Body
C-231 Opening Codes
Revision 02-6; Effective July 1, 2002
Medical Programs
| Code | Description |
|---|---|
| 048 | TP 40 Use when providing continuous coverage for pregnant woman on TP 40 using Form H1000-A. "The pregnant woman in your household is eligible for continuous medical coverage." "La mujer de su caso de Medicaid que está embarazada es elegible par cobertura médica continua." TP 43, TP 44, TP 47 and TP 48 Use when providing continuous coverage for a child on TP 43, 44, 47, or 48. "The following people in your household are eligible for continuous medical coverage." "Las siguientes personas de su casa son elegibles para cobertura medica continua." |
| 052 | TPs 40, 43, 44, 45, 48, and 55 without spend down "Meets eligibility requirements." "Llena los requisitos de elegibilidad." |
| 055 | TPs 40, 43, 44, 45, 48, and 55 without spend down Use to reopen a case or application that was denied by mistake. "Denied in error." "Se negó por equivocación." |
| 057 | TPs 40, 43, 44, 45, 48, and 55 without spend down Use when opening a case instead of transferring from TP 01 or 61 in order to prevent the automated systems from counting a month(s) toward a individual's time limit. "Person(s) meet Medicaid eligibility requirements." "Persona(s) llena los requisitos de elegibilidad de Medicaid." |
C-232 Denial Codes
Revision 09-3; Effective July 1, 2009
Medical Programs
| Code | Description |
|---|---|
| 059 | Death of Child (TPs 43, 45, 44, and 48) — A-500 "You no longer have children in your home who are eligible for assistance." "Ya no hay niños en su casa que califican para asistencia." |
Earnings (TPs 43, 44, 47, 48, and 55)
| Code | Description |
|---|---|
| 060 | Earnings of Father — A-1323.5 "Earnings of father meet needs that can be recognized by this agency." "El padre gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 061 | Earnings of Mother — A-1323.5 "Earnings of mother meet needs that can be recognized by this agency." "La madre gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 062 | Earnings of Child – A-1323.1 "Earnings of child meet needs that can be recognized by this agency." "Su hijo/hija gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 063 | Earnings of Non-Parent Caretaker — A-1323.5 "Earnings of other person in your home meet needs that can be recognized by this agency." "Una persona que vive en su casa gana suficiente para cubrir las necesidades reconocidas por esta agencia." |
Financial Support (TPs 43, 44, 47, 48, and 55)
| Code | Description |
|---|---|
| 064 | Support from Absent Father — A-1300 "Income from children's father who is outside the home meets needs that can be recognized by this agency." "El padre que no vive en la misma casa manda suficiente dinero para cubrir las necesidades reconocidas por esta agencia." |
| 065 | Support from Relative in Household "Income from relative in your household meets needs that can be recognized by this agency." "El dinero que recibe de un pariente que vive en su casa es suficiente dinero para cubrir las necesidades reconocidas por esta agencia." |
| 066 | Support from Person Outside the Home "Income available to you from a person outside the home meets needs that can be recognized by this agency." "El dinero que recibe de un pariente fuera de su casa es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 067 | RSDI (TPs 40, 43, 44, 47, and 48) — A-1324.15 "Income available to you from social security benefit meets needs that can be recognized by this agency." "El cheque que usted recibe ahora, o va a recibir, del seguro social es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 068 | Other Federal Benefits (TPs 43, 44, 47, 48, and 55) —A-1324.19 "Income available to you from Federal benefit or pension meets needs that can be recognized by this agency." "El dinero que usted recibe ahora de beneficios o pensiones Federales es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 069 | State and Local Pensions or Benefits (TPs 43, 44, 47, 48, and 55) —A-1300 "Income available to you from state or local benefit or pension meets needs that can be recognized by this agency." "El dinero que usted recibe de beneficios o pensiones del gobierno local o del estado es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 070 | Non-Governmental Pensions or Benefits (TPs 43, 44, 47, 48, and 55) —A-1326.9 "Income available to you from pension or benefit meets needs that can be recognized by this agency." "El dinero que recibe usted de pensiones o benficios es suficiente para cubrir las necesidades reconocidas por esta agencia." |
