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Work First Table of Contents

001 - WORK FIRST PREFACE & PHILOSOPHY

THE MOVE TO WORK FIRST

THE EFFECT ON FAMILIES AND LOCAL SERVICE DELIVERY

PHILOSOPHY OF WORK FIRST

ROLE OF STAKEHOLDERS

THE IMPLEMENTATION OF WORK FIRST

002 – NON DISCRIMINATION POLICY AND GRIEVANCE PROCEDURES

I. Non-Discrimination Compliance

II. County Responsibilities

III. Discrimination Grievance Procedures

003 – THE PLANNING PROCESS FOR WORK FIRST

I. THE STATE TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF) PLAN

II. ELECTING COUNTIES

III. THE PLANNING PROCESS FOR ELECTING COUNTIES

IV. ELECTING PLAN ELEMENTS

V. LIMITATIONS ON ELECTING COUNTY POLICIES

VI. THE BIENNIAL PROCESS FOR STANDARD COUNTIES

VII. EMERGENCY ASSISTANCE CRITERIA FOR ELECTING AND STANDARD COUNTIES

VIII. SERVICES FOR LOW-INCOME FAMILIES (AT OR BELOW 200% OF FEDERAL POVERTY LEVEL) FOR ELECTING AND STANDARD COUNTIES

IX. EMPLOYMENT SERVICES FOR NON-CUSTODIAL PARENTS (OPTIONAL FOR STANDARD AND ELECTING COUNTIES)

X. EXEMPTION FROM THE WORK REQUIREMENT FOR ELECTING AND STANDARD COUNTIES

XI. AMENDMENTS

101 – INITIAL SCREENING AND ASSESSMENT

I. INTAKE

II. RECEPTION

III. PURPOSE OF THE INITIAL SCREENING

IV. CONDUCTING THE SCREENING/ASSESSMENT INTERVIEW

V. REFERRAL POSSIBILITIES

VI. OUTCOMES OF THE SCREENING INTERVIEW

VII. DOCUMENTING THE INITIAL SCREENING AND ASSESSMENT

102 - SHORT-TERM SERVICES AND BENEFITS

I. BENEFIT DIVERSION

II. EMERGENCY ASSISTANCE

III. WORK FIRST SERVICES FOR LOW-INCOME FAMILIES (BELOW 200% OF POVERTY)

IV. EMPLOYMENT SERVICES FOR NON-CUSTODIAL PARENTS

103 - PERSONAL RESPONSIBILITY

I. PERSONAL RESPONSIBILITY

II. THE MUTUAL RESPONSIBILITY AGREEMENT

III. THE WORK REQUIREMENTS

IV. THE CHILD SUPPORT REQUIREMENT

V. THE IMMUNIZATION AND HEALTH SCREENING REQUIREMENT

VI. THE SCHOOL ATTENDANCE REQUIREMENT

VII. MINOR PARENT REQUIREMENTS

VIII. THE WORK FIRST REPORTING REQUIREMENTS

104 – THE APPLICATION INTERVIEW

I. APPLYING FOR WFFA

II. REQUIRED FAMILY UNIT MEMBERS

III. THE BUDGET UNIT

IV. RIGHTS AND RESPONSIBILITIES

V. SUMMARY OF VERIFICATION REQUIREMENTS

VI. EXPLAINING MEDICAL ASSISTANCE

VII. SERVICES YOU MUST EXPLAIN TO ALL APPLICANTS

VIII. JOB QUIT PENALTY

IX. DOCUMENTING THE CASE RECORD

X. COMPLETING AND SIGNING THE APPLICATION (DSS-8124)

104A - INDIVIDUAL CRIMINAL VIOLATIONS

I. AN INDIVIDUAL’S NEEDS CAN NOT BE INCLUDED IN THE NEED STANDARD WHEN THE INDIVIDUAL IS:

II. BENEFIT CALCULATION

