108-5           EIS NOTICE LISTING

 

The table below lists the most current notices available in EIS. This list is not updated regularly. Refer to EIS on-line help for the most current list of EIS notices (press F10 in the Notice Number field on the NORE screen).  You may also pull a report of the current EIS notice listing from Luminist online. This report is updated monthly.

 

Please refer to the EIS Procedures 1998-11 on instructions for sending notices in EIS.

 

NOTICE

NOTICE TITLE

NUMBER

A102

TEMPORARY ASSISTANCE & MEDICAID APPROVED

A200

ATAP / MED DENIED - APPLICATION PROCESS

A201

ATAP / MED DENIED - FAILURE TO PROVIDE

A206

ATAP / MED DENIED - INCOME OVER 185% LIMIT

A207

ATAP / MED DENIED - OVER INCOME

A208

ATAP / MED DENIED - OVER RESOURCE

A213

ATAP AND MEDICAID DENIED - OTHER REASONS

A301

ATAP / MED PENDED - INFORMATION NEEDED

A401

ATAP & MEDICAID END - FAILURE TO PROVIDE

A406

ATAP & MEDICAID END - INCOME OVER 185%

A407

ATAP AND MEDICAID END - OVER INCOME

A408

ATAP & MEDICAID END - OVER RESOURCE

A413

ATAP AND MEDICAID CLOSED - OTHER REASONS

A426

ATAP / MEDICAID CLOSED - NO ELIGIBLE CHILD

C100

ATAP / FS APPROVED - ONE MONTH ONLY

C102

ATAP / FS APPLICATION APPROVED

C112

TA/ FS DENY 1ST MONTH-APPROVE 2ND MONTH

C200

TA/ FS APPLICATION DENIED - NO INTERVIEW

C201

ATAP / FS DENIED - FAILURE TO PROVIDE

C207

ATAP / FS DENIED - OVER INCOME

C208

ATAP / FS DENIED - OVER RESOURCE

C213

ATAP / FS DENIED - OTHER REASONS

C301

TA/ FS APP PENDED - INFORMATION NEEDED

C325

TA AND FS REVIEW - INTERVIEW NEEDED

C401

ATAP / FS CLOSED - FAILURE TO PROVIDE

C407

ATAP / FS CLOSED - OVER INCOME

C408

ATAP / FS CLOSED - OVER RESOURCE

C413

TA AND FS CLOSED - OTHER REASONS

C501

ATAP AND FOOD STAMP CASES REOPENED

C503

BENEFITS RESTORED - SUSPENSION ENDS

C601

BENEFITS SUSPENDED

C701

CHANGE IN BENEFITS

C702

NO CHANGE IN BENEFITS

C840

ELIGIBILITY REVIEW COMPLETED

E011

E&T GENERAL CORRESPONDENCE LETTER

E101

1ST LETTER - E&T ASSESSMENT

E105

EMPLOYMENT AND TRAINING APPOINTMENT LTR

E106

E&T PROGRAM - ANCHORAGE

E107

E&T PROGRAM - FAIRBANKS

E108

E&T PROGRAM - KENAI

E109

E&T PROGRAM - MAT-SU

E110

E&T PROGRAM - JUNEAU

E111

E&T PROGRAM - KETCHIKAN

F000

FS APPLICATION - MISSED INTERVIEW

F001

SNAP WORK REQUIREMENTS

F002

SNAP ABAWD WORK REQUIREMENT

F007

REQUEST FOR SOCIAL SECURITY NUMBER

F010

MEMBER DISQUALIFIED - NO SSN PROVIDED

F022

JOB QUIT PENALTY PRIOR TO APPLICATION

F100

FS APPROVED - ONE MONTH ONLY

F101

EXPEDITED SNAP APPROVED - INFO NEEDED

F102

SNAP APPLICATION APPROVED

F103

SNAP RECERTIFICATION  APPROVED

F104

FOOD STAMPS QUARTERLY ISSUANCE

F105

EXP SNAP / 2 MONTHS ISSUED - INFO NEEDED

F106

EXP SNAP APPROVED - 2 MONTHS ISSUED

F107

EXP SNAP / PFD HH APPROVED - INFO NEEDED

F111

SNAP CE APPLICATION APPROVED

F112

SNAP APPROVED - STARTING SECOND MONTH

F190

OPEN SNAP AND PFD HH - INITIAL MONTH

F191

PFD HOLD HARMLESS SUPPLEMENTAL BENEFITS

F192

SNAP RECERT APPROVED/ PFD HH FIRST MONTH

F193

SNAP APPROVED / PFD HH SECOND MONTH

F195

SNAP RECERT APPR – INTERVIEW WAIVED

F196

SNAP RECERT APPR – INTERVIEW WAIVED /PFD

F200

FOOD STAMPS DENIED - NO INTERVIEW

F201

SNAP DENIED - FAILURE TO PROVIDE

F204

FS DENIED - RESIDENT OF AN INSTITUTION

F205

FOOD STAMPS DENIED - INELIGIBLE ALIEN

F206

SNAP DENIED – ABAWD WORK REQUIREMENT

F207

FOOD STAMPS DENIED - OVER INCOME

F208

FOOD STAMPS DENIED - OVER RESOURCE

F210

FS RECERTIFICATION DENIED

F211

FS RECERT DENIED - FAILED TO PROVIDE

F212

FS RECERT DENIED - WORK/SCHOOL STATUS

F213

FOOD STAMPS DENIED - OTHER REASONS

F223

FS DENIED - WORK/SCHOOL STATUS

F290

FS DENIED FIRST MONTH - OPEN PFD HH

F291

FS DENIED SECOND MONTH - OPEN PFD HH

F292

FOOD STAMP APPLICATION DENIED - PFD

     F294

FS APPLICATION DENIED - PFD HH 2ND MONTH

F301

SNAP PENDED - INFORMATION NEEDED

F304

SNAP RECERT PENDED - INFORMATION NEEDED

F325

FS RECERTIFICATION - INTERVIEW NEEDED

F331

HOUSEHOLD MEMBER(S) MUST BE ADDED TO FS

F391

PROOF OF SNAP FELON ELIGIBILITY NEEDED

F401

FOOD STAMPS CLOSED - FAILURE TO PROVIDE

F402