| 071 | Excess Assets Income (TPs 40, 43, 44, 47, and 48) — A-13XX (See chart in C-241 for appropriate reference codes.) "Income available to you meets needs that can be recognized by this agency." "El dinero recibe ustedes suficiente para cubrir las necesidades reconocidas por esta agencia." (TPs 55 and 30) — A-13XX (See chart in C-241 for appropriate reference codes.) "Income available to you exceeds the medically needy needs allowance and you have no medical expenses to spend down your income." "Usted dispone de ingresos que sobrepasan el limite para ser elegible para beneficios por necesidad médica y usted no tiene gastos médicos que se pudieran desontar de sus ingresos." |
| 072 | Excess Assets — Resources (TPs 43, 44, 47, 48, and 55) — A-12XX (See chart in C-241 for appropriate reference codes.) "Resources available to you from other property meets needs that can be recognized by this agency." "Los recursos que tiene usted en propiedades o dinero son suficientes para cubrir las necesidades reconocidas por esta agencia." |
| 074 | Fewer Members in Certified Group (TPs 40, 43, 44, 47, 48, and 55) —A-1341 "No unmet need for the current family size." "Ahora, que usted tiene meno familia, sus entradas son suficientes para cubrir las necesidades reconocidas por esta agencia." |
| 075 | Conflicting Information on Management (TPs 40, 43, 44, 47, 48, 55, and 30)— A-1700 "Information on management indicates additional income." "Según la información que tenemos, acerca de su situación económica, parece ser ue usted no reportó toda su entrada." |
| 076 | Refusal to Furnish Information (TPs 40, 45, 43, 44, 47, 48, 55, and 30)— B-100 "You did not wish to furnish enough information for this agency to establish eligibility for assistance." "Usted no quiso darnos suficiente información para poder establecer su calificación para asistencia." |
| 077 | Refusal to Follow Agreed Plan (TPs 40, 43, 44, 47, and 48) —A-1311 "You did not wish to follow agreed plan so that eligibility for assistance could be continued." "Usted ya no califica para asistencia porque no quiso utilizar, según el plan que hablamos, otros posibles recursos." |
| 078 | Automatic Denial (TP 40) Automatic denial because of anticipated pregnancy termination. |
| 079 | Refusal to Obtain Medical Information for Pregnancy or Disability Determinations (TPs 40, 55, and 30) — A-800 "You did not wish to obtain required medical verification." "Usted no quiso obtener la verificación médica requerida." |
| 080 | Parent Not Incapacitated (TPs 55 and 30) — A-1000 "You do not meet the agency's definition of incapacity." "Según la definición de 'incapacidad' de esta agencia, usted no califica." |
| 082 | Legal Marriage (TPs 40 and 55) "Your children are not deprived of parental support. The primary wage earner does not meet the employment or work history requirements." "A sus niños no les falta el sostenimineto paterno. El sostén principal de la casa no cumple con los requisitos con respecto a desempleo." |
| 086 | Child Admitted to Institution (TPs 40, 45, 43, 44, 47, 48, 55, and 30) — A-900 "Your child has been admitted to an institution." "Su niño ha sido admitido a un hospital u otra institución." |
| 087 | No Eligible Child (TPs 40, 45, 43, 44, 47, 48, and 55) — A-900 "You no longer have children in your home who are eligible for assistance." "Usted ya no tiene niños en su casa que califican para asistencia." |
| 088 | Residence (TPs 40, 45, 43, 44, 47, 48, 55, and 30) — A-700 "Residence requirements are not met." "Sus niños no califican para asistencia porque no complen con el requisito de residencia en el estado." |
