Issue Code
| Description
| Corresponding Codes
|
| | Public Assistance (PA) - Needs
| |
| 001 | Failure to Include Needs of Persons in the Household | 200, 404
|
| 004 | Shelter Allowance
| |
| 006 | Recurring Fuel or Utility Allowance
| |
| 007 | Needs of Person Not Living in Own Home
| |
| 009 | Cooperative Budgeting/Pro-Rating
| |
| 013 | Repayment of Interim Assistance Pending Supplemental Security Income (SSI)
| |
| 014 | Household Member Left Home
| 200, 404
|
| 015 | Failure to Remove Household Member from PA Budget
| 200, 404
|
| Public Assistance (PA) - Income | |
| 020 | Child Care Allowance
| |
| 021 | Earned Income
| 207, 405
|
| 022 | Deductions of Work Expenses
| |
| 023 | Unearned Income
| 207, 405
|
| 024 | Earned Income Disregard
| |
| 025 | Filing Unit - Including Three Generational Households
| 200, 404
|
| 026 | Budgeting of College Grants and Loans
| |
| 027 | Budgeting of Contributions from Others
| 207, 415
|
| 031 | 185% Gross Income Limit
| 201, 405
|
| 032 | 100% of Poverty Level
| |
| 034 | Deeming of Sponsor's Income and Resources to an Alien
| 207, 453
|
| 035 | Prospective Budgeting of Lump-Sum Payment
| 406, 412
|
| Public Assistance (PA) Special Needs | |
| 040 | Restaurant Allowance
| |
| 041 | Allowance for Repair/Replacement of Real Property/Equipment | |
| 042 | Moving Expenses
| |
| 043 | Security Arrangement/Deposit/Brokers' Fees
| |
| 044 | Storage of Possessions
| |
| 045 | Furniture/Personal Possessions
| |
| 049 | Shelter Allowance Prior to Case Opening
| |
| 050 | Shelter Advance to Prevent Eviction/Foreclosure
| |
| 051 | Non-Work Related Special Payment Not Identified by Other Code
| |
| 053 | Pregnancy Allowance
| |
054
| Advance to Prevent Shutoff/Restore Utilities |
|
| 055 | Burial Claims
| |
| Public Assistance (PA) - Categorical Factors | |
| 062 | Change from Cash Assistance to Non Cash Assistance - Not 2 Year Limit
| |
| 063 | Appropriate Category of Assistance
|
|
| 064 | 5 Year Limit - Family Assistance (FA)
| |
| 065 | Cash Safety Net Assistance (SNA) to Non Cash SNA - 2 Year Limit | |
| | Public Assistance (PA) - Resources
| |
071
| Availability of Parental Home as a Resource for Child under 21
| 223, 404
|
073
| Excess Resources
| 206, 412
|
074
| Potential Resource
| 216, 422
|
075
| Failure to Execute Bond and Mortgage on Real Property
| 216, 422
|
| | Public Assistance (PA) - Manner of Payment | |
090
| Restricted Shelter Grant
| |
092
| Who Should Be Payee of the Grant
| 200, 404
|
093
| Discontinuance, Denial or Reduction Without Notice or Explanation
| 254, 425
|
095
| Restricted Fuel/Utility Grant
| |
| | Public Assistance (PA) - Recoupment
| |
| 101 | Recovery of Rent Advance, Security Deposit/Arrangement
| |
| 102 | Recovery of Overpayment - Concealment/Fraud
| |
| 103 | Recovery of Overpayment - Non Fraud/Agency Error
| |
| 104 | Rate of Recoupment
| |
| 105 | Recovery of Utility or Fuel Advance
| |
| 106 | Recoupment of Fair Hearing Aid-Continuing Benefits
| |
| 107 | Recovery of Excess Fuel/Utility Usage
| |
| 108 | Over Recoupment
| |
| Public Assistance (PA) - Miscellaneous Issues
| |
109
| Related to M.K.B. v Eggleston Litigation [denial or discontinuance of PA, MA and/or FS for certain non-citizens who have been battered or subjected to extreme cruelty by someone in their household]
| 219, 453
|
114
