ADULT FINANCIAL PROGRAMS
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Code of Colorado Regulations › 500,1008,2500 Department of Human Services › 2503 Income Maintenance (Volume 3) › 9 CCR 2503-5
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DEPARTMENT OF HUMAN SERVICES
Income Maintenance (Volume 3)
ADULT FINANCIAL PROGRAMS
9 CCR 2503-5
[Editor's Notes follow the text of the rules at the end of this CCR Document.]
3.500 Adult Financial Programs- Adult Financial Programs consist of the Old Age
Pension (OAP) program, Aid to the Needy Disabled (AND) program
consisting of AND-State Only (AND-SO) and AND-Colorado Supplement
(AND-CS), Home Care Allowance (HCA), and Burial Assistance
3.510 DEFINITIONS
“Actual value” means the value of real property, as reported by the county assessor.
“Adequate” (related to notice) means a written notice sent to the client which details any
determination of eligibility, as well as a change or discontinuation of grant payments and
the reason for that change.
“Administrative disqualification hearing” (ADH) means a disqualification hearing against
an individual accused of wrongfully obtaining or attempting to obtain assistance.
“Administrative error claim” means a grant payment was overpaid and a claim validated
based on an error on the part of the county department of human services.
“Administrative Law Judge” (ALJ) means an Administrative Law Judge appointed
pursuant to Section 24-30-1003, C.R.S.
“Adult Financial approved setting” means a facility with this specific designation by the
State Department.
“Anticipated income” means income which can be anticipated with reasonable certainty
concerning the amount and month in which it is to be received.
“Applicant” means any individual or family who individually or through a designated
representative or someone acting responsibly for him or her has applied for benefits
under the programs of public assistance administered or supervised by the State
Department pursuant to Title 26, Article 2, C.R.S., as defined at Section 26-2-103(1),
C.R.S.
“Application” means an initial or redetermination request on State approved forms
(paper or electronic) for a grant payment and/or services.
“Approval” means assistance is authorized by the county department
plied for benefits
under the programs of public assistance administered or supervised by the State
Department pursuant to Title 26, Article 2, C.R.S., as defined at Section 26-2-103(1),
C.R.S.
“Application” means an initial or redetermination request on State approved forms
(paper or electronic) for a grant payment and/or services.
“Approval” means assistance is authorized by the county department.
Code of Colorado Regulations
Secretary of State
State of Colorado
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“Assets” means the same as resources.
“Authorized representative” means someone acting reasonably for the client with the
authority to make decisions on behalf of the client and who has taken responsibility for
the case including but not limited to signing documents and speaking with county
departments. The authorization must be in writing and signed by the client.
"Available" (related to funds or assets) means accessible or could be accessible, when
the client has a legal interest in a sum (the equity value of a resource), and has the legal
ability to make such sum available for support and maintenance.
“Bona fide loan” means a borrower receives money (from relatives, friends or others)
which creates a loan if there is an understanding between the parties that the money
borrowed is to be repaid and it is recognized as an enforceable contract under Colorado
law. The transaction which creates a loan can be in the form of a written or verbal
agreement if enforceable under Colorado law. Absent a negotiable instrument, a bona
fide loan must still be convertible to cash in order to be considered a resource. The
obligation to repay cannot be contingent on future income that might be received by the
borrower. The written or verbal agreement must be in effect at the time of the
transaction and there must be a reasonable plan for repayment
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agreement if enforceable under Colorado law. Absent a negotiable instrument, a bona
fide loan must still be convertible to cash in order to be considered a resource. The
obligation to repay cannot be contingent on future income that might be received by the
borrower. The written or verbal agreement must be in effect at the time of the
transaction and there must be a reasonable plan for repayment.
”Case Management Agency” (CMA) means a public or private not-for-profit or for-profit
organization contracted with the State of Colorado to provide case management
services and activities, pursuant to section 25.5-6-1702(2), C.R.S. (2025).
“Cash surrender value” means the dollar value at which a resource could be sold or
cashed in.
“Certification period” means the time period for which an Adult Financial client is
approved to receive grant payments before a redetermination is required.
“Claim” means an overpayment of a grant payment that needs to be researched and
validated by the county department.
“Clear and convincing” means evidence is stronger than “a preponderance of evidence”
and is unmistakable and free from serious or substantial doubt.
“Client” means a current or past applicant or a current or past recipient of an Adult
Financial grant payment.
“Client error claim” means a grant payment was overpaid and a claim was validated
based on unintentional or willful withholding of information on the part of the client.
“Client Statement” means a written or verbal declaration made by an applicant or
recipient of Adult Financial benefits regarding income, resources, or other eligibility
factors.
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means a grant payment was overpaid and a claim was validated
based on unintentional or willful withholding of information on the part of the client.
“Client Statement” means a written or verbal declaration made by an applicant or
recipient of Adult Financial benefits regarding income, resources, or other eligibility
factors.
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“Collateral contact” means a person outside the client’s household (excluding
sponsor(s) and landlord who also live in the home) who has first-hand knowledge of the
client’s circumstance and provides a verbal or written confirmation thereof. This
confirmation may be made either in person, in writing, electronically submitted, or by
telephone. Acceptable collateral contacts include but are not limited to: employers,
landlords, social/migrant service agencies, and medical providers who can be expected
to provide accurate third party verification. The name/title of the collateral contact as
well as the information obtained must be documented in the statewide automated
system.
"Convertible asset" means any asset which can be converted into cash and is defined
by its cash value. This includes a savings or checking account, other accessible
electronic currency and/or cryptocurrency, stocks, bonds, mutual fund shares, 401Ks,
457Ks, IRAs, Certificates of Deposit (CDs), PERA accounts, gold/silver, cryptocurrency,
pensions, and other retirement or investment accounts and investment vehicles.
“Countable income” means all earned and/or unearned income considered available to
the client, spouse of the client, or sponsor(s) of the client after the application of valid
exemptions, disregards, and deductions.
“Countable resource” means resources considered available to the client, spouse of the
client, or sponsor(s) of the client after the application of valid exemptions, disregards,
and deductions.
“County department” means the county department of human/social services
the client, spouse of the client, or sponsor(s) of the client after the application of valid
exemptions, disregards, and deductions.
“Countable resource” means resources considered available to the client, spouse of the
client, or sponsor(s) of the client after the application of valid exemptions, disregards,
and deductions.
“County department” means the county department of human/social services.
“Creditor” means a person or company, aside from the Colorado Department of Human
Services, to whom money is owed.
“Date of entry” or “date of admission” means the date established by the United States
Citizenship and Immigration Services (USCIS), formerly known as the Immigration and
Naturalization Service (INS), as the date the sponsored noncitizen was admitted for
permanent residence.
“Denial” means that the client was not eligible for a grant payment upon application.
“Demonstrable evidence” means evidence that a Colorado Works case is closed due to
refusal to comply with the Workforce program.
“Disabling condition” means a medical impairment which prevents an individual from
engaging in work.
“Disaster assistance” means a cash payment to a client to cover needs and/or
expenses related to a county, Governor, or federally declared disaster.
“Discontinuation” means that the client who is currently receiving a grant payment is no
longer eligible and his or her grant payment will be stopped.
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dual from
engaging in work.
“Disaster assistance” means a cash payment to a client to cover needs and/or
expenses related to a county, Governor, or federally declared disaster.
“Discontinuation” means that the client who is currently receiving a grant payment is no
longer eligible and his or her grant payment will be stopped.
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“Earned Income” means payment in cash or in-kind received by a client, spouse of a
client, or sponsor(s) of the client for services performed as an employee or as a result of
the client, spouse of the client, or sponsor(s) of the client being engaged in self-
employment.
“Effective date of eligibility” means the first date a client is eligible for the public
assistance program.
“Eligibility requirements” means State Department criteria used to determine client
eligibility or ineligibility to receive assistance and/or services.
“Eligible client” means a client whose countable resources are below the resource limit,
whose countable income is below the grant standard, and who meets all non-financial
eligibility criteria.
“Encumbrance” means the valid and legal outstanding payments, loans, or liens on a
given resource.
“Estate” means the property of the decedent, trust, or other person whose affairs are
subject to the Colorado Probate Code, Title 15, Article 10, of the Colorado Revised
Statutes, as originally constituted and as it exists from time to time during
administration, as defined in Section 15-10-201(17), C.R.S.
“Equity value” means actual value less encumbrances.
“Exempt income” means any income that is not countable income for the purpose of
eligibility.
"Exempt resource" means any resource with a value that is not countable for the
purpose of determining eligibility
Statutes, as originally constituted and as it exists from time to time during
administration, as defined in Section 15-10-201(17), C.R.S.
“Equity value” means actual value less encumbrances.
“Exempt income” means any income that is not countable income for the purpose of
eligibility.
"Exempt resource" means any resource with a value that is not countable for the
purpose of determining eligibility.
“Face value” means the value predominantly stamped or printed on the resource
verification (insurance policy, bonds, stocks, etc.) which represents the future potential
worth of the resource, but does not usually represent the true value of the item due to
activities that can reduce or increase the value (loans, dividends, etc.).
“Facility” means the residence of a client where the intent is either to care for or provide
treatment to the client. Facilities include general medical and surgical hospitals, nursing
homes, regional centers, group and host homes, and mental health institutions.
Facilities do not include penal institutions, such as Federal and State prisons or county,
local, municipal jails, and community corrections residential programs.
“Fair Market Value” means the median resale market value of a resource.
“Federal Poverty Guidelines” also called Federal Poverty Level (FPL) means the income
level for a household as set forth in the Federal Register 90 FR 5917 (January 17,
2025) which is hereby incorporated by reference. This rule does not contain any later
amendments or editions. These guidelines are available for no cost at
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e.
“Federal Poverty Guidelines” also called Federal Poverty Level (FPL) means the income
level for a household as set forth in the Federal Register 90 FR 5917 (January 17,
2025) which is hereby incorporated by reference. This rule does not contain any later
amendments or editions. These guidelines are available for no cost at
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https://www.federalregister.gov/documents/2025/01/17/2025-01377/annual-update-of-
the-hhs-poverty-guidelines. These guidelines are also available for public inspection
and copying at the Colorado Department of Human Services, Division of Economic and
Workforce Support, 1575 Sherman Street, Denver, Colorado, 80203, during regular
business hours.
“Fleeing felon” means a person fleeing to avoid prosecution or custody or confinement
after conviction for a felony.
“Fraud” means any person who obtains or any person who willfully aids or abets
another to obtain public assistance as defined in Title 26 of the C.R.S. to which the
person is not entitled or in an amount greater than that to which the person is justly
entitled or payment of any forfeited installment grants or benefits to which the person is
not entitled or in a greater amount than that to which the person is entitled, by means of
a willfully false statement or representation, or by impersonation, or by any other
fraudulent device, as described in Section 26-1-127(1), C.R.S.
“Good cause” means circumstances beyond the control of the client. Good cause
includes, but is not limited to, documented and verifiable medical emergencies or
hospitalization, a client who has a disability or other medical condition(s) requiring
additional time and/or assistance, a delayed appointment with the Social Security
Administration beyond the client's control, or other good cause determined reasonable
by the county department using the prudent person principle
use
includes, but is not limited to, documented and verifiable medical emergencies or
hospitalization, a client who has a disability or other medical condition(s) requiring
additional time and/or assistance, a delayed appointment with the Social Security
Administration beyond the client's control, or other good cause determined reasonable
by the county department using the prudent person principle. The following
circumstances do not constitute good cause: an excessive workload of a party or his or
her representative or attorney; when a party obtains legal representation in an untimely
manner; a party’s failure to either receive or timely receive, a timely mailed initial
decision, or other timely mailed correspondence from the Office of Administrative Courts
and/or the Office of Appeals, or from the county department, when a party has failed to
advise the Office of Administrative Courts, the county department, or the Office of
Appeals of a change of address or failed to provide a correct address; or any other
circumstance which was foreseeable or preventable.
“Grant payment” means the Adult Financial program payment and may also be referred
to as the benefit.
“Grant standard” means the maximum Adult Financial grant payment that can be
provided to a client based on each specific Adult Financial program.
“Health Care Policy and Financing” (HCPF) means the Colorado Department of Health
Care Policy and Financing.
“Homeless” means a person with no permanent living arrangement, i.e., no regular
nighttime or fixed place of residence. He or she is neither a member of a household nor
a resident of an institution. This can mean someone who sleeps in a doorway;
supervised shelter designed for temporary accommodations; a halfway house or similar
facility that provides temporary residence; a place not designed for or ordinarily used as
regular sleeping accommodations for human beings, such as parks, bus stations, etc.;
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of an institution. This can mean someone who sleeps in a doorway;
supervised shelter designed for temporary accommodations; a halfway house or similar
facility that provides temporary residence; a place not designed for or ordinarily used as
regular sleeping accommodations for human beings, such as parks, bus stations, etc.;
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or a person who stays with a succession of friends or relatives and has no permanent
living arrangement.
“IM-14” means the Authorization for Reimbursement of Interim Assistance available at
the county department or found within the statewide automated system.
“IM-19” means the Apportionment Notice available at the county department or found
within the statewide automated system.
“Immediate family” means people with the following relationships to the client: spouse,
minor and adult children, stepchildren, adopted children, parents, adoptive parents, and
the spouses of those persons.
“Income” means any financial gain by means of money payment or in-kind payment.
“In-kind” means something of value received for the benefit of a client, spouse of a
client, or sponsor(s) of a client and is considered either earned or unearned income.
Examples of this are food or shelter that the client received for free or at fair market
value or less.
“Intent” and/or “Intentionally” means a person’s conscious objective is to cause the
specific result, whether or not the result occurred, as described in Section 18-1-501(5),
C.R.S.
“Intentional Program Violation” (IPV) occurs when an individual makes a false or
misleading statement or fails to disclose by misrepresentation or concealment of facts,
or acts in a way that is intended to mislead or conceal any eligibility factor on any
application or other written and/or electronic communication for the purpose of
establishing or maintaining eligibility to:
1.
Receive a grant payment for which the client is not eligible; or,
2
an individual makes a false or
misleading statement or fails to disclose by misrepresentation or concealment of facts,
or acts in a way that is intended to mislead or conceal any eligibility factor on any
application or other written and/or electronic communication for the purpose of
establishing or maintaining eligibility to:
1.
Receive a grant payment for which the client is not eligible; or,
2.
Increase a grant payment for which the client is not eligible; or,
3.
Prevent a denial, reduction or termination of a grant payment.
“Involuntary transfer” means the loss of a resource due to fraud, theft, financial
exploitation, or legal action such as judgment, foreclosure, or tax sale, provided that the
client can demonstrate that:
A.
Every reasonable effort has been made to recover the property through
court action or other procedures; or,
B.
The client is unable to pursue recovery; or,
C.
Pursuit of lost resources or income would constitute a safety issue.
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“Irregular” (related to income) means income which an individual cannot reasonably
expect to receive on a monthly basis.
“Legal fiduciary” means a person or agency who holds the legal power to act on behalf
of a client and is required to act in the best interest of the client.
