When giving more time to get a third party verification, complete a Form 267 specifying that the necessary verification must be requested in writing from the third party and the last workday by which the verification must be received. For applicants for LTC services, use Form 267LTC to request necessary verification.
If the client is having trouble getting third party verification, help the client get it in whatever way possible.
Ask a TANF client who claims to have experienced, be experiencing, or fear experiencing domestic or sexual violence to sign Consent to Release Information (Form 34) to give permission to contact a third party.
Request the information in writing from the third party.
For all programs except SNAP, complete and send Notice of Extension of Time Limitation for Disposition of Application (Form 1952) to the client when the extension is given. Keep a copy in the case record.
If the client contacts the Family Community Resource Center by the 90th day to report that a verification is not obtainable, and Family Community Resource Center efforts to get it have failed, send Request for Specific Case Guidance (Form 2150) to the Bureau of Policy Development.
For Nursing Facility (NF), Supported Living Program (SLP) and Department on Aging (DoA) Community Care Program (CCP) Applicants and Clients:
For persons residing in a facility, always send a copy of HFS 267LTC to the facility.
The nursing facility or supported living program facility does not need to be authorized as an approved representative to receive a copy of the 267LTC.
When the person requests more time to obtain requested verifications, grant a 30 day extension. A second 30 day extension may be granted, upon request, if needed.
Whenever an extension is granted send HFS 267LTC to the applicant/client and a copy to the facility where the person lives, if applicable.
Accept request for an extension from the following persons:
person requesting Long Term Supports and Services (LTSS), or
their spouse, or
their authorized representative, or
the facility where they live.
Document that an extension was granted and update the Verification Checklist in the Integrated Eligibility System (IES).
Do not send HFS 1952, Notice of Extension of Time Limitation for Disposition of Application and do not require proof that verification has been requested from a third party.