The purpose of this memorandum is to provide
answers to the questions received during the training of the evaluation
process. This process is not exact and one answer will not necessarily
fit every situation. It is important for staff and teams to understand
their purpose and goals and make the best decision possible for the participant.
The questions and answers are divided into subject groups.
TIME LIMIT INFORMATIONAL LETTERS
Q.1 |
If letters are not sent to participants
at the exact increments of 24 months, 36 months, 48 months, 54 months and
59 months will the months listed on the letter be incorrect? |
A. |
No, when the letters are sent the system
will use the current information in IMTI and use the correct months. |
60-MONTH REVIEW CHECKLIST (IM-360)
Q.1 |
Can the IM-360 be completed in a team
review? |
A. |
The IM-360 is designed to be completed
with the SSCM and the participant during a face-to-face meeting.
It is then used by the team as a checklist to make sure the participant
acknowledges that the information has been explained to them. |
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Q.2 |
When do the team members sign the IM-360? |
A. |
Team members sign the IM-360 after the
team review has been completed. |
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Q.3 |
Does the IM-360 have to be completed within
a specific timeframe? |
A. |
At a minimum, the IM-360 should be completed
between the 54th and 60th month. |
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Q.4 |
Should the team members list their title
or relationship on the IM-360? |
A. |
This is not mandatory but it is a good
idea. |
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Q.5 |
Is there a time limit between the face-to-face
meeting and the forms being sent to the designee? |
A. |
No, there is not a time limit as to number
of days, but the designee must receive the information by the 59th month.
This should be as soon as possible after the team review for the benefit
of the participant. |
ITME/ITMI
Q.1 |
How will a worker know if a participant
has received Temporary Assistance in another state? |
A. |
There is no change to current policy.
The worker will send an IM-41 and/or call the other state.
If this information is verified by phone obtain the name, phone number
and title of the person providing the information. |
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Q.2 |
What if a pending application is due and
the number of months received Temporary Assistance is not verified; should
application be held or approved? |
A. |
Do not delay approving the application.
Adjustments may be made when information is received. Make every
effort to contact the other state. Use the best information possible,
which may be applicant's statement. |
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Q.3 |
How much time should be spent on trying
to obtain information on the number of months received in another state? |
A. |
Staff need to continue trying
until the information is received. The following web site has the
most current contacts for each state. http://dpaweb.hss.state.ak.us/training/map/mapChoice.htm |
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Q.4 |
What if a participant's work requirement
code was entered incorrectly? Example: What if too many months
or not enough months were coded disabled (exempt 06)? |
A. |
If the coding is agency error we will
not go back and add mandatory months to a participant's lifetime limit.
If the participant should have been coded exempt and was not, we will update
the system and show the exempt months. We will continue to err on
the side of the participant. |
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Q.5 |
If a parent is a convicted drug felon
or a fleeing felon and does not receive Temporary Assistance on him/herself,
would this case be subject to the 60-month lifetime limit? |
A. |
No, this is a child only case with no
time limit imposed. |
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Q.6 |
If one parent is exempt due to disability
(receives SSI) and the other parent has used 54 months in their lifetime
limit do we start the process? If the parent with 54 months
moves out what happens to the case? |
A. |
When any adult who is receiving cash reaches
54 months the evaluation process will be initiated. If the parent
with 54 months moves out, the case has no adult receiving cash and becomes
a child only case with no time limit imposed. |
EXTENSIONS
Q.1 |
How long can a participant be extended? |
A. |
There is no time limit for an extension.
(Remember an extension needs to be reviewed a minimum of every 90 days).