“Liable individual” means a person financially responsible for an overpayment including
the client, sponsor(s) of a client, a payee, parents of dependent children, and/or other
persons determined to be financially liable by a court.
“Life Estate” means a legal estate planning procedure in which the client transfers real
property to another individual but retains the right of occupancy and income from the
property during the client's lifetime. The life estate's duration is limited to the life of the
client. The client, during his or her life, retains the use and possession of the property,
the rights to rents and profits, and the costs of maintaining the property
anning procedure in which the client transfers real
property to another individual but retains the right of occupancy and income from the
property during the client's lifetime. The life estate's duration is limited to the life of the
client. The client, during his or her life, retains the use and possession of the property,
the rights to rents and profits, and the costs of maintaining the property. The client
cannot sell or waste the property without the consent of the person(s) to whom the
property was transferred.
“Local service delivery agency” means an agency operating on behalf of the county
department or State Department to determine all or part of a client’s eligibility for Adult
Financial programs.
“Marriage” (for the purpose of these rules) means a marriage as defined in Section 14-
2-104(1), C.R.S., a common law marriage as defined in Section 14-2-104(2), C.R.S.,
and a civil union, as defined in Section 14-15-103(1), C.R.S.
“Material fact” means information that has logical connection to the consequences
and/or the decision being determined and the nature of the information or fact is such
that a reasonable person under the circumstances would attach importance to it in
determining his or her course of action.
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“Medical provider” means a Colorado licensed physician, psychiatrist, licensed
psychologist, licensed clinical social worker, licensed professional counselor, physician
assistant, advanced practice nurse, or registered nurse. The physician may be a
general practitioner or a specialist. A medical provider determining blindness shall be an
ophthalmologist or optometrist licensed in Colorado. A medical provider may be
licensed in a bordering state when the nearest Colorado provider is more than one hour
from the client's home and the provider in the bordering state is closer.
“Non-citizen” means any person who is not a citizen of the United States
eral practitioner or a specialist. A medical provider determining blindness shall be an
ophthalmologist or optometrist licensed in Colorado. A medical provider may be
licensed in a bordering state when the nearest Colorado provider is more than one hour
from the client's home and the provider in the bordering state is closer.
“Non-citizen” means any person who is not a citizen of the United States.
“Non-recipient spouse” means the client's spouse who is not receiving an Adult
Financial grant payment.
“Ownership” means lawful title to, legal right of possession of, or legal interest in a
property.
“Overpayment” means a grant payment was made in excess of the amount a client was
eligible for.
“Payment Floor Standard” means the minimum Adult Financial grant payment that an
eligible Old Age Pension (OAP), Aid to the Needy Disabled-Colorado Supplement
(AND-CS), or Home Care Allowance (HCA) client may receive. The payment floor
standard is updated annually for each program based on the cost-of-living adjustment.
“Periodic payments” means payments that are irregular or a one-time payment.
“Personal Needs Allowance” (PNA) means a payment to a client who is currently in a
facility to cover additional hygiene costs not usually supplied by the provider.
"Personal property” means all tangible items a person owns that are not considered real
property, cash, or a convertible asset.
“Potential income” means a benefit or payment to which the client, spouse of a client, or
sponsor(s) of a client may be entitled and could secure, such as spousal support,
annuities, pensions, retirement or disability benefits, veterans compensation and
pensions, workers' compensation, Social Security retirement or disability benefits,
Supplemental Security Income (SSI) benefits, and unemployment compensation
ncome” means a benefit or payment to which the client, spouse of a client, or
sponsor(s) of a client may be entitled and could secure, such as spousal support,
annuities, pensions, retirement or disability benefits, veterans compensation and
pensions, workers' compensation, Social Security retirement or disability benefits,
Supplemental Security Income (SSI) benefits, and unemployment compensation.
“Potential resource” means a resource to which the client, spouse of a client, or
sponsor(s) of a client has the legal ability to acquire or reacquire rights of ownership,
such as inheritances, real and personal property, cash and convertible assets, and
settlements.
“Preponderance of evidence” means that the evidence must preponderate over, or
outweigh, evidence to the contrary.
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“Prudent Person Principle” means that, based on experience and knowledge of the
program, the county department exercises a degree of discretion, care, judiciousness,
and circumspection, as would a reasonable person, in a given case.
“Qualified non-citizen” also called qualified alien means an individual who is not a citizen
or national of the United States and who was lawfully admitted to the United States by
the United States Citizenship and Immigration Services (USCIS) as an actual or
prospective permanent resident or whose physical presence is known and allowed by
the USCIS. This definition of a qualified non-citizen is consistent with the definition of
‘qualified alien’ in 8 U.S.C. § 1641 and the language, including all notes, in 8 U.S.C. §
1101.
“Questionable” means the information provided is unclear or conflicting or the county
has reason to believe the facts presented are contrary to the information provided by
the client.
“Real property” means houses; land, including land rights such as oil, mineral and water
rights; and outbuildings and other objects affixed to land
C. § 1641 and the language, including all notes, in 8 U.S.C. §
1101.
“Questionable” means the information provided is unclear or conflicting or the county
has reason to believe the facts presented are contrary to the information provided by
the client.
“Real property” means houses; land, including land rights such as oil, mineral and water
rights; and outbuildings and other objects affixed to land.
“Received” (for the purpose of income and resources) means the date on which the
income and/or resource is actually received or legally becomes available for use,
whichever occurs first, whether reported timely by the client or not.
“Received” (as it applies to receipt of verification, documentary evidence, and reported
changes in circumstances) means the date the verification, documentary evidence, and
reported changes were received by the county department.
“Recovery” means the collection of a valid claim to repay grant payments to which a
client was not entitled.
“Redetermination” means a case review/determination of necessary information and
verifications to determine ongoing eligibility and may also be called renewal or
recertification.
"Resources" or “assets” means real property, personal property, and cash or convertible
assets held as of the first day of a calendar month or as of the date of application, less
the value counted as income in the same month.
“Scheduled appointment” or “scheduled interview” means an appointment or interview
set using a State prescribed or State approved appointment notice provided to the
client.
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h or convertible
assets held as of the first day of a calendar month or as of the date of application, less
the value counted as income in the same month.
“Scheduled appointment” or “scheduled interview” means an appointment or interview
set using a State prescribed or State approved appointment notice provided to the
client.
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“Shelter costs” means mortgage payments, property insurance (if required), home
owner association dues, rent, gas, electricity, heating fuel, water, sewer, garbage
collection service, and real property taxes. Telephone, internet and television provider
services are not allowable shelter costs.
“Signature” means handwritten signatures, electronic signature techniques, recorded
telephonic signatures, or documented gestured signatures. A valid handwritten
signature includes a designation of an x.
“Sponsor” means any person(s) who executed an affidavit of support (USCIS form I-864
or I-864A) (October 17, 2024) or another form deemed legally binding by the
Department of Homeland Security on behalf of a non-citizen as a condition of the non-
citizen's date of entry or admission into the United States as a permanent resident.
USCIS forms I-864 and I-864A (October 17, 2024) are hereby incorporated by
reference. This rule does not contain any later amendments or editions. These forms
are available at no cost from https://www.uscis.gov/i-864. These forms are also
available for public inspection and copying at the Colorado Department of Human
Services, Division of Economic and Workforce Support, 1575 Sherman Street, Denver,
Colorado, 80203, during regular business hours.
“SSI benefit standard” means the maximum monthly Federal amount for an SSI
recipient as listed in Federal Regulations found at 20 C.F.R. 416.405-415 (September
2025), which are hereby incorporated by reference. This rule does not contain any later
amendments or editions
ervices, Division of Economic and Workforce Support, 1575 Sherman Street, Denver,
Colorado, 80203, during regular business hours.
“SSI benefit standard” means the maximum monthly Federal amount for an SSI
recipient as listed in Federal Regulations found at 20 C.F.R. 416.405-415 (September
2025), which are hereby incorporated by reference. This rule does not contain any later
amendments or editions. These regulations are available for no cost at
https://www.ecfr.gov/current/title-20/chapter-III/part-416/subpart-D?toc=1. These
regulations are also available for public inspection and copying at the Colorado
Department of Human Services, Division of Economic and Workforce Support, 1575
Sherman Street, Denver, Colorado, 80203, during regular business hours.
“State Department” or “the Department” means the Colorado Department of Human
Services.
“State Supplementary Payment” means the amount that is added to an Old Age
Pension (OAP), Aid to the Needy Disabled-Colorado Supplement (AND-CS), or Home
Care Allowance (HCA) client's benefit if their regular grant payment is less than the
payment floor standard.
“Statewide automated system” means the electronic platform used to calculate public
assistance program benefits and grant payments.
“Termination” means that the client who is currently receiving Adult Financial program
grant payments is no longer eligible and his or her grant payments will be stopped.
“Timely notice” means the county shall generate a notice to the client at least eleven
standard.
“Statewide automated system” means the electronic platform used to calculate public
assistance program benefits and grant payments.
“Termination” means that the client who is currently receiving Adult Financial program
grant payments is no longer eligible and his or her grant payments will be stopped.
“Timely notice” means the county shall generate a notice to the client at least eleven
(11) calendar days prior to the initiation of any decrease, suspension, termination, or
discontinuance in grant payments or services. This shall be sent to his or her last known
address.
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“Traditional verification” means methods of verification that are acceptable at application
and at every twenty-four (24) month redetermination, i.e., verification documents and
collateral contacts.
“Transfer Without Fair Consideration” (TWFC) means a property transaction in which
the proceeds of the transfer, assignment, or sale are less than the actual value of the
resource.
“Twenty-four (24) month redetermination” means a redetermination that requires an
interview and traditional verification methods, and recurs every twenty-four (24) months
after application.
“Unearned income” means any income that is not earned through employment or self-
employment, as described in 3.520.785.
“Unintentional” or “without intent” means an act, or something done or performed that
was not voluntary or intended.
"Value (for cash and convertible assets)" means the current redemption rate, less
encumbrances.
“Value (for real and personal property)” means the actual value of the property less
encumbrances.
“Verification” means confirming statements, application information, and other case
information by obtaining written, audio, or other evidence or information that proves
such fact or statement to be true.
“Verified upon receipt” means information that is provided directly from the primary
source and is not questionable and no additional verification is required
e of the property less
encumbrances.
“Verification” means confirming statements, application information, and other case
information by obtaining written, audio, or other evidence or information that proves
such fact or statement to be true.
“Verified upon receipt” means information that is provided directly from the primary
source and is not questionable and no additional verification is required.
“Willful” means that a person is aware that his or her conduct is practically certain to
cause the result as described in Section 18-1-501(6), C.R.S.
“Willful withholding of information” includes:
A.
Willful misstatement including understatement, overstatement, or
omission, whether verbal or written, made by a client in response to verbal
or written questions from the county department;
B.
Willful failure by a client to report changes in income or other
circumstances which may affect the amount of grant payment; and/or,
C.
Willful failure by the client to report receipt of a grant payment made by the
county department to the client which the client knew represented an
overpayment.
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“Withdraw” or “Withdrawal” means an application is not processed because the client
who submitted the application withdraws his or her request for assistance prior to
eligibility determination, or requests his or her grant payment be discontinued.
3.520 GENERAL REQUIREMENTS, CASE PROCESSING, AND CASE ACTIONS
3.520.1
GENERAL REQUIREMENTS
A.
Information concerning public assistance programs shall be available to all
persons in the community. Available information shall include:
1.
Benefits and programs available;
2.
Eligibility requirements;
3.
Related services;
4.
Rights and responsibilities of clients;
5.
The Property Tax/Rent/Heat Credit (PTC) rebate eligibility information
available through the Colorado Department of Revenue; and,
6.
Earned Income Tax Credit (EITC).
B.
The county department shall:
1
o all
persons in the community. Available information shall include:
1.
Benefits and programs available;
2.
Eligibility requirements;
3.
Related services;
4.
Rights and responsibilities of clients;
5.
The Property Tax/Rent/Heat Credit (PTC) rebate eligibility information
available through the Colorado Department of Revenue; and,
6.
Earned Income Tax Credit (EITC).
B.
The county department shall:
1.
Receive and date all applications and assist the client to complete the
application and secure documentation when needed;
2.
Provide language translation via an interpreter, as needed;
3.
Inform the client of his or her responsibility to accurately and fully
complete the application and provide documents to substantiate eligibility
factors;
4.
Inform the client that he or she may use friends, relatives, or other persons
to assist in the completion of the application and their right to designate an
authorized representative as described in section 3.510;
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5.
Inform the client, in writing at the time of application, that the county
department shall use the client's Social Security Number (SSN) to obtain
information available through the Income and Eligibility Verification
System (IEVS) to verify income and that such information may be shared
with other assistance programs, other states, the Social Security
Administration, the Department of Labor and Employment, and the Child
Support Services program;
6.
Conduct an evaluation of needs related to the client’s health and well-
being. Based on identified needs, the county worker will refer the client to
other agencies or services available in the community, such as food
banks, Area Agencies on Aging (AAA), Aging And Disability Resources for
Colorado (ADRC), or the Division of Vocational Rehabilitation (DVR);
7.
Refer the client to the other benefits for which he or she may be eligible;
8
to the client’s health and well-
being. Based on identified needs, the county worker will refer the client to
other agencies or services available in the community, such as food
banks, Area Agencies on Aging (AAA), Aging And Disability Resources for
Colorado (ADRC), or the Division of Vocational Rehabilitation (DVR);
7.
Refer the client to the other benefits for which he or she may be eligible;
8.
Inform the client that he or she may terminate the application process at
any time;
A decision by the client to “withdraw” shall be treated as a denial by the
county department. The client shall be notified of the county department's
action by the State approved Notice of Action form within ELEVEN (11)
calendar days of the action.
9.
Review applications, make necessary collateral contacts or request any
needed verification, and determine eligibility for assistance; and,
10.
Calculate all claims, initiate recoveries, and prepare for and appear at all
appeals.
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C.
The county department shall require a written application, signed under penalty
of perjury, using the State Department's prescribed public assistance application
form. The date of application shall be the first working day the county department
receives a signed application form, indicating the client's desire to receive public
assistance benefits. Incomplete applications shall be denied following the policies
outlined in Section 3.554. For clients who have been committed to a facility by
order of the district or probate court or who have been made a ward of the State,
application for an Adult Financial program shall be completed by the facility's
administration or the client's guardian
client's desire to receive public
assistance benefits. Incomplete applications shall be denied following the policies
outlined in Section 3.554. For clients who have been committed to a facility by
order of the district or probate court or who have been made a ward of the State,
application for an Adult Financial program shall be completed by the facility's
administration or the client's guardian. The application form shall be used as the
primary source of information and to be considered complete, shall contain, at a
minimum the name of the applicant and signature of the applicant, parent, legal
guardian, facility administration or authorized representative and an address for
the applicant which can include general delivery or a county office. If an address
is not provided, another means of contact such as phone number or email
address shall be utilized to obtain an address.
A client who may be partially or totally illiterate can satisfy the signature
requirement by:
1.
