218-RICR-20-00-1
218-RICR-20-00-1. Supplemental Nutrition Assistance Program (version Adoption, 10/09/2017 to 09/26/2018)
1.1 General Information
1.1.1 Authority
A.
All regulations and procedures for the certification of Supplemental
Nutrition Assistance Program(SNAP) households and subsequent issuance
of SNAP benefits to eligible households are authorized by the Food
and Nutrition Act of 2008 (Title XIII, As Amended through P.L.
110-246).
1. Regulations
issued pursuant to the act are contained in 7 CFR § 270-282.
2. Program
operations are conducted in Rhode Island under the terms of Rhode
Island General Laws, § 40-6 and § 40-6-8.
1.1.2 Uses
for SNAP Benefits
A.
SNAP benefits are designed for use by participants to purchase
eligible foods. "Eligible foods" means
1.
Any food or food product intended for human consumption except
alcoholic beverages, tobacco, and hot foods and hot food products
prepared for immediate consumption;
2.
Seeds and plants to grow foods for the personal consumption of
eligible households.
3. Meals
prepared and delivered by an authorized meal delivery service to
households eligible to use SNAP benefits to purchase delivered meals,
or meals served by an authorized communal dining facility for the
elderly, for SSI households or both, to household eligible to use
SNAP benefits for communal dining.
a.
Meal delivery services are provided to eligible household members 60
years of age or over and their spouses, and household members living
with a disability, and their spouses to the extent that they are
unable to adequately prepare all their meals may use all or part of
the SNAP benefits issued to them to purchase meals from a non-profit
meal delivery service which is authorized by FNS as a retailer or
which has a contract with the State agency, such as Meals on Wheels.
b. Communal
dining facilities include senior citizen centers, apartment buildings
occupied primarily by elderly persons or SSI households, public or
private non-profit establishments (eating or otherwise) that feed
elderly persons or SSI recipients, and federally subsidized housing
for the elderly.
(1) It
also includes private establishments which contract with an
appropriate state or local agency to offer meals at concession prices
to elderly persons or SSI recipients, and their spouses.
4.
Meals prepared and served by a drug or alcohol treatment and
rehabilitation center to center participants and their children who
live with them;
a.
Members of eligible households who are narcotic addicts or
alcoholics, and who regularly participate in a drug or alcoholic
treatment and rehabilitation program, may use all or part of the SNAP
benefits issued to them to purchase meals prepared for them during
the course of such programs by a private non-profit organization or
institution or a publicly operated community mental health center.
5.
Meals prepared and served by a group living arrangement facility to
residents who are blind or disabled;
a. "Group
living facility" means a public or private non-profit
residential setting serving no more than sixteen (16) residents which
is certified by the Department of Behavioral Healthcare,
Developmental Disabilities and Hospitals (BHDDH), under regulations
issued in Sec. 1616(e) of the Social Security Act.
6.
Meals prepared by and served by a shelter for battered persons and
children to its eligible residents;
a. "Shelter
for battered persons and children" means a public or private
non-profit residential facility which serves battered persons and
their children.
(1) If
such a facility serves other individuals, a portion of the facility
must be set aside on a long-term basis to serve only battered persons
and children.
b.
Eligible residents of shelters for battered persons and children may
use all or part of their SNAP benefits to purchase meals prepared and
served by a shelter which is authorized by FNS to redeem at
wholesalers, or which redeems at retailers as the authorized
representative of participating households.
7.
In the case of homeless SNAP households, meals prepared for and
served by an authorized public or private nonprofit establishment
(e.g. soup kitchen, temporary shelter), approved by DHS, that feeds
homeless persons; and
8.
In the case of homeless SNAP households, meals prepared by a
restaurant which contracts with DHS to serve meals to homeless
persons at concessional (low or reduced) prices.
9. Eligible
household members 60 years of age or over, or who receive
supplemental security income benefits or disability or blindness
payments under title I, II, X, XIV, or XVI of the Social Security
Act, and their spouses may use all or any part of the SNAP benefits
issued to them to purchase meals prepared by a restaurant which
contracts with the Department of Human Services to offer meals for
such persons at concessional (low or reduced) prices.
B. Another
person may be designated by the household to purchase the food.
1.
Households are not required to have cooking facilities or access to
cooking facilities to participate in the program.
1.1.3 Non-discrimination
A. The
agency is committed to the impartial and equitable treatment of all
individuals in the administration of the Supplemental Nutrition
Assistance Program. The non-discrimination statement of the
Supplemental Nutrition Assistance Program is:
1. In
accordance with Federal civil rights law and U.S. Department of
Agriculture (USDA) civil rights regulations and policies, the USDA,
its Agencies, offices, and employees, and institutions participating
in or administering USDA programs are prohibited from discriminating
based on race, color, national origin, sex, religious creed,
disability, age, political beliefs, or reprisal or retaliation for
prior civil rights activity in any program or activity conducted or
funded by USDA.
2. Persons
with disabilities who require alternative means of communication for
program information (e.g. Braille, large print, audiotape, American
Sign Language, etc.), should contact the Agency (State or local)
where they applied for benefits.
3. Individuals
who are deaf, hard of hearing or have speech disabilities may contact
USDA through the Federal Relay Service at (800) 877-8339.
