(This Policy Bulletin Replaces PB #06-125-OPE and PB #08-62-OPE)
The purpose of this policy bulletin is to inform all Job Center staff that the Recertification Form For: Temporary Assistance (TA) – Medical Assistance (MA) – Medicare Savings Program (MSP) ? Food Stamp Benefits (FS) (LDSS-3174) is now included in the Cash Assistance Recertification Kit Form (M-90d). This form is being added to the kit for use by homebound persons and others who are unable to travel to the Job Center for an in-person recertification interview. These individuals are to receive a kit that contains the recertification application and instructions on how to complete it. Form LDSS-3174 should be completed at home and submitted to an authorized representative or to the Worker, who, after a home visit, will then deliver the form to the Center for processing. Form LDSS-3174 is also to be used when POS is down.
The Cash Assistance Recertification Kit Form (M-90d) has been updated to reflect the inclusion of Form LDSS-3174.