POMS Reference

SI 02301: Posteligibility Changes

TN 15 (02-95)

A. Policy

Notice Requirements

Reinstatement of benefits requires a written notice that explains the basis for the action and how to appeal.

NOTE: The system sends the required notice for most reinstatement inputs. For an exception, see SI 02301.220 on unconfirmed eligibility (N05).

B. Procedure

Follow these steps when an individual requests reinstatement:

STEP ACTION
1 Review the recipient's record and any information the recipient offers to determine if you can reinstate benefits without a new application. See SI 02301.205 on reestablishing eligibility.
2 Follow applicable instructions on processing reports in SI 02301.010.
3 Conduct a redetermination as needed based on any changes that occurred or the period in nonpay. See SI 02305.022 on when to conduct an unscheduled redetermination.
4 Reinstate benefits for any nonpay month (or days in a nonpay month) that the recipient meets all eligibility requirements. If unable to confirm eligibility for a past nonpay period, follow N05 instructions in SI 02301.220.
5 Send a manual notice if the system cannot issue the appropriate notice for the reinstatement input. See NL 00801.010B for manual notice situations.
6 Conduct a continuing disability review (CDR) when required. See DI 13001.001 for events which may initiate a CDR and CDR instructions.
7 Follow appeals procedures in SI 04020.010 if the recipient is ineligible for benefits in the 60-day appeal period after the suspension/ termination notice and wishes to appeal.

C. References