D.C. Mun. Regs. tit. 22, r. 22-B3303

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-B3303 - VERIFICATION OF ADDITIONAL NON-FINANCIAL ELIGIBLITY FACTORS

3303.1

The Department shall verify non-financial eligibility factors necessary for an eligibility determination at the time of application, at each renewal of eligibility, and at each redetermination of eligibility. The Department may also periodically review and request verification of non-financial eligibility factors, as needed, during the eligibility period.

3303.2

An applicant or an applicant's authorized representative, as identified in § 3301.23, shall attest to the following non-financial eligibility factors:

(a) Household composition;

(b) Age;

(c) SSN, if assigned and available;

(d) Relationship of a caretaker relative to an applicant or eligible child;

(e) Ineligibility and unenrollment in Medicaid or Medicare, or unenrollment

in other third party medical or health coverage that meets the requirements of minimum essential coverage, as defined in 45 C.F.R. § 156.600.

3303.3

The Department shall accept attestation of household composition, age, and relationship for the purposes of determining eligibility without verification, unless the attestation is not reasonably compatible with information available to the Department.

3303.4

The Department shall use electronic data sources to verify residency, SSN (if assigned and available), and Medicare eligibility status. If the Department cannot verify residency, SSN (if assigned and available), or Medicare eligibility through electronic data sources, the Department shall require documentation from the applicant.

3303.5

The Department may waive non-financial verification requirements under exceptional circumstances, including the following:

(a) Homelessness;

(b) Domestic violence;

(c) Where a noncustodial parent refuses to release documentation germane to verification of one (1) or more eligibility factors; and

(d) Other circumstances as identified and approved on a case-by-case basis by the Department.

D.C. Mun. Regs. tit. 22, r. 22-B3303

Notice of Final Rulemaking published at 48 DCR 9140 (October 5, 2001); as amended by Notice of Final Rulemaking published at 53 DCR 4135 (May 19, 2006); Amended by Final Rulemaking published at 69 DCR 4550 (5/6/2022)