M E M O R A N D U M

IM-35  2/26/01  DCSE REFERRAL/INFORMATION FOR SERVICES CSE-201


 
SUBJECT:
DCSE REFERRAL/INFORMATION FOR SERVICES CSE-201
 
DISCUSSION:
The purpose of this memorandum is to clarify when a DCSE Referral/Information for Services (CSE-201) needs to be completed and when it needs to be reviewed.  This information is available in the Forms Manual Instructions for the CSE-201.

PURPOSE

The purpose of the CSE-201 is to initiate child support enforcement actions on Temporary Assistance cash cases including $10 minimum cases.  It also serves as a referral for medical including support on Medical Assistance for Families and MC+ cases where the child is deprived of parental support.

This form provides a record of available information about the absent parent's identity, location, present situation as it pertains to his/her dependent children, child support payments, absent parent's personal data and other related information. 

WHEN A NEW CSE-201 IS NEEDED

Complete a CSE-201 on each absent parent of any cash eligible child (including $10 minimum pay) and on any MAF/MC+ child who is deprived of parental support. 

If there is more than one alleged father for a child, complete a CSE-201 on each alleged father.  In cases in which a man other than the legal father is alleged to be the natural father, 
complete one CSE-201 for the legal father and one for the alleged natural father.

TEMPORARY ASSISTANCE

If the individual refuses to complete a CSE-201, refer to procedures for exploring good cause and sanctioning on IMNL.

MAF/MC+

For MAF/MC+, the client does not need to complete and sign the form, only provide information.  For MAF/MC+ if the parent fails to provide information on the absent parent approve the children but not the parent.  Family Healthcare Manual 0905.010.40.05 addresses this issue for MAF and MC+.  Sanctioning for MAF/MC+ parents on IMU5 is different than for Temporary Assistance cash.  For MAF the parent is a "C" level of care.  In MC+ the parent is a "Z".  Documentation is critical in the case record on why the parent is not receiving MAF/MC+ at this time.

SUBMITTING THE CSE-201

Submit the CSE-201 to DCSE the same day the IMU5 transaction is completed on case approvals or adding a child to an open case.  MAF/MC+ cases may be approved for the children prior to submitting the CSE-201 if the parent is failing to cooperate in information on the absent parent.

WHEN A NEW CSE-201 IS NOT NEEDED

  • If the application is rejected, and the claimant reapplies within thirty days of the date of rejection.
  • Within thirty days of a case closing, a new CSE-201 is not needed.  The individual will review the form, update any changes, resign, and redates the previous CSE-201.
  • When an MAF case has been approved for cash.
  • When an Extended Transitional Medical Assistance case has been reapproved for cash.
  • When a Transitional Medical Assistance case has been reapproved for cash.
  • When an Extended MAF for Support Related Closing case has been reapproved for cash.
  • The parent is deceased and the death is verified for Income Maintenance purposes.
  • The child is not deprived of parental support. 
NOTE:  If extensive changes occur complete a new CSE-201.
 
NECESSARY ACTION:
  •  Discuss this memorandum with all appropriate staff.
GZ
Distribution #6



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