1140.040.00 MID-CERTIFICATION REVIEWS

IM-#102 December 17, 2012IM-#74 August 27, 2012IM-#36 April 22, 2010IM-#144 October 27, 2003

Elderly or disabled EUs certified for 24 months must have a mid-certification review (MCR). The review is due in the 12th month following the first month of certification (MCR Month).

EUs certified for 12 months must have a mid-certification review. The review is due in the 6th month following the first month of certification (MCR Month).

The FA546 Food Stamp Mid-Certification Review Report form (FA546) asks the EU to report the following:

Any other changes reported on the FA546 MCR Report, or any cumulative actions previously disregarded are acted upon when completing the MCR.

An FA546 Food Stamp Mid-Certification Review Report form is generated by FAMIS on the 5th day of the month prior to the MCR month. The FA546 MCR Report is due back from the EU the last day of the month prior to the MCR month.

EXAMPLE: Ms. Jones' Food Stamp certification is July 2012 – June 2013. The MCR month is December 2012. FAMIS sends the EU a FA546 MCR Report on November 5, 2012. The FA546 MCR Report is due back from the EU before November 30, 2012.

The alert "Mid-Certification Review Required." is generated at the time the FA546 MCR Report is mailed to the EU. The alert continues to display until the review action is taken in FAMIS. The alert elevates to the supervisor on the first day of the MCR Month.

Mid-Certification Reviews may be initiated by the eligibility specialist when FAMIS cannot generate the FA546 MCR Report because of timing. Cases that are in closed status on the 5th of the month, and are cancel closed in the month prior to the MCR month require the eligibility specialist to initiate the MCR process. The same mid-certification review procedures apply.

EXAMPLE: Ms. Jones' Food Stamp certification is June 2012 – May 2013. The MCR month is November 2010. The EU is closed on October 2, but is cancel closed on October 7. Because the case was in closed status, the FA546 MCR Report is not sent on the 5th of October. The ES should generate the FA546 MCR Report when the case is cancel closed. The FA546 MCR Report is due back from the EU before November 31, 2012.

The FA546 MCR Report is considered returned even if the information provided is incomplete or unclear.

It is important to complete all MCR review factors in FAMIS when the report is returned to complete the review. Print and review IMES for any individual age 16 or over.  Print and review IIVE for all EU members.  Follow current verification procedures for reported changes. All cumulative changes should be verified and acted on during the MCR. If additional verification is required to determine continued eligibility, leave the verification code blank and complete the REINUPD function. FAMIS creates outstanding verification and generates the FA325 which is mailed out to the individual.  If additional information and/or verification regarding the FA325 is not provided FAMIS generates an Adverse Action Notice for failure to provide requested information.

Refer to the Completing a Temporary Assistance (TA)/MO HealthNet (MHN)/Food Stamp (FS) Review in FAMIS user guide for assistance in completing the review.

When the EU is closed for failure to return the FA546 MCR Report, cancel close the EU if the form is received before the end of the MCR month. Benefits are not prorated.

EXAMPLE: EU with earned income certified June 2012 through May 2013. The FA546 MCR Report is mailed October 5, 2012. The FA546 MCR Report is not received by October 31. The FA-510 Adverse Action Notice is sent November 1, 2012, and case closed. The FA546 MCR Report is received November 25, 2012. Cancel close this EU. FAMIS issues a full month's benefit for November.

Use cancel close procedures when reopening the case.  Do not disregard changes caused by information discovered, known or reported at MCR.  There is no change in policy/ procedure; all MCR review factors in FAMIS must be completed and all cumulative changes and any other changes reported on the FA546 MCR Report should be verified and acted on during the MCR review process.

If the FA546 MCR Report is not received before the end of the MCR month, the EU must reapply for Food Stamp Benefits.

A Food Stamp add-a-person application completes all of the factors required for an MCR. FAMIS completes the MCR when the action is authorized and assigns the EU a new review date.