Additionally, program information may be made available in languages
other than English.
4. To
file a program complaint of discrimination, complete the USDA
Program Discrimination Complaint Form , (AD-3027) found online at:
http://www.ascr.usda.gov/complaint_filing_cust.html ,
and at any USDA office, or write a letter addressed to USDA and
provide in the letter all of the information requested in the form.
5. To
request a copy of the complaint form, call (866) 632-9992. Submit
your completed form or letter to USDA by:
a. mail:
U.S. Department of Agriculture, Office of the Assistant Secretary for
Civil Rights,1400 Independence Avenue, SW Washington, D.C.
20250-9410;
b. fax:
(202) 690-7442; or
c. email:
[email protected] .
6. USDA
is an equal opportunity provider.
B. Discrimination
Complaint Process
1. Individuals
who believe that they have been subject to discrimination may file a
complaint with the Secretary of Agriculture or the Administrator of
FNS, Washington, DC 20250, and/or with the Director of the Department
of Human Services (DHS) or her designee.
a. A
complaint must be filed no later than 180 days from the date of the
alleged discrimination.
(1) However,
the time for filing may be extended by the Secretary.
b. The
agency must accept all complaints of discrimination, written or
verbal, and if requested to do so, forward them promptly to the
Secretary or the Administrator of FNS;
(1) Otherwise,
civil rights complaints should be forwarded to the Community
Relations Liaison Office at 206 Elmwood Avenue, Providence, R.I.
02907.
2. Written
complaints are accepted by the Secretary of Agriculture or the
Administrator of FNS or the Director of DHS.
3. Any
person who believes that they have been subject to discrimination may
also file a complaint with the Director of DHS or her designee, in
addition to, or in place of, the one filed with the Secretary of
Agriculture or the Administrator of FNS.
1.1.4
Complaints not Relating to Discrimination
A. A
complaint is any oral or written expression of dissatisfaction made
to staff, either in the field or to Central Office personnel or
department officials, by a member of the community questioning such
issues as delays in processing or general services to participants.
1. Such
complaints may be filed by participants, potential participants or
other concerned individuals or groups.
a. They
do not include complaints alleging discrimination on the basis of
race, gender, age, religion, creed, national origin, political
beliefs or disabilities.
b. Nor
do these complaints include ones pursued through the fair hearing
process or complaints that can be immediately resolved, or resolved
by the close of the next business day.
2. Inquiries
are not considered complaints.
a. An
inquiry is when an applicant or recipient seeks the answer to a
question such as where can I receive an application, when will I
receive my benefits, when will my application be approved, etc.
3. Whenever
a complaint is received by staff and cannot be immediately resolved
or resolved by the close of the next business day, a Complaint Form
must be filled out by the person receiving said complaint.
4. The
agency must follow up on all complaints, resolve complaints, take
corrective action where warranted, and respond to the complainant on
the disposition of the complaint.
1.1.5
Equal Access to Justice
A. The
purpose of § 42-92-1 of the General Laws of Rhode Island, 1985, is
to provide equal access to justice for small businesses and
individuals.
1. The
rules and regulations of this law govern the application and award of
reasonable litigation expenses to qualified parties in fair hearing
and administrative disqualification hearing proceedings conducted by
the Department of Human Services (DHS) for the Supplemental Nutrition
Assistance Program.
2. Individuals
should be encouraged to contest unjust administrative actions in
order to further the public interest, and toward that end, such
parties should be entitled to state reimbursement of reasonable
litigation expenses when they prevail in contesting an agency action
which is, in fact, unfair and unjust according to the statute cited
above.
1.1.6
Personnel Standards
A. Agency
personnel used in the certification process are employed in
accordance with the current standards for the merit system of
personnel administration. Agency employees meeting the above
requirements perform the interviews required in § 1.3.4 of this
Part.
1. Volunteers
and other non-agency employees cannot conduct certification
interviews or certify SNAP applicants.
2. Individuals
and organizations who are parties to a strike or lockout and their
facilities may not be used in the certification process except as a
source of verification of information supplied by an applicant.
3. Only
authorized employees of the Department of Human Services (DHS)
involved in the administration of the Supplemental Nutrition
Assistance Program are allowed to issue Electronic Benefit Transfer
(EBT) cards and Personal Identification Numbers (PIN).
1.1.7
Disclosure of Information
A. The
agency must restrict the use or disclosure of information obtained
from SNAP applicant households to the following persons:
1. Persons
directly connected with the administration or enforcement of the Food
and Nutrition Act or regulations, other Federal assistance programs,
federally assisted State programs providing assistance on a
means-tested basis to low income individuals, or general assistance
programs which are subject to the joint processing requirements
described in § 1.3.2(B) of this Part;
2. Persons
directly connected with the administration or enforcement of the
programs which are required to participate in the Income and
Eligibility Verification System (IEVS) to the extent the SNAP
information is useful in establishing or verifying eligibility or
benefit amounts under those programs;
3. Persons
directly connected with the verification of immigration status of
non-citizens applying for SNAP benefits, through the Systematic Alien
Verification for Entitlements (SAVE) program, to the extent the
information is necessary to identify the individual for verification
purposes.