| Receipt of Concurrent PA Benefits
| 460
|
| 115 | Domestic Violence Waiver
| |
| 116 | Fleeing Felon/in Violation of Probation or Parole
| 426
|
| 117 | Minor Parent Living Arrangement
| |
| 118 | Teen Parent Education Participation
| |
| 119 | Parental Failure to Notify DSS of Minors Absence
| |
| 121 | IV-D Violations
| 216, 422
|
| 122 | Effective Dates of Coverage/Changes in Entitlement
| 240, 415
|
| 124 | 74-H Hearing (Ulster County only)
| |
| 125 | District of Responsibility
| 271, 418
|
| 126 | Failure to Comply with Eligibility Requirements
| 216, 422
|
| 127 | Any Living Arrangement Where the Person Is Not Eligible for PA
| 219, 428
|
| 128 | General Inadequacy of Grant
| 415 |
| 129 | Failure to Keep Appointment with Special Investigation Unit
| 216, 422
|
| 130 | Move from District or No Closing Letter Issued for New District
| 271, 418
|
| 131 | Failure of Agency to Act on Application in a Timely Manner
| 221, 400
|
| 132 | Denial of Predetermination Grant or Preinvestigation Grant
| |
| 133 | Failure to Recertify
| 225, 402
|
| 134 | Whereabouts Unknown
| 216, 422
|
| 139 | Discontinuance for Failure to Report to Mandatory Dispute Resolution
| |
| 140 | Doe v Doar Litigation Related Issues
| |
| 141 | Written Request - Reason for Action Unclear
| 288, 427
|
| 142 | You Requested Your Case Closed or You Withdrew Your Application
| 219, 437
|
| 145 | Any Miscellaneous PA Issue Not Identified by Other Code
| 219, 437
|
| 146 | Agency Action Based on a Fair Hearing (FH) Decision, Withdrawal, or Default
| 278, 438
|
| 149 | Failure to Cooperate with Drug/Alcohol Screening/Assessment
| 422
|
| 150 | Failure to Participate in Required Drug/Alcohol Rehabilitation
| |
| 152 | Denial/Discontinuance of PA Due to Ineligible Alien Status
| 282, 453
|
| 153 | Transfer of Property
| 213, 412
|
| 154 | Failure to Allow Applicant to Apply Prior to Sanction End
| 400
|
| 157 | Failure to Replace Electronically Missing Benefits
| 456
|
| 159 | Underpayments to Former Recipients
| |
| 161 | Limitation of Grant for Persons Moving into New York State
| |
| 162 | Finger Imaging/Automated Finger Imaging System (AFIS)
| 263, 462
|
| 163 | Any Issue Related to Benefit/EBT Card
| 295, 429
|
| 164 | Failure to Agree to Repay Overpayment of Assistance and/or Assign Future Wages (SNA Only)
| |
| | Public Assistance (PA) - Administrative Disqualification Hearings (PADH)
| |
| 179 | Reopen for Good Cause/No Notice Hearing - Administrative Disqualification Hearing (ADH)
| |
| 180 | Intentional Program Violation (IPV) Disqualification - Duplicate Assistance
| |
| 181 | IPV Disqualification - Undeclared Income
| |
| 182 | IPV Disqualification - Undeclared Resources
| |
| 183 | IPV Disqualification - False Application Information
| |
| 184 | IPV Disqualification - Unreported Household Composition Changes
| |
| 185 | IPV Disqualification - General
| |
| Public Assistance (PA) - Budgeting After Disqualification (BAD) as a Result of an Intentional Program Violation (IPV)
| |
| 186 | Adequacy of Budget to Remaining Household Members
| |
| 187 | Amount of Claim
| |
| 188 | Any Other Issue Related to Budgeting After Disqualification Not Covered by Other Code
| |
| 189 | Failure to Reinstate Benefits upon IPV Disqualification Ending
| |
| Child Support Unit (CSU) Hearings
| |
| 190 | Child Support Unit - Incorrect Person
