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Inconsistent Information (Archive)

Information that is inconsistent with documentation or information on file must be verified, even when it is not mandatory, if all of the following conditions exist:

l  The information is necessary to determine at least one of the following:

n  Eligibility.

n  Premium Amount.

n  Spenddown.

l  The information is inconsistent with at least one of the following:

n  Other information the agency has.

n  A client's own statements.

l  The client cannot satisfactorily explain an inconsistency.

Document the following information in the case record:

l  A description of the inconsistency.

l  An explanation of why verification was necessary.

l  A description of the verification.

For example, if a client reports no income but has housing expenses or makes car payments, ask the client for further explanation.

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