Making a mark on the signature line.
2.
The mark shall be witnessed by at least one other individual. The witness
shall provide his or her own signature and address next to the client’s
mark in the signature block.
3.
A county department staff member may act as witness if he or she is not
related to the client.
D.
The client shall be required to answer all applicable questions on the application
form. Any questions not answered in writing on the application shall be asked of
the client during the interview and the client must provide an answer at that time.
The response must be documented on the application or entered into the
statewide automated system.
E.
Clients shall be provided the opportunity to register to vote during initial
application and at each redetermination.
F.
The county department shall adhere to the requirements of the Colorado Address
Confidentiality Program (ACP) as defined in Section 24-30-2101, C.R.S
vide an answer at that time.
The response must be documented on the application or entered into the
statewide automated system.
E.
Clients shall be provided the opportunity to register to vote during initial
application and at each redetermination.
F.
The county department shall adhere to the requirements of the Colorado Address
Confidentiality Program (ACP) as defined in Section 24-30-2101, C.R.S. The
ACP provides survivors of domestic violence, sexual offenses, and/or stalking
with a legal substitute address for creating public records and interacting with all
State and local government agencies.
G.
The client has the right to decide how to use his or her grant payment. The
county department shall not:
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1.
Impose any restriction, either direct or implied, on a client’s use of his or
her grant payment including, but not limited to, requesting a client to
provide receipts or proof of how the money has been spent; or,
2.
Require the client to account for the use of the grant payment, except for
the Electronic Benefits Transfer (EBT) card point of sale limitations listed
in 26-2-104(2), C.R.S.; or,
3.
Give assistance to creditors in the collection of the client’s debts.
H.
Each client of financial assistance provided under Adult Financial programs, shall
receive prior written notice of any agency action affecting his or her eligibility for
or receipt of grant payments.
1.
The client shall be notified in writing of county department approval of:
a.
An application for financial assistance through the Adult Financial
programs;
b.
An increase in the amount of grant payment. To the extent
practicable, notice shall be in his or her primary language and shall
be mailed or delivered within eleven calendar days after the
determination is made. If the client needs assistance in
understanding the action, the action shall be explained verbally.
c
f:
a.
An application for financial assistance through the Adult Financial
programs;
b.
An increase in the amount of grant payment. To the extent
practicable, notice shall be in his or her primary language and shall
be mailed or delivered within eleven calendar days after the
determination is made. If the client needs assistance in
understanding the action, the action shall be explained verbally.
c.
If the client is dissatisfied with the effective date of eligibility, or the
amount or type of assistance authorized, he or she has the right to
a county conference and/or state level fair hearing.
2.
A client shall be given notice of any action by the county department, or
any person or agency acting on its behalf, which adversely affects the
client’s eligibility for, or right to grant payments authorized under the Adult
Financial programs. Failure to give notice of an adverse action shall be
grounds for setting aside the action on appeal. The notice must meet the
following standards:
a.
The notice must be in writing; and,
b.
It must describe clearly and in plain language the action to be taken
and the reason(s) for the action; and,
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c.
It must refer specifically by number to the Section(s) of the State
Department's rules that require or permit the action being taken, or
cite the specific changes in Federal or State law requiring the
action; and,
d.
It must state the effective date of the proposed action; and,
e.
It must explain the client’s right to request a county conference and
state level fair hearing, the time period for requesting a conference
or hearing, and the steps which must be taken to obtain a
conference or hearing; and,
f.
It must explain the client's right to continued grant payments and
the obligation to repay if it is determined that the client was not
eligible to receive them; and,
g
e.
It must explain the client’s right to request a county conference and
state level fair hearing, the time period for requesting a conference
or hearing, and the steps which must be taken to obtain a
conference or hearing; and,
f.
It must explain the client's right to continued grant payments and
the obligation to repay if it is determined that the client was not
eligible to receive them; and,
g.
It must inform the client of his or her right to be represented or
assisted by legal counsel, a relative, a friend or a spokesperson of
his or her choosing; and,
h.
To the extent practicable, notice shall be in his or her primary
language. If he or she is illiterate, the action shall also be explained
verbally.
3.
Any negative action taken on the case shall be preceded by a timely
notice period of at least eleven (11) calendar days. The 11 day timely
notice period constitutes the period during which assistance is continued
and no negative action is to be taken during this time unless described in
Section 3.554.
4.
When changes in either State or Federal law require grant payment
adjustments for all persons receiving Adult Financial assistance, adequate
notice shall include:
a.
A statement of the intended action;
b.
The reasons for such action;
c.
The specific change in law requiring such action; and,
d.
The circumstances under which a county conference and/or state
level fair hearing may be obtained and financial assistance
continued. A county conference or state level fair hearing need not
be granted unless the reason for an individual appeal is incorrect
grant computation.
I.
A client who disagrees with a proposed action has the right to:
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s under which a county conference and/or state
level fair hearing may be obtained and financial assistance
continued. A county conference or state level fair hearing need not
be granted unless the reason for an individual appeal is incorrect
grant computation.
I.
A client who disagrees with a proposed action has the right to:
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1.
A county conference that must be requested no later than ninety (90)
calendar days from the date the notice of action is mailed to the client;
2.
A state level fair hearing before an ALJ which can be requested if the
client does not wish to utilize the county conference to resolve the dispute
or is dissatisfied with the outcome of the county conference. The client
must submit a written request for a fair hearing by mail or delivery to the
OAC no later than ninety (90) calendar days from the date the notice of
action is mailed to the client;
3.
Judicial review of the final agency decision in the appropriate State district
court, after exhausting the administrative appeal rights granted under
these rules; and,
4.
Continued grant payments as described in Section 3.554.
J.
Client confidentiality must be treated as follows:
1.
All information obtained by the county department concerning a client of
Adult Financial programs is confidential information.
a.
The county department shall inform county officials and other
persons who have dealings with the department as to the
confidential nature of personally identifiable information, which may
come into their possession through transaction of department
business.
When a county worker consults a bank, current/ former employer of
a client, another social agency, and other similar agencies, to
obtain information or eligibility verification information, the
identification of the county worker as an employee of the county
department can, in itself, disclose that an application for assistance
has been made by a client
through transaction of department
business.
When a county worker consults a bank, current/ former employer of
a client, another social agency, and other similar agencies, to
obtain information or eligibility verification information, the
identification of the county worker as an employee of the county
department can, in itself, disclose that an application for assistance
has been made by a client. In this type of contact, as well as other
community contacts, the department shall maintain confidentiality
whenever possible.
b.
Ensuring privacy while interviewing and the continuous
confidentiality of information is essential. This involves both office
facilities and county worker discretion. Office procedures and
facilities should be such that information is not inadvertently
revealed to persons not concerned with the affairs of a particular
client. The county worker must also use discretion in mentioning
department business outside the office.
2.
General information not identified with any client is not confidential and
may be released for any purpose.
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3.
Information secured by the county department for the purpose of
determining eligibility and need is confidential.
4.
Unless disclosure is specifically permitted by the State Department, the
following types of information are the exclusive property of, and are
restricted to use by, the State and county departments:
a.
Names and addresses of Adult Financial clients, and/or the grant
payment amount;
b.
Information contained in applications, reports of medical
examinations, correspondence, and other information concerning
any person from whom, or about whom, information is obtained by
the county department;
c.
Records of State or county departmental evaluations of the above
information.
d.
All information obtained through the Income and Eligibility
Verification System (IEVS).
5
payment amount;
b.
Information contained in applications, reports of medical
examinations, correspondence, and other information concerning
any person from whom, or about whom, information is obtained by
the county department;
c.
Records of State or county departmental evaluations of the above
information.
d.
All information obtained through the Income and Eligibility
Verification System (IEVS).
5.
No one outside the State or county department shall have access to
records of the department except for the following individuals: those
executing the Income and Eligibility Verification System (IEVS); Child
Support Services officials; the SSA; Federal and State auditors and
private auditors for the county; and Case Management Agencies (CMA).
These individuals shall have access only for purposes necessary for the
administration of the program.
a.
Client records may be used as exhibits for administrative, civil
and/or criminal proceedings when the proceedings relate directly to
the receipt of Adult Financial programs.
b.
Additional individuals shall have access to the client’s records as
long as the client is notified and his or her prior permission for
release of information is obtained, unless the information is to be
used to verify income or eligibility under administration of the IEVS.
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c.
If the information is needed to provide benefits to a client in an
emergency situation, and the client is physically or mentally
incapacitated to the extent that he or she cannot sign the release
form, and time does not permit obtaining the client’s consent prior
to release of information, the county department must notify the
client within eleven (11) calendar days after supplying the
information. If the applicant or client does not have a telephone or
cannot be personally contacted within eleven (11) days, the county
department must send written notification containing the required
information
and time does not permit obtaining the client’s consent prior
to release of information, the county department must notify the
client within eleven (11) calendar days after supplying the
information. If the applicant or client does not have a telephone or
cannot be personally contacted within eleven (11) days, the county
department must send written notification containing the required
information. The verbal or written notification shall include the name
and address of the agency that requested the information, the
reason the information was requested and a summary of the
information released.
d.
The following individuals shall have access to the records of the
department, excluding IEVS information, if the previously identified
consent or notice conditions are met:
1.
A district attorney upon presentation of a written request
accompanied by evidence that fraud is the reason for the
request.
2.
A county human services board member, as described in
Section 26-1-116, C.R.S.
e.
When a county board member or a district attorney needs
information about a client that is not in the possession of the county
department, the requestor, with the aid of the county department,
may contact the State Department to inquire as to the appropriate
methods of securing it.
f.
The release of records is strictly conditioned upon the information
being used solely for the purpose authorized and the person
requesting the information must certify the use to be made of the
information and that it will not be disclosed or used for any other
purpose.
6.
County departments shall not release information regarding applicants or
clients to law enforcement agencies unless a valid search warrant is
received by the county or State Department, except as provided in Section
3.520.1.J.5.a.
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o be made of the
information and that it will not be disclosed or used for any other
purpose.
6.
County departments shall not release information regarding applicants or
clients to law enforcement agencies unless a valid search warrant is
received by the county or State Department, except as provided in Section
3.520.1.J.5.a.
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7.
Upon request to the State Department by the Colorado Bureau of
Investigation, with the responsibility for location and apprehension of
fleeing felons (i.e., a person with an outstanding felony arrest warrant), the
addresses of a fleeing felon who is a client of Adult Financial programs
shall be released pursuant to Section 26-1-114(3)(A)(III) C.R.S.
8.
The client shall have an opportunity to examine such pertinent records
concerning him or her as constitutes a basis for adverse action and in the
case of a county conference or a state level fair hearing. Other requests
for information by the client shall be honored only when the client makes
the request in person and his or her identity is verified or the request is in
the form of a written and signed statement.
The client may designate an individual, firm, or agency to represent him or
her at conferences and hearings. The client must put the designation of
such representative in writing. The representative shall have access to all
pertinent records.
9.
The client may give a formal written release for disclosure of information to
other agencies, such as hospitals or advocate agencies. If the client is not
present, or the opportunity to agree or object to the use or disclosure
cannot practicably be provided because of the client’s incapacity or an
emergency circumstance, the department may, in the exercise of
professional judgment, determine whether the disclosure is in the best
interests of the client and, if so, disclose only the minimum protected
health information necessary that is directly relevant to the client’s care.
10
o agree or object to the use or disclosure
cannot practicably be provided because of the client’s incapacity or an
emergency circumstance, the department may, in the exercise of
professional judgment, determine whether the disclosure is in the best
interests of the client and, if so, disclose only the minimum protected
health information necessary that is directly relevant to the client’s care.
10.
Information provided to agencies and/or individuals must be limited to the
specific information required to determine eligibility, conduct ongoing case
management, or otherwise necessary for the administration of the Adult
Financial program. Information obtained through IEVS will be stored and
processed so that no unauthorized personnel can acquire or retrieve the
information. County departments are responsible for limiting IEVS data to
only those individuals requiring access to determine eligibility or otherwise
administer the programs.
All persons with access to information obtained pursuant to the income
and eligibility verification requirements will be advised of the
circumstances under which access is permitted, how data will be utilized,
confidentiality of data, and the sanctions imposed for illegal use or
disclosure of the information.
K.
County departments and contractors are to administer Adult Financial programs
in such a manner that no person will, on the basis of race, color, religion, creed,
national origin, ancestry, sex/gender (including transgender status), pregnancy,
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ata, and the sanctions imposed for illegal use or
disclosure of the information.
K.
County departments and contractors are to administer Adult Financial programs
in such a manner that no person will, on the basis of race, color, religion, creed,
national origin, ancestry, sex/gender (including transgender status), pregnancy,
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21
age, sexual orientation, gender identity, political affiliation, or physical or mental
disability, or any other protected groups as described in the State Department’s
anti-discrimination policy, be excluded from participation, be denied any aid,
care, or services, or other benefits of, or be otherwise subjected to discrimination
in his or her interactions with Adult Financial programs.
1.
The references to “aid” includes all forms of assistance, including
information and referral services.
2.
The county department shall not, directly or through contractual or other
arrangements, on the basis of race, color, religion, creed, national origin,
ancestry, sex/gender (including transgender status), pregnancy, age,
sexual orientation, gender identity, political affiliation, or physical or mental
disability, or any other protected status:
a.
Provide any aid to an individual that is different, or is provided in a
different manner, from that provided to others;
b.
Subject an individual to segregation barriers or separate treatment
in any manner related to access to or receipt of assistance, care,
services, or other benefits;
c.
Restrict an individual in any way in the enjoyment or any advantage
or privilege enjoyed by others receiving aid provided under Adult
Financial programs;
d.
Treat an individual differently from others in determining whether he
or she satisfies any eligibility or other requirements or conditions
which individuals must meet in order to receive aid, services, care,
or other benefits provided under Adult Financial programs;
e
any way in the enjoyment or any advantage
or privilege enjoyed by others receiving aid provided under Adult
Financial programs;
d.
Treat an individual differently from others in determining whether he
or she satisfies any eligibility or other requirements or conditions
which individuals must meet in order to receive aid, services, care,
or other benefits provided under Adult Financial programs;
e.
Deny an individual an opportunity to participate in assistance
programs through the provision of services or otherwise, or afford
him or her an opportunity to do so which is different from that
afforded to others under programs of assistance.
f.
Deny an individual the opportunity to participate as a member of a
planning or advisory body that is an integral part of the program.
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3.
No distinction is permitted in relation to the use of physical facilities, intake
and application procedures, caseload assignments, determination of
eligibility, and the amount and type of benefits extended by the county
department to clients.
4.
The county department shall ensure that other non-federal agencies,
persons, contractors and other entities with which it contracts business are
in compliance with the above prohibition against discrimination
requirements on a continuing basis. The county department staff is
responsible for being alert to any discriminatory activity of other agencies
and for notifying the State Department concerning the situation.
5.
The State Department, through its various contacts with agencies,
persons, and referral sources, will be continuously alert to discriminatory
activity and will take appropriate action to ensure compliance with these
prohibitions against discrimination
is
responsible for being alert to any discriminatory activity of other agencies
and for notifying the State Department concerning the situation.
