POMS Reference

SI 02305: Redeterminations of Eligibility and/or Payment Amount

TN 54 (11-06)

A. Introduction

This section provides procedures for developing recipient allegations about residence during an RZ interview.

B. Description of RZs completed on MSSICS screens

Opening a “REDETERMINATION with or without RECAPs” event creates a MSSICS “path” that will guide the interview to the appropriate screens to document recipient residence allegations and evidence.

C. Description of Form SSA-8202-BK - Question 1

Question 1 on the SSA-8202-BK — Since the date above, have you moved to a new address?

D. Description of Form SSA-8203-BK - Question 2

Question 2 on the SSA-8203-BK — Since the date above, have you moved to a new address?

E. Procedure

Develop allegations about recipient(s)' residences as follows:

1. If the recipient alleges no change in residence address

If the recipient alleges no change in residence address, ask the recipient what his/her address is then do the following:

  • If the address is on the SSR, do not develop change of address (COA) further.

  • If the address is not on the SSR, determine whether there was an unreported COA during the period of review.

  • IF YES, develop per instruction SI 02305.084H.2., if necessary.

  • IF NO, develop “temporary absence” per SI 00835.040.

2. If the recipient alleges a change in residence address

If the recipient alleges a change in residence address, ask the recipient what his/her address is then do the following:

  • If the address is on the SSR, do not develop COA further.

    NOTE: To determine living arrangements and in-kind support and maintenance (LA/ISM) issues for cases with a COA reported since a prior determination, the period of review for LA/ISM begins with the first day of the month the COA was previously reported. Absent evidence to the contrary, assume that breakpoints (SI 00835.510) were developed back to the prior determination.

  • If the address is not on the SSR, determine whether there was an unreported COA during the period of review.

  • IF NO, develop “temporary absence” per SI 00835.040.

  • Document the new address and dates of move.

  • Develop changes in LA ISM - SI 00835.500.

  • Document on a SSA-8006/F4 or a SSA-8008 or appropriate MSSICS screens, if necessary. (In MSSICS, a breakpoint will require a separate LA iteration.)

  • Develop residence for Medicaid and State supplementary payments--SI 01410.001.

  • Document appropriate optional State supplement variations per regional instructions.