003, during the nightly batch that will run a second eligibility determination for November 2003.
If the action is correct, authorize the adverse action AACL or AABR. If the adverse action is not authorized within 10 days, FAMIS will authorize the adverse action. A notice of adverse action (FA-510) will be sent to the EU notifying them of the proposed action when the AACL or AABR action is authorized. If an adverse action is not correct and has not been authorized (action in RTA status), it is not necessary to void the adverse action. Change the data in FAMIS and complete a new eligibility determination. EXAMPLE: Mrs. A and her spouse are subject to simplified reporting. The worker listed Mrs. A's prescriptions separately, rather than all together on one line as RX type on the Medical Expense screen (FMXA). FAMIS read only the most recent line as the prescription expense, and created an adverse action (AACL) for November. In the 10 days before the adverse action is authorized, the worker reviews the case and realizes the mistake. With the correct medical expense entered, the participant remains eligible for benefits. The worker must correct the medical expense.If the worker reviews the data and determines the action is not correct, but the action has already been authorized, the worker must void the adverse action. Refer to user guide Changing an Adverse Action Status for instructions. Do not void or disregard adverse actions due to acting on previously disregarded changes or ABAWDs who have received six non-work months. Adverse actions must be acted upon if the action is taken during the mass adjustment. FAMIS adjusts active cases even if the case has a pending adverse action. However, this results in a conflict of actions. The worker receives the alerts "Adverse Action Needs Resolving" and "Outstanding Eligibility Determination", but no action is required by the worker. FAMIS allows the first adverse action to expire and takes the required action. If the EU is not closed after the first adverse action, FAMIS then re-runs an eligibility determination with the mass adjustment figures. A new adverse action notice is sent to the EU if, applicable. County staff may resolve the conflict of actions rather than allowing FAMIS to resolve the actions. The worker can access the Action Resolution screen (FM50 or ACTRES) to resolve the actions. The worker must void the pending adverse action. Refer to the user guide Changing an Adverse Action Status for instructions. After voiding the adverse action, the worker must access the Eligibility Determination Resolution screen (FM3Y or EDRES) to run a new eligibility determination. If the action is a benefit reduction or closing, authorize the new adverse action. The cases listed below are not adjusted until the worker completes the appropriate action.
All EUs with an allotment that increases or does not change (except for EUs with a PAAP action) are sent a notice of case action (FA-150). The notice informs EUs of the following:
FBCA is not updated with the new information. If a claim is being calculated for an overpayment that begins prior to 10/2000, use FBCA to determine the correct allotments for the months prior to 10/2000. Use WIBCA to determine the correct allotments for 10/2000 and later. If FBCA is used for 10/2003 and later, it will show incorrect allotments. Policy Clarification for Address Changes Effective immediately, if an EU reports a change of address, update the address in FAMIS, regardless of whether the EU is subject to simplified reporting or is a change reporting EU. Updating the address is important in keeping Legacy and FAMIS systems in sync, facilitating interfaces with other agencies such as DWD, and ensuring correspondence such as replacement EBT cards are received by the EU. If the EU is not subject to simplified reporting, ask if the EU incurs shelter expenses or has a change in shelter expenses. Update any shelter expenses that are changed. Record a comment on the Eligibility Unit Member Role (FM3Z) screen regarding the reported address change and that a change in shelter expenses was reported. Use client statement as verification unless the new shelter expenses are questionable. If questionable, record a comment on the Shelter Expense (FMXK) screen explaining why the shelter expenses are questionable. If the EU is subject to simplified reporting and does not report a change in shelter expenses when the change of address is reported, do not ask if the EU incurs any shelter expenses or has a change in shelter expenses. Continue to budget shelter costs determined at the certification or last action. Record a comment on the Eligibility Unit Member Role (FM3Z) screen regarding the reported address change and that a change in shelter expenses was not reported. The Food Stamp Manual is revised online. The revisions include:
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NECESSARY ACTION: |
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IM-124 |
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