4. Persons
directly connected with the administration of the Child Support
Enforcement program under Part D, Title IV of the Social Security Act
in order to assist in the administration of that program, and
employees of the Secretary of Health and Human Services as necessary
to assist in establishing or verifying eligibility or benefits under
Titles II and XVI of the Social Security Act;
5. Employees
of the Comptroller General's Office of the United States for audit
examination authorized by any other provision of law; and
6. Local,
State, or Federal law enforcement officials, upon their written
request, for the purpose of investigating an alleged violation of the
Food and Nutrition Act or regulations.
a. The
written request must include the identity of the individual
requesting the information, his/her authority to do so, the violation
being investigated and the identity of the person on whom the
information is requested.
b. Notwithstanding
any other provision of law, the address, social security number, and
if available, any photograph of any member of any household shall be
made available, upon written request, to any Federal, State, or local
law enforcement officer if the officer furnishes the State agency
with the name of the member and notifies the agency that the member
is:
(1) Fleeing
to avoid prosecution, or custody or confinement after conviction, for
a crime (or an attempt to commit a crime) that is a felony under the
law of the place from which the individual is fleeing or which, in
the case of New Jersey, is a high misdemeanor under the State of New
Jersey; or violating a condition of probation or parole imposed under
a Federal or State law; or
(2) Has
information that is necessary for the officer to conduct an official
duty related the above;
(3) Locating
or apprehending the member is an official duty; and
(4) The
request is being made in the proper exercise of an official duty.
B. Recipients
of information released under this section must adequately protect
the information against unauthorized disclosure to persons or for
purposes not specified in this section. In addition, information
received through the IEVS must be protected from unauthorized
disclosure as required by regulations established by the information
provider. Information released to the agency pursuant to § 6103(1)
of the Internal Revenue Code of 1954 is subject to the safeguards
established by the Secretary of the Treasury in § 6103(1) of the
Internal Revenue Code and implemented by the Internal Revenue Service
in its publication, Tax Information and Security Guidelines.
1.1.8 The
Household’s Access to its Case Record
If
there is a written request by a responsible member of the household,
its currently authorized representative, or a person acting in its
behalf to review materials contained in its case record, the material
and information contained in the case record pertaining to SNAP
benefits are made available for inspection during normal business
hours. However, the agency must withhold confidential information,
such as the names of individuals who have disclosed information about
the household without the household's knowledge, or the nature or
status of pending criminal prosecutions.
1.2 Household Definitions
1.2.1
General Household Definition
A. A
household is composed of any of the following individuals or groups
of individuals, provided they are not residents of an institution
(except as otherwise specified in § 1.2.8 of this Part), are not
residents of a commercial boarding house, or are not boarders (except
as otherwise specified in § 1.2.6 of this Part):
1.
An individual living alone;
2.
An individual living with others, but customarily purchasing food
and preparing meals for home consumption separate and apart from
others;
3.
A group of individuals who live together and customarily purchase
food and prepare meals together for home consumption.
1.2.2
Special Household Definition
A. Certain
individuals living with others or groups of individuals living
together must be considered as customarily purchasing food and
preparing meals together, even if they do not do so.
1. Separate
household status may NOT be granted to the following:
a.
A spouse of a member of the household; or
b.
Children under twenty-two (22) and living with their parents, even
if married and living with a spouse, a child, or both; or
c.
Children (other than foster children) under eighteen (18) years of
age who live with and are under the parental control of an adult
household member other than his or her parent(s).
(1) A
child must be considered under parental control if he or she is
financially or otherwise dependent on a member of the household.
1.2.3 Elderly/Disabled
Individuals
A. Although
a group of individuals living together and purchasing and preparing
meals together constitutes a single household under the provisions of
the General Household Definition, an otherwise eligible member of
such a household who is sixty (60) years of age or older and who is
unable to purchase and prepare meals because s/he suffers from a
disability considered permanent under the Social Security Act or
suffers from a non-disease-related, severe, permanent disability may
be a separate household from the others based on the provisions of
the Special Definition, provided that the income of the others with
whom the individual resides (excluding the income of the spouse of
the elderly and disabled individual) does not exceed 165% of the
poverty line.
1. The
SSA's most current list of disabilities is used as the initial step
for verifying if an individual has a disability considered permanent
under the Social Security Act.
a. However,
only an individual who suffers from such a disability and who is
unable to purchase and prepare meals because of such disability is
considered disabled for the purpose of this provision.
2. If
it is obvious to the agency representative that the individual is
unable to purchase and prepare meals because s/he suffers from a
severe physical or mental disability, the individual is considered
disabled for the purpose of this provision even if the disability is
not specifically mentioned on the SSA list.
3. If
the disability is not obvious to the agency representative, s/he must
verify the disability by requiring a statement from a physician or
licensed or certified psychologist certifying that the individual (in
the physician's/psychologist's opinion) is unable to purchase and
prepare meals because s/he suffers from one of the non-obvious
disabilities mentioned in the SSA list or is unable to purchase and
prepare meals because s/he suffers from some other severe, permanent
physical or mental disease or non-disease-related disability.
a. The
elderly and disabled individual (or his/her authorized
representative) is responsible for obtaining the cooperation of the
individuals with whom s/he resides in providing the necessary income
information about the others to the agency for purpose of this
provision.
1.2.4
Non-household Members
A. Certain
individuals are not included as members of the household, unless
specifically included as a household member under the provisions of
the Special Household Definition in § 1.2.2 of this Part.