III. TREATMENT OF INDIVIDUALS CONVICTED OF CLASS H OR I CONTROLLED SUBSTANCE ABUSE FELONY OFFENSES

IV. DOCUMENTATION

104B – SUBSTANCE USE/MENTAL HEALTH INITIATIVE

I. BACKGROUND

II. SUBSTANCE USE SCREENING AND REFERRAL

III. CRIMINAL HISTORY SCREENING

IV. REFERRAL PROCESS FOR SUBSTANCE USE TESTING

V. ASSIGNMENT OF A PROTECTIVE PAYEE

VI. NON-COMPLIANCE WITH THE SUBSTANCE USE SCREENING AND TESTING REQUIREMENT

VII. HEARING RIGHTS AND CONTINUED BENEFITS

VIII. TREATMENT OF INDIVIDUALS CONVICTED OF CLASS H & I CONTROLLED SUBSTANCE FELONY OFFENSES IN NORTH CAROLINA

IX. APPLICANTS AND RECIPIENTS CURRENTLY RECEIVING SUBSTANCE USE TREATMENT/SERVICES

X. TIME CLOCKS AND PARTICIPATION

XI. BEHAVIORAL INDICATOR CHECKLIST

XII. VOLUNTARY MENTAL HEALTH SCREENING

XIII. GOOD CAUSE

XIV. REASONABLE ACCOMMODATION

XV. CONFIDENTIALITY

XVI. COORDINATION OF SUBSTANCE USE TESTING PROCEDURES

104D – FAMILY VIOLENCE OPTION

I. FAMILY VIOLENCE

II. OVERVIEW

III. LOCAL IMPLEMENTATION PLAN

IV. TRAINING

V. INFORMATION CONCERNING FAMILY VIOLENCE

VI. REQUIRED NOTIFICATION OF WORK FIRST PARTICIPANTS

VII. SCREENING OF WORK FIRST APPLICANTS/RECIPIENTS

VIII. ASSESSMENT

IX. ASSESSMENT REPORT

X. TWO-PARENT HOUSEHOLDS

XI. WAIVER REQUEST

XII. EXTENSIONS TO TIME CLOCK

XIII. MUTUAL RESPONSIBILITY AGREEMENT

XIV. CORROBORATION OF FAMILY VIOLENCE

XV. SUPPORTIVE SERVICES

XVI. CHANGE IN COUNTY RESIDENCE

XVII. VOLUNTARY NATURE OF SCREENING, ASSESSMENT, AND WAIVER

XVIII. CONFIDENTIALITY

XIX. CONSEQUENCES FOR NONPARTICIPATION

XX. REFERRAL TO CHILD PROTECTIVE SERVICES

XXI. NOTIFICATION TO CHILD SUPPORT

105 - FEDERAL AND STATE TIME LIMITS

I. INTRODUCTION

II. THE 60-MONTH TIME LIMIT (FEDERAL)

III. WORK FIRST 24-MONTH TIME LIMIT (STATE)

106 - FAMILY CAP

I. WHAT IS A FAMILY CAP

II. WHICH CHILDREN ARE NOT AFFECTED BY THE FAMILY CAP

III. Applying the Family Cap Policy

IV. Family Cap tracking in EIS

V. SPECIAL CASE SITUATIONS

107 - MINOR PARENT RULES

I. WHAT ARE THE MINOR PARENT RULES?

II. WHO RECEIVES THE PAYMENT FOR THE MINOR PARENT?

III. HOW DOES THE CASEWORKER ASSURE THE MINOR PARENT MEETS THE ADDITIONAL REQUIREMENTS?

108 - STATE/COUNTY RESIDENCE RULE

I. WHAT IS THE RESIDENCE RULE FOR WORK FIRST FAMILY ASSISTANCE?

II. HOW DO YOU VERIFY A FAMILY'S RESIDENCE?

III. WHAT HAPPENS WHEN A FAMILY MOVES FROM ONE COUNTY IN NORTH CAROLINA TO ANOTHER?

IV. WHAT HAPPENS IF A FAMILY MEMBER FRAUDULENTLY MISREPRESENTS HIS RESIDENCE?

109 - AGE RULE FOR CHILDREN

I. THE AGE RULE FOR A CHILD TO RECEIVE WORK FIRST FAMILY ASSISTANCE

