WAG 19-02-04-b: Criteria for Ex Parte Eligibility

PM 19-02-04-b

The scenarios below each show a household that has gone through the ex parte redetermination process. Each customer has been evaluated for ex parte eligibility based on the Type of Assistance (TOA), non-financial and financial criteria.

Redetermination Scenario 1:

Customer Name	TOA	Non-Financial	Financial	Ex Parte Eligible?
Anne	Family Care	U.S. citizenship not verified	Earned income on case. Clearance returns income under standard	No- failed non-financial criteria
Bly	Family Care	No discrepancies found	Earned income on case. Clearance returns no income.	No-failed financial criteria
Connor	All Kids Assist	No discrepancies found	No income on case. No income verified electronically	Yes

Redetermination Scenario 2:

Customer Name	TOA	Non-Financial	Financial	Ex Parte Eligible?
Doreen	LTC:SLF	No discrepancies found	SSI income on case and verified electronically. Pension income on case.	Yes- SSI income exempts customer from all other financial verifications.

Redetermination Scenario 3:

Customer Name	TOA	Non-Financial	Financial	Ex Parte Eligible?
Eartha	ACA Adult	Clearance found "unknown relationship" on case	Income on case and verified electronically under TOA standard.	No-failed non-financial criteria.
Florence	ACA Adult	Clearance found "unknown relationship" on case	Self-employment income reported on case.	No-failed both non-financial and financial criteria.

Redetermination Scenario 4:

Customer Name	TOA	Non-Financial	Financial	Ex Parte Eligible?
Gunjita	AABD Spenddown	No discrepancies found.	SSI income on case and verified electronically.	No-Failed TOA criteria.