Providing Lost Benefits

The following are the various situations in which an AG is entitled to restoration of lost benefits:

1.County agency error.

2.County agency failed to give the AG sufficient time to verify a deduction and its benefits were lowered as a result (rules 5101:4-4-23 and 5101:4-5-07(c) of the Administrative Code).

3.County agency caused delay at end of 30 and 60 days from filing date (rule 5101:4-5-07 of the Administrative Code).

4.AG denied at end of 60 days from filing date due to county agency delay, but may file for lost benefits (5101:4-5-07 of the Administrative Code).

5.County agency fails to take action within time frames on reported changes that increase the AG's benefits (rule rule 5101:4-7-01 of the Administrative Code).

6.County agency fails to take action on timely application for reapplication and the AG loses benefits for month(s) following the last month of its previous certification period (rule 5101:4-7-07 of the Administrative Code ).

7.County conference, state hearing decision, or reconsideration in the client's favor.

8.ADH decision reversed by a court (rule 5101:4-8-03 and Chapter 5101:6 of theAdministrative Code).

9.Lost benefits ordered as a result of class action or other suits.

10.AG's eligibility or benefit levels were adversely affected because federal energy assistance payments were counted as income and /or resources.

11.Federal regulations mandate restoration of lost benefits due to change in eligibility regulations (rule 5101:4-8-03 of the Administrative Code).

The following situations are hand led as reported changes and the AG is not entitled to lost benefits:

1.Verification of eligible alien status provided and member added (rule 5101:4-3-07 of the Administrative Code).

2.Verification of deductible expenses provided (if sufficient time given AG) and income is lowered (rule 5101:4-4-23 of the Administrative Code).