- TO:
- ALL COUNTY OFFICES
- FROM:
- ALYSON CAMPBELL, DIRECTOR
- SUBJECT:
- FAMIS SAB AND BP MASS ADJUSTMENT
DISCUSSION:
Effective July 1, 2010, the maximum cash grant for Supplemental Aid to the Blind (SAB) and Blind Pension (BP) increases from $651.00 to $686.00. A FAMIS mass adjustment will be completed the weekend of June 18, 2010, for all active EUs with SAB/BP income (income sources AB, F1, BN, and B1).
In preparation for the mass adjustment, effective June 14, 2010, the SAB/BP/SNC grants will be automated so that staff no longer will enter the income on the Select Income (SELINC) screen. The income will continue to display as B1 for Blind Pension, F1 for Supplemental Aid to the Blind, or N1 for Supplemental Nursing Care. SAB/SP/SNC cases already converted to FAMIS will have the income end-dated by the system on Income screen. For cases in conversion, or yet to be converted, the income will be end-dated when the SAB/BP/SNC case is taken through the controlled flow and authorized.
During the mass adjustment, the SAB/BP income is updated in FAMIS. An adjustment of July 2010 Temporary Assistance, MO HealthNet, Food Stamps, and/or Child Care benefits is completed based on the new SAB/BP grant amounts. There is no adjustment to the SNC cases.
FAMIS adjusts the SAB/BP amount starting with the July 2010 budget month.
FAMIS cases in the controlled flow will not be adjusted.
EUs in the Controlled Flow
If an EU with existing SAB/BP income is in the controlled flow, the SAB/BP grant amount will not be adjusted. These cases will appear on the “Cases Not Adjusted/Error” Report and will be adjusted by the system once they are removed from the control flow.
EUs on the Conversion List
If an EU with existing SAB/BP income is on the conversion list for MHABD, the grant increase will be applied in Legacy. If the case has an active B1 or F1 income in FAMIS, that income will be updated. Cases that have other types of assistance in FAMIS will be adjusted.
Conflict of Actions
FAMIS adjusts the income on EUs with a pending adverse action at the time of the mass adjustment. This results in a conflict of actions because one adverse action must be completed or voided before another action can be taken. The eligibility specialist receives the alert “OUTSTANDING ELIGIBILITY DETERMINATION”. The conflict must be resolved by the eligibility specialist.
Access the Action Resolution (FM50 or ACTRES) screen and void the pending adverse action. Refer to the user guide Changing an Adverse Action Status for instructions. After voiding the adverse action, access the Eligibility Determination Resolution (FM3Y or EDRES) screen, run a new eligibility determination, and authorize the new adverse action. FAMIS will produce an Adverse Action Notice (FA510) or a MO HealthNet Adverse Action Notice (FA410) and take action when the notice has expired.
Other Actions
For eligibility determinations, completed on or before June 18, 2010, enter the current SAB/BP grant. The system updates the SAB/BP grant during the mass adjustment.
Food Stamp Simplified Reporting EUs
The change in the SAB/BP grant is a change that must be acted upon for simplified reporting EUs for the Food Stamp Program. All previously disregarded actions during the certification period will be included if the grant is adjusted during the mass adjustment.
Simplified reporting EUs with previously disregarded actions (action status DIS) are adjusted using all information known to FAMIS. Simplified reporting EUs whose Food Stamp benefits are decreasing as a result of cumulative changes and the mass adjustment will have benefits decreased for the month of July 2010. If there was a previously disregarded Adverse Action to Remove a Person (AARP), the adverse action will be re-generated as a result of the mass adjustment. Do not disregard the action.
Notices
An FA-510 Adverse Action Notice is sent for Food Stamp cases with previously disregarded actions that are adjusted during the mass adjustment.
An FA-150 Claimant Action Notice is sent for the following types of cases during the mass adjustment, notifying them of the July 2010 change of benefits:
- all Child Care cases adjusted;
- all Temporary Assistance cases adjusted;
- Food Stamp cases that the benefits are reduced or closed that do not have previously disregarded actions; and
No action notice is being sent for Food Stamps, Family Healthcare or Temporary Assistance cases that result in no change (NOCH) in benefits due to the SAB/BP mass adjustment.
