Reinstatement and Re-application 2.7.4
An IDA recipient may be reinstated for benefits, if s/he provides by the effective date of closing all information needed to re-establish eligibility. A person who does not provide all needed information by the effective date of closing must re-apply for IDA.
At re-application the customer must verify all eligibility requirements. S/he must provide current medical information, if the Medical Review period has expired. Representation and reimbursement agreements must also be re-signed. If at re-application, the customer re-establishes eligibility, but IDA funds are exhausted, the customer will be added to the waiting list, effective the date of re-application.
An applicant/recipient dissatisfied with an action taken by the Department which affects IDA benefits, participation, or requirements can request a fair hearing. The hearing process outlined in PartVIII: Chapter 7, Case Maintenance: Grievances and Fair Hearings, should be used with the following exception:
- If a customer requests continuation of benefits, while the Fair Hearing is pending, benefits may not be continued after a final determination of SSI eligibility has been made.
Refund of Reimbursement 2.7.6
Upon receipt of an IDA recipient's retroactive SSI benefit payment, the DHS Office of the Controller (DHS-OC) has 10 days to determine what portion may be retained by DHS and what portion, if any, should be refunded to the IDA recipient. DHS-OC in conjunction with IMA will provide a written explanation of the calculation and pay any amount due within those 10 days.
IDA recipients are not required to repay wrongly issued benefits. No claims will be established for IDA overpayments.
The SSR should use standard verification procedures to verify financial and non-financial eligibility requirements.