II. EMANCIPATION OF A CHILD

III. VERIFICATION OF THE AGE OF A CHILD

110 – SOCIAL SECURITY NUMBER REQUIREMENT

I. SOCIAL SECURITY NUMBER REQUIREMENT

II. VERIFYING THE SOCIAL SECURITY NUMBER REQUIREMENT

III. SOCIAL SECURITY NUMBER REQUIREMENT FOR NEWBORNS

IV. APPLYING FOR A SOCIAL SECURITY NUMBER

111 CITIZENSHIP/IMMIGRANT REQUIREMENT

I. CITIZENSHIP/IMMIGRANT REQUIREMENT FOR WORK FIRST

II. UNITED STATES CITIZENSHIP AND IDENTITY REQUIREMENTS

III. METHODS OF VERIFICATION FOR U.S. CITIZENSHIP/IDENTITY

IV. CRITERIA FOR DOCUMENTS PROVIDED TO VERIFY CITIZENSHIP AND IDENTITY

V. QUALIFIED IMMIGRANT STATUS

VI. CRITERIA FOR ELIGIBILITY OF BATTERED IMMIGRANTS

VII. THE FIVE-YEAR EXCLUSION FOR RECEIPT OF WORK FIRST FAMILY ASSISTANCE

VIII. RESTRICTIONS FOR SPONSORED IMMIGRANT

IX. INSUFFICIENT USCIS DOCUMENTATION OF IMMIGRANT STATUS

X. SPECIAL PROVISIONS FOR SOVIET JEWISH REFUGEES

XI. SPECIAL PROVISIONS FOR VICTIMS OF SEVERE TRAFFICKING

XII. REQUIREMENTS FOR REPORTING ILLEGAL PRESENCE IN THE UNITED STATES

112 – KINSHIP AND LIVING WITH REQUIREMENTS

I. KINSHIP AND LIVING WITH REQUIREMENTS

II. RELATIONSHIPS THAT MEET KINSHIP REQUIREMENTS

III. JOINT CUSTODY

IV. VERIFYING KINSHIP AND LIVING WITH REQUIREMENTS

V. TEMPORARY ABSENCE FROM THE HOME

VI. TEMPORARY ABSENCE REPORTING REQUIREMENT AND PENALTY FOR LATE REPORTING

114 – INCOME AND BUDGETING

I. COUNTABLE INCOME OF HOUSEHOLD MEMBERS

II. APPLYING FOR OTHER GOVERNMENT BENEFITS

III. THE WORK FIRST PAYMENT CALCULATION

IV. JOB BONUS

V. WORK FIRST FAMILY ASSISTANCE REPORTING

VI. CHILD SUPPORT

VII. CONTRIBUTIONS

VIII. WORK RELEASE FUNDS

IX. SPECIAL INSTRUCTIONS FOR BANK ACCOUNTS

115 - RESOURCES

I. WHAT ARE THE WORK FIRST FAMILY ASSISTANCE RESOURCE RULES?

II. WHICH RESOURCES COUNT AND WHICH DO NOT?

III. CONTACTING A BANK OR FINANCIAL INSTITUTION

116 - CHILD SUPPORT SERVICES

I. CHILD SUPPORT SERVICES FOR WORK FIRST FAMILY ASSISTANCE

II. ASSIGNMENT OF RIGHTS TO CHILD SUPPORT

III. THE RULES ABOUT COOPERATION WITH CHILD SUPPORT

IV. GOOD CAUSE FOR NOT MAKING A REFERRAL

V. STEPS TO FOLLOW IF THE FAMILY CLAIMS TO HAVE GOOD CAUSE FOR NOT MAKING A REFERRAL.

VI. REQUIREMENTS AFTER GOOD CAUSE HAS BEEN DETERMINED

VII. THE AFFIDAVIT OF PARENTAGE

VIII. MAKING A REFERRAL TO CHILD SUPPORT SERVICES

IX. FAILURE TO COOPERATE WITH CHILD SUPPORT WITHOUT GOOD CAUSE

117 - ONGOING ASSESSMENT AND SERVICES

PREFACE: CORE VALUES

I. INITIAL ASSESSMENT

II. Ongoing Assessments

III. Keys To Effective Use Of Assessment Instruments