1. If
not included as a member of the household under the provisions of the
Special Household Definition, such individuals must not be included
as a member of the household for the purpose of determining household
size, eligibility, or benefit level.
a. The
income and resources of such individuals must be handled in
accordance with the provisions of § 1.5.6(C) of this Part.
2. The
following individuals (if otherwise eligible) may participate as
separate households:
a. Roomers:
Individuals to whom a household furnishes lodging, but not meals, for
compensation.
b. Live-in
Attendants: Individuals who reside with a household to provide
medical, housekeeping, child care or similar personal services.
c. Other
Individuals: Other individuals who share living quarters with the
household but who do not customarily purchase food and prepare meals
with the household.
B. Students
1. An
individual who is enrolled at least half-time in an institution of
higher education shall be ineligible to participate in the
Supplemental Nutrition Assistance Program unless the individual
qualifies for one of the exemptions contained in § 1.11.1 of this
Part.
2. An
individual is considered to be enrolled in an institution of higher
education if the individual is enrolled in a business, technical,
trade, or vocational school that normally requires a high school
diploma or equivalency certificate for enrollment in the curriculum
or if the individual is enrolled in a regular curriculum at a college
or university that offers degree programs regardless of whether a
high school diploma is required.
3. The
enrollment status of a student shall begin on the first day of the
school term of the institution of higher education.
a. Such
enrollment shall be deemed to continue through normal periods of
class attendance, vacation and recess, unless the student graduates,
is suspended or expelled, drops out, or does not intend to register
for the next normal school term (excluding summer school).
1.2.5 Ineligible
Household Members
A. Some
household members are ineligible to receive program benefits (such as
certain non-citizens), while others may become ineligible for such
reasons as being disqualified for committing an intentional program
violation or refusing to comply with a regulatory requirement.
1. These
individuals must be included as members of the household for the
purpose of defining a household under the provisions of the general
and special definitions.
a. However,
such individuals must not be included as eligible members of the
household when determining the household's size for the purpose of
comparing the household's monthly income with the income eligibility
standard or assigning a benefit level.
b. The
income and resources of such individuals must be handled in
accordance with the provisions of § 1.5.6(A) of this Part, as
appropriate.
(1) Moreover,
these individuals are not eligible to participate as separate
households.
2. Categories
of ineligible individuals include:
a. Ineligible
Non-citizens: Individuals who do not meet the citizenship or
qualified alien status requirements of or the non-citizen sponsorship
requirements of § 1.4.12 of this Part.
b. Ineligible
Able Bodied Adults without Dependents (ABAWDS): Individuals who are
ineligible due to the time limit for able-bodied adults as detailed
in § 1.11.9 of this Part.
c. Noncompliance
with Work Requirements: Individuals who are disqualified for
noncompliance with the work requirements found in § 1.11 of this
Part.
d. Intentional
Program Violation: Individuals who are disqualified for an
intentional program violation, as set forth in § 1.8 of this Part.
e. Social
Security Number (SSN) Noncooperation: Individuals who are
disqualified for failure to provide or apply for an SSN, as set forth
in § 1.4.12 of this Part.
f. Failure
to Attest to Citizenship/Alienage Status: Individuals who do not
attest to their citizenship or alien status as set forth in § 1.4.7
of this Part.
g. Fleeing
Felons: Individuals who are fleeing to avoid prosecution, custody,
or confinement after conviction, under the law of the place from
which the individual is fleeing, for a crime or attempt to commit a
crime that is a felony under the law of the place from which the
individual is fleeing or which, in the case of New Jersey, is a high
misdemeanor under the State of New Jersey; or violating a condition
of probation or parole imposed under a Federal or State law.
(1)
An individual is considered to be a ‘‘fleeing’’ felon, if
the following criteria are met:
(AA)
there is a felony warrant for the individual;
(BB)
the individual is aware of, or reasonably expects that a warrant has
or would have been issued;
(CC)
the individual has taken some action to avoid being arrested or
jailed; and
(DD)
a law enforcement agency is actively seeking the individual.
1.2.6
Boarders
A.
Boarders are defined as individuals or groups of individuals
residing with others and paying reasonable compensation to the others
for lodging and meals.
1. Boarders
are ineligible to participate in the program independent of the
household providing the board.
a. They
may participate as members of the household providing the boarder
services to them at the household's request.
b. For
SNAP Program purposes, a foster child or foster care adult is
considered a boarder.
c. In
no event, should boarder status be granted to those individuals or
groups of individuals described in § 1.2.2 of this Part, which
includes children residing with elderly or disabled parents.
2. Boarders
are not to be considered members of participant or applicant
households, nor is the income and resources of boarders to be
considered available to such households.
a. However,
the amount of payment which a boarder gives to a household for
lodging and meals must be treated as self-employment income to the
household.
3. For
program purposes, a boarding house is defined as a commercial
establishment which offers meals and lodging for compensation with
the intention of making a profit.
a. Residents
of such boarding houses are not eligible for program benefits.
b. The
number of boarders residing in a boarding house is not used to
determine if a boarding house is a commercial enterprise.
c. The
household of the proprietor of a boarding house may participate in
the program, separate and apart from the residents of the boarding
house, if that household meets all of the eligibility requirements
for program participation.
