Department of Human Services: Chapter 4: Sections 4.4
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Department of Human Services

 
 
 

IMA POLICY MANUAL
PART VIII: CASE MAINTENANCE
 
CHAPTER 4:  RECERTIFICATION

RECERTIFICATION INTERVIEW 4.4
 
ALL
With the exception of Medicaid recertifications which are done by mail, the purposes of the recertification interview include the following:
  • to clarify information received by Department interfaces, such as wages, Unemployment
  • Compensation, and Social Security benefits;
  • to inform recipients that information they provide regarding eligibility and benefits will be matched regularly against information from the Department of Employment Services, U.S. Internal Revenue Service, Social Security Administration, and other states;
  • to advise adult recipients of the opportunity to register to vote if they desire;
  • to explore and resolve unclear and incomplete information; and
  • to explain change reporting requirements to recipients.
Recipients (or their authorized representatives) must submit the appropriate form for recertification.  For Medicaid, it is preferred that they use Form DHS-1209 “Recertification for Medical Assistance.”  For FS, recipients may use the “Food Stamp-Only Application.”  All recipients may use the combined “Recertification Form” or the combined “Application for Benefits.”
MA
Medicaid recertifications are normally done by mail.  However, if a customer meets with his/her SSR for another purpose, the SSR shall encourage the customer to recertify MA eligibility at that time if the MA certification period ends within ninety days.
 
The “Recertification for Medical Assistance” form, DHS-1209, that is mailed out to clients includes information regarding EPSDT services and their availability.
 
TANF 
A face-to-face interview is generally required.  For situations in which this requirement can be waived, see Section 1.8.2: Waiver of Face-to-Face Interview in Part III. 
 
During the interview, the SSR shall discuss the customer’s participation in TANF work activity programs.  If the customer is currently under a work sanction, the SSR should review the various exemption and good cause criteria with the customer.  If  s/he now meets any of the exemption criteria, the SSR should end the sanction and notify the TANF Operations Unit.  If a sanctioned customer is not exempt, the SSR shall encourage them to comply with TANF work activity requirements. 
 
If any TANF recipient is not currently participating but expresses an interest in participating in work activity programs, the SSR shall make appropriate referrals.  Recipients who are interested in Negotiated Suitability Training (NST) or the Tuition Assistance Program Initiative Program for TANF (TAPIT) shall be referred to the Office for Work Opportunity (OWO).  Other recipients who want to participate, including recipients sanctioned for non-compliance with required work activities, will be referred to the Vendor Monitoring Unit.  They will arrange for the customer to be referred to a TANF employment program vendor.
 
Unless previously issued, the SSR shall issue “The Roadmap to Public Assistance” to the recipient and have them sign a receipt.
    
At least once a year, the SSR shall provide a copy of the Notice of Requirement to Cooperate and Right to Claim Good Cause for Refusal to Cooperate in Child Support Enforcement to the recipient.  The SSR shall also review deprivation of all children in the grant with the client.
 
The SSR shall inform the client orally and in writing of Early Periodic Screening Diagnosis and Treatment (EPSDT) services provided now by the D.C. Department of Health “Health Check” program, formerly known as the D.C. Healthy Teens and Tots Program (see requirements in Section 2.2.8 of Part I: “EPSDT/D.C Healthy Tots and Teens).
 
GC
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
See TANF for the requirement for a face-to-face interview.
 
The SSR shall explore the following with the caretaker during a GC review:
  • Any custody proceedings, FSA involvement, or parental contact since the application or last review that could affect the child’s continued presence in the home;
  • Any putative, but unestablished relationship between the child and the caretaker, and whether or not any progress has been made since the application or last review in determining relationship that could make the child ineligible for GC;
  • If the caretaker has taken any action to adopt the child; and 
  • Any changes in the household that bring a parent or relative of the child into the home.
The SSR shall inform the client orally and in writing of Early Periodic Screening Diagnosis and Treatment (EPSDT) services provided now by the D.C. Department of Health “Health Check” program, formerly  known as the Healthy Teens and Tots Program (see requirements in Section 2.2.8 of Part I: “EPSDT/D.C. Healthy Tots and Teens).
 
FS
See TANF for the requirement for a face-to-face interview.
 
The SSR shall screen for expedited service, using the Expedited Screening Form.  Households who are timely recertifying are generally not eligible for expedited service.
 
The SSR shall review the FSET status of the household.  New referrals must be done every twelve months on FS participants who are not exempt from FSET.
 
The SSR shall inform the household of their change reporting responsibilities. 
 
During the interview, the SSR shall give the customer a Change Report Form.