FS CLOSED - NON-COOPERATION WITH QA

F405

FOOD STAMPS CLOSED - INELIGIBLE ALIEN

F406

SNAP CLOSED – ABAWD WORK REQUIREMENT

F407

FOOD STAMPS CLOSED - OVER INCOME

F408

FOOD STAMPS CLOSED - OVER RESOURCE

F413

FOOD STAMPS CLOSED - OTHER REASONS

F430

FS CLOSED - FAILURE TO PROVIDE/EXPEDITED

F433

FOOD STAMPS CLOSED - JOB QUIT

F434

FS CLOSED - ONE PERSON HOUSEHOLD STUDENT

F437

FS CASE CLOSED - WORK REQUIREMENTS

F501

FOOD STAMP CASE REOPENED

F502

AID PAID PENDING FAIR HEARING

F503

FS SUSPENSION ENDS - CASE REOPENED

F506

SNAP CASE REINSTATED MID CERTIFICATION

F593

FOOD STAMPS RESTART FOLLOWING SUSPENSION

F601

FOOD STAMP CASE SUSPENDED

F690

FOOD STAMPS SUSPENDED DUE TO PFD

F691

FS SUSPENDED - RESOURCES/OPEN PFD HH

F692

CATEGORICALLY ELIG/ZERO FS - OPEN PFD HH

F701

FOOD STAMP BENEFIT AMOUNT CHANGES

F702

NO CHANGE IN FOOD STAMP BENEFIT

F703

FOOD STAMP SUPPLEMENTAL BENEFITS

F705

FS DECREASED - MEMBER INELIGIBLE ALIEN

F707

SNAP CHANGED – ABAWD WORK REQUIREMENT

F708

MEMBER DISQUALIFIED - WORK REQUIREMENTS

F709

WORK PROGRAMS DISQUALIFICATION ENDS

F711

FOOD STAMP CE BENEFIT CHANGES

F713

FS BENEFIT DECREASED BY 25%

F714

NON-COOPERATION WITH QA REVIEW

F721

FS BENEFITS CHANGE - HOUSING COSTS

F780

MEMBER DISQUALIFIED - JOB QUIT

F787

FOOD STAMP PENALTY NOTICE

F790

FOOD STAMPS DECREASED DUE TO PFD

F801

SNAP RECERTIFICATION DUE

F901

REQUEST PAYMENT- FS OVERPAYMENT

F902

REQUEST PAYMENT- FS OVERPAYMENT

F903

REQUEST PAYMENT-CLIENT ERROR-OPEN-OF

F905

REQUEST PAYMENT-AGENCY ERROR-OPEN CASE

F906

REQUEST PAYMENT-AGENCY ERROR-CLOSED CASE

F907

REQUEST PAYMENT-AGENCY ERROR-OPEN-OF

F908

REQUEST PAYMENT-AGENCY ERROR-CLOSED-OF

F917

SECOND NOTICE-AGENCY ERROR-CLOSED CASE

F918

THIRD NOTICE-AGENCY ERROR-CLOSED CASE

F951

FS FRAUD PENALTY - OPEN CASE - WAIVER

F952

FS FRAUD PENALTY-OPEN CASE-ADMIN HEARING

F955

FS FRAUD PENALTY - CLOSED CASE

F956

FS FRAUD PENALTY-CLOSED CASE-COURT ORDER

G102

CAMA APPLICATION APPROVED

G207

CAMA DENIED - OVER INCOME

G208

CAMA DENIED - RESOURCES

G213

CAMA DENIED - OTHER REASONS

G301

CAMA PENDED - INFORMATION NEEDED

G413

CAMA CLOSED - OTHER REASONS

G740

CAMA LOCK-IN NOTIFICATION

G801

CAMA REVIEW APPLICATION DUE

J001

CASE MANAGER INTRODUCTION

J005

EMPLOYMENT INFORMATION

J011

JOBS GENERAL CORRESPONDENCE

J013

REFERRAL FOR JOB OPENING

J014

PARTNER AGENCY REFERRAL

J016

SELF SUFFICIENCY PLAN APPOINTMENT

J017

WORK ACTIVITY ASSIGNMENT

J090

CASE REVIEW MEETING NOTICE

J091

60TH MONTH TIME LIMIT MEETING NOTICE

J092

REQUEST TO CONTINUE ON EXTENSION

J093

CONTINUED EXTENSION MEETING NOTICE

J099

ATAP -FSSP APPOINTMENT REQUIRED

J102

ATAP -FSSP REQUIRED

J107

EXTRA SERVICES AVAILABLE FOR YOU

J108

PLANNING FOR BETTER EMPLOYMENT

J201

PROBLEM SOLVING MEETING

J414

CLOSURE LETTER

K000

APPLICATION RECEIVED - INTERVIEW NEEDED

K001

ELIGIBILITY WORKER INTRODUCTION

K002

SCHOOL VERIFICATION LETTER

K005

EMPLOYMENT INFORMATION ON NEW JOB

K006

POSSIBLE UNEMPLOYMENT BENEFITS

K008

CHANGE OF ADDRESS - INFORMATION NEEDED

K010

GENERAL CORRESPONDENCE

K012

REFERRAL FOR SELF-SUFFICIENCY PLANNING

K013

INFORMATION ABOUT REPORTING CHANGES

K015

UNREPORTED RESOURCES

K016

UNREPORTED INCOME

K020

GOOD CAUSE ALLOWED

K021

GOOD CAUSE NOT ALLOWED

K023

REQUEST FOR INFORMATION

K040

CITC TRIBAL TANF REVIEW DUE

K041

CITC TRIBAL TANF REVIEW - 2ND NOTICE

K050

CHILD SUPPORT ASSIGNMENT INFORMATION

K051

FREE SCHOOL MEALS/DIRECT CERTIFICATION

K059

PARENT-TEACHER CONFERENCES

K060

CHILD SUPPORT COOPERATION STATEMENT

K061

CHILD SUPPORT - GOOD CAUSE ALLOWED

K062

CHILD SUPPORT - GOOD CAUSE NOT ALLOWED

K080

WORK, TIME LIMITS, AND ASSISTANCE

K100

CITC TRIBAL TANF APPROVED ONE MONTH

K102

CITC TRIBAL TANF APPROVED

K105

ASSISTANCE APPROVED WITH PENALTY

K110

CITC TRIBAL TANF APPROVED/JOB QUIT

K112

CITC TRIBAL TANF APPROVED - 2ND MONTH

K150

PASS II CHILD CARE REFERRAL

K180

CITC TRIBAL TANF APPROVED - MINOR PARENT

K191

TANF EXTENSION REQUEST APPROVED

K192

TANF EXTENSION APPROVED

K200

TANF DENIED - APPLICATION PROCESS

K201

