WSR 11-02-072

PERMANENT RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Economic Services Administration)

[ Filed January 5, 2011, 7:54 a.m. , effective February 5, 2011 ]


     Effective Date of Rule: Thirty-one days after filing.

     Purpose: The department is amending rule to clarify when the department can allow clients more time to provide information needed to determine eligibility for benefits. The rule changes will allow more time to send in proof of income and other documents when clients are cooperating with the application process rules. These changes will help to reduce Basic Food payment errors and compliance with federal regulations is required to continue receiving federal funding.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-406-0030 and 388-490-0005.

     Statutory Authority for Adoption: RCW 74.04.050, 74.04.055, 74.04.057, 74.04.510, 74.04.500, and 74.08.090.

     Other Authority: 7 C.F.R. § 273.2.

      Adopted under notice filed as WSR 10-23-108 on November 17, 2010.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 2, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 2, Repealed 0.

     Date Adopted: January 3, 2011.

Katherine I. Vasquez

Rules Coordinator

4247.2
AMENDATORY SECTION(Amending WSR 02-11-137, filed 5/21/02, effective 7/1/02)

WAC 388-406-0030   Do I need to submit other information after I apply for benefits?   (1) When we get your application for benefits, we decide if other information is needed to determine your eligibility for benefits. If so, we give you:

     (a) A written request for what is needed and for proof if required under WAC 388-490-0005; and

     (b) At least ten calendar days to give us the information.

     (2) If you ask orally or in writing for additional time to give us requested information, then we give you at least ten additional calendar days.

     (3) If your application is delayed beyond time limits under WAC 388-406-0040, and we can't determine your eligibility, we deny your application for benefits.

     (4) If you give us some of the information we requested((,)) in subsection (1) above, but we can't determine if you are eligible, we allow you more time to turn in the rest of the information unless you are refusing to cooperate. We give you:

     (a) A written request for what is still needed to determine eligibility; and

     (b) At least ten ((additional)) more calendar days to give us the information.

     (((4))) (5) If we deny your application and you meet the conditions described under WAC 388-406-0065, we will reconsider your eligibility for benefits without requiring a new application.

     (6) If you are eligible for necessary supplemental accommodation (NSA) services under chapter 388-472 WAC, we help you comply with the requirements of this section.

[Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057, 74.04.510, and 74.08.090. 02-11-137, § 388-406-0030, filed 5/21/02, effective 7/1/02. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. 98-16-044, § 388-406-0030, filed 7/31/98, effective 9/1/98.]


AMENDATORY SECTION(Amending WSR 09-02-057, filed 1/5/09, effective 2/5/09)

WAC 388-490-0005   The department requires proof before authorizing benefits for cash, medical, and Basic Food.   This rule applies to cash, medical, and Basic Food.

     (1) When you first apply for benefits, the department may require you to provide proof of things that help us decide if you are eligible for benefits. This is also called "verification." The types of things that need to be proven are different for each program.

     (2) After that, we will ask you to give us proof when:

     (a) You report a change;

     (b) We find out that your circumstances have changed; or

     (c) The information we have is questionable, confusing, or outdated.

     (3) Whenever we ask for proof, we will give you a notice as described in WAC 388-458-0020.

     (4) You must give us the proof within the time limits described in:

     (a) WAC 388-406-0030 if you are applying for benefits; and

     (b) WAC 388-458-0020 if you currently receive benefits.

     (5) We will accept any proof that you can easily get when it reasonably supports your statement or circumstances. The proof you give to us must:

     (a) Clearly relate to what you are trying to prove;

     (b) Be from a reliable source; and

     (c) Be accurate, complete, and consistent.

     (6) We cannot make you give us a specific type or form of proof.

     (7) If the only type of proof that you can get costs money, we will pay for it.

     (8) If the proof that you give to us is questionable or confusing, we may:

     (a) Ask you to give us more proof, which may include providing a collateral statement. A "collateral statement" is from someone outside of your residence who knows your situation;

     (b) Schedule a visit to come to your home and verify your circumstances; or

     (c) Send an investigator from the Division of Fraud Investigations (DFI) to make an unannounced visit to your home to verify your circumstances.

     (9) By signing the application, eligibility review, or change of circumstances form, you give us permission to contact other people, agencies, or institutions.

     (10) If you do not give us all of the proof that we have asked for, and we have not granted you an extension to give us the rest of the information we need as described in WAC 388-406-0030, we will determine if you are eligible based on the information that we already have. If we cannot determine that you are eligible based on this information, we will deny or stop your benefits.

     (11) For all Medicaid programs, you must provide proof of citizenship and identity as specified at Section 6036 of the Deficit Reduction Act of 2005 (PL 106-171 amending USC 1396b). Exempt from this requirement are recipients of:

     (a) Title IV-B child welfare services, or Title IV-E adoption assistance or foster care payments;

     (b) SSI benefits;

     (c) Social Security benefits (based on their own disability); or

     (d) Medicare.

[Statutory Authority: RCW 74.04.057, 74.08.090, and 74.09.530. 09-02-057, § 388-490-0005, filed 1/5/09, effective 2/5/09. Statutory Authority: RCW 74.04.057, 74.08.090, 74.09.530, and Public Law 109-171, Section 6036. 07-02-066, § 388-490-0005, filed 12/29/06, effective 1/29/07. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057, and 74.04.510. 03-21-029, § 388-490-0005, filed 10/7/03, effective 11/1/03. Statutory Authority: RCW 74.08.090 and 74.04.510. 00-08-091, § 388-490-0005, filed 4/5/00, effective 5/6/00. Statutory Authority: RCW 74.04.050, 74.04.055, 74.04.057 and 74.08.090. 98-16-044, § 388-490-0005, filed 7/31/98, effective 9/1/98. Formerly WAC 388-504-0460.]

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