Appendix D: System-Generated Notice Batch to Close

Reason #470, OPTION 1

You and your family are no longer eligible for Cash Assistance effective the date indicated above. We received a report from the employment and training contractor named in your most recent Agreement of Mutual Responsibility (AMR) that you did not appear for your appointment with this contractor on the date specified in this AMR. You also did not contact the contractor or the County Assistance Office (CAO) to explain why you did not keep this appointment. When you signed the AMR, you agreed to keep this appointment. Completing and complying with the AMR is a condition of eligibility for cash assistance. You can regain eligibility by contacting your CAO to, at a minimum, revise your AMR.

You will receive a separate notice if there is any change to your Medicaid or food stamp benefits if you currently receive food stamp benefits.

Regulations: 55 Pa. Code §§125.1(h)(3) and (j)