103-2          IDENTIFIABLE APPLICATIONS

DPA cannot require applicants to use a specific form to request benefits. The most common way a household requests benefits is by submitting the first page of the Application for Services (GEN 50C) that contains their name, address, and signature.

Although applicants can submit a request for service to secure their benefit start date, a completed application is required before benefits can be issued.

When DPADivision of Public Assistance receives an incomplete but identifiable application, it must be registered in EISEligibility Information System to protect the benefit start date.

Examples of when an incomplete but identifiable application will be registered in EISEligibility Information System are explained below.

An application comes in to a DPADivision of Public Assistance office and cannot stay to complete the entire application. The applicant may complete and sign page 7 of the GEN 50CApplication for Services and submit it as an identifiable application for all programs requested.

Note:

If using page 7 as an identifiable application for all programs, staff will need to make a copy of page 7 and return the entire application form to the applicant.

• If the GEN 72Eligibility Review Form is received in the month following case closure for any reason, the GEN 72Eligibility Review Form can be used as an initial application form. Refer to MAGI Medicaid MS 806-3 for more information about renewal requirements for MAGIModified Adjusted Gross Income Medicaid.
• If the GEN 72Eligibility Review Form is received after the month following the end of the certification period, it is considered as an identifiable application; a complete GEN 50CApplication for Services may be required prior to authorizing benefits. 
• A recipient submits a GEN 72Eligibility Review Form to recertify for a specific program and requests to add another program to their case. The request is considered an identifiable application.

Note:

A Senior Benefits or MAGIModified Adjusted Gross Income Medicaid application must be registered as an application and not as a request for service. Refer to MS 126-2 A for additional information.

103-2 A.      REGISTERING AND FILING IDENTIFIABLE APPLICATIONS

When an applicant submits page 7 of the GEN 50CApplication for Services that DPADivision of Public Assistance accepts as an identifiable application, the rest of the GEN 50CApplication for Services is given back to the applicant to complete. Staff must date stamp the identifiable application with the date of receipt, and register it on EISEligibility Information System. Date stamping the identifiable application protects the date the applicant initially expressed the need for having their eligibility considered.

Note:

If the identifiable application comes through electronic means, ILINX will date stamp the date received when submitted through the Capture tab.

When a recipient submits a GEN 72Eligibility Review Form after the month following the end of the certification period that DPADivision of Public Assistance registers as an identifiable application, a GEN 50CApplication for Services must also be completed before DPADivision of Public Assistance can authorize benefits for the recipient.

Example:

Certification ends in October. The GEN 72Eligibility Review Form received in December, which is after the month following the end of the certification period, is considered a late recertification and must be registered. A completed GEN 50CApplication for Services is required before benefits can be authorized. This example does not apply to MAGIModified Adjusted Gross Income Medicaid. Refer to MAGI Medicaid MS 806-3 for more information about late renewals for MAGIModified Adjusted Gross Income Medicaid.

When a recipient submits a GEN 72Eligibility Review Form and requests to add another program to their case, the request must be registered as an identifiable application. A GEN 50CApplication for Services must be completed before DPADivision of Public Assistance can authorize benefits for the recipient. A completed GEN 50CApplication for Services is not required for MAGIModified Adjusted Gross Income Medicaid.

103-2 B.      NOTICE AND INTERVIEW REQUIREMENT

DPADivision of Public Assistance will notify applicants who submit an identifiable application of the interview requirement. Staff must send the N000 (NOTICE OF SCHEDULED INTERVIEW) if the cold call is unsuccessful. The N000 notice informs the applicant of the receipt of their application, a reminder to complete the entire application packet, and the requirement to attend an interview.

Note:

N000 is sent when an interview is required. The notice is sent on each case number associated with the program that requires an interview.

Example: If a client applies for SNAPSupplemental Nutrition Assistance Program, APAAdult Public Assistance, APAAdult Public Assistance-MEMedicaid, ATAPAlaska Temporary Assistance Program, and GRAGeneral Relief Assistance, staff must send the N000 notice on each case number, not each individual program. See Admin Manual MS 103-3 Case Number on EIS and ARIES for more information on how case numbers are assigned.

OA actions:

• Mail the GEN 50CApplication for Services or a copy of the incomplete application to the applicant

• Register the application as a request for service

• Note: if on GEN 72Eligibility Review Form with other programs, register recertification
• Scan or import the GEN 50CApplication for Services or GEN 72Eligibility Review Form into ILINX
• Classifying OAOld Age will classify document and make entry into current™ in appropriate application track.

Caseworker actions:

• Attempt cold call following normal cold call and BPR processes

Note:

The Supplemental Nutrition Assistance Program has specific and time-sensitive requirements for scheduling interviews and notifying clients about missed interviews. See SNAP manual section 601-3.

103-2 C.      APPLICANT PROVIDES THE COMPLETED APPLICATION

If the applicant provides the completed application:

OA actions:

• Scan or upload into ILINX using date application that was received
• Classifying OA will classify and complete an entry in current™ dark gray verification track.

103-2 D.      APPLICANT FAILS TO COMPLETE THE APPLICATION PROCESS

If an applicant fails to attend an interview and complete the application process, their application will be denied following program specific rules.

Note:

An interview is not required for Senior Benefits or MAGIModified Adjusted Gross Income Medicaid.