4. To
determine if an individual is paying reasonable compensation for
meals and lodging in making a determination of boarder status, only
the amount paid for meals must be used, provided that the amount paid
for meals is distinguishable from the amount paid for lodging. A
reasonable monthly payment must be either:
a. a
boarder, whose board arrangement is for more than two meals a day,
must pay an amount which equals or exceeds the Thrifty Food Plan for
the appropriate size of the boarder household; or,
b. a
boarder, whose board arrangement is for two meals or less per day,
must pay an amount which equals or exceeds two-thirds of the Thrifty
Food Plan for the appropriate size of the boarder household.
5. An
individual furnished both meals and lodging by a household, but
paying compensation of less than a reasonable amount to the household
for such service, is considered a member of the household providing
the services.
B.
None of the income or resources of individuals determined to be
boarders and who are not members of the household providing the
boarder services is considered available to such household. However,
the amount of the payment that a boarder gives to a household must be
treated as self-employment income to that household, with the
exception of foster care boarders.
1. The
procedures for handling self-employment income from boarders (other
than such income received by a household that owns and operates a
commercial boarding house) are set forth in § 1.5.4 of this Part.
2. The
procedures for handling income from boarders by a household that owns
and operates a commercial boarding household are set forth in §
1.5.4 of this Part.
1.2.7
Head of Household
A. When
designating the head of the household in a household with an adult
parent and children or an adult who has parental control over
children, the household must select an adult parent of children of
any age living in the household, or an adult who has parental control
over children under 18 years of age living in the household, provided
that all adult members agree to the selection.
1. These
households may affect the selection at application, recertification,
or whenever there is a change in household composition, but not when
a previously-designated head of household has been sanctioned under §
1.11 of this Part.
2. If
such a household fails to select a head of household, the agency
representative shall designate the principal wage earner as the head
of household.
a. The
principal wage earner is the household member (including an
ineligible member) who has the greatest amount of earned income in
the two (2) months prior to the month of application or month of
violation.
b. This
provision applies only if the employment involves 20 hours or more
per week or provides earnings at least equivalent to the Federal
minimum wage multiplied by 20 hours.
2. For
households that do not consist of adult parents and children, or
adults who have parental control of children living in the household,
the worker will designate the head of household.
3. The
head of household classification is not used to impose special
requirements on the household such as requiring that the head of
household, rather than another adult member of the household, appear
at the office to make application for benefits.
4. In
the event that the head of the household or spouse is unable to file
the application, another household member may apply for the
household, or an adult non-household member may be designated as the
authorized representative for that purpose.
5. No
person of any age living with a parent (or person fulfilling the role
of parent) who is:
a.
registered for work;
b. exempt
from work registration because s/he is subject to and participating
in a TANF/RIW employment plan; or
c. receiving
unemployment insurance; or
d. is
employed or self-employed and working a minimum of 30 hours weekly or
receiving weekly earnings equal to the Federal minimum wage
multiplied by 30 hours shall be considered the head of household
unless s/he is an adult parent of children and the household elects
to designate her/him as its head of household.
6. When
a new person joins a household with an adult parent of children while
either the household or an individual is disqualified for a work
requirement or voluntary quit violation, and if the new person is
selected by the household to be the head of household as defined
above, that new head of household status takes precedence over the
status another member may have held.
1.2.8
Residents of Institutions
A. Individuals
are considered residents of an institution when the facility provides
them with the majority of their meals (over 50% of three meals daily)
as part of the institution's normal services. Residents of
institutions are not eligible for participation in the SNAP program.
1. Individuals
who do not elect to receive the majority of their meals (over 50% of
three meals daily) from the facility, such as an Assisted Living
facility, would not be considered residents of an institution and
would, therefore, be entitled to receive SNAP benefits if otherwise
eligible.
B. Exceptions
to the Institution Rule:
1. Residents
of federally subsidized housing for the elderly, built under either §
202 of the Housing Act of 1959 or § 236 of the National Housing Act.
2. Narcotic
addicts or alcoholics who, for the purpose of regular participation
in a drug or alcohol treatment and rehabilitation program, reside at
a facility or treatment center. (Refer to § 1.2.12 of this Part)
3. Disabled
or blind individuals who are residents of group living arrangements
(as defined in § 1.2.12 of this Part) and who receive benefits under
Title II or Title XVI of the Social Security Act.
4. Women,
men or women and men with their children, temporarily residing in a
shelter for battered persons and children (as defined in § 1.4.8 of
this Part). Such persons temporarily residing in shelters for
battered persons and children are considered individual households
for the purposes of applying for, and participating in, the program.
5. Residents
of public or private non-profit shelters for homeless persons (Refer
to § 1.4.9 of this Part).
1.2.9
Pre-Release Program Residents
Residents
of public institutions who apply for SSI prior to their release from
an institution under the Social Security Administration's Pre-release
Program for the Institutionalized are permitted to apply for SNAP
benefits at the same time they apply for SSI. These pre-release
applicants are processed in accordance with the provisions in §
1.4.10 of this Part.
1.2.10
Strikers
Households
with striking members are ineligible to participate in the program
unless the household was eligible for benefits prior to the strike
(Refer to § 1.4.4 of this Part).