IV. Reassessment of Cases Prior to Three (3) or Twelve (12) Months of Termination

V. HOME VISIT ASSESSMENTS

VI. FEDERAL DISABILITY LAWS AND EMPLOYMENT REQUIREMENTS

VII. SERVICES and REFERRALS

VIII. Vocational Rehabilitation and Social Security Administration Referrals

IX. Interpreter Services

X. Substance Abuse/Domestic Violence

XI. Protective Services

XII. Resources and Service Provision

118 – WORK REQUIREMENTS AND SERVICES

I. INTRODUCTION

II. WORK REGISTRATION REQUIREMENTS WITH THE EMPLOYMENT SECURITY COMMISSION

III. WORK-ELIGIBLE INDIVIDUALS

IV. The Mutual Responsibility Agreement - Plan of Action

V. FEDERAL WORK ACTIVITIES

VI. STATE WORK ACTIVITIES

VII. WORK ACTIVITIES CHART

VIII. PARTICIPATION RATES

119 – WORK FIRST BENEFITS

I. BACKGROUND

II. CASES SUBJECT TO WORK FIRST BENEFITS (WFB)

III. WFB PAYMENT METHOD

IV. INITIAL MUTUAL RESPONSIBILITY AGREEMENTS (MRA)

V. TIMELY NOTICE REQUIREMENT

VI. CHILD SUPPORT

VII. REPORTING PARTICIPATION

VIII. ISSUING PAYMENTS

IX. FAILURE TO COMPLY WITH MRAs

X. REAPPLICATIONS

120 - SANCTIONS

I. BACKGROUND

II. SANCTION FOR FAILURE TO COOPERATE WITH CHILD SUPPORT

III. SANCTION FOR FAILURE TO MEET PROVISIONS OF THE MUTUAL RESPONSIBILITY AGREEMENT (CHILD-ONLY CASES)

IV. HOW DOES THE WORK FIRST SANCTION AFFECT THE FAMILY’S FOOD AND NUTRITION (FNS) BENEFITS?

V. CHILD CARE EXCEPTION TO A MRA SANCTION FOR WORK-RELATED REASON (APPLICABLE ONLY TO SINGLE-PARENT FAMILIES)

VI. HOW SANCTIONS AFFECT TIME LIMITS AND SUPPORTIVE SERVICES

VII. SANCTIONS WHEN A FAMILY MOVES FROM ONE COUNTY TO ANOTHER

VIII. RESPONSIBILITY OF WORK FIRST CASEWORKERS TO FAMILIES UNDER SANCTION

130 – APPLICATION PROCESSING

I. BACKGROUND

II. ADMINISTRATIVE ACTIONS

III. TIME STANDARDS

IV. REOPENING AN APPLICATION

V. APPLICANTS MOVING TO ANOTHER COUNTY

VI. EFFECTIVE DATE OF PAYMENT/MEDICAID COVERAGE

VII. APPROVING AN APPLICATION

VIII. ISSUANCE OF BENEFITS

IX. DENYING AN APPLICATION

X. OPEN/SHUT DISPOSITIONS

XI. APPROVAL FOR FUTURE EFFECTIVE DATE

XII. Withdrawals

XIII. APPLICATION FOR AN ADDITIONAL PERSON(S)

140 – Automated Inquiry and Match Procedures

I. GENERAL INFORMATION

II. EMPLOYMENT SECURITY COMMISSION (ESC)

III. BENEFICIARY DATA EXCHANGE (BENDEX)

IV. STATE DATA EXCHANGE (SDX)

V. BENEFICIARY EARNINGS EXCHANGE REPORT (BEER) AND FINANCIAL RESOURCE REPORT (FRR)

VII. SECURITY PROCEDURES

VIII. COUNTY ACTION REQUIREMENTS

IX. DESTRUCTION

X. OTHER SECURITY MEASURES

XI. DEPARTMENT OF TRANSPORTATION (DOT) INQUIRY

XIII. DEPARTMENT OF CORRECTION (DOC) INQUIRY