5.
The State Department, through its various contacts with agencies,
persons, and referral sources, will be continuously alert to discriminatory
activity and will take appropriate action to ensure compliance with these
prohibitions against discrimination. The county department, on notification
by the State Department, will also terminate payments to the offender or
association with any agency, person, or resource being used that has
been found by the State Department or the Colorado Civil Rights Division
to continue discriminatory activity in regard to applicants or clients.
6.
An individual who believes he or she is being discriminated against may
file a complaint with the county department, the State Department, the
Colorado Civil Rights Division, or directly with the Federal government.
When a complaint is filed with the county department, the county director
is responsible for initiating an immediate investigation of the matter and
taking necessary corrective action to eliminate any discriminatory activities
found. If such activities are not found, the individual is given a written
explanation of the outcome. If the person is not satisfied, he or she is
requested to direct his or her complaint, in writing, to the State
Department, Communications Section, which will be responsible for
further investigation and other necessary action.
3.520.2
DOCUMENTATION
A.
The county department shall create a case record upon initial application and
maintain the record while the case is open for assistance. The major purposes of
a case record shall be:
1.
To assist the county department in reaching a valid decision concerning
eligibility and for the amount of grant payment a client is eligible to receive;
2.
To ensure eligibility is based on factual information;
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tion and
maintain the record while the case is open for assistance. The major purposes of
a case record shall be:
1.
To assist the county department in reaching a valid decision concerning
eligibility and for the amount of grant payment a client is eligible to receive;
2.
To ensure eligibility is based on factual information;
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23
3.
To provide for continuity of assistance when a worker is absent, when a
case is reopened, and when a case is transferred from one county
department to another; and,
4.
To provide accountability for the county department's actions.
B.
The county department shall document all income, resources, and non-financial
eligibility information into the statewide automated system.
1.
The county department shall not omit case information from the statewide
automated system based on the assumption that the information is
unnecessary for eligibility determination.
2.
All case information used to determine eligibility and changes in basic
biographical information shall be updated at the time of redetermination.
C.
The county department shall document all case actions in case comments. This
information shall include actions taken by the county department, the basis of
such actions, and the result or outcome of the action taken on the case and must
also include:
1.
All case decisions related to prudent person principle;
2.
All decisions related to the disposition of claims;
3.
Any atypical interactions with the client;
4.
Actions related to a county conference and/or state level fair hearing;
5.
Cause of untimely processing of the application or redetermination;
6.
Other information that would be critical to document county department
actions and/or would be necessary to justify case decisions during a case
review, audit, appeal, or lawsuit; and,
7.
Information pertaining to eligibility, verifications, and collateral contacts.
D
d to a county conference and/or state level fair hearing;
5.
Cause of untimely processing of the application or redetermination;
6.
Other information that would be critical to document county department
actions and/or would be necessary to justify case decisions during a case
review, audit, appeal, or lawsuit; and,
7.
Information pertaining to eligibility, verifications, and collateral contacts.
D.
Unless otherwise specified in rule, all forms, packets, notices, and applications,
shall be State-prescribed or State approved.
E.
The county department shall be responsible for securely storing paper and/or
electronic case records and other confidential material to prevent accidental or
intentional disclosure or access by unauthorized persons. If a county department
shares building space with other county offices, case materials shall be stored in
locked files.
F.
Case records are the property of and shall be restricted to use by the State
Department and county department.
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G.
Case files shall be kept for a minimum of three (3) years beyond the year of the
case closure date unless there has been a claim, audit, negotiation, litigation or
other action started before the expiration of the three-year period. In such cases,
the retention period shall initiate at the conclusion of the claim, audit, negotiation,
litigation, or other action.
3.520.3
PROGRAM REVIEW AND OVERSIGHT
A.
The county department shall be subject to the provisions outlined in Section 26-
1-111, C.R.S., requiring the State Department to ensure that the county
department complies with requirements provided by statute, State Board of
Human Services and Executive Director rules, Federal laws and regulations, and
contract and grant terms.
B.
The county department shall be subject to routine quality control and program
monitoring by the State Department, to minimally include:
1.
Targeted review of the statewide automated system documentation;
2
t the county
department complies with requirements provided by statute, State Board of
Human Services and Executive Director rules, Federal laws and regulations, and
contract and grant terms.
B.
The county department shall be subject to routine quality control and program
monitoring by the State Department, to minimally include:
1.
Targeted review of the statewide automated system documentation;
2.
Review and analysis of data reports generated from the statewide
automated system;
3.
Case file review;
4.
Targeted program review conducted via phone, email, or survey; and,
5.
Onsite program review.
C.
The focus of State Department monitoring shall be to identify:
1.
Compliance with program statutes and rules;
a.
The county department shall provide written responses to the State
regarding action taken to correct areas of non-compliance. The
State Department must approve the action(s) taken.
b.
The county department shall provide to the State a written plan,
including steps and measures, to mitigate the error(s) from
recurring. This plan must be approved by the State Department.
2.
Best practices that can be shared with other county offices;
3.
Training needs; and,
4.
Performance outcomes.
D.
The county department shall be subject to a performance improvement plan to
correct areas of identified non-compliance.
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E.
The county department shall be subject to corrective action and sanction as
outlined in Section 1.100, et seq. (9 C.C.R. 2501-1), General Policies and
Administration, in case of failure to make improvements required under the
performance improvement plan.
F.
County department supervisory personnel and/or quality assurance staff shall
review eligibility determinations (certifications, denials, and/or pending cases)
monthly for the purposes set forth in 3.520.3.C. Supervisory personnel and/or
quality assurance staff shall:
1
, General Policies and
Administration, in case of failure to make improvements required under the
performance improvement plan.
F.
County department supervisory personnel and/or quality assurance staff shall
review eligibility determinations (certifications, denials, and/or pending cases)
monthly for the purposes set forth in 3.520.3.C. Supervisory personnel and/or
quality assurance staff shall:
1.
Review a minimum number of cases, including specific programs and/or
actions, per month as outlined annually by the State Department based on
the county department’s Adult Financial caseload size. The State
Department will notify the county of the minimum number of cases to be
reviewed via memorandum. The county may elect to:
a.
Create a plan to pull a random sample that includes at least the
minimum number of Adult Financial cases set forth by the State
Department in its memorandum and submit that plan to the State
for approval.
b.
Use the State prescribed random sample.
2.
Determine the correctness of eligibility determinations;
3.
Ensure correction of any errors within ten (10) business days or the time
frame specified within the approved review plan; and,
4.
Maintain a record of the cases reviewed for audit purposes, including audit
results and any required actions taken by the county. County departments
must keep case file reviews for a minimum of three (3) years.
5.
Report these results and actions to the State on a monthly basis via the
State prescribed process.
3.520.4
APPLICATION PROCESSING
The county department shall process applications as expeditiously as possible but no
later than forty-five (45) calendar days following the date the application was filed.
Applications meeting the criteria identified in Section 3.520.1.C, shall be processed as
follows:
A.
Record the date the signed application was received by the county department.
B.
Review the application for completeness for all programs applied for and/or any
programs not applied for but that the client is potentially eligible for.
(45) calendar days following the date the application was filed.
Applications meeting the criteria identified in Section 3.520.1.C, shall be processed as
follows:
A.
Record the date the signed application was received by the county department.
B.
Review the application for completeness for all programs applied for and/or any
programs not applied for but that the client is potentially eligible for.
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26
C.
Schedule an interview with the client if the interview is not taking place
immediately.
1.
The client shall be offered an in-person interview. If the client does not
elect an in-person interview, the county shall schedule and conduct a
phone interview.
2.
The client shall be provided written notice of the interview at least four (4)
calendar days of the scheduled interview. The client may provide a written
or verbal waiver that written notice of the scheduled interview is not
necessary when the county department is able to conduct the interview
during application processing. Notice shall include:
a.
The date and time for the interview;
b.
Identification of any documentation that may be needed;
c.
The opportunity to reschedule the appointment or make other
arrangements in the event of good cause.
3.
When the client does not keep the interview appointment and does not
request an alternate time or arrangement, as described in this section,
grant payments will be denied.
4.
The interview must be documented and shall include:
a.
An explanation of the various assistance programs available to the
applicant, even if not specifically applied for, and an opportunity to
apply for those additional programs not in the client’s original
application;
b.
An explanation of the eligibility process and the eligibility
requirements;
c
this section,
grant payments will be denied.
4.
The interview must be documented and shall include:
a.
An explanation of the various assistance programs available to the
applicant, even if not specifically applied for, and an opportunity to
apply for those additional programs not in the client’s original
application;
b.
An explanation of the eligibility process and the eligibility
requirements;
c.
A review of the application with the client to:
1)
Confirm all information on the application;
2)
Answer questions not completed on the application; and,
3)
Provide the client an opportunity to clarify unclear,
inconsistent, inaccurate, or questionable statements.
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27
4)
For Aid to the Needy Disabled State Only (AND-SO), provide
the client with a medical disability certification form. Provide,
explain and obtain necessary signatures on the
Authorization for Reimbursement of Interim Assistance form
(IM-14), as defined in Section 3.510, and explain the
requirement to apply for Supplemental Security Income
(SSI).
d.
A request for verification of application declarations.
1)
The client has the primary responsibility to provide
information necessary to establish eligibility.
2)
The county department shall assist the client to obtain
verification through collateral contacts, interfaces, or a home
visit.
e.
Discussion of the client's rights and responsibilities that must
include:
1)
The client's responsibility to notify and provide verification to
the county department in writing by the 10th of the month
following the month in which the change occurred of any
change in resources or income or other change in
circumstances which affects eligibility or grant payment
amount.
2)
The client’s right to confidentiality of records and information.
3)
The client's right to non-discrimination provisions, including
the process in Section 3.520.1.K.6, for filing discrimination
complaints.
4)
The client's right to a county conference or state level fair
hearing
any
change in resources or income or other change in
circumstances which affects eligibility or grant payment
amount.
2)
The client’s right to confidentiality of records and information.
3)
The client's right to non-discrimination provisions, including
the process in Section 3.520.1.K.6, for filing discrimination
complaints.
4)
The client's right to a county conference or state level fair
hearing.
5)
The client's right to review and copy his or her case file.
f.
An explanation provided regarding the process of utilizing the EBT
card. This explanation shall include:
1)
Identification of the following establishments in which clients
shall not be allowed to access cash grant payments through
the EBT service from Automated Teller Machines (ATM) and
Point of Sale (POS) devices:
a)
Licensed gaming establishments;
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b)
In-State simulcast facilities;
c)
Tracks for racing;
d)
Commercial bingo facilities;
e)
Stores or establishments in which the principal
business is the sale of firearms;
f)
Retail establishments licensed to sell malt, vinous, or
spirituous liquors;
g)
Establishments licensed to sell medical marijuana or
medical marijuana-infused products, or retail
marijuana or retail marijuana products, effective June
30, 2015;
h)
Establishments that provide adult-oriented
entertainment in which performers disrobe or perform
in an unclothed state for entertainment, effective June
30, 2015.
2)
An explanation that the cash grant payment portion issued
on the EBT card may be suspended with identified misuse
as outlined in Section 3.520.4.C.4.f.
g
ts, or retail
marijuana or retail marijuana products, effective June
30, 2015;
h)
Establishments that provide adult-oriented
entertainment in which performers disrobe or perform
in an unclothed state for entertainment, effective June
30, 2015.
2)
An explanation that the cash grant payment portion issued
on the EBT card may be suspended with identified misuse
as outlined in Section 3.520.4.C.4.f.
g.
An assessment of other needs the client may have and appropriate
referrals to community resources, including food banks, Area
Agencies on Aging (AAA), Aging and Disability Resources for
Colorado (ADRC), Centers For Independent Living, the Division of
Vocational Rehabilitation (DVR), Low Income Energy Assistance
Program (LEAP), phone assistance, and the Property
Tax/Rent/Heat Credit (PTC) Rebate eligibility information.
h.
An opportunity to register to vote.
5.
County departments shall require no more than one interview per
application.
a.
The county department shall secure signed copies of any other
forms necessary to determine eligibility. If the client refuses to sign
any required forms, the case shall be denied or discontinued
following the policies outlined in Section 3.554.
b.
If the client wishes to apply for Adult Financial benefits while
applying for or already receiving benefits under a different program,
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29
such as food assistance, the county department may accept the
client’s verbal or written request for Adult Financial benefits and use
the client’s existing application or redetermination for the other
program’s benefits if received within sixty (60) calendar days of the
request; otherwise a new application will be required. The county
department must verify and document any changes that occurred
between the initial application submission or redetermination and
the request for Adult Financial grant payments
ncial benefits and use
the client’s existing application or redetermination for the other
program’s benefits if received within sixty (60) calendar days of the
request; otherwise a new application will be required. The county
department must verify and document any changes that occurred
between the initial application submission or redetermination and
the request for Adult Financial grant payments. A verbal request to
apply for an Adult Financial program shall be documented in the
statewide automated system and the date of the request will secure
the application date for the client.
6.
When the client does not keep a scheduled interview appointment and has
not contacted the county department to reschedule, as specified in this
section, the county department shall deny the application following the
policies outlined in Section 3.554.
a.
If the client makes a request for Adult Financial grant payments
following the county department’s denial of his or her application
based on the client failing to attend the interview appointment, the
following shall occur:
1)
If the client has good cause as outlined in Section 3.510 and
notifies the county department that he or she wishes to
continue his or her application for Adult Financial grant
payments within thirty (30) calendar days of the denial, the
county department shall reschedule the interview and the
initial application date shall be used. During the interview,
the county department must verify and document any
changes that occurred between the initial application
submission and the client’s request to continue the
application process. If the continued application results in a
denial for any reason and the client makes a subsequent
request for Adult Financial grant payments, a new
application shall be required.
CODE OF COLORADO REGULATIONS
9 CCR 2503-5
Income Maintenance (Volume 3)
rify and document any
changes that occurred between the initial application
submission and the client’s request to continue the
application process. If the continued application results in a
denial for any reason and the client makes a subsequent
request for Adult Financial grant payments, a new
application shall be required.
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2)
If the client does not have good cause and notifies the
county department that he or she wishes to continue his or
her application for Adult Financial grant payments within
thirty (30) calendar days of the denial, the current application
may be used and the date of application shall be the most
recent date the client requested to continue his or her
application for Adult Financial grant payments. The county
department shall reschedule the interview and must verify
and document any changes that occurred between the initial
application submission and the request to continue that
application. If the request to continue the application results
in a denial for any reason and the client makes a subsequent
request for Adult Financial grant payments, a new
application shall be required.
3)
If the client requests grant payments after thirty (30)
calendar days from the date of the initial denial, he or she
must submit a new application.
D.
Verify statements made by the client on the application and during the interview
using the statewide automated system interfaces described in Section 3.520.5,
gathered from other collateral contacts or requested from the client.
1.
If the client is missing any verification, the county department shall request
additional and/or required verifications from the client. The request shall
include:
a.