TANF DENIED - FAILURE TO PROVIDE

K203

ASSISTANCE DENIED-WORK REFUSAL, DECREASE

K206

TANF DENIED - INCOME OVER 185% LIMIT

K207

CITC TRIBAL TANF DENIED - OVER INCOME

K208

CITC TRIBAL TANF DENIED - OVER RESOURCE

K210

TANF DENIED - DEEMED INCOME

K213

TANF DENIED - OTHER REASONS

K215

CITC TRIBAL TANF DENIED - 60 MONTHS

K216

TRIBAL TANF DENIED - NO ELIGIBLE CHILD

K260

TANF DENIED - STRIKER

K270

TANF DENIED - RESOURCE TRANSFER

K280

TRIBAL TANF DENIED-MINOR'S LIVING ARRGMT

K301

TRIBAL TANF PENDED - INFORMATION NEEDED

K303

INCOMPLETE TANF REVIEW-INFO NEEDED

K325

TANF REVIEW - INTERVIEW NEEDED

K331

INFORMATION NEEDED TO ADD PERSON

K380

TANF PENDED-MINOR'S LIVING ARRANGEMENT

K401

TRIBAL TANF CLOSED - FAILURE TO PROVIDE

K402

FAILURE TO COMPLETE TRIBAL TANF REVIEW

K403

CASE CLOSED - WORK REFUSAL

K406

TANF CLOSED - INCOME OVER 185% LIMIT

K407

CITC TRIBAL TANF CLOSED - OVER INCOME

K408

CITC TRIBAL TANF CLOSED - OVER RESOURCE

K410

CITC TRIBAL TANF CLOSED - DEEMED INCOME

K413

CITC TRIBAL TANF CLOSED - OTHER REASONS

K415

TANF ENDS - 60 MONTHS USED

K416

CASE CLOSED - NONCOMPLIANCE ON EXTENSION

K417

CASE CLOSED - EXTENSION NOT CONTINUED

K418

TANF ENDS - 60 MONTHS USED

K419

CASE CLOSED - TIME LIMIT EXTENSION ENDS

K426

TANF CLOSED - NO ELIGIBLE CHILD

K429

CITC TRIBAL TANF CLOSED - EXCESS INCOME

K463

REFUSED UNEMPLOYMENT BENEFITS

K470

TRIBAL TANF CLOSED - RESOURCE TRANSFER

K480

TANF CLOSED - MINOR'S LIVING ARRANGEMENT

K501

ERRONEOUS DISCONTINUANCE

K502

CITC TRIBAL TANF - GRIEVANCE

K503

TANF SUSPENSION ENDS - CASE REOPENED

K601

CITC TRIBAL TANF PAYMENT STOPPED

K602

JOB START EARNINGS BEGIN

K700

TANF BENEFIT INCREASES BEGINNING JANUARY

K701

CITC TRIBAL TANF - CHANGE IN PAYMENT

K702

NO CHANGE IN TANF AMOUNT

K703

ADDITIONAL CITC TRIBAL TANF

K706

AMOUNT CHANGE - NEW PENALTY AMOUNT

K708

COOPERATION WITH CHILD SUPPORT

K709

PAYMENT DECREASE - CHILD SUPPORT PENALTY

K713

TANF REDUCED - MINOR SCHOOL ATTENDANCE

K714

TANF DECREASE - EARNED INCOME DEDUCTIONS

K725

TANF DECREASE - SHELTER ALLOWANCE

K783

TANF MEMBER LOSES WORK EXEMPTION

K784

TANF WORK REQUIREMENT EXEMPTION

K785

REQUEST FOR PAYEE

K786

CITC TRIBAL TANF PENALTY ENDS

K787

WORK OR PLAN PENALTY

K788

REFUSAL TO WORK PENALTY

K801

CITC TRIBAL TANF SPECIAL REVIEW

K840

TANF REVIEW COMPLETED

K901

REQUEST PMT-BENEFIT REDUCTION-OPEN CASE

K902

REQUEST PAYMENT-CLIENT ERROR-CLOSED CASE

K903

REQUEST PAYMENT-AGENCY ERROR-CLOSED CASE

K909

SECOND NOTICE-AGENCY ERROR-CLOSED CASE

K950

CITC TANF FRAUD PENALTY-OPEN CASE- IPV

K951

CITC TANF FRAUD PENALTY-OPEN CASE-WAIVER

K953

CITC TANF FRAUD PENALTY-CLOSED CASE

K954

RECEIPT OF PAYMENT

K955

FRAUD ACCOUNT: PAYMENT OVERDUE

     K956

TRIBAL TANF - REQUEST REPAYMENT PLAN

 K957

FRAUD REPAYMENT - CASH PAYMENT

K958

FRAUD REPAYMENT - CASH REDUCTION

L018

SENIOR BENEFITS APPLICATION RECEIVED

L101

SENIOR BENEFITS APPROVAL

L112

SENIOR BENEFITS APPROVED - SECOND MONTH

L201

SENIOR BENEFITS DENIED - LACK OF INFO

L207

SENIOR BENEFITS DENIED - OVER INCOME

L212

SENIOR BENEFITS DENIED - OTHER REASONS

L302

SENIOR BENEFITS-REQUEST FOR INFORMATION

L401

SENIOR BENEFITS CLOSED

L411

SENIOR BENEFITS CLOSED - LONG TERM CARE

L419

SENIOR BENEFITS END - DEATH OF RECIPIENT

L603

SENIOR BENEFITS SUSPENDED

L701

SENIOR BENEFITS CHANGE

L704

SENIOR BENEFITS APPROVED - SC CONVERSION

L705

ADDITIONAL SENIOR BENEFITS

L706

BENEFIT CHANGE - POVERTY LEVEL INCREASE

L802

SENIOR BENEFITS RENEWAL APPROVED

M001

RIGHTS AND CHOICES FOR WAIVER RECIPIENTS

M002

MEDICAID QUALIFYING TRUST REFERRAL

M003

NO COST OF CARE DUE

M004

CONTINUOUS ELIGIBILITY FOR MEDICAID

M005

NOTICE TO TRANSFER RESOURCES TO SPOUSE

M006

APPLICATION FOR OTHER BENEFITS

M007

REQUEST FOR SOCIAL SECURITY NUMBER

M008

MEDICARE BENEFITS AVAILABLE

M012

LONG TERM CARE CASEWORKER INTRODUCTION

M013

POTENTIAL ELIGIBILITY - HCB WAIVER MED

M025

DISABILITY REVIEW NEEDED

M060

CHILD SUPPORT COOPERATION STATEMENT

M061

CHILD SUPPORT - GOOD CAUSE ALLOWED

M062

CHILD SUPPORT - GOOD CAUSE NOT ALLOWED

M100