1.2.11
Authorized Representatives
A. There
may be cases when the head of the household or spouse cannot apply
for the household. In such cases, another household member may apply
or an adult, non-household-member may be designated as the authorized
representative.
1. An
authorized representative is a person designated by the head of the
household or the spouse, or any other responsible member of the
household, to act on behalf of the household in applying for program
benefits, or using the SNAP benefits.
a. A
private, non-profit organization or institution or a publicly
operated community mental health center conducting a drug addiction
or alcoholic treatment and rehabilitation program must serve in this
capacity, and a group living arrangement may or may not also serve in
this capacity, as noted in § 1.2.12 of this Part.
2. An
authorized representative may be designated for obtaining SNAP
benefits on behalf of the household. This designation is made at the
time the application is completed. The authorized representative is
issued an Electronic Benefit Transfer (EBT) card for access to SNAP
benefits.
3. Limits
are not placed on the number of households an authorized
representative may represent. In the event employers, such as those
who employ migrant or seasonal farm workers, are designated as
authorized representatives or that a single authorized representative
has access to a large number of Electronic Benefit Transfer (EBT)
cards and benefits, caution should be exercised to assure that:
a. the
household has freely requested the assistance of the authorized
representative;
b.
the household's circumstances are correctly represented and the
household receives the correct amount of benefits; and
c. that
the authorized representative is properly using the SNAP benefits.
B. Liability
for Designation
1. It
is important that the head of the household or the spouse prepare or
review the application whenever possible, even though another
household member or the authorized representative will actually be
interviewed.
2. In
conjunction with these provisions, another household member, or the
household's authorized representative, may complete work registration
forms for those household members required to register for work.
a. The
agency representative must emphasize to the household that it will be
held liable for any overissuance which results from erroneous
information given by the authorized representative.
C. An
authorized representative must be designated in writing by the head
of the household, or the spouse, or another responsible member of the
household; and, be an adult who is sufficiently aware of relevant
household circumstances. In the event the only adult member of a
household is classified as a non-household member, that person may be
designated as the authorized representative for the minor household
members.
D. The
following individuals may not serve as authorized representatives
without prior approval as indicated below:
1. Agency
employees who are involved in the certification and/or issuance
processes and retailers who are authorized to transact SNAP benefits
may not act as authorized representatives unless a determination has
been made that no one else is available to serve.
2. Individuals
disqualified for fraud cannot act as authorized representatives
during the period of disqualification, unless the disqualified
individual is the only adult member of the household able to act on
its behalf and the agency representative has determined that no one
else is available to serve.
a. The
agency representative determines whether these individuals are
permitted to apply on behalf of the household and/or to obtain and
purchase goods with SNAP benefits.
b. If
the agency representative cannot locate anyone qualified to serve as
an authorized representative to purchase goods with the SNAP
benefits, the disqualified member is allowed to do so.
3. Where
evidence has been obtained that an authorized representative has
misrepresented a household's circumstances and has knowingly provided
false information pertaining to the household, or has made improper
use of the SNAP benefits, the authorized representative may be
disqualified from participating in this capacity in the SNAP for up
to one (1) year.
a. The
affected household(s) and the authorized representative is sent
written notification thirty (30) days prior to the date of
disqualification. The notification includes:
(1) the
proposed action;
(2) the
reason for the proposed action;
(3) the
household's right to request a fair hearing; the office telephone
number and the name of the person to contact for additional
information.
4. Establishments
which provide meals to the homeless may not act as authorized
representatives for homeless SNAP recipients.
1.2.12
Treatment Centers and Group Homes
A. Narcotics
addicts or alcoholics who regularly participate in a drug or alcohol
treatment program on a resident basis and blind or disabled (as
defined in § 1.2.8 of this Part) residents of group living
arrangements may voluntarily request SNAP benefits.
1. Drug
and Alcohol Treatment Centers
a. The
residents of drug or alcoholic treatment centers apply and are
certified for program participation through the use of an authorized
representative who is an employee of, and designated by, a publicly
operated community mental health center, or private non-profit
organization or institution, that is administering the treatment and
rehabilitation program.
b. The
center is the authorized representative for the eligible residents
and utilizes the SNAP benefits for food prepared by and/or served to
the eligible residents. As authorized representative, the treatment
center is responsible for complying with the requirements set forth
in § 1.4.3 of this Part.
2. Group
Living Arrangements
a. Residents
of group living arrangements either apply and are certified through
use of an authorized representative employed and designated by the
group living arrangement or apply and are certified on their own
behalf (or through an authorized representative of their own choice).
b. The
group living arrangement determines if any resident may apply for
SNAP on his/her own behalf.
(1) The
determination should be based on an assessment of the resident's
physical and mental ability to handle his/her own affairs.
(2) The
group living arrangement is encouraged to consult with any other
agencies providing services to individual residents prior to a
determination.
(3) All
of the residents of the group living arrangement do not have to be
certified either through an authorized representative or individually
in order for one or the other method to be used.
c. Applications
are accepted for any individual applying as a one-person household or
for any grouping of residents applying as a household.
(1) If
a resident applies through the facility as the authorized
representative, the group living arrangement may either receive and
utilize the SNAP benefits for food prepared by and/or served to the
eligible resident, or allow the eligible resident to use all or any
portion of the allotment.
