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
Continuing Disability, DI 13001.001
How to Act on Reports, SI 02301.010
Suspension and Reestablishing Eligibility, SI 02301.205
Redeterminations of Eligibility and Payment Amount, SI 02305.001