MEDICAID APPROVED - ONE MONTH ONLY

M102

MEDICAID APPLICATION APPROVED

M103

RETROACTIVE MEDICAID COVERAGE APPROVED

M106

EMERGENCY MEDICAL TREATMENT APPROVED

M108

NEWBORN MEDICAID APPROVED

M110

MEDICAID APPROVED - QMB COVERAGE

M111

SPECIAL MEDICAID COUPON

M112

MEDICAID APPROVAL - WAIVER SERVICES

M113

SPECIFIED LOW INCOME MEDICARE BENEFIT

M114

MEDICAID APPROVED 2ND MONTH

M115

WORKING DISABLED MEDICAID APPROVED

M117

MEDICAID APPROVED - LTC/WAIVER SVC DENIED

M118

BACK-DATED MEDICAID APPROVED

M119

IS WAIVER SVCS APPROVED – CHILD ON MAGI

M120

COST OF CARE / LTC FACILITY

M121

MEDICAID APPROVED - LTC FACILITY

M122

CCMC WAIVER SVCS APPROVED - CHILD ON DKC

M123

CCMC WAIVER SERVICES APPROVED

M124

IDD WAIVER SVCS APPROVED - CHILD ON DKC

M127

TEFRA MEDICAID APPROVED

M128

IDD WAIVER SERVICES - DISABILITY APPROVED

M129

COST OF CARE - ASSISTED LIVING FACILITY

M130

COST OF CARE / WAIVER

M131

APDD WAIVER SERVICES APPROVED

M132

IDD WAIVER SERVICES APPROVED

M133

ODA WAIVER SERVICES APPROVED

M134

IS WAIVER SERVICES – DISABILITY APPROVED

M135

IS WAIVER SERVICES APPROVED

M136

BREAST/CERVICAL CANCER MEDICAID APPROVED

M140

APA MEDICAID - QUALIFIED INCOME TRUST

M141

MEDICAID - SPECIAL NEEDS OR POOLED TRUST

M142

MEDICAID TRUST INFORMATION - LTC

M143

SPECIAL NEEDS OR POOLED TRUST INFO

M144

MILLER TRUST INFORMATION - APA

M150

MEDICAID APPROVED

M200

MEDICAID DENIED - APPLICATION PROCESS

M201

MEDICAID DENIED - FAILURE TO PROVIDE

M205

MEDICAID DENIED-CITIZENSHIP/IDENTITY

M206

MEDICAID DENIED - INCOME OVER 185% LIMIT

M207

MEDICAID DENIED - OVER INCOME

M208

MEDICAID DENIED - OVER RESOURCE

M209

MEDICAID AND LTC/WAIVER SVCS DENIED - TOA

M210

LONG TERM CARE DENIED - NO MED 3 FORM

M213

MEDICAID DENIED - OTHER REASONS

M216

MEDICAID DENIED - NO ELIGIBLE CATEGORY

M217

MEDICAID ADD-ON REQUEST DENIED

M218

MEDICAID DENIED - EXCESS HOME EQUITY

M219

MEDICAID AND WAIVER SVCS DENIED - LOC

M221

RETROACTIVE MEDICAID DENIED

M301

MEDICAID PENDED - INFORMATION NEEDED

M302

MEDICAID HELD FOR A DISABILITY DECISION

M303

INCOMPLETE MEDICAID REVIEW - INFO NEEDED

M304

RETRO-MED PENDED - INFORMATION NEEDED

M305

PEND NEW WAIVER APPLICATION

M306

MEDICAID - RESIDENCY INFORMATION NEEDED

M307

MEDICAID PENDED-CITIZEN/ID PROOF NEEDED

M308

MEDICAID - CITIZENSHIP/ID PROOF NEEDED

M309

MEDICAID - WAIVER APPROVAL NEEDED

M310

MEDICAID - SLMB INFORMATION NEEDED

M320

INFORMATION NEEDED - TEFRA

M321

PEND WAIVER START - CHILD ON DKC

M322

PEND TEFRA - DISABLED CHILD DENIED DKC

M323

RPTC WAIVER: INFO NEEDED - FM/DKC CHILD

M350

REQUEST MEDICAL INSURANCE INFORMATION

M351

WAIVER AND/OR DDS APPROVAL NEEDED

M401

MEDICAID ENDS - FAILURE TO PROVIDE

M402

FAILURE TO COMPLETE MEDICAID REVIEW

M405

MEDICAID CLOSED-CITIZENSHIP/IDENTITY

M406

MEDICAID CLOSED - INCOME OVER 185% LIMIT

M407

MEDICAID CLOSED - OVER INCOME

M408

MEDICAID CLOSED - OVER RESOURCE

M410

MEDICAID REVIEW - COVERAGE ENDS

M412

FAMILY MED CLOSES - POSSIBLE TRANS MED

M413

MEDICAID ENDS - OTHER REASONS

M418

MEDICAID CLOSED - EXCESS HOME EQUITY

M419

MEDICAID STOPS - CLIENT DECEASED

M420

BREAST/CERVICAL CANCER MEDICAID CLOSURE

M456

TRANSITIONAL MEDICAID CASE CLOSES

M463

REFUSED OTHER POSSIBLE BENEFITS

M501

MEDICAID CASE REOPENED

M502

FAIR HEARING REQUEST - BENEFITS CONTINUE

M601

MEDICAID SUSPENDED

M700

POST 4M MEDICAID BEGINS

M701

MEDICAID BENEFITS CHANGE

M702

TRANSITIONAL MEDICAID BEGINS

M703

MEDICAID CHANGES TO DENALI KIDCARE

M704

CHANGE TO WORKING DISABLED MEDICAID

M705

TRANSITIONAL MEDICAID EXTENDED

M709

MED BENEFITS STOPPED - CSSD PENALTY

M710

MEDICARE DRUG COVERAGE BEGINS

M711

RETROACTIVE MEDICARE COVERAGE

M714

COST OF CARE CHANGE / ALH FACILITY

M715

COST OF CARE CHANGE

M716

LONG TERM CARE ENDS - MEDICAID CONTINUES

M717

MEDICAID CONT. - LTC/WAIVER SVCS END - TOA

M718

EXCESS HOME EQUITY - MEDICAID CHANGES

M720

WAIVER CLOSED - LIVING IN LTC FACILITY

M721

PEND WAIVER APPLICATION-AP MED TO WAIVER

M723

MEDICAID TRANSFER OF ASSET DECLARATION

M724

WAIVER SERVICES DENIED - MEDICAID CONT.

