317.07 Cooperation Requirements for Developing Potential Sources of Income (FAM)

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Individuals who are potentially eligible to receive a benefit are required to cooperate in applying for, and pursuing receipt of, the benefit. This means that the individual must:

• provide all required information and verification required by the eligibility-determining agencies or individual(s) responsible for the other income or benefit;

• complete all forms as requested in the application process for the other income or benefit in the timeframes and manner required by the eligibility-determining agencies or individual(s) responsible for the other income or benefit; and

• pursue all appeal options within the timeframes set by the eligibility-determining agencies or individual(s) responsible for the other income or benefit, up to, but not including, court action, if found ineligible for the income or benefit due to medical reasons.

Deny or terminate financial assistance for the entire assistance group* if any individual in the assistance group who is potentially eligible for other income or benefits:

• refuses or fails to complete the application process for the other income or benefit;

• refuses of fails to provide information or verification to obtain the other income or benefit;

• refuses or fails to cooperate with the eligibility-determining agencies or individual(s) responsible for the other income or benefit;

• refuses to accept the benefit if found eligible; or

• refuses or fails to pursue all appeal options up to, but not including, court action, if found ineligible for the income or benefit due to medical reasons.

*

See Medical Assistance Manual PART 315, DEVELOPING POTENTIAL SOURCES OF INCOME, for medical assistance policy on this topic.