WAG 19-02-04-e
Changes Reported During the Redetermination Process
Ex Parte Eligible Only EDGs due for Redetermination
If the household contains only ex parte eligible EDGs for redetermination, and the customer reports a change or disagrees with the information listed on 2381C notice, do not require the customer to complete a redetermination form. The caseworker must process the change as a "case change action" and not a "redetermination action" as soon as possible and certify the results. If the updated information results in ineligibility for medical benefits, IES will generate a 360C to notify the customer of the change. If verification is required, IES generates the Verification Checklist (VCL) form.
Reminder: Continuous eligibility (CE) customers determined ex parte eligible will retain their medical coverage for both the current and new certification periods regardless of reported changes.
Ex Parte Eligible and Ineligible EDGs due for Redetermination
If the household contains ex parte eligible and ineligible customers and a change is reported, caseworkers must use discretion on which action to take to process the change. If it is too early to process the redetermination for ex parte ineligible (manual) EDGs, caseworkers should process the reported change as a "case change action." If caseworkers can process the change at the same time as the redetermination, caseworkers may process the reported change as a "redetermination case action."
Note: The "REDE Received Details" table on the Redetermination Received Search/Summary page in IES will indicate if a medical EDG was determined ex parte eligible (A) or ineligible (B) under the "Form" column.
Reminder: Manual redeterminations submitted for a case containing both ex parte eligible and ineligible EDGs may affect the eligibility for ex parte determined EDGs. Only EDGs eligible for or receiving CE will not be affected.
