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MINNESOTA TRANSITION APPLICATION FORM (MTAF)

ISSUE DATE: 12/2014

MFIP, DWP:
The Minnesota Transition Application Form (DHS-5223E) (PDF) (MTAF) is a shortened application form completed by families moving from DWP to MFIP. For information on what forms to include in the packet, see 0005.12.12.01 (Forms/Handouts for Applicants).


WHEN TO USE THE MTAF


Use an MTAF when a request for MFIP is made within 30 days of the end of the 4th month of DWP.

For additional information on assistance requests, see 0005.03 (Assistance Requests).

The date on the MTAF and the date eligibility begins may or may not coincide. See 0022.12.02 (Beginning Date of Eligibility).

To determine when a Minnesota Transition Application Form (MTAF) may be used in place of a CAF Addendum, see 0008.06.06 (Adding a Person to the Unit - Cash).


WHO MUST SIGN THE MTAF


The following people must sign the MTAF:

All adult members of the unit or their authorized representative.

The spouse of an assistance unit member, if the spouse lives with the applicant.

The parents and stepparents of a minor child, if they live with the applicant.

All minor caregivers.



MTAF PROCESSING


Do the following when processing an MTAF:

Review the MTAF for completeness. A complete MTAF is signed and dated with all questions answered.

Review each question on the MTAF, even if the client has answered “No” to a question.

Determine eligibility no later than 30 days following the date the MTAF was filed. Clients must be eligible for assistance on the date you approve the case.

Verify mandatory and inconsistent items. See 0010.18 (Mandatory Verifications), 0010.21 (Verification Due Dates).

Send a notice. See 0026 (Notices).



DELAYS IN PROCESSING THE MTAF


It may not be possible to determine eligibility within the time frames listed because clients fail or refuse to provide information. In these cases, deny assistance.

For processing delays not due to client failure or refusal to provide information, send clients written notice of the delay and its cause. The notice must also tell clients what they must do to complete the MTAF and that they must report any changes in circumstances since they filed the MTAF.

Send a notice of processing delay by the 30th day if the MTAF will take more than 30 days to process.


WITHDRAWING AN MTAF


People may withdraw the MTAF by using 1 of the following methods:

Oral request.

OR

Written statement.

OR

Writing “withdrawn” on the MTAF and initialing it.


After approving the withdrawal, MAXIS sends a written notice to confirm the withdrawal.


REINSTATING A WITHDRAWN MTAF


Reinstate a withdrawn MTAF when:

Requests to reinstate a withdrawn MTAF must be in writing. In addition, the county agency must receive the request within 10 days from the date you sent the withdrawal confirmation notice.

Reinstate the MTAF to the date of the original MTAF when people meet the requirements.

When people do not meet the requirements to reinstate an MTAF, they must file a CAF.



SNAP, MSA, GA, GRH:

No provisions.

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