WAG 06-08-06

IES Phase 2 Process

new textUpon implementation of the Integrated Eligibility System (IES) phase 2, the process for completing a redetermination is changed. The REDE process is described in PM 19-02-04.

Legacy Process

revised textAll Kids Share, Premium Level 1 and Premium Level 2 cases are renewed once a year. IES sends a form 60 days prior to the end of the certification period. Share and Premium renewals can only be processed during the processing month for the 12th month of the eligibility period.

At renewal, if electronic sources are not available, verify:

  • all nonexempt income counted using Modified Adjusted Gross Income (MAGI) budgeting as described in PM 08-03-00;
  • revised textdeductions allowed under MAGI; and
  • citizenship and identity (if not yet verified*).

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*For U.S. citizens, documentation of citizenship and identity is required (see PM 03-01-01). Complete an SSA citizenship inquiry for each person for whom citizenship and identity has not yet been documented (see PM 22-14-03-e). If citizenship and identity cannot be confirmed via the SSA inquiry, send the client a request (Form 1721 with Form 3859A-Help Sheet for Citizenship & Identity Documentation) to provide documentation within 3 months. If otherwise eligible, process the renewal while documentation is pending and set a control or flag the case for follow up.

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