Deny an Assistance Unit / Client

Created on: 
Nov 15 2019

Online Processing

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.

When is an Assistance Unit (AU) or client denied?

An AU or client is denied if all members of the AU or the client do not:

  • Meet certain eligibility criteria.
  • Provide requested information, within the time allotted, to determine eligibility.
  • Appear for a scheduled interview, reschedule their interview and the application is pending beyond the Standard of Promptness (SOP) date or SOP extension date, whichever is greater. See EAZ Manual - Application for Assistance – Time Limits for Processing.

If the AU does not contain any eligible clients, ACES denies the AU with the appropriate reason code at both AU and client levels.

If the AU contains a combination of eligible and ineligible clients, ACES denies the ineligible client(s) with the appropriate reason code at the client level(s).

For more information see EAZ Manual - WAC 388-406-0060 What happens when my application is denied? and EAZ Manual - WAC 388-406-0065 Can I still get benefits even after my application is denied?

NOTE: In some situations a denied medical AU may trickle to an AU with a different medical coverage group. See ACES Manual - Trickle and Spawn chapter and Apple Health eligibility manual - WAC 182-503-0510 Washington apple health - Program summary.

When does AUTO deny an Assistance Unit (AU)?

AUTO denies a pending AU if an intake interview has not been initiated and the time limit for an interview has lapsed based on the Standard of Promptness (SOP) date or SOP extension date, whichever is greater.

  • When the SOP or SOP extension date falls on a Saturday or holiday, the denial occurs on the following business day.
  • This denial occurs regardless of actions taken on any related AU.

See EAZ Manual - Application for Assistance - Time Limits for Processing and Standards of Promptness (SOP).

NOTE: AUTO does not deny pending clients on an active AU. A pending person remains pending until finalized.

When does AUTO deny a Basic Food Assistance Unit (AU)?

AUTO denies a pending Basic Food AU when:

  • An intake interview has or has not been initiated and the time limit for an interview has lapsed based on the Standard of Promptness (SOP) date ; or,
  • The AU has a Delay Reason Code of Reconsidered Application (RA) and the system date is 60 days from the application request date.
  • The SOP or 60th day from the date of the application falls on a Saturday, Sunday or holiday, the denial occurs on the following business day.
NOTE: AUTO does not deny a pending Basic Food (FS) AU if the AU has an Eligibility Established date.

How do I deny an Assistance Unit (AU) that was screened in error?

See How do I deny a pending AU that was screened in error?

What is the difference between a denied Assistance Unit (AU) or client and a closed AU or client?

AUs or clients with A - Active status, change to C - Closed or H - Closed Historically status when determined ineligible.

AUs or clients with P - Pending or M - Pending Spenddown status never change to C - Closed status, their status changes to D - Denied status when determined ineligible.

Denied AUs or clients cannot be reinstated. See Re-Open or Add a Person.

Online Processing

How do I deny a pending Assistance Unit (AU) or client for all months?

To deny a pending AU or client for all months, take the following steps:

  1. Go to the Case Actions page. See How do I access the Case Actions page in ACES 3G?
  2. Complete the interview following the steps in How do I initiate and complete an intake interview?
  3. On the Assistance Unit Detail page, select the appropriate 500 level reason code from the:
  • Reasons drop down list in the AU ID section, if denying the entire AU.
  • Reason drop down list in the Clients section for each client you want to deny.
  1. After committing the interview data for all pending months, follow the steps in Process Application Months.
  2. After all pending months have been processed, follow the steps in How do I complete Finalize Application?

How do I deny a pending Assistance Unit (AU) or client in some months?

To deny a pending AU or client in some months, take the following steps:

  1. Complete the interview following the steps in the Interview chapter.
  2. After committing the interview data for all pending months, follow the steps in Process Application Months.
  3. On the Assistance Unit Detail page for each month that the AU or client is to be denied, select the appropriate 500-level reason code from the:
  • Reasons drop down list in the AU ID section, if denying the entire AU.
  • Reason drop down list in the Clients section for each client you want to deny.
  1. After all pending months have been processed, follow the steps in How do I complete Finalize Application?

 

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.