PM 17-04-00.

(FCRC) Notify an applicant who is determined not eligible that their application was denied. Do this within the specified time limits.

When a Cash or Medical application is denied, determine whether to notify applicant of the denial with:

  • a centrally issued notice of decision; and/or
  • a locally issued notice of decision.

See WAG 25-02-06 for charts entitled Disposition Notices to Applicants. These charts show when to send Form 360C, Form 360 series, and other approval/denial notices.

Client Notice Codes (Item 39)

Following is a description of the Form 552, Item 39 codes, that identifies when notices are centrally or locally sent on a denial. The Item 39 codes are:

  • Code 00 -Cash with Food Stamps, Medical with Food Stamps, and FS Only (Category 08 and Definer 7 Mercuries)
    Form 360C centrally sent.
  • Code 80 -Medical with Food Stamps
    Family Community Resource Center completes and sends the required pages and sections of the Notice of Decision on Application for Cash, Medical and/or Food Stamps - Local (Form 360 series) for the food stamp decision. Family Community Resource Center sends the correct medical assistance decision notice.
  • Code 90 -Cash with Food Stamps and Food Stamps (Category 08 and Definer 7 Mercuries)
    Family Community Resource Center completes and sends the required pages and sections of the Form 360 series.
  • Code 91 -Cash or Medical with Food Stamps
    Family Community Resource Center completes and sends the required pages and sections of the Form 360 series for the food stamp decision. Form 360C is centrally mailed for the Cash or Medical decision.
    Category 08 and Definer Code 7 Mercuries
    Family Community Resource Center completes and sends the required pages and sections of the Form 360 series.
  • Code 92 -Cash or Medical with Food Stamps
    Form 360C is centrally mailed for the food stamp decision. Family Community Resource Center completes and sends the required pages and sections of Form 360 series for the Cash decision. Family Community Resource Center completes and sends the correct Medical assistance decision notice(s).