A specific list of verifications necessary to determine eligibility;
b.
The due date for when the verifications must be returned, which
shall be eleven (11) calendar days from the date the verification
was requested in writing unless otherwise specified in Section
3.540; and,
c
e county department shall request
additional and/or required verifications from the client. The request shall
include:
a.
A specific list of verifications necessary to determine eligibility;
b.
The due date for when the verifications must be returned, which
shall be eleven (11) calendar days from the date the verification
was requested in writing unless otherwise specified in Section
3.540; and,
c.
Notification that if the client fails to return the verifications by the
due date, the county department shall process the application
without those verifications, which may lead to a denial of grant
payments.
2.
The client shall be advised that a collateral contact or home visit may be
used to confirm questionable evidence, to investigate potential fraud, or
when documentary evidence is insufficient to make a determination of
eligibility or grant payment amount or cannot otherwise be obtained. If a
collateral contact is needed, the county department shall:
a.
Request the name of an appropriate collateral contact from the
client; or,
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b.
Independently determine an appropriate collateral contact; or,
c.
Substitute a home visit when an appropriate collateral contact
cannot be identified; or,
d.
Deny an application following the policies outlined in Section 3.554
if a collateral contact refuses to provide documentation of essential
verifications and the applicant is unwilling to cooperate in obtaining
such documentation.
1)
The client’s authorization for the collateral contact to release
such information or documentation alone does not constitute
cooperation if the county department requests further
assistance from the client. Documentation of lack of
cooperation must be entered in the case record
documentation of essential
verifications and the applicant is unwilling to cooperate in obtaining
such documentation.
1)
The client’s authorization for the collateral contact to release
such information or documentation alone does not constitute
cooperation if the county department requests further
assistance from the client. Documentation of lack of
cooperation must be entered in the case record.
2)
However, if the client is willing to cooperate, but unable to
obtain the information or documentation from the collateral
contact, the county shall assist him or her in gaining the
information or documentation required to make a
determination of eligibility. If the county is also unable to
obtain the information or documentation, eligibility will be
determined based on the information provided.
e.
Maintain client confidentiality to the greatest extent possible when
using a collateral contact for verification.
3.
Record the date each verification document was received by the county
department office.
4.
Upon receipt of the required verifications, the county department shall
enter verifications into the statewide automated system. Once all
verifications have been entered, the county department shall review the
results, verify accuracy, and determine eligibility. If a client fails to timely
return verifications, the case may be denied following the policies outlined
in Section 3.554.
a.
If the client provides new information regarding a change in
circumstances after he or she was determined ineligible, the
change in circumstances shall be treated as follows:
1)
If the change in circumstances occurred within thirty (30)
calendar days of the denial, the client’s original application
may be used and the date of the application shall be the
date all verifications were received supporting the new
circumstance. The county department shall verify and
CODE OF COLORADO REGULATIONS
9 CCR 2503-5
Income Maintenance (Volume 3)
tances shall be treated as follows:
1)
If the change in circumstances occurred within thirty (30)
calendar days of the denial, the client’s original application
may be used and the date of the application shall be the
date all verifications were received supporting the new
circumstance. The county department shall verify and
CODE OF COLORADO REGULATIONS
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32
document any changes that occurred between the original
application submission and the new request to continue his
or her application. The county department shall enter the
verifications into the statewide automated system, review the
results, verify accuracy, and determine eligibility. If the
client’s request to continue his or her application results in a
denial for any reason and the client makes a subsequent
request for Adult Financial grant payments, a new
application shall be required.
2)
If the client identifies a change in circumstance more than
thirty (30) calendar days from the date of the denial, he or
she must submit a new application.
5.
When the client does not submit the required verifications, and the case is
denied or discontinued:
a.
If a client returns the required verifications within thirty (30)
calendar days of the denial or discontinuation and good cause is
provided for the delayed submission, the county department shall
utilize the current application date and shall enter the verifications
into the statewide automated system. When all verifications have
been entered, the county department shall review the results, verify
accuracy, and determine eligibility. If that request to continue the
application results in a denial for any reason and the client makes a
subsequent request for Adult Financial grant payments, a new
application shall be required.
CODE OF COLORADO REGULATIONS
9 CCR 2503-5
Income Maintenance (Volume 3)
When all verifications have
been entered, the county department shall review the results, verify
accuracy, and determine eligibility. If that request to continue the
application results in a denial for any reason and the client makes a
subsequent request for Adult Financial grant payments, a new
application shall be required.
CODE OF COLORADO REGULATIONS
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33
b.
If the client does not have good cause and returns the required
verifications within thirty (30) calendar days of the denial, that
application may be used and the date of the application shall be the
date all verifications were received. The county department shall
enter the verifications into the statewide automated system. When
all verifications have been entered, the county department shall
review the results, verify accuracy, and determine eligibility. If that
request to continue the application results in a denial for any reason
and the client makes a subsequent request for Adult Financial grant
payments, a new application shall be required.
c.
If the client provides the verifications more than thirty (30) calendar
days from the date of the denial, he or she must submit a new
application.
6.
If a client believes that the value used by the county department for
income or resource calculation was incorrect, the client may request
verbally or in writing to have his or her case reevaluated by the county
within thirty (30) calendar days of the denial. The county department shall
evaluate and request additional documentation if needed. If an incorrect
determination was made, the county department shall correct the case
and grant payments shall be recalculated and issued based on the original
application date.
7.
Delay in processing the application shall not be allowed for any of the
following:
a.
When the client has applied for a Social Security Number and is
awaiting action by the SSA; or,
b.
When the county department is awaiting receipt of information from
the State Verification Exchange System (SVES).
E
case
and grant payments shall be recalculated and issued based on the original
application date.
7.
Delay in processing the application shall not be allowed for any of the
following:
a.
When the client has applied for a Social Security Number and is
awaiting action by the SSA; or,
b.
When the county department is awaiting receipt of information from
the State Verification Exchange System (SVES).
E.
Provide a notice of action to the client by mail, electronic notification, or in person
using the State Department's prescribed form explaining the eligibility
determination results and the client's appeal rights as outlined in Section 3.586,
et seq.
3.520.5
INTERFACE VERIFICATIONS
Interfaces are acceptable verification sources for the Adult Financial programs.
Appropriate interfaces for verification purposes are described below.
A.
The Income and Eligibility Verification System (IEVS) provides for the exchange
of information on clients with the SSA and the Colorado Department of Labor and
Employment (DOLE). The county department shall query IEVS, using the client's,
CODE OF COLORADO REGULATIONS
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34
client's spouse's, and client's sponsors' SSNs. Source agency records shall be
matched on a regular basis to identify potential earned and unearned income,
and resources:
1.
The following data shall be considered verified upon receipt:
a.
SSA (Beneficiary and Earnings Data Exchange (BENDEX) and
State Data Exchange (SDX)) Social Security benefits, SSI,
pensions, self-employment income, federal employee earnings;
and,
b.
Unemployment benefits (UIB).
2.
DOLE wage data shall not be considered verified upon receipt.
a.
Additional verification must be obtained to verify wage information.
The county department shall request this information be provided
by the client and/or his or her employer in writing
a Exchange (SDX)) Social Security benefits, SSI,
pensions, self-employment income, federal employee earnings;
and,
b.
Unemployment benefits (UIB).
2.
DOLE wage data shall not be considered verified upon receipt.
a.
Additional verification must be obtained to verify wage information.
The county department shall request this information be provided
by the client and/or his or her employer in writing. This information
must be provided within eleven (11) days following the date of the
county’s request or the case will be discontinued or denied
following the policies outlined in Section 3.554.
b.
The county department shall query DOLE at initial application and
at redetermination.
3.
Prior to approval of grant payments, the county department shall, at a
minimum, verify potential income or unemployment benefits for the client,
client's spouse, and sponsor(s).
4.
The county department shall act on all information received through IEVS
within forty five (45) calendar days of receipt.
5.
The county department shall not delay processing of IEVS beyond forty-
five (45) calendar days on more than twenty (20) percent of the
information targeted for follow-up, if:
a.
The reason that the action cannot be completed within forty-five
(45) calendar days is the nonreceipt of requested third party
verification; and,
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b.
Action is completed promptly, when third party verification is
received or at the next time eligibility is redetermined, whichever is
earlier. If action is completed when eligibility is redetermined and
third party verification has not been received, the county
department shall make its decision based on information provided
by the client and any other information in its possession.
6.
At initial application and at redetermination, a client shall be notified
through a written statement provided on or with the application form that
rlier. If action is completed when eligibility is redetermined and
third party verification has not been received, the county
department shall make its decision based on information provided
by the client and any other information in its possession.
6.
At initial application and at redetermination, a client shall be notified
through a written statement provided on or with the application form that
(1) the information available through IEVS will be requested, and that such
information will be used for determination of eligibility; (2) the information
in IEVS must be verified through sources, such as collateral contacts with
the client, when discrepancies are found by the county department; and,
(3) that the verified information may affect the client’s eligibility and grant
payment amount.
a.
All verification types obtained by a collateral contact to validate or
invalidate any IEVS discrepancy shall be documented;
b.
Case documentation shall be available in the case file or statewide
automated system documenting the action taken on the case within
forty-five (45) calendar days of initial receipt. Case documentation
must include the purpose of the review of the IEVS, the action
taken on the case, and how the county department made the
determination and whether that determination supports the county’s
action on the case.
B.
The State Verification Exchange System (SVES) may be used to verify social
security number, SSA income, and Supplemental Security Income application
status. SVES may also be used to identify potential marital status, potential
resources, and other potential sources of income; additional verification may be
necessary.
C.
The county department shall query the Public Assistance Reporting Information
System (PARIS) at initial application and at redetermination to determine whether
the client is receiving benefits in another state, veterans' benefits, or military
wages or allotments
entify potential marital status, potential
resources, and other potential sources of income; additional verification may be
necessary.
C.
The county department shall query the Public Assistance Reporting Information
System (PARIS) at initial application and at redetermination to determine whether
the client is receiving benefits in another state, veterans' benefits, or military
wages or allotments. This information is not considered verified upon receipt and
additional verification must be obtained to verify the information provided in
PARIS. The county department shall request this information be provided by the
client and/or the other state, veteran’s agency, or military branch in writing.
CODE OF COLORADO REGULATIONS
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D.
For AND only the county department shall query the Systematic Alien Verification
for Entitlements (SAVE) at initial application and at redetermination. Information
obtained through SAVE is considered verified upon receipt. The purpose of the
save query is to:
1.
Determine whether a qualified non-citizen has a sponsor(s); and,
2.
Verify the non-citizen registration number provided by the client and, if the
number and name submitted do not match, refer the client to resolve the
discrepancy, and if unable to resolve, take prompt action to terminate
assistance to the client following the policies outlined in Section 3.554;
and,
3.
Determine the non-citizen's immigration status.
E.
The Colorado Department of Revenue, Division of Motor Vehicles (DMV), may
be used by the county department to verify identity.
3.520.6
NON-FINANCIAL ELIGIBILITY REQUIREMENTS
3.520.61
NON-FINANCIAL ELIGIBILITY REQUIREMENTS
To be eligible for Adult Financial programs, a client shall:
A.
Be eighteen (18) through fifty-nine (59) years of age for AND-SO (unless
diagnosed with blindness, then age zero (0) through 59 years of age); age 0
through 59 years of age for AND-CS; and age sixty (60) years of age or older for
OAP; and,
B
3.520.6
NON-FINANCIAL ELIGIBILITY REQUIREMENTS
3.520.61
NON-FINANCIAL ELIGIBILITY REQUIREMENTS
To be eligible for Adult Financial programs, a client shall:
A.
Be eighteen (18) through fifty-nine (59) years of age for AND-SO (unless
diagnosed with blindness, then age zero (0) through 59 years of age); age 0
through 59 years of age for AND-CS; and age sixty (60) years of age or older for
OAP; and,
B.
Be a resident of Colorado, except that inmates of a city, municipal, county, State,
or Federal correctional institution, and fleeing felons, shall not be eligible for Adult
Financial programs; and,
C.
For AND only, be a citizen of the United States or be a qualified non-citizen or
legal immigrant as outlined in Sections 3.520.67; and,
D.
For AND only, have a valid SSN, as outlined in Section 3.520.65; and,
E.
For AND only, have a disability, as outlined in Section 3.541; and,
F.
Not be currently receiving or eligible for financial assistance from Colorado
Works, as outlined in Section 3.520.71.F; and,
G.
Apply for and accept all retirement and public assistance benefits for which they
may be eligible, unless good cause is provided as to why such benefits were not
applied for or accepted; and,
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H.
Pursue and accept all other potential income and resources that may be
available, as outlined in Section 3.520.71; and,
I.
Meet all other program eligibility requirements, including income and resource
limits.
3.520.62
AGE REQUIREMENTS
The county department shall verify the client's age by viewing the statewide automated
system interface information or any of the following documents:
A.
Birth certificate;
B.
Valid Colorado State identification or driver's license;
C.
Valid out of state identification or driver's license;
D.
Naturalization, immigration, or passport papers;
E.
Legal documents from vital statistics;
F.
Social Security information (SOLQ, SVES, SDX, and BENDEX);
G.
School records;
H
statewide automated
system interface information or any of the following documents:
A.
Birth certificate;
B.
Valid Colorado State identification or driver's license;
C.
Valid out of state identification or driver's license;
D.
Naturalization, immigration, or passport papers;
E.
Legal documents from vital statistics;
F.
Social Security information (SOLQ, SVES, SDX, and BENDEX);
G.
School records;
H.
Baptismal certificates or other well documented church records;
I.
Genealogy records or other well documented family records of birth;
J.
Voting records; or,
K.
United States census records.
3.520.63
MARITAL STATUS
A.
The county department shall determine and verify if questionable the client's
marital status as one of the following:
1.
Single, never married;
2.
Married;
3.
Widowed; or,
4.
Divorced or legally separated.
B.
If married, both spouses may apply for and/or receive Adult Financial programs.
Each spouse shall have a separate case.
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C.
If the client is divorced, legally separated or widowed, and this status is
questionable, the client shall provide verification in the form of:
1.
Legal court documents or alternate verification from a vital statistic source
substantiating divorce or legal separation; or,
2.
Death certificate or obituary of the client’s spouse.
D.
Clients who are not legally separated or divorced are considered married.
3.520.64
RESIDENCY REQUIREMENTS
A.
To be eligible for Adult Financial programs, a client shall be a resident of
Colorado.
B.
Residency is established on the first day the client declares him/herself to be a
resident of Colorado.
1.
A person shall not acquire residence while the person has established his
or her permanent place of residence in another state or country.
2.
A person receiving financial assistance from another state shall not be
eligible for Adult Financial programs in Colorado during any month in
which a payment is made by the other state.
C
t day the client declares him/herself to be a
resident of Colorado.
1.
A person shall not acquire residence while the person has established his
or her permanent place of residence in another state or country.
2.
A person receiving financial assistance from another state shall not be
eligible for Adult Financial programs in Colorado during any month in
which a payment is made by the other state.
