When there is a change that affects the amount of ongoing benefits, make the change on the regular roll. If the unit is eligible for increased benefits before the regular roll change, issue mercury benefits (see WAG 25-07-08-b).

(FCRC) To make regular roll changes, complete the current Form 552 as follows:

Category 08 Cases

  • Item 2 - Enter the effective month and year (4 digits).
  • Item 3 - Enter TA 31.
  • Item 4 - Enter 6.
  • Items 5, 6, & 8-10 - Complete.
  • Item 33 - Enter TAR that describes the reason for the change.
  • Item 39 - Enter 00 or 90 (see WAG 27-39-02).
  • Item 44 - Complete.
  • Item 80 - Change amounts and codes where needed and reenter the new amounts with the related needs code(s).
  • Item 90 - Complete when needed.
  • Item 91 - Complete when needed.

Cash or MANG Payee FS Cases

  • Item 2 - Enter the effective month and year (4 digits).
  • Item 3 - Enter TA 31.
  • Item 4 - Enter 1 (Cash Payee FS cases only).
  • Items 5, 6, & 8-10 - Complete.
  • Item 33 - Enter TAR that describes the reason for the change.
  • Item 39 - Enter the correct client notice code for the case situation (see WAG 27-39-02).
  • Item 44 - Complete.
  • Item 80 - Change amounts and codes where needed and reenter the new amounts with the related needs code(s).
  • Item 90 - Complete when needed. If a component unit's income is the changed income, reenter the Source Code 8 along with the changed income amount and income code.
  • Item 91 - Complete if needed.

(System) Sends a notice of change if the change results in a reduction of benefits. If a locally issued notice is needed, see WAG 01-06-00 for the correct forms and time periods for sending the forms.

(FCRC) If the client appeals, see WAG 01-07-00 for instructions.