| 089 | Citizenship or Acceptable Alien Status (TPs 40, 45, 43, 44, 47, 48, 55, and 30) — A-300 "Citizenship or acceptable alien status requirements are not met." "No cumplen con los requisitos de ciudadanía ni de inmigrante elegible." |
| 090 | Open/Close Coverage (TPs 40, 45, 43, 44, 47, 48, 55, and 30) "Assistance was granted during a prior period, but you are not eligible now for medical assistance." "Usted calificó anteriormente para asistencia pero ahora ya no califica para beneficios médicos." |
| 091 | Failure to Furnish Information (TPs 40, 45, 43, 44, 47, 48, 55, and 30)— B-100 "You failed to complete and return the necessary eligibility form." "Usted no ha entregado la form completa que necesitamos para determinar su elegibilidad." |
| 092 | Other Eligibility Requirements (TPs 40, 45, 43, 44, 47, 48, 55, and 30)— A-100
"You do not meet eligibility requirements for assistance." |
| 094 | Appointment Not Kept (TPs 40, 45, 43, 44, 47, 48, 55, and 30) — B-100 "You failed to keep your appointment." "Usted no vino a la cita que le dimos." |
| 095 | Unable to Locate (TPs 40, 45, 43, 44, 47, 48, 55, and 30) — A-700 "You cannot be located." "No lo podemos localizar a usted." |
| 096 | Refugee Exceeds Eight-Month Limit (TP 55) — R-430 |
| 097 | Filed In Error (TPs 40, 45, 43, 44, 47, 48, 55, and 30) — No Notice Use to deny a Notice of Application (NOA) that was created erroneously. |
| 098 | Voluntary Withdrawal (TPs 40, 45, 43, 44, 47, 48, 55, and 30) — A-100 "You have requested that your application for assistance be withdrawn." "Usted nos pidió que fuera retirada su solicitud osu concesión para asistencia." |
| 099 | Other Miscellaneous (TPs 40, 45, 43, 44, 47, 48, 55, and 30) — A-100 "You do not presently meet eligibility requirements." "Usted presentemente no califica para asistencia." |
| 134 | TP 55 without spend down "You did not wish to assign support rights to the state." "No quiso usted conceder al estado el derecho de cobrar sostenimineto." |
| 135 | Provide AP's Info or Location — (A-1100) Use to deny an application or an ongoing case because the caretaker's needs are removed for refusal to provide information on the absent parent or cooperate in locating the absent parent, and income meets the needs of the remaining members. "You did not supply information on the absent parent or assist support officer in locating the absent parent." "Usted no dio información sobre el padre o la madre ausente, o no ayudó al funcionario de manutención de niños a localizar a dicha persona." |
| 136 | Provide Verification of Citizenship — (A-350) Use to deny an application or ongoing case because all members in the certified group failed to provide verification of citizenship. "You did not provide proof of U.S. Citizenship." "Usted no presentó prueba de ciudadanía estadounidense." |
| 137 | TP 55 without spend down "You chose not assist in establishing paternity." "No quiso usted ayudar a establecer la paternidad." |
| 195 | Monthly Income Exceeds Maximum Limits (TPs 40, 43, 44, 47, and 48) "You are ineligible because your monthly income exceeds the needs recognized by this agency." "Usted no es elegible porque sus ingresos mensuales sobrepasan las necesidades reconocidas por esta agencia." |
C-233 Reinvestigation Codes
Revision 01-7; Effective October 1, 2001
Medical Programs
| Code | Description |
|---|---|
| 110 | (TPs 40, 45, 43, 44, 47, 48, and 55 without spend down) "You remain eligible for medical coverage." "Sigue siendo elegible para asistencia médica." |
| 120 | (TPs 45, 43, 44, 47, 48, and 55 without spend down) "You will now receive the medical coverage on behalf of the children." "Ahora usted va a recibir los beneficios médicos para sus hijos." |
Use the following codes to clear Form H1708, Report of Noncooperation:
| Code | Description |
|---|---|
| 126 | (TPs 45, 43, 44, 47, 48, and 55 without spend down) "Child support activities do not affect your TANF or Medicaid benefits." "Las actividades con respecto a sostenimiento para niños no afectan sus beneficios de TANF y los de Medicaid." |
| 132 | (TPs 45, 43, 44, 47, 48, and 55 without spend down) "You chose not to cooperate with the child support officer." "No quiso usted colaborar con el encargado de los cobros de sostenimiento para niños." |