C.
The client shall live in the county in which the application is made.
1.
A client who resides in a county but who is homeless or does not have a
fixed mailing address shall be considered eligible for assistance, provided
all other eligibility requirements are met.
2.
Clients who do not have a fixed address may provide a postal box within
their county as their mailing address, or may use the county department
as their mailing address. It shall be the client's responsibility to go to the
postal box or the county department to check for and pick up their mail.
Failure to regularly check for and pick up mail shall not be grounds for
appealing timely notice.
D.
A client who moves out of Colorado or is shown to be a resident of another state
shall not be considered a resident of Colorado. A move or residence in another
state may be established by actions such as:
1.
Purchasing or obtaining a lease of a dwelling unit in another state;
2.
Household effects, equipment, and personal belongings being removed to
another state;
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is shown to be a resident of another state
shall not be considered a resident of Colorado. A move or residence in another
state may be established by actions such as:
1.
Purchasing or obtaining a lease of a dwelling unit in another state;
2.
Household effects, equipment, and personal belongings being removed to
another state;
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3.
Obtaining a driver's license or state-issued identification card in another
state;
4.
Registering to vote in another state;
5.
Applying for or receiving local, state, or Federal assistance in another
state;
6.
Registering vehicles of any type in another state;
7.
Securing a resident hunting or fishing license in another state;
8.
Using an address in another state; or,
9.
Statements or other positive acts indicating that the client has taken up
residence in another state.
E.
A client who is out of State temporarily shall be considered a resident, with the
following exceptions:
1.
A client who leaves the country for a period of thirty (30) or more
consecutive days creates a rebuttable presumption (unless the client
comes forward with enough information to prove otherwise) that the client
shall no longer be considered a resident and shall be ineligible for Adult
Financial programs.
2.
A client who leaves the State for a period of ninety (90) or more
consecutive days creates a rebuttable presumption (unless the client
comes forward with enough information to prove otherwise) that the client
shall no longer be considered a resident and shall be ineligible for Adult
Financial programs. An exception to this is for individuals temporarily out
of the State to receive documented medical treatment.
3.
A client who leaves the State for a period of more than one hundred eighty
a rebuttable presumption (unless the client
comes forward with enough information to prove otherwise) that the client
shall no longer be considered a resident and shall be ineligible for Adult
Financial programs. An exception to this is for individuals temporarily out
of the State to receive documented medical treatment.
3.
A client who leaves the State for a period of more than one hundred eighty
(180) days in any calendar year, even if that time has not been
consecutive time away, creates a rebuttable presumption (unless the
client comes forward with enough information to prove otherwise) that the
client shall no longer be considered a resident and shall be ineligible for
Adult Financial programs.
4.
A client who leaves the State to care for an immediate family member
injured in the line of military duty for a period of one hundred eighty (180)
or more consecutive days creates a rebuttable presumption (unless the
client comes forward with enough information to prove otherwise) that the
client shall no longer be considered a resident and shall be ineligible for
Adult Financial programs.
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F.
When a determination of principal place of residence is difficult to secure due to
conflicting documentation, other sources shall be used to gather verification and
make a decision, such as addresses obtained from voter registrations, tax
returns, Social Security and Medicare, a driver's license, car registrations, or
other statements or documents. The county department shall use the prudent
person principle to weigh the documentation and/or verification and make a
decision regarding residency.
G.
The burden to prove residency shall be on the client. If a client refuses to provide
requested or necessary documentation or information to verify residency, Adult
Financial grant payments shall be denied following the policies outlined in
Section 3.554.
3.520.65
SOCIAL SECURITY NUMBERS (SSN)
A
son principle to weigh the documentation and/or verification and make a
decision regarding residency.
G.
The burden to prove residency shall be on the client. If a client refuses to provide
requested or necessary documentation or information to verify residency, Adult
Financial grant payments shall be denied following the policies outlined in
Section 3.554.
3.520.65
SOCIAL SECURITY NUMBERS (SSN)
A.
Each Adult Financial program client who has a social security number (SSN) or is
eligible to obtain a SSN shall provide his or her SSN to the county department.
1.
If a client has multiple numbers, all numbers shall be required.
2.
If a client is unable to provide their SSN, the client shall be required to
apply for a SSN at the local Social Security office and provide the county
department with verification of application for an SSN. This requirement
does not apply to OAP clients who are non-citizens or qualified non-
citizens.
3.
When a client is eligible for a SSN, refusal or failure to apply for or provide
their SSN shall result in denial for Adult Financial programs.
4.
Upon proof of application for an SSN, the time required for issuance of the
number or to secure verification of the number shall not be used as a
basis for delaying action on the Adult Financial program application.
B.
The county department shall verify the client's SSN with the SSA in accordance
with procedures established by the State Department for the SVES.
1.
The county department shall accept as verified a SSN that has been
confirmed by the SVES.
2.
When the county department receives notification that an SSN cannot be
verified or is otherwise discrepant (e.g., name or number do not match
SSA records), the county department shall:
a.
Conduct a case record review to confirm that the SSN in the case
record matches the SSN submitted to the SSA for verification.
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the SVES.
2.
When the county department receives notification that an SSN cannot be
verified or is otherwise discrepant (e.g., name or number do not match
SSA records), the county department shall:
a.
Conduct a case record review to confirm that the SSN in the case
record matches the SSN submitted to the SSA for verification.
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41
1)
If an error occurred in the original submittal (e.g., digits
transposed, incorrect name submitted) the county
department shall correct the error and resubmit the SSN
through SVES for verification.
2)
If no error is identified, the county department shall advise
the client in writing that the SSN could not be verified, and
instruct the client to contact the local Social Security office to
resolve the discrepancy.
b.
Make every effort to assist the client to obtain available documents
required by the SSA.
3.
For clients eligible to receive a SSN, if the client is unable to provide his or
her valid SSN, the application shall be denied or the case terminated
following the policies outlined in Section 3.554.
3.520.66
IDENTITY
In order to verify clients identity, the client shall produce and provide to the county
department:
A.
A valid Colorado driver's license or a Colorado identification card issued pursuant
to Article 2 of Title 42, C.R.S.; or,
B.
A United States military card or military dependent's identification card; or,
C.
A United States Coast Guard Merchant Mariner Card; or,
D.
A Native American tribal document;
E.
Any other document authorized by rules adopted by the Colorado Department of
Revenue pertaining to driver’s licenses and identification cards found at 1 C.C.R.
204-30, Rule 16 (rules for exceptions processing) (August 14, 2025), which is
hereby incorporated by reference. No later editions or amendments are
incorporated
Coast Guard Merchant Mariner Card; or,
D.
A Native American tribal document;
E.
Any other document authorized by rules adopted by the Colorado Department of
Revenue pertaining to driver’s licenses and identification cards found at 1 C.C.R.
204-30, Rule 16 (rules for exceptions processing) (August 14, 2025), which is
hereby incorporated by reference. No later editions or amendments are
incorporated. These rules are available for public inspection at the Colorado
Department of Revenue, 1375 Sherman St., Denver, CO 80261 or for no cost at
https://www.sos.state.co.us/CCR/DisplayRule.do?action=ruleinfo&ruleId=3202.
Copies of these rules are available for public inspection and copying at the
Colorado Department of Human Services, Division of Economic and Workforce
Support, 1575 Sherman St., Denver, CO 80203, during regular business hours.
3.520.67
CITIZENSHIP, QUALIFIED NON-CITIZENS, AND NON-CITIZENS
A.
The following are citizens of the United States and are eligible to apply for AND.
1.
Persons born in the United States, Puerto Rico, Guam, Virgin Islands
(U.S.), American Samoa, or Swain's Island;
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2.
Persons who have become citizens through the naturalization process;
3.
Persons born to U.S. citizens outside the United States with appropriate
documentation.
B.
The county department shall verify citizenship for AND when:
1.
The claim of citizenship is inconsistent with statements made by the client
or with other information on the current or previous applications; or,
2.
The claim of citizenship is inconsistent with information received from
another source.
C.
Citizenship may be verified by a birth certificate, possession of a U.S. passport, a
certificate of U.S. citizenship (issued by USCIS), a certificate of naturalization
(issued by USCIS), a certificate of birth abroad of a citizen of the United States
(issued by the Department of State), or Identification Cards for U.S. citizens
(issued by USCIS)
nt with information received from
another source.
C.
Citizenship may be verified by a birth certificate, possession of a U.S. passport, a
certificate of U.S. citizenship (issued by USCIS), a certificate of naturalization
(issued by USCIS), a certificate of birth abroad of a citizen of the United States
(issued by the Department of State), or Identification Cards for U.S. citizens
(issued by USCIS). Documents that are acceptable as verification of citizenship
can be found in the Federal Regulations at 45 C.F.R. 1626.6 (September 2025),
which is hereby incorporated by reference. This rule does not contain later
amendments or editions. These regulations are available at no cost at
https://www.ecfr.gov/current/title-45/subtitle-B/chapter-XVI/part-1626/section-
1626.6. These regulations are also available for public inspection and copying at
the Colorado Department of Human Services, Division of Economic and
Workforce Support, 1575 Sherman Street, Denver, Colorado, 80203, during
regular business hours.
D.
Verification of citizenship by the county department shall not result in
discrimination based on race, religion, ethnic background or national origin, and
groups such as migrant farm workers or Native Americans shall not be targeted
for special verification. The county department shall not rely on a surname,
accent, or appearance that seems foreign to find a claim to citizenship
questionable. Nor shall the county department rely on a lack of English speaking,
reading, or writing ability as grounds to question a claim to citizenship.
E.
Qualified non-citizens who are considered legal immigrants by USCIS are eligible
to apply for Adult Financial programs and all non-citizens are eligible to apply for
OAP.
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stionable. Nor shall the county department rely on a lack of English speaking,
reading, or writing ability as grounds to question a claim to citizenship.
E.
Qualified non-citizens who are considered legal immigrants by USCIS are eligible
to apply for Adult Financial programs and all non-citizens are eligible to apply for
OAP.
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43
F.
Qualified non-citizens applying for AND shall present documentation from USCIS
showing the client's non-citizen status. All documents shall be verified through
SAVE (Systematic Alien Verification for Entitlements) to determine the validity of
the document.
G.
The following non-citizens and temporary residents shall not be eligible for AND.
1.
A non-citizen with no status verification (undocumented) from the USCIS;
2.
A non-citizen granted a specific voluntary departure date;
3.
A non-citizen without a current qualified status, regardless of application
status; or,
4.
A citizen of foreign nations residing temporarily in the United States on the
basis of a visa issued to permit employment, education, or a visit.
3.520.68
FIVE YEAR BAR FROM ELIGIBILITY
A.
Qualified non-citizens arriving in the U.S. on or after August 22, 1996, are barred
from receiving AND for five years beginning on the qualified non-citizen's date of
admission into the United States for legal permanent residence, as verified
through SAVE.
3.520.69 SPONSORSHIP OF QUALIFIED NON-CITIZENS
This section shall apply to qualified non-citizens who entered the country on or after
August 22, 1996.
A.
If a client is a sponsored qualified non-citizen, he or she shall be responsible for
the provision of any information and documentation related to the sponsor(s) and
shall obtain cooperation from the sponsor(s) necessary to determine:
1.
The identity and current address and contact information of the
sponsor(s);
2.
The relationship of the sponsor(s) to the qualified non-citizen;
3
ust 22, 1996.
A.
If a client is a sponsored qualified non-citizen, he or she shall be responsible for
the provision of any information and documentation related to the sponsor(s) and
shall obtain cooperation from the sponsor(s) necessary to determine:
1.
The identity and current address and contact information of the
sponsor(s);
2.
The relationship of the sponsor(s) to the qualified non-citizen;
3.
Income and resources of the sponsor(s), which may be deemed available
to the qualified non-citizen or recovered for repayment of grant payments
paid to or on behalf of the qualified non-citizen.
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B.
It shall be presumed that an affidavit of support demonstrates the sponsor's
ability to make income and resources available to a non-citizen whom he or she
sponsors at a minimum of one hundred twenty-five percent (125%) of the Federal
Poverty Guidelines, as defined in 3.510. Sponsors are expected to meet their
financial commitments to the qualified non-citizen whom they sponsor and for
whom they signed an affidavit of support until such time as the:
1.
Qualified non-citizen has obtained U.S. citizenship;
2.
Qualified non-citizen has worked, or can be credited with forty (40)
qualifying quarters of coverage under Title II of the Federal Social Security
Act, 42 U.S.C. Section 413 (2018);
3.
Qualified non-citizen leaves the United States and gives up lawful
permanent resident status;
4.
Qualified non-citizen dies;
5.
Sponsor of the qualified non-citizen dies. The death of one sponsor does
not terminate the support obligation of a joint sponsor. The sponsor's
estate shall be required to repay public benefits; or
6.
Qualified non-citizen becomes subject to removal proceedings, but he or
she applies for and obtains a new grant of admission status in those
proceedings based on a new affidavit of support, if one is required.
C.
Income and resources of the sponsor(s) shall be deemed to the client, as follows:
1
t obligation of a joint sponsor. The sponsor's
estate shall be required to repay public benefits; or
6.
Qualified non-citizen becomes subject to removal proceedings, but he or
she applies for and obtains a new grant of admission status in those
proceedings based on a new affidavit of support, if one is required.
C.
Income and resources of the sponsor(s) shall be deemed to the client, as follows:
1.
Sponsor deeming shall not apply to qualified non-citizens admitted as
refugees or as political asylees. A non-citizen whose status as a political
asylee or refugee has not yet been determined or finalized because his or
her application to become a qualified noncitizen is in a pending status or
for some other reason shall not be considered a qualified non-citizen
admitted as a political asylee or refugee, and therefore, such non-citizen is
not eligible to receive grant payments.
2.
Sponsors who signed sponsorship agreements prior to December 19,
1997, shall not be subject to resource and income deeming.
3.
Effective December 19, 1997 through December 31, 2013, sponsor
deeming shall apply only to the qualified non-citizen's spouse and/or non-
relative sponsor(s) identified in sponsorship agreements signed on or after
December 19, 1997.
a.
A relative is defined as any relation by blood, adoption, or marriage.
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45
b.
Kinship relations by marriage continue to exist even if the marriage
is terminated by death or divorce.
4.
Effective January 1, 2014, sponsor deeming shall apply to all of the
qualified non-citizen's sponsors identified in sponsorship agreements
signed on or after December 19, 1997, no matter the sponsor's
relationship to the client.
5.
Because the sponsor, not the non-citizen, is solely liable for repayment,
the sponsor cannot use the sponsored non-citizen's grant payments to
repay the payments.
D
4.
Effective January 1, 2014, sponsor deeming shall apply to all of the
qualified non-citizen's sponsors identified in sponsorship agreements
signed on or after December 19, 1997, no matter the sponsor's
relationship to the client.
5.
Because the sponsor, not the non-citizen, is solely liable for repayment,
the sponsor cannot use the sponsored non-citizen's grant payments to
repay the payments.
D.
