N.M. Admin. Code § 8.102.501.9 - CONTINUED ELIGIBILITY
A. Six
month reporting requirement: All benefit groups participating in the TBP shall
be assigned to a six month reporting requirement. A benefit group assigned to a
six month reporting shall be required to file a six month report no later than
the 10 day of the sixth month or in conjunction with the interim report or SNAP
recertification, whichever is appropriate. The benefit group must include the
following information along with verification:
(1) any change in benefit group composition,
whether a member has moved in or out of the home along with the date, the
change took place;
(2) the amount
of money received from employment by each benefit group member;
(3) the amount of unearned income received by
each benefit group member;
(4)
verification for residence, only if, there has been a change in residence since
the last certification;
(5) changes
in child support receipt; and
(6)
changes in alien status for a benefit group member.
B. Continued eligibility at the six month
reporting: For continued TBP eligibility, the benefit group must meet all of
the following criteria:
(1) engaged in paid
unsubsidized employment for at least 30 hours per week, averaged over a
month;
(2) have earnings from paid
unsubsidized employment that do not exceed one-hundred fifty percent of the
federal poverty guidelines; and
(3)
have not reached the benefit group's 18 month TBP lifetime limit or 60-month
lifetime limit as an adult, minor head of household or spouse of a minor head
of household.
C. Action
on changes reported between reporting periods for benefit groups assigned to
six month reporting:
(1) The HCA shall not act
on reported changes between reporting periods that would result in a decrease
in benefits with the following exceptions:
(a)
a benefit group reports income in excess of one-hundred fifty percent of
federal poverty guidelines for size of the benefit group;
(b) a benefit group report loss of paid
unsubsidized employment;
(c) a
benefit group reports, or the HCA receives documented evidence that the benefit
group has moved from the state or intends to move from the state on a specific
date;
(d) a benefit group requests
closure;
(e) the HCA receives
documented evidence that the head the of benefit group has died; or
(f) at the time of a mass change.
(2) A newborn shall be added to
the benefit group effective the month following the month the report is
received, if the addition is reported to the agency by the benefit group or by
the hospital for medicaid purposes.
D. Notice: An eligible benefit group that
qualifies and is eligible for the bonus shall be issued notice in accordance
with policy at
8.102.110.13 NMAC and for the
following circumstances:
(1) Approval: An
approval notice shall be issued at the time the benefit group is determined
eligible. The approval notice shall identify the amount of approval and
recertification date.
(2) Benefit
change: A benefit group shall be issued a notice at the time the benefit group
is increased or decreased. The amount of benefit is subject to change due to
the availability of state or federal funds.
(3) Ineligibility: A benefit group shall be
issued a notice when the benefit group no longer qualifies or is not eligible
for the TBP due to a reportable change or at time of interim
reporting.
Notes
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