| |
| 191 | Child Support Unit - Incorrect Amount
| |
| 192 | Child Support Unit - Financially Exempt
| |
| 193 | Child Support Unit - No Underlying Court Order
| |
| 194 | Child Support Unit - Other
| |
| Medical Assistance (MA)/Family Health Plus (FHP) |
|
| 200 | Medical Assistance Household Composition
| |
| 201 | 185% Gross Income Limit Test/100% Poverty Level
| |
| 202 | Disability Disputes/Delays in Disability Determination
| |
| 206 | Excess Resources
| |
| 207 | Excess Monthly Income Including Persons Supported in Whole/Part by Others or Assumption of Support
| |
| 209 | Discontinuance/Reduction/Denial of MA Due to Ineligibility for Supplemental Security Income (SSI)
| |
| 210 | Manner of Utilization of Surplus Income
| |
| 211 | Managed Long Term Care - Clinical Issues
| |
| 212 | Disaster MA or Food Stamp (FS) Benefits
| |
| 213 | Transfer of Property to Qualify for Medical Assistance
| |
| 214 | Entry into State to Receive Medical Assistance or Medical Care
| |
| 215 | Chronic Care Budgeting: Discontinuance/Reduction/Inadequacy
| |
| 216 | Failure to Verify Any Factor Relating to Eligibility
| |
| 217 | Medicaid Cancer Treatment Program [formerly known as the Breast, Cervical, Colorectal & Prostate (BCCP) Cancer Program]
| |
| 218 | Family Planning Benefit Program (FPBP)
| |
| 219 | Any Medical Assistance Issue Not Identified by Other Code
| |
| 221 | Failure of Agency to Act on Medical Assistance Application | |
| 223 | Parental or Spousal Refusal to Support Person in Their Own Home
| |
| 225 | Recertification/Renewal - Failure to Appear/Failure to Provide Documents
| |
| 227 | Surplus Income Computation
| |
| 228 | Liquidation of Property for Institutionalized Persons
| |
| Medical Assistance (MA) Managed Care |
|
| 229 | Denial/Reduction/Discontinuance of a Service under Managed Care
| |
| 230 | Disenrolled from Managed Care - Exclusion
| |
| 231 | Reenrolled in MA, Put Back in Previous Managed Care Plan
| |
| 232 | Approval/Denial of Request Not to Join Managed Care Plan or to Disenroll from Plan Due to Exemption or Exclusion
| |
| 233 | Denial of Request to Transfer Managed Care Plan
| |
| 234 | Approval/Denial of Request to Disenroll from Managed Care Health Plan for Good Cause
| |
| 235 | Approval/Denial of Managed Care Plan's Request to Drop Client as a Member of the Plan
| |
| 236 | Denial of Enrollment in Managed Care Plan
| |
| 237 | Enrolled in Same Managed Care Plan as Other Members of Case
| |
| 238 | Change to Guarantee Coverage under Managed Care
| |
| 239 | End of Managed Care Guaranteed Coverage Period
| |
| 240 | Effective Date of Coverage or Change in Entitlement
| |
| Medical Assistance (MA) - Department of Health (DOH) Prior Approvals |
|
| 241 | Licensed Practical Nurse (LPN) and/or Registered Nurse (RN)
| |
| 242 | Coverage for Out-of-State Services
| |
| 243 | Dental Work
| |
| 244 | Physical Therapy or Other Rehabilitative Services
| |
| 245 | Medical Transportation
| |
| 246 | Personal Care/Home Care Services/Housekeeping Services/Long Term Home Health Care (LTHHC) ("Lombardi" Program)
| |
| 247 | Payment for Specific Item of Medical Care (Including Durable Medical Equipment)
| |
| Medical Assistance (MA) - Miscellaneous Issues |
|
| 250 | Medicaid Pay-In Program
| |
| 251 | Reimbursement to Persons or Agencies Other than the Vendor