A participant may be extended as long as the team decides there is a reason
for an extension. |
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Q.2 |
May an extension be longer than 90 days? |
A. |
Yes. |
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Q.3 |
How do we verify self-declaration of substance
abuse? |
A. |
Self-declaration is the verification that
the barrier to employment exists. Staff must verify if the participant
is receiving treatment or attending support groups. |
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Q.4 |
Will an extension be granted if the participant
self-declares a drug addiction but refuses treatment? |
A. |
No, the participant has the responsibility
to participate in activities that will assist in overcoming this barrier
to employment. |
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Q.5 |
Is it reasonable to establish a time limit
for the participant to begin their treatment depending on the resources
available in their community? |
A. |
Yes, this would be a reasonable request
and a good discussion for the team review meeting. |
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Q.6 |
What happens when a participant is not
cooperating with the activity outlined in the extension? |
A. |
The SSCM should try contacting the participant
to assist in overcoming any barriers. If the participant is still
not cooperating the team is reconvened. The team may recommend closing
for not cooperating with the self-sufficiency plan. |
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Q.7 |
Under the Family Crisis extension reason
the term temporarily disabled is listed. If an individual is in her
3rd trimester of pregnancy can an extension be granted? |
A. |
This is a team decision. Pregnancy
is not a reason for an extension however there may be high-risk circumstances
that could warrant an extension. |
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Q.8 |
Can a participant be extended if he/she
obtains employment in his/her 59th month and is eligible for the 2/3's
disregard? |
A. |
Employed and receiving the 2/3's disregard
is not a reason for an extension. |
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Q.9 |
If a participant has a child under the
age of one and is coded exempt 01, and the case reaches the 60-month lifetime
limit, can the case be closed? |
A. |
Yes, if that is the team recommendation
after the evaluation process has been followed. |
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Q.10 |
If a participant is approved for a nine-month
training course but only has six months left to receive Temporary Assistance
will the case be extended? |
A. |
No, completing a course of study is not
a reason for an extension. If the training was approved for DESE
funding the participant may continue to complete the course after the Temporary
Assistance case has closed. |
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Q.11 |
When an Adverse Action Notice (IM-80)
is sent to close the case on an individual who is currently sanctioned
and the participant responds and wants to now cooperate, will this meet
an extension reason? |
A. |
No, agreeing to cooperate is not an extension
reason. The case will be reviewed using the evaluation process to
determine criteria to meet an extension. |
TEAM REVIEW
Q.1 |
May a team review be held on the same
day as the face-to-face meeting? |
A. |
It is unlikely that this would happen.
Until the face-to-face meeting has occurred staff may be unaware of community
agencies that may need to be involved. The participant has also not
had time to prepare and invite a representative, as they feel necessary. |
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Q.2 |
Is there a time frame to get the team
together to make a decision? |
A. |
As quickly as possible. |
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Q.3 |
How many members need to be on the team? |
A. |
A minimum of three with one of the three
being someone other than IM staff and the participant. It is highly
recommended to have a representative outside the agency. |
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Q.4 |
Is the makeup of the team for the 60-month
process much like the FST? |
A. |
Yes. |
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Q.5 |
Who will facilitate the team review meetings? |
A. |
The SSCM, supervisor or any other agency
representative that agrees to serve as the facilitator. |
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Q.6 |
May a team review be accomplished by telephone
conference call and how will signatures be obtained? |
A. |
Yes, if the participant and team agree,
the review may be accomplished via conference call. The IM-360 will
need to be mailed or faxed to each team member for his/her signature.
Retain a copy of each team member's signature in the record attached to
the original IM-360. |
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Q.7 |
May there be a core team? |
A. |
Yes you may have core members but the
team must be individualized to each participant. |
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Q.8 |
May the participant's significant other
attend the team meeting? |
A. |
Yes, it is the participant's choice as
to whom they want to attend. |
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Q.9 |
If a participant chooses to have several
family members or friends at the Team Meeting they could sway the team
into an extension even if the case files show different. Who makes
the decision on who and how many can attend the team meeting? |
A. |
The SSCM should discuss with the participant
a limited number of people the participant believes would best represent
their family needs. The SSCM should then discuss who will make up
the rest of the team. |
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Q.10 |
If the participant brings a friend/pastor
to the team review, would it be uncomfortable to discuss certain information
and make a recommendation? |
A. |
The SSCM needs to explain the team review
process and then the participant chooses whom they would like to attend. |
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Q.11 |
Must there be a consensus of the team?
What happens if the team is divided? |
A. |
The team must make every attempt possible
to come to a consensus and then submit that recommendation to the designee. |
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Q.12 |
If no one shows up for the team meeting
but the SSCM and the supervisor can a meeting be held? |
A. |
No, it does not meet the purpose of having
a team review to meet without the required three members with one being
outside of IM. |
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Q.13 |
Does a Family Support Team Meeting/Team
Review need to be done in the 54th month if one was just held? |
A. |
Yes, the process must be followed.