(2) If
a resident is certified on his/her own behalf, the SNAP benefits may
either be returned to the facility to purchase meals served either
communally or individually to eligible residents or retained and used
by the eligible resident to purchase and prepare food for their own
consumption. In any case, the group living arrangement is responsible
for complying with the requirements set forth in § 1.4.7 of this
Part.
d. If
the group living arrangement has its status as an authorized
representative suspended by FNS, eligible residents applying on their
own behalf are still able to participate.
1.3 Application Process
1.3.1
Introduction
A. The
application process begins with a request for an application form and
is not completed until notification of the household's eligibility is
sent. The date of application is considered to be the date a signed
application is received by the agency.
B. The
application process includes, but is not limited to, the following
activities:
1. Ensuring
applications are available;
2. Assisting
a household in the completion of its application;
3. Interviewing
a member of the household or an authorized representative;
4. Performing
necessary collateral contacts and verifications; and
5. Entering
and maintaining a computer file through which SNAP benefits are
issued.
C. The
application process is completed promptly. A household must be given
notification of eligibility or ineligibility no later than thirty
(30) days after an application is filed.
1. Expedited
service is available to households in immediate need (See § 1.3.9 of
this Part).
2. Benefits
are prorated and provided retroactively to the date of application
for households who have completed the application process and have
been determined eligible.
1.3.2
Filing an Application
A. Households
wishing to participate in the program must file the Application for
Assistance form, DHS-2. An application for SNAP benefits must be
submitted for each household requesting SNAP assistance. Since the
time limit for providing benefits is calculated from the date the
application is filed, each household has the right to file an
application on the same day it contacts the SNAP office during
working hours.
1. The
household must also be advised that it does not have to be
interviewed before filing its application and that it may file an
incomplete application form as long as the form contains the
applicant's name, address, and the signature of either a responsible
member of the household or the household's authorized representative.
a. The
household is encouraged to file the application form the same day the
household or its representative contacts the office in person or by
telephone and expresses interest in obtaining SNAP assistance.
2. Applications
can be filed in person or by an authorized representative at a DHS
Regional Office, by mail, online or by facsimile (fax).
a. If
the household has contacted a SNAP office by telephone but is unable
to come to the office to file the application that same day, or the
household has requested SNAP assistance in writing, the application
form is mailed to the household on the same day the written request
or telephone call is received.
B. Joint
Application Procedure
1. To
facilitate participation in the program, households in which all
members are applying for RIW and/or GPA are allowed to apply for SNAP
benefits at the same time they apply for assistance.
a. However,
the household's SNAP eligibility and benefit level must be based
solely on SNAP eligibility criteria and the household must be
certified in accordance with notice and procedural requirements of
the SNAP regulations.
2. RIW
time limits and other requirements that apply to the receipt of RIW
benefits do not apply to receipt of SNAP benefits and households
which cease receiving RIW benefits because they have reached a time
limit, have begun working, or for other reasons, may still qualify
for SNAP benefits.
3. A
household with some RIW/GPA recipients, and some SSI recipients, is
also certified under the joint application procedure.
4. An
applicant for, or recipient of, social security benefits under Title
II of the Social Security Act should be informed at the SSA office of
the availability of benefits under the SNAP and the availability of a
SNAP application at that SSA office. Such applications must be filed
at a SNAP office.
5. When
a resident of a public institution applies for both SSI and SNAP
under the SSA's Pre-release Program for the Institutionalized, the
filing date of the SNAP application is recorded as the date the
applicant is released from the institution.
1.3.3
Withdrawing Applications
A. A
household may voluntarily withdraw its application at any time prior
to the determination of eligibility.
1. The
agency representative must document in the case file the reason for
withdrawal, if any was stated by the household, and that contact was
made with the household to confirm the withdrawal.
2. The
household must be advised of its right to reapply at any time
subsequent to a withdrawal.
1.3.4
Interview Requirements
A. All
households must have an interview with a qualified agency
representative in a SNAP office, other certification site or on the
telephone prior to initial certification and subsequent
recertification.
1. Applicants
(and recipients at recertification or for any other reason) who miss
their first scheduled appointment, must be notified that they have
missed a scheduled appointment and that rescheduling another
interview appointment within the necessary time frame to insure an
application can be acted upon within thirty (30) days or before the
end of the certification period is the responsibility of the
household.
2. The
individual interviewed may be the head of household, spouse, any
other responsible member of the household, or an authorized
representative who is an adult and who knows the household's
circumstances.
3. The
applicant may bring any person s/he chooses to the interview. The
interview is conducted as an official and confidential discussion of
household circumstances.
4. The
face-to-face interview can be waived in favor of a telephone
interview.
a. The
agency must notify all SNAP households (applicant and recipient) that
the face-to-face interview can be waived in favor of a telephone
interview upon request by any household.
(1) The
applicant/recipient will be provided the opportunity to choose a
telephone interview or a face-to-face interview. If the
applicant/recipient does not indicate which method he/she would
prefer to be interviewed, the department will automatically schedule
a telephone interview.
(2) The
agency must grant a face-to-face interview to any household which
requests one.
(3)
Waiver of the face-to-face interview does not exempt the
household from the verification requirements, although special
procedures may also be used to permit the household to provide
verification and thus obtain its benefits in a timely manner, such as
substituting a collateral contact in cases where documentary
verification would normally be provided.
