MACC - MAC CHANGE AND RESOLVE UNCLEAR INFO ACTS Alert
Alert initiated by the system: This alert is generated for NA cases when a MAC is returned with at least one YES (Y) answer and the case has an unclear indicator on INDA. The unclear information and the reported change must be explored.
Alert name: MACC - MAC CHANGE AND RESOLVE UNCLEAR INFO
Due Date Assigned by ACTS
3 workdays(g) from the date the alert is generated.
Action
Review the case file for unclear(g) information from a third-party source received during the certification period.
Review the change that has been reported on the MAC.
Send the NA Request for Information (F011) notice requesting verification of the unclear information and the reported change.
Extend the ACTS Alert to one day after the due date of the F011 notice.
When the requested verification is received see Effecting Changes.
When the verification is not provided by the due date, complete one of the following:
●Stop the benefits allowing for NOAA(g) when continued eligibility cannot be determined.
●Continue benefits at the level prior to the reported change only when continued eligibility is not in question.
Document the case file(g) of all actions taken.
Close the alert.
Last revised 03/13/2023 - No archives