B Referring a Transfer Rebuttal to the Policy Unit

Program

Manual Section

ALTCS

MA906

 

Procedures

The application does not need to be dispositioned to submit the transfer rebuttal PCR. However, the process in MAP901 for entering the transfers, requesting information, and entering any compensation received must be completed prior to submitting. For AVS decreases, the financial account statements for the transfer months must be obtained, to initiate the rebuttal process.

Complete the following steps when a customer is rebutting a transfer penalty period.

Step

Action

1

Use the questions in HEAplus to determine what transfer rebuttal reason is being used and the proof needed.

2

Send an RFI through HEAplus to request the proof for the rebuttal reason from the customer.

3

Make one folder in DocuWare with all the proof for the rebuttal.

4

Update HEAplus with the proof provided, including:

  • Compensation received; and

  • Exclusion and rebuttal reasons; and

  • Transfer amounts from the financial account statements replacing any AVS transfer amounts.

5

Review the proof provided. Does the transfer that is being rebutted meet any of the criteria in MA903 Transfers That Do Not Affect Eligibility?

  • If YES, STOP. Use the applicable policy section for the treatment of the transfer. The rebuttal does not need to be reviewed by the Office of Eligibility Policy when the customer has provided the proof required for one of the conditions in MA903.

  • If NO, continue to step 6.

6

Create a Policy Clarification Request (PCR) in the Policy Assignment Tracking System (PATS).

7

Enter the following in the description of the PCR:
  • Request a review of the transfer rebuttal; and

  • The reason the customer is rebutting the transfer; and

  • Where the proof for the rebuttal can be found in DocuWare.

8

Submit the PCR. Attach the DE-513 (excel version) to the PCR.

9

Enter the PCR number from the PCR confirmation email into the PCRNUM field for the transfer rebuttal folder in DocuWare.

10

Enter in case notes that a PCR was submitted for a transfer rebuttal. Wait for a response from the Office of Eligibility Policy (OEP).

11

Once the PCR response is received:

  • If the response is successful:

    • Place a copy of the response as page 1 in the PCR DocuWare folder; and

    • Follow any additional instructions that are given on the PCR; and

    • Add a case note to HEAplus with the result from the PCR. STOP.

  • If the response is unsuccessful or partially successful, and:

    • More proof is required, continue to step 12.

    • Additional proof is not required, skip to step 13. 

12

Request any additional proof from the customer. 

  • When the customer provides the requested proof: 

    • Place the documents in a new folder in DocuWare, and 

    • Submit a new PCR requesting another transfer rebuttal, and

    • Reference the previous PCR response in the description field of the new PCR, and 

    • Change the “PCRNUM” field of the folder with the new information to the new PCR number.

When the customer does not provide any additional proof, continue to step 13. 

13

When the transfer rebuttal is unsuccessful:

  • Place a copy of the response as page 1 in the PCR DocuWare folder; and

  • Add a case note to HEAplus with the result from the PCR.