Topic: Eligibility
Policy Link Regarding TEFRA
MAGI – acronym for Modified Adjusted Gross Income. Financial eligibility for persons eligible to apply using Online Enrollment (OE) is determined using the modified adjusted gross income on income tax forms. Policy regarding this term is located at: SoonerCare (Medicaid)[OE]: 317:35-5-46. Determination of income and resources for categorical relationship to pregnancy-related services; 317:35-6-1. Scope and […]
Non-recurring lump sum payment – is a payment based on an accumulation of income and payments which are considered windfall in nature.
NOMI – is an acronym for Notice of Missed Interview.
Notice – when an action is taken to open, close, increase, or decrease benefits, the system sends a computer generated notice to a client. When a notice does not generate and should, the worker must issue a hand-generated notice.
Family share copayment – is the client’s share of the cost of child care. It is based on family size, number of children in care, and income.
Eligibility determination – The process of determining eligibility includes the applicant filing an application, the worker certifying or denying benefits, and all subsequent activities required to receive continuing benefits. Policy regarding this term is located at: Child Care Subsidy: 340:40-3-1. Application process; and 340:40-9-1. Review of child care eligibility. LIHEAP: 340:20-1-13. Verification; 340:20-1-14. Actions, method […]
Eligibility conditions or factors – these are circumstances that must be met in order for a person to qualify for a benefit issued by Adult and Family Services. The factors or conditions vary depending on the program and are almost always based on federal or state statutes governing the program. Policy regarding these terms is […]
Collateral contact – is a verbal confirmation of a household’s circumstances by a person outside the household.
List appropriate codes to use for authorization closures or denials.