EXAMPLE: Ms. Jones' Food Stamp certification is July 2012 – June 2013. The MCR month is December 2012. The FA546 MCR Report is generated on November 5, 2010. The FA546 MCR Report is due back from the EU before November 30, 2012. On November 15, 2012, the EU reports a new member and the add-a-person application is authorized on November 16, 2012. This completes the MCR.

A Food Stamp recertification completes all of the factors required for an MCR.

EXAMPLE: Ms. Jones' Food Stamp certification is June 2012 – May 2014. In October 2013 income is added to a current member. The certification does not change, but an MCR is due six months later, April 2014, which is just one month before the certification ends. (Changing the MCR is discussed in the next section.) The FA546 MCR Report is generated March 5, 2014. The EU comes to the office to discuss the MCR. Since it is less than 60 days from the end of the certification, the eligibility specialist has the EU complete an application for Food Stamp benefits, completes the interview for the recertification, and authorizes the action. Completing the recertification also completes the MCR.

The MCR form is not to be used in place of the FA331 Appointment Letter/Request for Contact or the IM-31RFC. When an EU's circumstances are in question or information is received that requires additional clarification, send an FA331 or IM-31 to request contact from the EU.

At times other than MCR, continue to act on changes when:

1140.040.05 Mid-certification Review for FS Only Cases

IM-#36 April 22, 2010, IM-#144 October 27, 2003

Enter the date the mid-certification review form is received by the agency on the Review Audit Detail (FM55) screen.  Complete the Food Stamp MCR flow and update eligibility factors with all reported changes.  Generate an FA-325 for missing or incomplete information needed to complete the required review factors.  Provide 10 days to complete and return the information.  If the EU is does not provide the needed information, an adverse action is sent to the EU notifying them that their case will be closed for failure to cooperate.

1140.040.10 Mid-certification Review FS/IM Combination Cases

IM-#36 April 22, 2010IM-#144 October 27, 2003

When an individual has a mid-certification review and a review for another program due at the same time, they will receive both forms in the mail. If the Food Stamp MCR is not returned but the review for the other program form is, enter the date the IM review form is received for the Food Stamp MCR on the Review Audit Detail (FM55) screen. Contact the EU to discuss the required review factors for the Food Stamp MCR. Complete the Food Stamp MCR flow and update information received. Generate an FA-325 for missing or incomplete information needed to complete the required review factors for the Food Stamp MCR.

1140.040.15 Recording

IM-#74 August 27, 2012IM-#36 April 22, 2010IM-#144 October 27, 2003

When the eligibility factors have not changed, record the date the FA546 was received and a statement regarding no changes were reported on the Eligibility Unit Member Role (EUMEMROL/FM3Z) screen.

EXAMPLE: Mid-Cert Review: Received FA546 on February 1st. Mr. X stated household composition is he and Mrs. X. There are no changes in income of $534 SSA and expenses previously budgeted. Resources are checking account $800, and a 1984 Ford Tempo. No further action is needed.

When an eligibility factor changes, record on the Eligibility Unit Member Role (EUMEMROL/FM3Z) screen a summary of the review findings. Record on the appropriate detail screens what information changed and information regarding the verification. When a new eligibility determination is run, record on the Action Authorization (FM3H) screen that the action is due to a mid-certification review.

EXAMPLE: Record on the Eligibility Unit Member role (EUMEMROL/FM3Z) screen: Mrs. M completed a FA546 on August 1st. New resource - received $20,000 insurance settlement July 2nd. No other changes reported.

Record on the Liquid Resource (FMW0) screen: Insurance settlement verified by letter sent to Mrs. M from the insurance company, dated July 2nd.

Record on the Action Authorization (FM3H) screen: Notice of adverse action sent as result of a mid-certification review. Mrs. M received $20,000 insurance settlement.

1140.040.20 Time Frame for Acting on Changes

IM-#36 April 22, 2010IM-#144 October 27, 2003, IM-#62 May 21, 1999

When a change is discovered or reported at a mid-certification review, within ten days:

If verification is not required, authorize the actions. FAMIS notifies the EU if benefits remain the same or increase, or will inform the EU of an adverse action.