M801

MEDICAID REVIEW DUE

M802

MEDICAID REVIEW APPROVED

M805

SLMB MEDICARE REVIEW APPROVED

M806

WORKING DISABLED REVIEW APPROVED

M807

CCMC WAIVER MEDICAID RENEWAL APPROVED

M808

IDD WAIVER MEDICAID RENEWAL APPROVED

M809

IS WAIVER MEDICAID RENEWAL APPROVED

M827

TEFRA MEDICAID RENEWAL APPROVED

M901

WORKING DISABLED MEDICAID - PREMIUMS DUE

M902

WORKING DISABLED MED - PREMIUM INCREASE

M903

WORKING DISABLED MED - PREMIUM DECREASE

M904

WORKING DISABLED MED - PREMIUM OVERDUE

M905

WORKING DISABLED MEDICAID - PREMIUMS END

M906

WORKING DISABLED MEDICAID - REFUND DUE

M907

WORKING DISABLED MED - PREMIUM REMINDER

M910

MEDICAID - REQUEST REPAYMENT PLAN

M911

MEDICAID - SECOND REQUEST REPAYMENT PLAN

M912

MEDICAID - THIRD REQUEST REPAYMENT PLAN

M915

MEDICAID-FAIR HEARING CONTINUED BENEFITS

M920

MEDICAID CLAIMS: PAYMENT OVERDUE

M921

MEDICAID CLAIMS: SECOND PAYMENT OVERDUE

M923

MEDICAID CLAIMS: THIRD PAYMENT OVERDUE

M926

CHANGE IN MEDICAID REPAYMENT PLAN

M930

MEDICAID - RECEIPT OF PAYMENT

M931

MEDICAID - ACCOUNT PAID IN FULL

M940

MEDICAID - NONCOMPLIANCE SETUP REPAYMENT

M941

MED - 2ND NONCOMPLIANCE SETUP REPAYMENT

M950

MEDICAID DISQUALIFICATION-NONCOMPLIANCE

N000

NOTICE OF SCHEDULED INTERVIEW

N002

CASEWORKER INTRODUCTION

N003

EXPENSES EXCEED INCOME LETTER

N005

EMPLOYMENT STATEMENT

N006

SCHOOL VERIFICATION LETTER

N008

CHANGE OF ADDRESS - INFORMATION NEEDED

N011

GENERAL CORRESPONDENCE

N012

INFORMATION ABOUT REPORTING CHANGES

N014

MEDICAID INFORMATION LETTER

N016

UNREPORTED INCOME

N017

UNREPORTED RESOURCES

N018

PUBLIC ASSISTANCE APPLICATION RECEIVED

N020

REQUEST FOR INFORMATION

N027

INFORMATION HOTLINE ANNOUNCEMENT

N030

DIRECT DEPOSIT REQUEST

N036

AUTHORIZATION FOR RELEASE OF INFORMATION

N042

DIRECT DEPOSIT - BANK INFORMATION ADDED

N043

DIRECT DEPOSIT-BANK INFORMATION DELETED

N044

DIRECT DEPOSIT-BANK INFORMATION DELETED

N045

DIRECT DEPOSIT-BANK INFORMATION DELETED

N050

FAIR HEARING - PREHEARING CONFERENCE

N391

PROOF OF DRUG FELONY ELIGIBILITY NEEDED

N920

PUBLIC ASSISTANCE CLAIM: PAYMENT OVERDUE

N921

SECOND NOTICE: PA CLAIM PAYMENT OVERDUE

N925

PUBLIC ASSISTANCE-REQUEST REPAYMENT PLAN

N930

RECEIPT OF PAYMENT

N931

PUBLIC ASSISTANCE ACCOUNT PAID IN FULL

N940

FRAUD REPAYMENT - BENEFIT REDUCTION

N941

FRAUD REPAYMENT - CASH PAYMENT

N942

FRAUD ACCOUNT: PAYMENT OVERDUE

O490

PFD HOLD HARMLESS CASE CLOSED

P006

SSI APPLICATION REQUIRED

P007

APPLICATION FOR OTHER BENEFITS

P021

ITEMS NEEDED FOR INTERIM ASSISTANCE

P025

DISABILITY REVIEW NEEDED

P065

APA CLIENT TURNS 65

P100

APA APPROVED - ONE MONTH ONLY

P101

APA PERSONAL NEEDS APPROVED

P102

APA APPLICATION APPROVED

P105

IA APPROVED - APA HELD

P108

APA APPROVED - MEDICAID DENIED

P109

MEDICAID APPROVED - APA DENIED

P112

APA APPROVED - STARTING 2ND MONTH

P200

APA DENIED - APPLICATION PROCESS

P201

APA DENIED - FAILURE TO PROVIDE

P207

APA DENIED - OVER INCOME

P208

APA DENIED - OVER RESOURCE

P213

APA DENIED - OTHER REASONS

P216

APA /MED DENIED - IA CONTINUES

P217

APA/MED DENIED - NOT ELIGIBLE FOR IA

P224

APA DENIED - TRANSFER OF RESOURCE PENALTY

P301

APA /MEDICAID PENDED - INFORMATION NEEDED

P302

APA HELD FOR A DISABILITY DECISION

P303

INCOMPLETE APA /MED REVIEW - INFO NEEDED

P304

APA HELD - IA DENIED

P305

INTERIM ASSISTANCE DECISION DELAYED

P401

APA CLOSED - FAILURE TO PROVIDE

P402

FAILURE TO COMPLETE APA REVIEW

P404

IA CLOSED - FAILURE TO APPLY FOR SSI

P407