| |
| 252 | Issues Relating to Coverage/Payment Not Identified by Other Code
| |
| 253 | Reimbursement to Persons Resulting from Court Actions
| |
| 254 | Medical Assistance Card Invalid Without Notice or Explanation
| |
| 255 | Utilization Threshold Issues
| |
| 256 | Income/Resource of Institutionalized Spouses
| |
| 257 | Pre-Admission Screening and Annual Resident Review (PASARR)
| |
| 258 | Transitional Medical Assistance
| |
| 260 | Certified Home Health Aide
| |
| 263 | Agency Action Due to Finger Imaging
| |
264
| Medicaid Buy-In Program for Working People with Disabilities |
|
| 265 | Pharmacy Issues
| |
266
| Managed Care Provided Personal Care Services
|
|
| 268 | Denial of Medical Assistance Coverage through Island Peer Review Organization (IPRO) Review
| |
| 270 | Care at Home Waiver Programs 1, 2 and 5
| |
| 271 | District or State of Fiscal Responsibility
| |
| 272 | Utilization Review and Other Level of Care Questions
| |
| 273 | Medical Facility Placement Contrary to Appellant/Family Choice
| |
| 274 | Denial of Family Health Plus (FHP), Failure to Pick a Managed Care Plan
| |
| 275 | Family Health Plus (FHP) Discontinuance or Denial Due to Having Equivalent Health Insurance
| |
| 276 | Restrictions on Use of the Medical Assistance Card
| |
| 278 | Agency Action Based on a Fair Hearing (FH) Decision, Withdrawal or Default
| |
| 279 | Availability of Third Party Health Insurance
| |
| 280 | Discontinuance/Denial of MA Due to Active Public Assistance (PA) or MA Case
| |
| 282 | Denial/Discontinuance of MA due to Ineligible Alien Status
| |
| 283 | Denial/Discontinuance of MA due to Availability of Trust Fund
| |
| 284 | Medicare Part B Premium Payment Program [also known as Medicare Savings Program (MSP)]
| |
| 286 | Failure to Determine MA Eligibility upon PA Denial/Discontinuance
| |
| 288 | Letter Request/Self-Request Form; Issue Not Specified
| |
| 290 | Denial of MA - No Notice or Reason
| |
| 291 | PERS - Personal Emergency Response Services
| |
| 293 | Home & Community Based Services (HCBS) Waiver: Traumatic Brain Injuries (TBI)
| |
| 294 | Home & Community Based Services (HCBS) Waiver: Developmental Disabilities - Care at Home Waiver Programs 2, 4 & 6
| |
| 295 | Failure to Issue Benefit/ID Card
| |
| 296 | Home & Community Based Services (HCBS) Waiver: Emotionally Disturbed Children
| |
| 297 | Home & Community Based Services (HCBS) Waiver: Nursing Home Transition and Diversion Waiver (NHTD)
| |
299
| Managed Long Term Care - Enrollment Issues
|
|
| Social Services
| |
| 302 | Financial Eligibility or Amount of Fees for Day Care
| |
| 303 | Day Care - Failure to Recertify or Provide Information
| |
| 304 | Day Care, Homemaker, Foster Care - Temporary Absence Caretaker Relative
| |
| 305 | Day Care - Non Payment to a Specific Provider
| |
| 306 | Any Day Care Issue Not Identified by Other Code
| |
| 308 | Voluntary Foster Care Placement Services for Natural Parents
| |
| 309 | Any Services Issue Not Identified by Other Code
| |
| 310 | Protective Services for Adults
| |
| 311 | Protective Services for Children
| |
| 312 | Preventive Services for Children
| |
| 313 | Foster Care
| |
| 314 | Transitional Child Care
| |
| Food Stamps (FS)
| |
| 400 | Failure to Process Application or Changes in Circumstances, Including Delayed Issuance
| |
