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Customer Contact Center Food Stamp/Family Medicaid Phase II ...

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Call <strong>Center</strong> FS & FM <strong>Phase</strong> <strong>II</strong> PG February 29, 2008<br />

Initial Application<br />

FSFI for Margaret Simmons<br />

• check to be sure the correct income and resources have been budgeted<br />

for FS for 11/06<br />

• check the POE (review begin and end date).<br />

• if the budget is correct for 11/06, enter “Y” to confirm<br />

FINALIZE FOOD STAMP FINANCIAL ELIGIBILITY - FSFI FSFI A<br />

Month 11 06<br />

AU ID 492513807 Prog FS Prog Type S<br />

Resources<br />

Income Test (cont)<br />

Resources Limit 2000.00 Excess Shelter 400.00<br />

Total Resources 350.00 Medical Deduction .00<br />

Income Test Dep Care Deduction .00<br />

Gross Income Standard 1744.00 Child Support Ded .00<br />

Gross Count Earned 216.66 Adjusted Net Income .00<br />

Self Employ Expenses .00 Net Income Standard 1341.00<br />

Earned Income Deductn 43.33 Thrifty <strong>Food</strong> Plan 399.00<br />

Net Earned Income 173.33 Allotment Amount 399.00<br />

Gross Count Unearned .00 Recoupment Amount .00<br />

TANF / Refugee .00 Benefit Amount 399.00<br />

Standard Deduction 134.00 Previous Benefit .00<br />

Bnft Eff Date 100506 Bnft Confirm Y Reasons Budgeting Method P<br />

Notice Type 0003 Waive Timely Notice Period Notice Override<br />

Review Begin Dt 10 06 Review End Dt 03 07 Strat 2 Issue Type<br />

Message<br />

13-note<br />

PG-85

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