Fault Determination and Proration - Application

 

When an application is denied for Fail to submit the required verifications and the client returns to DTA within 30 days of the denial, the Department is required to determine the cause of delay in processing and attribute fault to the Department or to the client.

 

Department Fault

If a processing delay at application is determined to be the Department’s fault, the Benefit Effective Date will be automatically set to the application date. BEACON will assign a fault type of Department Delay and one of the following classifications:

No appointment was scheduled after the application date up to day-30.

 

The web application workflow or RFA was completed more than 20 days after the application date and no interview is conducted by day 20.

 

The first appointment letter was sent after day-20 from the application date and the interview was conducted after day 20.

 

An appointment was scheduled timely but the Interview page was not completed and a NOMI was not sent timely.

 

An interview was conducted on or before day-20 and there were outstanding mandatory verifications but a verification checklist (VC-1) was not issued or was issued late.

 

All mandatory verifications are submitted by day-30 but the case was not wrapped up by day 30 or by day 60.

 

An interview was conducted on or before day 30, but a pending denial was sent after day 20 because the Department did not send a VC-1 timely.

 

The SNAP application was denied for Fail to submit the required verifications but there was at least one outstanding mandatory verification and there was a scanned verification document with an Available status on day 30.

 

Client Fault

If the processing delay is determined to be the client’s fault, the Benefit Effective Date will be automatically set to the date the last mandatory verification is received. BEACON will set the fault type to Client Delay and will assign one of the following classifications:

 

The applicant missed the first scheduled interview appointment and a NOMI was sent by day-20. The client requested a second interview appointment which was conducted after day-20 but by day-30. On day-30 mandatory verification(s) were outstanding.

 

An interview was conducted timely by day-20. A verification checklist was issued timely but on day-30 mandatory verification(s) were outstanding because the client did not provide verification.

 

 

  Last Update:  September 29, 2017