WAG 18-04-13: FS Only Member Starts/Stops Cash or Medical on Another Form 552

PM 18-04-13.

After a component unit member's TANF PE case is certified on the regular rolls, change the cross-reference case number for the component member in Item 60. Reenter the RIN and cross-reference case number without the P indicator.

Begins to Receive Cash or Medical

Complete Form 552 to change a component FS member's benefit status on the FS case when they start receiving Cash or Medical on another Form 552:

  • Item 2 - Complete.
  • Item 3 - Enter TA 31.
  • Item 4 - Enter code 1 for a Cash case or code 6 for an FS Only case. Entry of a code is not required for a Medical case.
  • Item 33 -Enter the required TAR.
  • Item 44 -Complete.
  • Item 60 -Reenter the RIN and enter the member's cross-reference case number.
  • Item 78 -Enter code 7 if the member receives cash.
  • Item 80 -Enter FS codes and amounts that require change or correction.

Complete other items as needed.

On the approved component unit's Form 552, enter code 3 in Item 15, Food Stamps, and the FS Payee's case number in Item 60 of the first person listed in Item 60.

No Longer Receives Cash or Medical

Complete Form 552 to change a component FS member's benefit status on the FS case when they stop receiving Cash or Medical on another Form 552:

  • Item 2 -Complete.
  • Item 3 -Enter TA 31.
  • Item 4 -Enter 1 for a Cash case or code 6 for an FS Only case. Entry of a code is not required for a Medical case.
  • Item 33 -Enter the required TAR.
  • Item 44 -Complete.
  • Item 60 -Reenter the RIN, line out the cross-reference case number and reenter dashes for the affected member.
  • Item 78 -Enter code 8 for the affected member.
  • Item 80 -Enter FS codes and amounts that require change or correction.

Complete other items as needed.