An FA-410 MO HealthNet Adverse Action Notice will be sent for Family Healthcare cases that result in a change in benefits due to the SAB/BP adjustment. An FA-450 MO HealthNet Action Notice will be sent once the adverse action notice expires.
An FA-420 Adult MO HealthNet Adverse Action Notice will be sent for Adult MO HealthNet cases that result in a change in benefits due to the SAB/BP adjustment. An FA-460 Adult MO HealthNet Benefit Notice will be sent once the adverse action notice expires.
Error Report
Active SAB/BP grants that are not shown as income in FAMIS prior to the mass adjustment will not be added during the mass adjustment.
FAMIS will generate reports in the Managed Reporting system listing active EUs that are not adjusted. To review the reports:
- from the Family Support Division (FSD) Intranet site, on the right hand side under Quick Links, click Managed Reporting;
- log into the managed reporting area;
- click on the appropriate domain, for example, eligibility specialists will click on Case Eligibility Specialist Reports;
- click on Cost of Living Adjustments Needing Review; and
- select SAB/BP unable to Adjust to request the on-line report for SAB/BP cases.
Each eligibility specialist must access the report for his/her primary caseload. The error reason is included for each EU member on the report.
Fair Hearing Request
If the EU requests a fair hearing, fax the request to the Hearings Unit the same day. It is important to send all Agency evidence to the Hearings Unit as soon as possible. All available evidence should be sent to the Hearings Unit with the original request for hearing within 24 hours. Do not wait until a few days before the hearing to send the evidence.
For budget adjustments or closings, evidence includes, but is not limited to:
- FA-411 MO HealthNet Pre-Closing Notice
- FA-510;FA-410; or FA-420 Adverse Action Notice
- TA/MA/FS Review History Screen (FM57) screen print
- FA-150; FA-450; or FA-460 Action Notice
- Comments Screens
- Manual sections/legal references
- The following screens, depending on the reason for the adjustment or closing:
- Budget Summary (FM4A, FM4D, FM4H, FM4K) screen for applicable months if the change/closing is due to income
- Adult MO HealthNet AG Budget Summary (FMD8) screen( Adult MO HealthNet only)
- Detail screens of budget entries, as applicable:
- Income Summary Detail (FM33)
- Assistance Group Details (FM4E)(Family Healthcare only)
- ADM AG Income Summary Detail (FMDE) screen (Adult MO HealthNet only)
- Expense Summary (FM34)
- ADM AG Expense Summary (FMDF) screen (Adult MO HealthNet Only)
- Income (FMX0) screen
- Income Amount (FMX3) screen
- Shelter Expense (FMXK) screen
- Utility Expense Standard (FMXJ) screen
- Court Ordered Expense (FMXL) screen
- Dependent Care Expenses (FMXM) screen
- Medical Expense (FMXA) screen
- Financial Resource Detail Summary for applicable months if the change/closing is due to resources
- Details screens for resources, as applicable:
- Liquid Resource (FMW0) screen
- Prepaid Burial (FMW1) screen
- Personal Property (FMW2) screen
- Real Property (FMW4) screen
- Other screens as applicable for the change/closing
- Verifications
NOTE: If taking actions on cumulative changes, it is necessary to include notices and budgets from previous actions.
Provide a copy of the evidence to the EU asking for the hearing, and their legal representative and schedule a pre-hearing conference. If the EU designates an attorney or authorized representative for the hearing, send a copy of all notices and evidence for the hearing to the EU and the designated individual.
Please note that if verification of child support income was from a MACSS screen, the verification to support this should be requested from child support staff for the hearing. They can give you a print-out that contains the same information you viewed that can be presented as evidence. If you cannot get this information, contact the Program and Policy Unit for assistance. Do not go to hearing and state that the verification cannot be supplied because the screen cannot be printed, as the Agency has access to this information.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
- Review the error report and take appropriate action.
- Non-converted counties continue to enter SAB/BP/SNC income through the SELINC screen until conversion.
KSO/JM