Revised July 25, 2014
Purpose: To explain the rules and procedures when an individual applies for health care coverage and the agency needs other information to determine eligibility.
The agency requires only the information that is both needed to determine eligibility and readily available. "Readily available" means that the individual can get the information within three business days. If the verification costs money, the agency must pay for it or get the information in another way.
For more information on what information is needed to determine eligibility, see Verification.
- Whenever possible, obtain verification by cross-matches and interfaces.
- Do not request a specific form or type of document for verification. Instead, ask for what is needed to determine eligibility. Give or send the individual any departmental or approved local-office forms that would help give us the information we need to determine eligibility.
For example, do not request a Stop Work form; request verification of the date the individual received her last pay check and the amount of her last pay check. We may offer the Stop Work form for the individual's convenience.