XIV. CHILD SUPPORT ENFORCEMENT’S AUTOMATED COLLECTION AND TRACKING SYSTEM (ACTS) NEW HIRE SCREEN

XV. NATIONAL DIRECTORY OF NEW HIRE (NDNH)

201 – REVIEWS FOR WORK FIRST FAMILY ASSISTANCE

I. REQUIREMENTS FOR REVIEWS

II. INTERVIEW METHODS

III. PENALTY FOR A FAMILY THAT DOES NOT COMPLETE THE REVIEW

IV. VERIFYING AND DOCUMENTING THE FAMILY'S ELIGIBILITY

202 - CHANGES IN SITUATION

I. WHAT ARE THE RULES FOR CHANGES IN SITUATION?

II. HOW DO I AUTHORIZE AUTOMATIC NEWBORN MEDICAID COVERAGE FOR A NEWBORN IN AN ONGOING WORK FIRST CASE?

III. HOW DO I ADD AN INDIVIDUAL TO A WORK FIRST CASE (THIS IS AN INCLUSION). ?

IV. HOW DO I PROCESS CHANGES OTHER THAN INCLUSIONS?

V. HOW DO I EVALUATE FOR MEDICAID BENEFITS?

203 - ADMINISTRATIVE REOPEN/REAPPLICATION

I. ADMINISTRATIVE REOPEN AND ADMINISTRATIVE REAPPLICATION

II. EVALUATING THE FAMILY FOR AN ADMINISTRATIVE REOPEN/REAPPLICATION

III. COMPLETING AN ADMINISTRATIVE REAPPLICATION

IV. CASES ELIGIBLE FOR WORK FIRST IN THE FIRST MONTH BUT INELIGIBLE FOR ONGOING WORK FIRST

V. COUNTY REASSIGNMENTS

204 - CHANGE IN COUNTY OF RESIDENCE

I. WHAT HAPPENS WHEN A FAMILY MOVES FROM ONE COUNTY TO ANOTHER WITHIN NORTH CAROLINA?

II. WHAT HAPPENS WHEN A FAMILY MOVES OUT OF MY COUNTY?

III. WHAT HAPPENS WHEN A FAMILY MOVES INTO MY COUNTY?

205 - PAYMENT RULES AND BENEFIT ISSUANCE

I. DETERMINATION OF PAYEE FOR WORK FIRST FAMILY ASSISTANCE

II. APPOINTMENT OF A PROTECTIVE PAYEE

III. RETURNING FUNDS NOT SPENT BY A PROTECTIVE PAYEE

IV. CHECK AND MEDICAID IDENTIFICATION CARD

V. RETURNED AND UNDELIVERABLE WORK FIRST CHECKS

VI. PAYMENT FOR DECEASED PAYEE

VII. LOST OR STOLEN CHECKS

206 - SSI AND 1634 MEDICAID

I. WHAT IS 1634 MEDICAID?

II. WHAT DO YOU HAVE TO DO IF A FAMILY MEMBER GETS 1634 MEDICAID?

207 – FRAUD AND INTENTIONAL PROGRAM VIOLATIONS

I. DISQUALIFICATION FOR INTENTIONAL PROGRAM VIOLATION

II. LIMITATIONS

III. TIMELY ACTION

IV. HEARING OFFICER FOR ADMINISTRATIVE DISQUALIFICATION HEARINGS

V. ADVANCE NOTICE OF HEARING

VI. SCHEDULING OF HEARING

VII. FAILURE OF THE WORK FIRST UNIT MEMBER TO APPEAR

VIII. NOTIFICATION FOLLOWING WAIVER OF HEARING

IX. ARRANGEMENTS FOR THE HEARING

X. ATTENDANCE AT THE HEARING

XI. RIGHTS AND DUTIES OF PARTICIPANTS

XII. DUTIES OF THE HEARING OFFICER

XIII. THE WORK FIRST UNIT MEMBER

XIV. THE COUNTY DEPARTMENT

XV. CONDUCTING THE HEARING

XVI. HEARING RECORD

XVII. HEARING DECISION

XVIII. HEARING OFFICER’S DECISION

XIX. STATE LEVEL DECISION

XX. OVERTURNED INTENTIONAL PROGRAM VIOLATION DISQUALIFICATION

