End Date Income for a Participant on an Integrated Case

When an Integrated Case participant reports a loss of income.

By policy, SMHB eligibility is granted as continuous coverage. However, if you enter a CiC that increases the household income to greater than 305% FPL, MEDES will end SMHB coverage. If this happens, follow the steps in Adding MO Override Eligibility Evidence to grant SMHB coverage through the applicable end date.

See: 11.7 Electronic Verification Service (EVS)

Related Evidence: Income

TO END DATE INCOME ON AN INTEGRATED CASE

If completing this task as part of a returned IM-1U, or if the case is Under Renewal, you must first follow steps to To Create a Manual Renewal and To Complete Manual Renewal.

    1. Navigate to the Integrated Case > Evidence sub-tab > Dashboard folder
    2. Click on Income hyperlink
    3. Toggle open the income evidence that needs to be ended
    4. Click the List Actions menu
    5. Click Edit. This opens the Edit Income popup box
    6. Complete all required fields:
      1. Received Date is date job loss reported
      2. Enter the End Date
        1. If the income ending is reported timely to FSD, the End Date field is the last day of the month prior to month reported.
          1. Example: The participant called on 07/20 and reported the income ended on 07/10. The end date would be 06/30.
          2. Note: If the participant received income in the month the loss is reported, follow direction in the Creating Actual Income on an Integrated Case guide for partial months income.
        2. If the income ending is not reported timely to FSD, the end date field is the date reported.
          1. Example: The participant called on 07/20 and reported the income ended on 04/11. The end date would be 07/20.
        3. If processing a manual renewal, please see the Completing a Manual Renewal guide
    7. Click Save Save Button
    8. Verify all Outstanding Evidence
    9. Apply Changes, Check Proposed Determination, Finalize Proposed Determination

NOTE: MEDES may generate an additional proposed determination, especially in cases with income changes, adding a person, or removing a person. If the system generated an additional proposed determination, you must run the Eligibility Determination again.

    1. Enter Income Verification Comments in either the HoH Person Page > Client Contact sub-tab > Notes folder or on the Income Evidence. The Income Evidence comment should state:
      1. Start and/or stop dates (if applicable)
      2. What was used to verify Income Evidence:
        1. Reasonable Compatibility
        2. Hard Copy
        3. Data Source
        4. If verification is from an employer list:
          1. the employers name
          2. frequency of pay
          3. rate of pay
          4. when the income started
      3. Include how the Amount field was calculated:
        1. was the amount manually calculated
        2. participant’s self-attestation
      4. If Reasonable Compatibility was used to verify the participant’s self-attestation of income
        1. state why used
        2. percentage difference in the participant’s self-attestation of income and EOIs
        3. state a copy of the calculator is filed in the ECM/VFR
    2. Review Notice Queue to make sure appropriate forms generated
      1. IM-80PRE: Generates in the event of coverage changes
      2. IM-80: Generates in the event of coverage changes
      3. IM-33C: Case Action Notice