- TO:
- ALL FAMILY SUPPORT DIVISION OFFICES
- FROM:
- PATRICK LUEBBERING, DIRECTOR
- SUBJECT:
- INTRODUCTION OF THE MAGI PRIOR QUARTER REQUEST FOR INFORMATION FORM (IM-31A PQ MAGI)
-
FORM REVISION #4
DISCUSSION:
This memorandum is to notify staff of the addition of the IM-31A PQ MAGI Prior Quarter Request for Information form to the IM Forms Manual. This form should be used to request prior quarter information that is not captured on the current IM-1SSL application.
Staff will need to indicate the calendar prior quarter months for which information is being requested:
EXAMPLE: 3 months ago = May 2017, 2 months ago = June 2017, 1 month ago = July 2017.
Because eligibility determinations for each prior quarter month are completed individually for each person, staff will need to fill in the names of participants who indicated a need for prior quarter coverage on the IM-1SSL.
The IM-31A PQ MAGI form is available in the Forms Manual.
NECESSARY ACTION:
- Review this memorandum with appropriate staff.
PL/kp