If the qualified non-citizen fails to provide information related to the sponsor(s),
as outlined in Section 3.520.69.A, assistance shall be denied or discontinued
following the policies outlined in Section 3.554.
If it is determined that the client received Adult Financial program grant payments
because the client failed to provide necessary information related to the
sponsor(s) or the sponsor(s) failed to cooperate with the county department in
determining income and resources that are required to be deemed to the client,
the county department shall recover such funds, as outlined in Section
3.520.69.C.
E.
Income and resources shall be deemed as outlined in Sections 3.534,
3.520.69.B, and 3.520.72.
3.520.7
FINANCIAL ELIGIBILITY REQUIREMENTS
3.520.71
FINANCIAL ELIGIBILITY REQUIREMENTS
A.
To receive Adult Financial program assistance, the client shall meet all financial
requirements in addition to all other program eligibility requirements. The client
shall:
1.
Have countable resources below the resource limit as outlined in Section
3.520.72; and,
2.
Have income below the income limit, as outlined in Section 3.520.78; and,
3.
Make reasonable attempts to pursue all available potential income and
resources at the client's disposal.
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rogram eligibility requirements. The client
shall:
1.
Have countable resources below the resource limit as outlined in Section
3.520.72; and,
2.
Have income below the income limit, as outlined in Section 3.520.78; and,
3.
Make reasonable attempts to pursue all available potential income and
resources at the client's disposal.
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46
B.
The AND-SO client shall apply for Supplemental Security Income (SSI) benefits.
If the client has work hours during his or her lifetime, the client shall also apply for
Social Security Disability Insurance (SSDI). The client shall report any denial for
SSI benefits. The client shall appeal all negative decisions regarding their SSI
eligibility. Failure to appeal all negative decisions within thirty (30) calendar days
of such decision, unless additional time is given for good cause, shall result in
denial or discontinuation of and grant payments.
If the client is approved for SSI and SSDI benefits at the same time and is given
the choice between the two (2) benefit options, he or she must contact the county
department to determine if any interim assistance he or she received from the
county is required to be repaid. If repayment is required, the client shall be
advised that he or she must accept the SSI benefits and that if he or she
voluntarily withdraws his or her SSI application, withdrawal would violate the
Authorization for Reimbursement of Interim Assistance, as outlined in Section
3.545.
For OAP, the client shall apply for and accept Social Security and/or SSI benefits
if determined eligible, as follows:
1.
Clients sixty (60) years of age and older who report a disability may be
eligible for SSI or SSDI.
2.
Clients sixty (60) years of age and older may be eligible for Social Security
survivor benefits.
3
zation for Reimbursement of Interim Assistance, as outlined in Section
3.545.
For OAP, the client shall apply for and accept Social Security and/or SSI benefits
if determined eligible, as follows:
1.
Clients sixty (60) years of age and older who report a disability may be
eligible for SSI or SSDI.
2.
Clients sixty (60) years of age and older may be eligible for Social Security
survivor benefits.
3.
Clients sixty-two (62) years of age and older may be eligible for early
Social Security retirement benefits; otherwise the client shall provide
documentation from the SSA that he or she is ineligible due to insufficient
work hours.
4.
Clients sixty-five (65) years of age and older may be eligible for SSI
benefits when the client's income from any source is less than the SSI
benefit standard, as defined in Section 3.510, plus $20.00.
C.
For all Adult Financial programs other than AND-SO, clients referred to the SSA
to apply for any SSA related benefit shall be required to provide verification of
application for such benefits within eleven (11) calendar days of his or her
application for SSA benefits.
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47
For AND-SO, clients referred to the SSA to apply for any SSA related benefit
shall be required to provide verification of application for such benefits within
sixty (60) calendar days from the initial interview date with the county
department. The client will have up to sixty days of conditional approval from the
date of the initial interview with the county department for AND-SO. Subsequent
applications for AND-SO submitted by the client shall not be approved prior to
receipt of proof of application for SSA benefits. Subsequent applications for AND-
SO require verification of application for SSA benefits within thirty (30) calendar
days.
D.
For OAP, if the client has or is eligible to obtain a SSN they shall apply for SSI,
unless the client is a non-citizen or qualified non-citizen that does not qualify to
receive a SSN
the client shall not be approved prior to
receipt of proof of application for SSA benefits. Subsequent applications for AND-
SO require verification of application for SSA benefits within thirty (30) calendar
days.
D.
For OAP, if the client has or is eligible to obtain a SSN they shall apply for SSI,
unless the client is a non-citizen or qualified non-citizen that does not qualify to
receive a SSN. A client with a SSN and shall timely schedule and complete any
and all scheduled interviews with the SSA, and in the event of a denial by SSA,
the OAP client shall continue to appeal all negative decisions from the SSA until
a final resolution is reached and no further right to appeal exists. However, the
requirement to continue to appeal all negative decisions may be excused if any
of the following apply:
1.
The client's and the client's spouse's gross income exceeds the maximum
allowed for SSI for an individual or a couple; or,
2.
The client's and the client's spouse's total resources exceed that allowed
for SSI for an individual or a couple; or,
3.
The client is not disabled as defined in Section 3.541; or,
4.
As otherwise directed by the SSA; or,
5.
Good cause exists as defined in Section 3.510.
E.
Clients newly approved for SSI benefits who have been charged an in-kind
support and maintenance (ISM) deduction by the SSA shall apply to SSA to
remove the ISM as soon as the client begins paying his or her fair share for
shelter costs. The county department shall deduct an identical ISM amount for
Adult Financial programs until the SSA ISM is removed.
F.
The client shall apply for and accept TANF/Colorado Works when he or she
might be eligible, as follows:
1.
An Adult Financial program client with a dependent child is required to
apply for and accept, if eligible, TANF/Colorado Works financial benefits.
a.
A grandparent or any other specified caretaker who is not a parent
is not required to be a member of the TANF/Colorado Works case
when they are not requesting assistance for himself or herself.
o Works when he or she
might be eligible, as follows:
1.
An Adult Financial program client with a dependent child is required to
apply for and accept, if eligible, TANF/Colorado Works financial benefits.
a.
A grandparent or any other specified caretaker who is not a parent
is not required to be a member of the TANF/Colorado Works case
when they are not requesting assistance for himself or herself.
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b.
A TANF/Colorado Works client is not required to apply for an
extension to be potentially eligible for Adult Financial program grant
payments.
c.
The TANF/Colorado Works funds received for the support of a child
are not used in determining the specified caretaker's eligibility for
Adult Financial program grant payments.
2.
The client shall be ineligible for Adult Financial program grant payments if
his or her TANF/Colorado Works case was denied or discontinued:
a.
Due to a sanction, demonstrable evidence, or disqualification; or,
b.
Because the client withdrew from the program prior to exhausting
all benefits.
c.
After becoming ineligible due to the reasons outlined in Section
3.520.71.f.2, above, the ineligibility period shall continue until the
sanction, demonstrable evidence, or disqualification is removed; or
until the client is found otherwise ineligible for TANF/Colorado
Works benefits.
G.
The client or legal fiduciary shall take reasonable steps to apply for and accept
any other income for which the client is eligible. Clients referred to pursue other
income shall be required to provide verification of application for or pursuit of
such income. Grant payments shall not be approved prior to receipt of proof of
application or pursuit of other income, unless it is demonstrated that good cause
exists.
1
l fiduciary shall take reasonable steps to apply for and accept
any other income for which the client is eligible. Clients referred to pursue other
income shall be required to provide verification of application for or pursuit of
such income. Grant payments shall not be approved prior to receipt of proof of
application or pursuit of other income, unless it is demonstrated that good cause
exists.
1.
If the client or legal fiduciary refuses or fails to make a reasonable effort to
secure potential income, such income shall be considered as if available
to the client, and timely notice shall be given regarding a proposed action
to deny, reduce, or terminate assistance.
2.
If the client or legal fiduciary secures the potential income prior to the
effective action date identified in the notice, the proposed action to deny,
reduce, or terminate assistance shall be withdrawn by the county, and the
case shall be updated. Grant payments may still be denied, reduced, or
discontinued due to a change in income.
H.
The client or legal fiduciary shall take reasonable steps to obtain and accept any
other potential resources for which the client is eligible. Clients referred to pursue
other resources shall be required to provide verification of the pursuit of such
resource. Grant payments shall not be approved prior to verification of the
attempt to sell, liquidate, or legally acquire a resource, unless the client
demonstrates that good cause exists.
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which the client is eligible. Clients referred to pursue
other resources shall be required to provide verification of the pursuit of such
resource. Grant payments shall not be approved prior to verification of the
attempt to sell, liquidate, or legally acquire a resource, unless the client
demonstrates that good cause exists.
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1.
If the client or legal fiduciary refuses or fails to make a reasonable effort to
secure potential resource(s), such resource(s) shall be considered as if
available to the client, and timely notice shall be given regarding a
proposed action to deny, reduce, or terminate assistance.
2.
If the client or legal fiduciary secures the potential resource(s) prior to the
effective action date identified in the notice, the proposed action to deny,
reduce, or terminate assistance shall be withdrawn by the county, and the
case shall be updated. Grant payments may still be denied, reduced, or
discontinued due to a change in resource(s).
3.520.72
RESOURCES
A.
Unless otherwise specified, a resource is countable, and together with all other
countable resources of the client, spouse, and sponsor(s) shall be considered
against the resource limit. The resource limit is:
1.
$2,000 for:
a.
An unmarried client;
b.
An unmarried sponsor; and,
c.
A married sponsor whose spouse is a co-sponsor. Each sponsor
shall receive the $2,000 resource limit for a combined resource limit
of $4,000.
2.
$3,000 for:
a.
A married client; or,
b.
A married sponsor whose spouse is not a co-sponsor.
B.
Countable resources include, but are not limited to:
1.
Equity value of real property that is not used as the primary home or not
exempt as income-producing.
2.
Proceeds from the sale of the primary home that are in excess of the cost
of expenses incurred to purchase or build a replacement home.
3
00.
2.
$3,000 for:
a.
A married client; or,
b.
A married sponsor whose spouse is not a co-sponsor.
B.
Countable resources include, but are not limited to:
1.
Equity value of real property that is not used as the primary home or not
exempt as income-producing.
2.
Proceeds from the sale of the primary home that are in excess of the cost
of expenses incurred to purchase or build a replacement home.
3.
Personal property or the proceeds from the sale of personal property,
such as mobile homes or recreational vehicles not used as the primary
home and not exempt as income producing.
4.
Personal property or the proceeds from the sale of personal property,
such as motor vehicles, recreational off road vehicles, boats, trailers, or
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similar that are not exempt per Section 3.520.77 or exempt as income
producing.
5.
Cash and convertible assets including but not limited to: cash on hand, a
savings or checking account, other accessible electronic currency and/or
cryptocurrency, stocks, bonds, mutual fund shares, 401Ks, 457Ks, IRAs,
Certificates of Deposit (CDs), PERA accounts, gold/silver, pensions, and
other retirement or investment accounts and investment vehicles.
6.
Mortgages, promissory notes, and similar properties that can be converted
to cash.
7.
Cash surrender value of all life insurance policies as outlined in Section
3.520.75.
8.
Prepaid revocable funeral or burial expense contracts or trust deposits, as
outlined in Section 3.520.77.G-H.
9.
The value of the burial space in excess of that required to meet the burial
needs of the immediate family, as outlined in Section 3.520.77.I.
10.
Proceeds of fire or casualty insurance payments that were in excess of the
expenses incurred to repair or replace the damaged, lost, or stolen
property.
11.
Proceeds of a loan when those proceeds were not expended to meet the
purpose of the loan or proceeds of a loan with no bona fide debt
repayment schedule.
12
meet the burial
needs of the immediate family, as outlined in Section 3.520.77.I.
10.
Proceeds of fire or casualty insurance payments that were in excess of the
expenses incurred to repair or replace the damaged, lost, or stolen
property.
11.
Proceeds of a loan when those proceeds were not expended to meet the
purpose of the loan or proceeds of a loan with no bona fide debt
repayment schedule.
12.
The estate and all resources identified in the estate inventory for a client
adjudicated incapacitated by a court.
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13.
Trusts, both revocable and irrevocable, will be countable as resources or
income according to the guidelines of SSA, except as prohibited by
Sections 15-14-412.5 through 15-14-412.9, C.R.S. (2025) and is
consistent with the provisions of Federal Guidelines found in the SSA
Programs Operations Manual System (POMS) at SI CHI01120.201
(October 26, 2022) and SI 01120.200 (May 6, 2024), which are hereby
incorporated by reference. This rule does not contain any later
amendments or editions. These guidelines are available for no cost at
https://secure.ssa.gov/poms.NSF/lnx/0501120201CHI and
https://secure.ssa.gov/apps10/poms.nsf/lnx/0501120200. These
guidelines are also available for public inspection and copying at the
Colorado Department of Human Services, Division of Economic and
Workforce Support, 1575 Sherman Street, Denver, Colorado, 80203,
during regular business hours.
a.
When all or a portion of the corpus of a trust, cannot be paid to or
for the benefit of the client, the portion that cannot be paid is
considered a transfer of resources for less than fair market value
and a penalty shall be assessed as outlined in Section 3.520.76.D.
b.
Refusal of a trustee to make payments to or for the benefit of the
client does not exempt the trust from being a countable asset and
the full amount of the trust shall be considered available as a
resource to the client.
c
ient, the portion that cannot be paid is
considered a transfer of resources for less than fair market value
and a penalty shall be assessed as outlined in Section 3.520.76.D.
b.
Refusal of a trustee to make payments to or for the benefit of the
client does not exempt the trust from being a countable asset and
the full amount of the trust shall be considered available as a
resource to the client.
c.
If a client places an exempt resource in a trust the resource
exemption may still apply to that resource.
C.
If it is determined that a married couple is legally separated as identified in
Section 3.520.63, sole ownership of property by the non-recipient spouse does
not affect the client's eligibility for assistance.
D.
The county department shall obtain verification of all resources and associated
values.
1.
The county department shall include case notes describing verification
documentation in the statewide automated system.
2.
Original copies of verification documents shall be returned to the client.
3.
The client's authorization on the application or redetermination form shall
be obtained to contact a collateral contact for valuation information or
verification.
4.
After resources have been verified at application, client statement is
acceptable until each twenty-four (24) redetermination. Resources must
be reverified by traditional verification methods at every twenty-four (24)
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mination form shall
be obtained to contact a collateral contact for valuation information or
verification.
4.
After resources have been verified at application, client statement is
acceptable until each twenty-four (24) redetermination. Resources must
be reverified by traditional verification methods at every twenty-four (24)
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month redetermination. All new resources must be verified by traditional
verification methods when reported.
5.
Client statement is acceptable as verification for cash.
E.
A sponsor(s)'s resources are only counted toward the non-citizen client they
sponsor. Resources are attributed to the sponsor in the same manner as the
non-citizen client, as outlined in Section 3.520.7. All countable resources over the
sponsor(s) resource limit, as outlined in Section 3.520.72.A, are then deemed to
the non-citizen client. The deemed amount from the client’s sponsor(s) is then
added to the non-citizen client’s countable resources and compared to the non-
citizen client’s resource limit, as outlined in Section 3.520.72.A.