APA CLOSED - OVER INCOME

P408

APA CLOSED - OVER RESOURCE

P411

APA CLOSES / LTC MEDICAID REVIEW BEGINS

P413

APA CLOSED - OTHER REASONS

P416

APA /MED DENIED - INTERIM ASSISTANCE ENDS

P417

SSI APPEAL DENIED

P418

SSI DENIAL - NO APPEAL PENDING

P419

APA /MEDICAID STOPS - CLIENT DECEASED

P422

APA CLOSED – MEDICAID CONTINUES

P423

IA CLOSED - OTHER REASONS

P424

APA CLOSED - TRANSFER OF RESOURCE PENALTY

P501

ADULT PUBLIC ASSISTANCE CASE REOPENED

P502

FAIR HEARING REQUESTED - AID CONTINUES

P503

REOPEN INTERIM ASSISTANCE

P601

APA SUSPENDED - ONE MONTH ONLY

P603

APA /MEDICAID SUSPENDED

P604

INTERIM ASSISTANCE SUSPENDED

P605

IA SUSPENDED - ONE MONTH ONLY

P701

APA BENEFIT AMOUNT CHANGES

P703

APA SUPPLEMENTAL BENEFITS

P709

INTERIM ASSISTANCE ENDS - APA BEGINS

P710

APA DECREASE- SSI LONG TERM CARE FACILITY

P712

APA DECREASE - ASSISTED LIVING HOME

P801

APA REVIEW APPLICATION DUE

P802

APA REVIEW COMPLETED - NO CHANGE

P803

APA REVIEW COMPLETED - MEDICAID ENDS

P804

APA REVIEW COMPLETED - BENEFITS CHANGE

P805

APA REVIEW DENIED – MEDICAID APPROVED

P900

INTERIM ASSISTANCE REPAYMENT RECEIVED

P901

REQUEST PAYMENT-CLIENT ERROR-OPEN CASE

P902

REQUEST PAYMENT-CLIENT ERROR-CLOSED CASE

P903

SECOND NOTICE-CLIENT ERROR-CLOSED CASE

P904

THIRD NOTICE-CLIENT ERROR-CLOSED CASE

P905

REQUEST PAYMENT-AGENCY ERROR-OPEN CASE

P906

SECOND NOTICE-AGENCY ERROR-OPEN CASE

P907

THIRD NOTICE-AGENCY ERROR-OPEN CASE

P908

REQUEST PAYMENT-AGENCY ERROR-CLOSED CASE

P909

SECOND NOTICE-AGENCY ERROR-CLOSED CASE

P910

THIRD NOTICE-AGENCY ERROR-CLOSED CASE

P926

CHANGE IN APA REPAYMENT PLAN

Q100

APA / FS APPROVED - ONE MONTH ONLY

Q102

APA / SNAP APP APPROVED

Q105

SNAP / IA APPROVED - APA HELD

Q112

APA / FS DENY 1ST MONTH / APPROVE 2ND MONTH

Q200

APA / FS DENIED - APPLICATION PROCESS

Q201

APA / FS DENIED - FAILURE TO PROVIDE

Q207

APA / FS DENIED - OVER INCOME

Q208

APA / FS DENIED - OVER RESOURCE

Q213

APA / FS DENIED - OTHER REASONS

Q301

APA / FS PENDED - INFORMATION NEEDED

Q401

APA / FS CASE CLOSED - MISSING INFORMATION

Q407

APA / FS CLOSED - OVER INCOME

Q408

APA / FS CLOSED - OVER RESOURCE

Q413

APA / FS CLOSED - OTHER REASONS

Q419

APA / MEDICAID / FS STOPS - CLIENT DECEASED

Q501

APA / FS REOPENED - CLOSED IN ERROR

Q502

APA / FS CONTINUED PENDING FAIR HEARING

Q701

APA / FS BENEFIT AMOUNTS CHANGE

Q802

APA AND FOOD STAMP REVIEW APPROVED

R102

GRA APPLICATION APPROVED

R104

DIVERSION APPLICATION APPROVED

R105

BURIAL APPLICATION APPROVED

R207

GRA DENIED - OVER INCOME

R208

GRA DENIED - OVER RESOURCE

R211

DIVERSION DENIED

R213

GRA DENIED - OTHER REASONS

R301

GRA PENDED - INFORMATION NEEDED

R302

DIVERSION INFORMATION NEEDED

R703

ADDITIONAL DIVERSION PAYMENT

S102

FOOD STAMP/MEDICAID APPLICATION APPROVED

S112

FS /MED APPROVED STARTING SECOND MONTH

S200

FS /MED APPLICATION DENIED - NO INTERVIEW

S201

FS /MED DENIED - FAILURE TO PROVIDE

S207

FS /MED APPLICATION DENIED - OVER INCOME

S208

FS /MED DENIED - OVER RESOURCES

S213

FS /MED DENIED - OTHER REASONS

S301

FS /MED APP PENDED - INFORMATION NEEDED

S401

FS & MEDICAID END - FAILURE TO PROVIDE

S407

FOOD STAMPS / MEDICAID ENDS - OVER INCOME

S408

FS & MEDICAID END - OVER RESOURCES

S413

FS & MEDICAID END - OTHER REASONS

S501

FOOD STAMP AND MEDICAID CASES REOPENED

S701

FS /MED - CHANGE IN BENEFITS

S702

FS /MED - NO CHANGE IN BENEFITS

S840

FS /MED - ELIGIBILITY REVIEW COMPLETED

T011

GENERAL CORRESPONDENCE

T102

