Adult Medicaid Manual MA-2250 INCOME

X. APPEAL REVERSALS

A. Applications

If you reopen an application due to an appeal or administrative decision, you must:

1. Review the case record to determine if you verified the income from the base period during the first application, and

2. Contact the a/r to determine if there has been a change in income.

a. If you have the income from the base period and there has been no change, use this income to project for the certification period.

b. If you do not have the income from the base period, obtain and use the actual income received in the first month of the certification period. Project this income for the entire certification period.

c. If there has been a change in income, obtain and use the income from the base period up to the month of change. Verify the changed income from the month of change. Get 4 consecutive weeks of the changed income. Follow procedures in MA-2340, Change in Situation.

B. Redeterminations

If you reopen a terminated case due to an appeal or administrative decision, you must:

1. Request actual income for the first month in which you must re-establish eligibility, and

2. Contact the recipient to determine if there has been a change since that month.

a. If you have the income and there has been no change, use this income to project for the rest of the certification period.

b. If there has been a change, use the income from the first month up to the month of change. Verify the change. Follow the procedures in MA-2340, Change in Situation.