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AGENCY RESPONSIBILITIES FOR CLIENT REPORTING

ISSUE DATE: 10/2015

MAXIS provides a Household Report Form (DHS-2120) (PDF) or a Combined Six-Month Report (CSR) (DHS-5576) (PDF) and a return envelope (DHS-824B) to clients subject to monthly or Six-Month reporting.

Require only 1 report form from clients who report for more than 1 program. One report form with signatures for 2 separate cash assistance cases who receive SNAP together covers both cash assistance cases and the SNAP case.

Assist people who need help to complete a report form.


Give the following to all clients subject to scheduled reporting at intake, recertification, or when they must begin scheduled reporting:

An explanation of the purpose of scheduled reporting and prospective or retrospective budgeting.

An explanation of how to complete and return the HRF/CSR.

An explanation of the verifications they must submit with the report form and how to get those verifications.

A toll-free telephone number to ask questions and get help to complete the report form. The county must accept collect calls if the county does not have a toll free phone number.



MFIP:

Give all units subject to scheduled reporting the Reporting Responsibilities for MFIP Households (DHS-2647) (PDF).

Counties may give the Change Report Form (DHS-2402) (PDF) to units. See 0007.15 (Unscheduled Reporting of Changes - Cash).


DWP:

Counties may give the Change Report Form (DHS-2402) (PDF) to units. See 0007.15 (Unscheduled Reporting of Changes - Cash).


SNAP:

Give all units the Supplemental Nutrition Assistance Program Reporting Responsibilities (DHS-2625) (PDF).

Provide units who do not report monthly or every 6 months and who do not receive cash assistance with a Change Report Form (DHS-2402) (PDF) for reporting the required changes. Give the report form to units exempt from monthly or Six-Month Reporting at certification and whenever the unit returns a Change Report Form (DHS-2402) (PDF) to the county. See 0002.31 (Glossary: Honoraria...), 0007.15.03 (Unscheduled Reporting of Changes - SNAP). Counties may also give the Change Report Form (DHS-2402) (PDF) to units required to report monthly.

Counties must take prompt action on all changes to determine if the change affects the unit's eligibility or benefit amount. Counties must act on all reported changes within 10 days from the date the change was reported. The change must be effective no later than the month following the month the county receives the information. See 0002.31 (Glossary: Honoraria...), 0007.15.03 (Unscheduled Reporting of Changes - SNAP), 0026.12 (Timing of Notices).

A county agency which pays postage must pay postage for all units.


MSA, GA, GRH:

Counties may give the Change Report Form (DHS-2402) (PDF) to units who report monthly.

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