IV-E FOSTER CARE AND MEDICAID APPROVED

T201

IV-E FOSTER CARE DENIAL

T301

IV-E FOST CARE - MORE INFORMATION REQ'D

T401

IV-E FOSTER CARE ENDS

T404

IV-E F. C. CONTINUE, MED END - OUT STATE

T405

IV-E ADOPT ASST CONT/MED END - OUT OF ST

T803

IV-E FOSTER CARE & MEDICAID REV APPROVED

T804

IV-E FOST CARE REV APPROVED-OUT OF STATE

W004

MEDICAL INFORMATION NEEDED

W006

POSSIBLE UNEMPLOYMENT BENEFITS

W011

SELF-SUFFICIENCY PLAN REQUIRED

W012

REFERRAL FOR SELF-SUFFICIENCY PLANNING

W017

SELF-SUFFICIENCY PLAN CHANGED

W018

CHANGE TO NATIVE FAMILY ASSISTANCE

W019

REFERRAL FOR CASE MANAGEMENT SERVICES

W020

GOOD CAUSE ALLOWED

W021

GOOD CAUSE NOT ALLOWED

W028

CHILD SUPPORT PASS-THROUGH PAYMENT

W040

TEMPORARY ASSISTANCE REVIEW DUE

W041

TEMPORARY ASSISTANCE REVIEW - 2ND NOTICE

W050

CHILD SUPPORT ASSIGNMENT INFORMATION

W051

FREE SCHOOL MEALS/DIRECT CERTIFICATION

W060

CHILD SUPPORT COOPERATION STATEMENT

W061

CHILD SUPPORT - GOOD CAUSE ALLOWED

W062

CHILD SUPPORT - GOOD CAUSE NOT ALLOWED

W081

CHANGE TO NATIVE FAMILY ASSISTANCE

W100

TEMPORARY ASSISTANCE APPROVED ONE MONTH

W102

TEMPORARY ASSISTANCE APPROVED

W105

ASSISTANCE APPROVED WITH PENALTY

W110

TEMPORARY ASSISTANCE APPROVAL/JOB QUIT

W112

TEMPORARY ASSISTANCE APPROVED-2ND MONTH

W150

PASS II CHILD CARE REFERRAL

W180

ATAP APPROVED-MINOR PARENT

W191

TEMPORARY ASSISTANCE EXTENSION APPROVED

W192

TEMPORARY ASSISTANCE EXTENSION APPROVED

W200

ATAP DENIED - APPLICATION PROCESS

W201

ATAP DENIED - FAILURE TO PROVIDE

W203

ASSISTANCE DENIED-WORK REFUSAL,REDUCTION

W206

ATAP DENIED - INCOME OVER 185% LIMIT

W207

ATAP DENIED - OVER INCOME

W208

ATAP DENIED - OVER RESOURCE

W210

ATAP DENIED - DEEMED INCOME

W213

ATAP DENIED - OTHER REASONS

W215

ATAP DENIED - 60 MONTHS

W216

ATAP DENIED - NO ELIGIBLE CHILD

W230

ATAP DENIED - REFER TO NATIVE TANF

W260

ATAP DENIED - STRIKER

W270

ATAP DENIED-RESOURCE TRANSFER

W280

ATAP DENIED-MINOR'S LIVING ARRANGEMENT

W301

ATAP PENDED - INFORMATION NEEDED

W303

INCOMPLETE TA REVIEW-INFORMATION NEEDED

W305

APPLICATION HELD - WORK ACTIVITY

W325

TA REVIEW - INTERVIEW NEEDED

W331

INFORMATION NEEDED TO ADD PERSON

W380

ATAP PENDED-MINOR'S LIVING ARRANGEMENT

W401

ATAP CLOSED - FAILURE TO PROVIDE

W402

FAILURE TO COMPLETE ATAP REVIEW

W403

CASE CLOSED - WORK REFUSAL

W404

ATAP CLOSED - INCREASED PENALTY

W406

ATAP CLOSED - INCOME OVER 185% LIMIT

W407

ATAP CLOSED - OVER INCOME

W408

ATAP CLOSED - OVER RESOURCE

W410

ATAP CLOSED - DEEMED INCOME

W413

ATAP CLOSED - OTHER REASONS

W415

TEMPORARY ASSISTANCE ENDS-60 MONTHS USED

W416

CASE CLOSED - NONCOMPLIANCE ON EXTENSION

W417

CASE CLOSED - EXTENSION NOT CONTINUED

W418

TEMPORARY ASSISTANCE ENDS-60 MONTHS USED

W419

CASE CLOSED - TIME LIMIT EXTENSION ENDS

W426

ATAP CASE CLOSED - NO ELIGIBLE CHILD

W427

CASE CLOSED - CHILD SUPPORT INCOME

W429

ATAP CLOSED - EXCESS INCOME

W463

REFUSED UNEMPLOYMENT BENEFITS

W470

ATAP CLOSED - RESOURCE TRANSFER

W480

ATAP CLOSED-MINOR'S LIVING ARRANGEMENT

W481

ATAP CLOSED-REFER TO NATIVE TANF

W501

TEMPORARY ASSISTANCE CASE REOPENED

W502

TEMPORARY ASSISTANCE - FAIR HEARING

W503

ATAP SUSPENSION ENDS - CASE REOPENED

W601

TEMPORARY ASSISTANCE PAYMENT STOPPED

W602

JOB START EARNINGS BEGIN

W603

ATAP STOPS - REFUSE CASH

W700

ATAP BENEFIT INCREASES BEGINNING JANUARY

W701

TEMPORARY ASSISTANCE BENEFIT CHANGES

W702

NO CHANGE IN TEMPORARY ASSISTANCE

W703

ADDITIONAL TEMPORARY ASSISTANCE

W705