| 401 | Denial or failure to Act on Expedited FS Application
| |
| 402 | Failure to Report for and/or Complete Recertification
| |
| 403 | FS Transitional Benefit Alternative (TBA)
| |
| 404 | FS Household Composition (Mixed Household)
| |
| 405 | Discontinuance/Reduction/Denial Based Upon Excess Income
| |
| 407 | Deductions
| |
| 412 | Discontinuance/Denial Based upon Resources, Including Transfer of Resources and Counting Pump Sum Payments
| |
| 415 | Budgetary Computation or General Inadequacy, Including Retroactive Benefits
| |
| 416 | Failure to Comply with Employment Rules
| |
| 418 | District of Responsibility, and/or Moved Out of State
| |
| 421 | Claims Against Recipients for Over-Issuances of Food Stamps
| |
| 422 | Failure to Verify any Aspect of Food Stamp Eligibility
| |
| 425 | Discontinuance/Reduction/Denial of Food Stamps - Without Notice
| |
| 426 | Fleeing Felon
| |
| 427 | Letter Request/Self Request Form; Issue Not Specified
| |
| 428 | Ineligibility of a Person or Group Because of Status
| |
| 429 | Agency Failure to Have Photo ID Taken or Failure to Replace ID
| |
| 430 | Intentional Program Violation (IPV) Disqualification: Duplicate Benefits
| |
| 431 | IPV Disqualification: Undeclared Income
| |
| 432 | IPV Disqualification: Undeclared Resources
| |
| 433 | IPV Disqualification: False Information on Application
| |
| 434 | IPV Disqualification: Unreported Changes in Household Composition
| |
| 435 | IPV Disqualification: General
| |
| 436 | IPV Disqualification: Reopen for Good Cause/No Notice Hearing
| |
| 437 | Any Other Food Stamp Issue Not Identified by Other Code
| |
| 438 | Agency Action Based on a Fair Hearing (FH) Decision, Withdrawal, or Default
| |
| 440 | Food Stamp Reduction Due to Overpayment
| |
| FS Disqualification as a Result of Administrative Hearing Decision (BAD)
|
|
| 441 | Adequacy of Budget to Remaining Household Members
| |
| 442 | Amount of Claim
| |
| 444 | Any Action Regarding Administrative Disqualification Hearing (ADH) Decision Not Identified by Other Code
| |
| 445 | Failure to Reinstate FS upon IPV Disqualification Expiration
| |
| FS - Miscellaneous Issues
|
|
| 448 | Failure to Return and/or Complete Periodic Report
| |
| 450 | Replacement of Destroyed Food Items
| |
| 451 | Voluntary Termination of Employment
| |
| 453 | Ineligibility Based upon Alien Status
| |
| 454 | Food Stamp Discontinuance/Reduction Due to Increase in Social Security, Public Assistance (PA) or Supplemental Security Income (SSI)
| |
| 455 | Failure to Determine FS Eligibility upon PA Denial/Discontinuance
| |
| 456 | Failure to Replace Electronically Issued FS Benefit/EBT Adjustments
| |
460
| Receipt of Concurrent FS Benefits | 114
|
| 462 | Action Due to Finger Imaging
| |
| Emergency Assistance (EA)
| |
651
| Clothing
| |
| 653 | Failure to Provide Allowance to Prevent Eviction/Dispossess/Foreclosure
| |
| 654 | Denial of Emergency Housing Referral
| |
| 655 | Adequacy of Emergency Housing Placement
| |
| 656 | Adequacy of, or Failure to Provide, Hotel/Motel Allowance
| |
| 657 | Amount of Client Contribution Toward Cost of Emergency Housing
| |
| 660 | Discontinuance of Emergency Shelter Placement Due to Failure to Accept Offer of Permanent Housing or Failure to Cooperate in Finding Permanent Housing
| |
| 662 | Discontinuance of Emergency Shelter Placement