F.
If a client is approved for Supplemental Security Income (SSI) as verified through
the SVES interface, there shall be no additional requirement to verify resources
at application, unless the resources reported are questionable.
1.
If the county department has obtained or received information related to
resources that is contrary to the SVES interface, the county department
shall independently verify the information; and,
2.
The county department shall forward such contrary information to the local
SSA office.
3.520.73
CASH AND CONVERTIBLE ASSETS
A.
Checking and savings accounts or other accessible electronic deposits:
1.
The current amount in a savings or checking account or other accessible
electronic deposits is determined by verifying ownership and the available
balance:
a.
From a copy of a current statement of the account; or,
b.
With the financial institution online, by phone, or in writing.
2
ce.
3.520.73
CASH AND CONVERTIBLE ASSETS
A.
Checking and savings accounts or other accessible electronic deposits:
1.
The current amount in a savings or checking account or other accessible
electronic deposits is determined by verifying ownership and the available
balance:
a.
From a copy of a current statement of the account; or,
b.
With the financial institution online, by phone, or in writing.
2.
The balance in a joint account shall be considered available to the client in
proportion to the number of persons on the account.
a.
If the co-owner of the joint account is the client's legal fiduciary,
such as a guardian, conservator, or power of attorney, the account
shall be considered to be 100% owned by the client and all funds in
the account shall be considered available to the client.
b.
If the client establishes by a preponderance of evidence that the
intent of ownership is other than the client's equal and proportionate
share of the account balance, the county department shall apply
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the prudent person principle to the evidence to determine the
amount to be considered available to the client.
c.
In cases where the client has no interest in the account, the county
department shall request a change in the account designation
removing the client's name, and submit the original and revised
account records showing the change was made.
B.
Convertible assets
1.
The value of a retirement or pension account is determined as follows:
a.
The gross value of the account, less any taxes due, is the amount
that is countable as a resource, regardless of whether the client,
spouse of the client, or sponsor(s) of the client is receiving any
monthly income from the account.
b.
If the client is not able to provide the amount of taxes that are due,
the value shall be determined by deducting 20% from the gross
value of the account.
2
ows:
a.
The gross value of the account, less any taxes due, is the amount
that is countable as a resource, regardless of whether the client,
spouse of the client, or sponsor(s) of the client is receiving any
monthly income from the account.
b.
If the client is not able to provide the amount of taxes that are due,
the value shall be determined by deducting 20% from the gross
value of the account.
2.
The fair market value of stocks, mutual fund shares, municipal, corporate
or government bonds, and other securities is based on the price as of the
opening of the market on the date their value is determined by the county
department. The market price is obtained from the published quotations
on the internet or by contacting a local securities firm.
a.
The value of stocks traded over-the-counter is expressed on a “bid”
and “asked” basis. In such cases, the bid price is used to determine
the market value.
b.
When stocks or other securities have no locally determinable value,
the market value is requested from the issuing company. The office
of the Secretary of State in each state will supply the address of the
issuing company and information as to whether the stock is still on
the market.
3.
The current cash value of U.S. savings bonds, treasury notes, and similar
investment vehicles is determined from the value tables appearing on the
bonds themselves, through the online treasury direct system, or by
contacting a financial institution.
4.
The equity value of mining claims and oil, mineral or water rights, if
assessed separately from land, is determined by using the equity value
established by the current market value.
C.
A county department may selectively contact one or more financial institutions to
establish whether a client has any account at the institution or has an account in
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ing claims and oil, mineral or water rights, if
assessed separately from land, is determined by using the equity value
established by the current market value.
C.
A county department may selectively contact one or more financial institutions to
establish whether a client has any account at the institution or has an account in
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addition to one declared. The client's signature on the application provides
authorization to make such contacts.
3.520.74
REAL PROPERTY AND PERSONAL PROPERTY
3.520.741
REAL PROPERTY
A.
The value of the home in which the client and their spouse have ownership
interest and that serves as the client’s primary place of residence is exempt as
described in 3.520.77.C. Client statement is acceptable as verification of the
value of the client’s primary residence.
B.
In order for real property to be considered a resource, the following shall be
determined:
1.
The actual value less encumbrances of the ownership interest:
a.
Actual value of real property may be obtained by using the actual
value reported by a county assessor or from the most recent
property assessment notice.
b.
The assessed value shall be verified from a copy of the most recent
property assessment notice or with the county assessor's office on
the Internet, by phone, personal contact, or in writing.
c.
Encumbrances include mortgages, liens, judgments, delinquent
taxes, loan agreements, and other forms of indebtedness.
Encumbrances shall be verified by such methods as collateral
contact, county recorder records, bank records, and other credible
sources. Only direct and documented encumbrances against a
specific item or property shall be considered in determining its
equity value. Verbal agreements of indebtedness shall not be
accepted.
2.
The negotiability of the ownership interest (that is, there are no legal
restrictions from selling the client's property interest); and,
3
tact, county recorder records, bank records, and other credible
sources. Only direct and documented encumbrances against a
specific item or property shall be considered in determining its
equity value. Verbal agreements of indebtedness shall not be
accepted.
2.
The negotiability of the ownership interest (that is, there are no legal
restrictions from selling the client's property interest); and,
3.
The ability to sell the property interest (that is, that the ownership interest
can, in fact, be sold on the open market at any price).
C.
The degree of the ownership interest is determined by the type of ownership.
Generally, the types of ownership are:
1.
Sole ownership, in which the client, the client’s spouse, or sponsor(s) is
the only owner. if the client, spouse, or sponsor(s) has the right to dispose
of the property, the actual value less encumbrances of the property is
determined and counted as a resource;
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2.
Shared ownership, in which the property is owned by the client, spouse, or
sponsor(s) and one or more individuals. The actual value less
encumbrances is determined and charged in proportion to the client,
client’s spouse, or sponsor(s)’s share of ownership. There are two kinds of
shared ownership:
a.
Joint ownership or ownership in common, in which the property's
actual value less encumbrances is divided equally among the
owners; and,
b.
Tenancy in common, in which the property's actual value less
encumbrances is divided by the number of owners in proportion to
their stated interest (which may not necessarily be equal).
D.
Negotiability and, if applicable, the ability to sell the property interest at a
reasonable price must be determined. Negotiability refers to the client, client’s
spouse, or sponsor(s)’s legal right to dispose of an ownership interest; ability to
sell refers to the client, client’s spouse, or sponsor(s) legal ability to sell.
Reasonable price is determined to be two-thirds of the actual value.
1
.
Negotiability and, if applicable, the ability to sell the property interest at a
reasonable price must be determined. Negotiability refers to the client, client’s
spouse, or sponsor(s)’s legal right to dispose of an ownership interest; ability to
sell refers to the client, client’s spouse, or sponsor(s) legal ability to sell.
Reasonable price is determined to be two-thirds of the actual value.
1.
Negotiability - there may be legal reasons why a client, client’s spouse, or
sponsor(s) may not be able to sell the property interest, such as when the
estate is in probate or there is a lawsuit pending against the property. The
refusal of co-owners to consent to the sale of a property interest is not a
legal restriction of the client, client’s spouse, or sponsor(s)’s right to sell.
2.
If the co-owner of the property uses the property as the principal place of
residence and sale of the property would cause undue hardship, the client,
client’s spouse, or sponsor(s)’s equity in the property shall be exempted,
unless the co-owner is the spouse or sponsor(s). Undue hardship for this
purpose is defined as:
a.
The co-owner uses the property as his or her primary residence;
and,
b.
The co-owner would have to move as a result of the sale of the
property; and,
c.
The co-owner has no other available housing, including relatives or
income to rent at fair market value; and,
d.
The co-owner documents, in writing, his or her undue hardship
allegations; and,
e.
Using prudent person principle, the county department determines
the undue hardship allegations to be reasonable.
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property; and,
c.
The co-owner has no other available housing, including relatives or
income to rent at fair market value; and,
d.
The co-owner documents, in writing, his or her undue hardship
allegations; and,
e.
Using prudent person principle, the county department determines
the undue hardship allegations to be reasonable.
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3.
If the client, client’s spouse or sponsor(s) cannot sell the property for two-
thirds of the actual value, the property shall be exempted provided there
continues to be reasonable efforts to sell the property such as listing the
property with an agency or by advertising in the local media.
a.
The county department shall verify on a quarterly basis that a
reasonable effort is being made to sell the property.
b.
The property shall not be exempted if the county department, using
prudent person principle, determines the client, client’s spouse, or
sponsor(s) is not making a reasonable effort to sell.
c.
If the client, client’s spouse, or sponsor(s) rejects an offer to
purchase the property that is at least two-thirds the actual value of
the property, the entire equity value of the property shall be
considered a countable resource.
4.
If the property interest cannot be disposed of because of legal
technicalities, the client, client’s spouse, or sponsor(s)’s equity value is not
a countable resource. The county department shall verify any limitations
that prevent the disposition of the property and document those limitations
in the statewide automated system case comments.
3.520.742
PERSONAL PROPERTY
A.
The actual value of any personal property which is assessed for taxation, such as
a mobile home, house trailer, or property used in a trade or business, is
determined by using the actual value reported by a county assessor or by
obtaining a copy of the most recent property assessment notice. If the actual
value is not on the assessment notice, the value may be determined by:
1
PERSONAL PROPERTY
A.
The actual value of any personal property which is assessed for taxation, such as
a mobile home, house trailer, or property used in a trade or business, is
determined by using the actual value reported by a county assessor or by
obtaining a copy of the most recent property assessment notice. If the actual
value is not on the assessment notice, the value may be determined by:
1.
Verifying the actual valuation from a copy of the most recent property
assessment notice or with the county assessor's office on the Internet, by
phone, by other personal contact, or in writing; or,
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2.
When personal property valuation is necessary, and the usual means of
valuation is not possible, the county department shall use available local
resources or the classified ad section of the local or other State
newspaper or the Internet to determine and verify the actual value.
3.
To determine the equity value of personal property, first determine the
actual value; then subtract encumbrances.
B.
The vehicle with the highest value is exempt as described in 3.520.77.A, and
therefore may be verified with client statement. The actual value of any additional
personal property which is not assessed for taxation is determined by obtaining
the appraised value less liabilities, i.e., vehicles, farm equipment and livestock or
inventories of merchandise and materials, such as art, jewelry or valuable
collections, as appraised by a verifiable, industry recognized source.
1.
The actual value of automobiles and trucks is determined by using the
trade-in fair condition value as provided by an auto valuation company,
such as Kelly Blue Book or NADA guides. Unless questionable, it shall be
presumed that the value of the vehicle is four hundred dollars ($400) when
the information is not found in Kelly Blue Book or Nada guides.
2
a verifiable, industry recognized source.
1.
The actual value of automobiles and trucks is determined by using the
trade-in fair condition value as provided by an auto valuation company,
such as Kelly Blue Book or NADA guides. Unless questionable, it shall be
presumed that the value of the vehicle is four hundred dollars ($400) when
the information is not found in Kelly Blue Book or Nada guides.
2.
For personal property which has not been assessed for taxation, the client
shall submit verification of the appraised value based on written
statements received from the following:
a.
Assessment standards obtained from the State or county
assessor's office; or,
b.
Valuation obtained from a local merchant, the Internet or other
reliable source.
C.
Personal property may be exempted if the client, client’s spouse, or sponsor(s)
has made an attempt to sell and has been unable to do so.
1.
Failure to sell personal property at the asking price or for a reasonable
value shall not exempt the resource from the client’s countable resources.
Under such circumstances, the county department shall determine
whether the property could be sold for two-thirds of the actual value.
2.
If the client, client’s spouse, or sponsor(s) receives an offer for at least
two-thirds of the actual value and refuses to sell the property, the property
shall not be exempted.
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3.
If the client, client’s spouse, or sponsor(s) cannot sell the property for two-
thirds of the actual value, the property shall be exempted provided there
continues to be reasonable efforts to sell the property, such as by listing
the property with an agency or by advertising in the local media.
a.
The county department shall verify on a quarterly basis that a
reasonable effort is being made to sell the property.
b.
The property shall not be exempted if the county department, using
prudent person principle, determines the client, client’s spouse, or
sponsor(s) is not making a reasonable effort to sell
ty, such as by listing
the property with an agency or by advertising in the local media.
a.
The county department shall verify on a quarterly basis that a
reasonable effort is being made to sell the property.
b.
The property shall not be exempted if the county department, using
prudent person principle, determines the client, client’s spouse, or
sponsor(s) is not making a reasonable effort to sell.
c.
If the client, client’s spouse, or sponsor(s) rejects an offer to
purchase the property that is at least two-thirds the actual value of
the property, the entire equity value of the property shall be
considered a countable resource.
D.
The client, client’s spouse, or sponsor(s) shall have the right to submit evidence
establishing a lesser property value. Such value may be established as zero. The
county department shall evaluate the evidence and determine the property value.
3.520.75
LIFE INSURANCE
A.
Life insurance policies owned by the client, client’s spouse, or sponsor(s) that
have a cash surrender value available (CSV) must be evaluated for THE original
face value at the time of purchase and for the current CSV.
B.
Term life insurance policies should be reviewed to determine if a CSV exists.
C.
The county department shall obtain the most recent documentation related to the
policies, to include active status, liens or encumbrances, current CSV, and
annual dividend statements.
D.
If the total face value of all life insurance policies owned by a client and his or her
spouse is equal to $1,500 or less, the full CSV of all policies is exempt.
Sponsor(s) are allowed the same exemption.
E.
For OAP only, if the total face value of all life insurance policies owned by a client
and his or her spouse is equal to more than $1,500 and the CSV of all policies
combined is $250,000 or less, then the following applies:
1
e insurance policies owned by a client and his or her
spouse is equal to $1,500 or less, the full CSV of all policies is exempt.
Sponsor(s) are allowed the same exemption.
E.
For OAP only, if the total face value of all life insurance policies owned by a client
and his or her spouse is equal to more than $1,500 and the CSV of all policies
combined is $250,000 or less, then the following applies:
1.
If all policies were purchased more than forty-eight (48) months prior to
the eligibility determination date, and no further contributions or payments
to the policies have been made in the past 48 months, all CSV is exempt;
or,
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2.
If there have been additional monies contributed or payments made to any
of the policies within 48 months of the eligibility determination date, those
additional monies contributed are counted toward the resource limit; the
original cash value amount prior to the 48 month period remains exempt;
or,
3.
If any of the policies were purchased within the 48 months prior to
eligibility determination date, the total CSV is a countable resource; and,
4.
Sponsor(s) are allowed the same exemptions.
F.
For OAP only, if the total face value of all life insurance policies owned by a client
and his or her spouse is equal to more than $1,500 and CSV of all policies
combined is more than $250,000, then the following applies:
1.
If all policies were purchased more than 48 months prior to eligibility
determination date, and no further contributions or payments to the
po
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