If a FST was held, follow-up should be scheduled in 90 days and will fall
right into the process. |
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Q.14 |
Can team reviews be held before the receipt
of 54 months? |
A. |
Yes, the reviews may be completed at anytime
during the receipt of Temporary Assistance. Earlier reviews will
give staff a head start on assisting the family. The evaluation process
for an extension for hardship will begin in the 54th month. |
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Q.15 |
What happens if the team and designee
decide in the 55th month that an extension should be allowed and then by
the 60th month the individual overcomes the barrier? |
A. |
Case management should continue from the
55th to the 60th month. If circumstances change and the participant
no longer meets the criteria for an extension, a team review should be
completed and a new recommendation would be submitted to the designee for
a decision. |
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Q.16 |
What is the process when the designee
has signed the denial for an extension and there is a change in circumstances
that may cause the family to be eligible? Would this have to go back
to a team for a review? |
A. |
Changes in circumstances require another
team review. The new recommendation of the team will go to the designee
for the final decision. |
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Q.17 |
Do you have to have a team meeting when
the participant requests no extension? |
A. |
No, there is no reason to have a team
meeting if the participant is not requesting an extension. Ask the
participant to write a statement on the IM-360 to that affect. The
designee will need to approve. |
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Q.18 |
What if there is no outside IM staff at
the team meeting and the participant requests no extension? |
A. |
That is okay, as long as the designee
is comfortable with the documentation showing that the extensions were
explained. If not, the designee may ask questions of the team members
who did attend, or may ask for a copy of the narrative. Once again,
have the participant write their request on the IM-360. |
DESIGNEE
Q.1 |
How do we know there will be consistency
among all the areas in designee's decisions? |
A. |
All designee's must follow the evaluation
policy. |
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Q.2 |
What if the designee does not agree with
team consensus? |
A. |
The designee may ask questions of any
team member and may ask the team to reconvene to present/ask for more information. |
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Q.3 |
What is the timeframe for the designee
to get a decision back to the SSCM? |
A. |
The designee should return the decision
to the SSCM by the end of the 59th month so timely action may be taken
if necessary. |
SANCTIONS
Q.1 |
Do sanctioned individuals need to go through
the process? |
A. |
Yes, send the letter of invitation.
At any point they choose to cooperate, lift the sanction using current
policy. |
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Q.2 |
Do sanctioned cases need to go to the
designee for final decision to close if the individual chooses not to participate? |
A. |
Yes, there is no requirement for a team
review if the family is sanctioned, but the designee must sign off on the
closing. |
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Q.3 |
Do we proceed with normal sanction procedures
if the client is not engaged and does not cooperate with our attempts to
review and engage? |
A. |
If between the 54th and 60th month the
participant is not cooperating with work activities the normal conciliation/sanction
process should be followed, including attempting a face-to-face. |
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Q.4 |
Can a case be closed in the 58th month
(any month) if the individual states they do not want to cooperate for
the last 2 months of receiving assistance? |
A. |
No, begin the conciliation and sanction
process. If the participant requests their case be closed then it
may be closed in the 58th month, or at any time. |
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Q.5 |
If an individual states in their 57th
month they just want their Temporary Assistance to ride out the next 3
months and then close is that okay? |
A. |
The participant has a responsibility to
participate in a work activity or enter the conciliation and sanctioning
process. |
HEARINGS
Q.1 |
Does an individual have appeal rights
on the extension? |
A. |
No, but they have the right to appeal
the adverse action to close their case at the end of the 60 months if no
extension is granted. |
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Q.2 |
Who will handle hearing requests? |
A. |
They will be handled the same as any hearing
request. |
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Q.3 |
How does the Division of Legal Services
look at each reference? |
A. |
DLS will first use existing Missouri law,
then rules and regulations and finally reference policy. |
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Q.4 |
When an IM-80 is sent to close a case
after the individual "refused" to cooperate with work activities or the
60 month process and a hearing is requested, can they continue to get benefits? |
A. |
Yes. As in any hearing request,
if the request is received within 10 days after the IM-80 is mailed, benefits
will continue until the decision is affirmed or reversed. |
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Q.5 |
If an individual requests a hearing after
the 60 months, should something be entered into the IMU5 system? |
A. |
Not at this point. In the future,
there may be a code for the IMU5 and ITME system that will designate that
the participant is in the hearing process. |
MISCELLANOUS
Q.1 |
If an individual becomes employed during
an extension period will supportive services be offered. |
A. |
Yes, supportive services (TRE, WRE, and
Case Management) would continue for 90 days. |
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Q.2 |
Can a case be closed before the 60th month
for unable to contact? |
A. |
Yes, "when the whereabouts of the recipient
or other eligible person is unknown and mail sent to him/her has been returned
by the Post Office indicating no known forwarding address" an IM-80 is
not required. Chapter X, Section III, Page 11, #5. |
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Q.3 |
If in an individual's 54th month the SSCM
is unable to contact the individual, can a reinvestigation be sent and
if no response can an IM-80 be sent to close? |
A. |
Cases should only be reinvestigated when
eligibility is in question. If information in the case record (FS,
CC etc.) shows continued eligibility then a reinvestigation would not be
appropriate. |
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Q.4 |
Can an individual participate in AEL in
their last 6 months of receiving Temporary Assistance? |
A. |
Yes. |
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Q.5 |
Will Child Care policy change for searching
for work while not receiving Temporary Assistance? |
A. |
No. See policy outlined in Child
Care Policy Manual, Section 1230.010.00. |
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