|
State of Wisconsin |
HISTORY |
The policy on this page is from a previous version of the handbook.
Begin or continue benefits when:
The member provides requested verification within the specified time limits and is otherwise eligible.
Requested verification is mandatory, but the member does not have the power to produce the verification and he or she is otherwise eligible.
Notify the member of a processing delay when:
Verification is needed, and
He or she has the power to produce the verification, and
The minimum time period allowed for producing the verification has not passed.
CARES provides a verification checklist, to notify the member of the reason for the delay, the specific verification required, and the date the verification is due.
Deny or reduce benefits when all of the following are true:
The member has the power to produce the verification.
The time allowed to produce the verification has passed.
The member has been given adequate notice of the verification required.
You need the requested verification to determine current eligibility. Do not deny current eligibility because a member does not verify some past circumstance not affecting current eligibility.
This page last updated in Release Number: 08-01
Release Date: 02/01/08
Effective Date: 02/01/08
The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code.
Notice: The content within this manual is the sole responsibility of the State of Wisconsin's Department of Health Services (DHS). This site will link to sites outside of DHS where appropriate. DHS is in no way responsible for the content of sites outside of DHS.
Publication Number: P-10030