ATAP BENEFIT DECREASES BEGINNING JANUARY

W706

BENEFIT CHANGE - NEW PENALTY AMOUNT

W708

COOPERATION WITH CHILD SUPPORT

W709

BENEFIT DECREASE - CHILD SUPPORT PENALTY

W712

SEASONAL BENEFIT DECREASE

W713

ATAP REDUCED-MINOR SCHOOL ATTENDANCE

W714

ATAP DECREASE - EARNED INCOME DEDUCTIONS

W725

TA BENEFITS CHANGE - SHELTER COSTS

W770

ATAP WORK REQUIREMENT PARTIAL EXEMPTION

W780

ATAP BENEFIT DECREASE DUE TO PENALTY

W781

ATAP PENALTY AMOUNT INCREASES

W783

ATAP MEMBER LOSES WORK EXEMPTION

W784

ATAP WORK REQUIREMENT EXEMPTION

W785

REQUEST FOR PAYEE

W786

TEMPORARY ASSISTANCE PENALTY ENDS

W787

WORK OR PLAN PENALTY

W788

REFUSAL TO WORK PENALTY

W790

CHANGE IN WORK REQUIREMENT

W801

TEMPORARY ASSISTANCE SPECIAL REVIEW

W840

TEMPORARY ASSISTANCE REVIEW COMPLETED

W901

REQUEST PMT-BENEFIT REDUCTION-OPEN CASE

W902

REQUEST PAYMENT-CLIENT ERROR-CLOSED CASE

W903

REQUEST PAYMENT-AGENCY ERROR-CLOSED CASE

W909

SECOND NOTICE--AGENCY ERROR-CLOSED CASE

W911

THIRD NOTICE--AGENCY ERROR-CLOSED CASE

W913

FINAL NOTICE--AGENCY ERROR-CLOSED CASE

W950

TA FRAUD PENALTY-OPEN CASE-ADMIN HEARING

W951

ATAP FRAUD PENALTY - OPEN CASE - WAIVER

W953

ATAP FRAUD PENALTY - CLOSED CASE

X004

SNAP RECERTIFICATION

X005

MEDICAID REVIEW APPLICATION DUE

X006

APA REVIEW APPLICATION DUE

X007

TITLE IV-E MEDICAID RENEWAL DUE

X008

APA REVIEW DUE - SECOND NOTICE

X009

MEDICAID REVIEW DUE - SECOND NOTICE

X010

FAILURE TO PARTICIPATE IN ATAP INTERVIEW

X011

FOOD STAMP DENIED - NO INTERVIEW

X012

PREGNANCY MEDICAID COVERAGE ENDING

X019

MEDICAID INFORMATION LETTER

X020

NO GRA INTERVIEW

X021

NO CAMA INTERVIEW

X022

NO APA INTERVIEW

X023

NO MEDICAID INTERVIEW

X025

CAMA REVIEW APPLICATION DUE

X027

CAMA RECIPIENT NOTICE

X028

CHILD SUPPORT PASS-THROUGH PAYMENT

X030

FAMILY MEDICAID REVIEW DUE

X032

PRIVATE HEALTH CARE INFORMATION

X034

SENIOR BENEFITS PROGRAM REVIEW DUE

X035

SENIOR BENEFITS REVIEW DUE - 2ND NOTICE

X036

SENIOR BENEFITS APPLICATION NEEDED

X037

DENALI CARE/ KIDCARE RENEWAL DUE

X038

DENALI CARE/ KIDCARE RENEWAL – 2ND NOTICE

X039

SENIOR BENEFITS EXTENSION APPROVED

X040

TEMPORARY ASSISTANCE REVIEW DUE

X041

TEMPORARY ASSISTANCE REVIEW - 2ND NOTICE

X050

FREE SCHOOL MEALS/DIRECT CERTIFICATION

X055

INFORMATION ABOUT THE WIC PROGRAM

X064

REDUCED APA BENEFITS - STANDARDS CHANGE

X067

SEASONAL BENEFIT DECREASE

X071

ATAP BENEFITS-NO ACTIVITY FOR 60 DAYS

X073

FOOD STAMPS - NO ACTIVITY FOR 60 DAYS

X074

ATAP BENEFITS - NO ACTIVITY FOR 90 DAYS

X075

FOOD STAMPS - NO ACTIVITY FOR 180 DAYS

X076

REGISTER HERE TO VOTE

X077

REDUCED SR BENEFITS – FUNDING AVAILABILITY

X078

SENIOR BENEFITS SUSPENDED – FUNDING

X080

WORK, TIME LIMITS, AND ASSISTANCE

X082

**IMPORTANT TIME LIMIT NOTICE**

X100

MEDICARE DRUG COVERAGE BEGINS

X119

4/20 CERTIFICATION PERIOD EXTENDED

X120

5/20 CERTIFICATION PERIOD EXTENDED

X121

6/20 CERTIFICATION PERIOD EXTENDED

X122

7/20 CERTIFICATION PERIOD EXTENDED

X690

FOOD STAMPS SUSPENDED DUE TO PFD

Y010

FAILURE TO PARTICIPATE IN TANF INTERVIEW

Y028

CHILD SUPPORT PASS-THROUGH PAYMENT

Y040

TRIBAL TANF REVIEW DUE

Y041

TRIBAL TANF REVIEW - 2ND NOTICE

Y050

FREE SCHOOL MEALS/DIRECT CERTIFICATION

Y055

INFORMATION ABOUT THE WIC PROGRAM

Y059

PARENT-TEACHER CONFERENCES

Y080

WORK, TIME LIMITS, AND ASSISTANCE

Y082

***IMPORTANT TIME LIMIT NOTICE***

Z014

DENALI KIDCARE INFORMATION

Z803

DENALI KIDCARE EXTENDED

 

 

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2020-02 (09/20)