XXI. DISQUALIFICATION PENALTIES

XXII. NOTIFICATION-REPAYMENT NOT DIRECTED BY THE COURT

XXIII. NOTIFICATION-REPAYMENT DIRECTED BY THE COURT

263 - FINANCIAL RESPONSIBILITY: PART I - OVERPAYMENTS

I. RESPONSIBILITY AND REQUIREMENTS

II. WHEN AN OVERPAYMENT OCCURS

III. HOW TO CALCULATE AN OVERPAYMENT

IV. HOW TO COLLECT RECIPIENT RESPONSIBLE OVERPAYMENTS

V. COLLECTION OF RECIPIENT RESPONSIBLE OVERPAYMENTS WHEN FAMILIES MOVE FROM ONE COUNTY TO ANOTHER

VI. HOW TO REPORT COUNTY RESPONSIBLE OVERPAYMENTS - ACTIVE AND INACTIVE CASES

VII. STATE RESPONSIBLE OVERPAYMENTS - ACTIVE AND INACTIVE CASES

VIII. HOW TO REPORT RECIPIENT RESPONSIBLE OVERPAYMENTS - ACTIVE AND INACTIVE CASES

263 - FINANCIAL RESPONSIBILITY: PART II – UNDERPAYMENTS

I. REQUIREMENTS

II. HOW TO CALCULATE AN UNDERPAYMENT

III. HOW TO REIMBURSE THE RECIPIENT

263 - FINANCIAL RESPONSIBILITY: PART III – RECONCILIATION

I. Compare the overpayment and underpayment when they both occur during the same period and are both recipient responsible.

II. If an overpayment and underpayment occur during the same period and are both county responsible, the county must reimburse the recipient for the underpayment. The overpayment is collected by State Office adjustment.

III. When an overpayment and underpayment occur during the same period and are not both county responsible, the county cannot determine a net overpayment or underpayment. Also, if an overpayment and/or underpayment occur during the same period and are not both recipient responsible, the county cannot determine a net overpayment or underpayment. In these situations, reimburse the recipient for any county responsible underpayments. Collect from the recipient any recipient responsible overpayments. A county responsible overpayment is collected by State Office adjustment.

IV. If a family unit is ineligible for a payment from which a collection was deducted, do not credit the family with the deduction. Add the collection amount, plus the ineligible payment amount, to the original overpayment balance. That amount is the new overpayment balance.

264 - NOTICE AND HEARINGS PROCESS

I. NOTICE REQUIREMENTS

II. NOTICE OF BENEFITS

III. NOTICE OF DENIAL OR WITHDRAWAL

IV. WORK FIRST/MEDICAID NOTICE OF INQUIRY, DSS –8191I (Figure 10)

V. NOTICE TO TERMINATE OR CHANGE BENEFITS

VI. TIMELY NOTICE

VII. ADEQUATE NOTICE

VIII. NOTICE REGISTER REPORT

IX. HEARINGS PROCESS

X. LOCAL HEARING

XI. STATE HEARING

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