790-9 SPECIAL REVIEWS
In addition to the periodic review of eligibility, special reviews may be conducted when there is good reason to believe that the information on file is not sufficient to insure that the family is eligible for assistance or that the current payment amount is accurate. At a minimum, a special review consists of:
Completion of an
application;
An interview;
Careful desk review
by the case worker of the completeness of verification and documentation
of all factors of eligibility not normally subject to change; and
Obtaining full verification and documentation of all factors subject to change, including the use of collateral contacts and home visits on any factor influencing the decision to require a special review.
The following is a list of circumstances in which a special review may be required:
Failure to cooperate
with a Quality Assurance Review;
Discovery of one
or more required reports of change not reported to DPA by the parent or caretaker;
Report of several
changes at one time, all of which involve extensive verification and
call continued eligibility into question;
A change in ATAP policies which affects a number
of cases of a certain type, when this change affects or adds a factor
of eligibility and review procedures would assist the agency and its
clients in understanding and complying with the program change;
When the recipient
transfers from one district to another or makes a significant move
within a district;
When a review of
the incapacity of a parent or caretaker relative is due and other
changes occur simultaneously; or
Referral from the Fraud Unit, or a report of fraud that merits further review of eligibility.
A special review is treated like a new application. If the recipient fails to submit the review application and cooperate in providing all necessary information, the case is closed.
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