| |
| 666 | Special Services for Shelter Residents
| |
| 668 | Repair of Essential Household Equipment or Repairs to Home
| |
| 669 | Furniture Allowance
| |
| 670 | Security Deposit and/or First Month's Rent
| |
| 671 | Moving Expenses
| |
| 672 | Storage Fees
| |
| 673 | Utility Shut-Off or Heating Fuel Emergency
| |
| 675 | General Emergency Issue - Not Covered by Other Code
| |
| 676 | Emergency Safety Net Assistance (SNA) Other Than Shelter or Fuel
| |
| 677 | Failure to Provide Emergency Assistance Due to Failure to Sign Repayment Agreement or Failure to Repay
| |
| 679 | Shelter Tier II - Involuntary Discharge
| |
| 681 | Failure to Provide Emergency Shelter Allowance for AIDS/HIV Persons
| |
| 682 | Replacement of Lost or Stolen SSI Check or Cash
| |
| 684 | Failure of Agency to Allow Recipient/Applicant to Apply for Emergency Assistance
| |
| 686 | Shelter Supplement Programs
| |
| 687 | Denial of Emergency Shelter - Failed to Utilize Housing Resources
| |
| 688 | Failure to Comply with Independent Living Plan
| |
| | Employment Violation
| |
700
| Employability Exemption/Restriction - Medical
| |
| 701 | Employability Exemption/Restriction - Other
| |
| 702 | Voluntary Termination of Employment/Reduction Earning Capacity
| |
| 704 | Training Adequacy or Disapproval
| |
| 705 | Failure to Comply with Employment Requirements
| |
| 707 | Agency Failure to Conduct Initial Jobs Assessment/Employability Plan
| |
| 717 | On-the-Job Working Conditions
| |
| 719 | Hours of Participation in Work Assignment
| |
| 725 | Contesting Length of Employment Sanction
| |
| 726 | Supportive Services (Failure to Provide, Make Referral to, or Discontinue)
| |
| 764 | Failure to Accept Referral or Offer of Employment, 60 Month Time Limit
| |
| | Home Energy Assistance Program (HEAP)
| |
| 851 | Denial of HEAP
| |
| 852 | Failure to Process HEAP Application
| |
853
| Adequacy of HEAP Award
|
|
854
| Any General HEAP Issues Not Identified by Code
|
|
855
| Denial of Emergency HEAP
|
|
856
| Adequacy of Emergency HEAP
|
|
857
| Manner of HEAP Payment
|
|
858
| Unavailability of HEAP Funds
|
|
859
| Denial - Tenants in Government Subsidized Housing
|
|
| Special Series Codes
|
|
900
| Home Hearing
|
|
910
| 4/20/98 FS/FAP Rebudget
|
|
913
| Claudio v. Dowling
|
|
920
| Reopen Fair Hearing (FH) - Claim of Failure by HRA to Implement MDR Agreement
|
|
930
| Proof of Mailing/Non-Receipt of HRA Mailing, Raised by Appellant (Meachem)
|
|
931
| Back to School One-Time Payment-Related Issues
|
|
940
| Automatic Fair Hearing Request (Varshavsky)
|
|
949
| Temporary Housing for the Homeless Pursuant to 352.35
|
|
950
| Client Notice System (CNS) Based Request
|
|
951
| Removal of Public Housing Additional Rent Allowance (NYC)
|
|
955
| Managed Care - Removal of Pharmacy Coverage
|
|
| 956 | Pharmacy Copayment - 1995
|
|
957
| Medicaid Co-Payment, Effective 11/1/93
|
|
971
| Fishman Tracking Code
|
|
977
| DeAllaume-Zeches: HEAP Deducted from Heating Fuel Allowance
|
|
994
| McMahon v. Dowling Litigation
|
|
995
| Greenstein v Dowling
|
|
996
| Podiatry - Chapter 41
|
|
997
| Varshavsky Litigation - Homebound Appellants Who Send a Representative to a Regular Fair Hearing Instead of Having a Telephone Hearing
|
|
998
| Telephone Hearing for Non-Homebound Appellants
|
|
999
| Home Hearing Requested
|
|