(4) Verifications
may be faxed or uploaded to the household’s online account. If the
agency is unable to open any attachment(s), the attachment(s) is not
considered to have been received by the agency. Waiver of a
face-to-face interview does not affect the length of the household's
certification period.
5. The
agency representative may offer households for whom the office
interview is waived the alternative of either a telephone interview
or a home visit.
a. However,
home visits are used only if the time of the visit is scheduled in
advance with the household.
6. The
DHS-2 or recertification form is reviewed with the applicant or adult
representative of the household, and the appropriate information is
verified through documentation supplied by the applicant, or if not
supplied by the applicant, by obtaining the document or information.
7. The
applicant is required to read, or have read to him/her, the
information on the signature page of the DHS-2, and sign the form.
a. The
DHS-2 must be completed and signed by an adult representative of the
household applying for SNAP benefits certifying, under penalty of
perjury, that the information contained in the application is true.
B. The
agency representative must conduct a single interview at the initial
application for both public assistance (PA) and SNAP purposes. PA
households are not required to see a different agency representative
or otherwise be subjected to two interview requirements in order to
obtain the benefits of both programs.
1. Following
the single interview, the application may be processed by separate
workers to determine eligibility and benefit levels for SNAP and PA.
A household's eligibility for the SNAP out-of-office interview
provision does not relieve the household of any responsibility for a
face-to-face interview in order to be certified for public
assistance.
1.3.5
Household Failure to Cooperate
A. To
determine eligibility, the application forms are completed and
signed, the household or its authorized representative is
interviewed, and certain information on the application is verified.
If the household refuses to cooperate with the agency in completing
this process, the application is denied at the time of refusal.
1. For
a determination of refusal to be made, the household must be able to
cooperate, but clearly demonstrates that it will not take actions
which it can take and which are required to complete the application
process.
2. For
a decision of noncooperation to be made, the household must fail to
submit the requested verification by the 10th day from which the
information was requested. If there is any question as to whether the
household has merely failed to cooperate, as opposed to refused to
cooperate, the household is not denied until the 30th day from the
date of the application.
3. The
household is also determined ineligible if it refuses to cooperate in
any subsequent review of its eligibility, including reviews generated
by reported changes and application for recertification. Once denied
or terminated for refusal to cooperate, the household may reapply but
is not determined eligible until it cooperates.
4. The
agency must not determine a household to be ineligible when a person
outside of the household fails or refuses to cooperate with a request
for verification.
a. Individuals
identified as non-household members under § 1.5.6 of this Part are
not considered individuals outside the household.
1.3.6
Providing Notices of Eligibility/Ineligibility
A.
Eligible Households
1. Every
applicant household found eligible is provided a written notice of
eligibility as soon as a determination is made but no later than
thirty (30) days after the date of initial application. Refer to §
1.3 of this Part for information on the thirty (30) day processing
standard.
2. The
notice informs the household of the following:
a. Amount
of the allotment
b. Beginning
and ending date of the certification period
c. The
right to a hearing and the availability of free legal representation
d. The
household's obligation to report changes in circumstances and of the
need to reapply for continued participation at the end of the
certification period
B. Ineligible
Households
1. Each
household denied eligibility is provided a written notice of denial
explaining:
a. The
basis for the denial
b. The
household's right to request a hearing
c. The
telephone number of the DHS Office
d. The
name of a person to contact for additional information
e. The
availability of free legal service
1.3.7
Denying an Application Prior to the 30th Day
A. Cases
can be denied prior to the thirtieth (30th) day of application in the
following instances:
1.
When the Department has all the required information and
verification and can determine that the applicant household is
ineligible
2.
When the household overtly refuses to cooperate with the agency
representative in completing the application process
3.
When the household requests in writing that the application for SNAP
benefits be withdrawn
4.
When an agency representative issues a Request for Documentation,
and the client does not provide the requested information.
B. If
the household has failed to avail itself for a scheduled interview
and has made no subsequent contact with the agency to express
interest in pursuing the application, the household is denied and
sent a notice of denial on the thirtieth (30th) day following the
date of application. The household must file a new application if it
wishes to participate in the program.
C. For
a case in which an interview was conducted, the application may be
denied prior to the thirtieth (30th) day from the date of
application. In this instance the application may be denied on the
tenth (10th) day following the date of request for verification if:
1.
At the time of the intake interview, the agency representative
provided the household with a list of the missing required
verification necessary to determine eligibility for the Supplemental
Nutrition Assistance Program; and,
2.
The agency informed the household in writing by means of an RDOC of
the ten (10) day requirement for submission of missing verification;
and,
3.
The agency representative notified the household in writing of the
date by which any missing verification must be provided; and,
4.
The agency representative offered assistance to the household in
obtaining verification; and,
5.
The household failed to provide the requested verification within
the ten (10) day time frame.
1.3.8 Delayed
Eligibility Determinations
A. A
notice either of denial or of pending status is provided for
applications which are delayed in processing, depending upon the
cause of the delay.
1. If
the Department cannot make an eligibility determination within thirty
(30) days from the date of application, the cause of delay is
determined and a notice of pending status is sent to the household on
the thirtieth (30th) day.
a. If
the application is pending because action by the agency
representative is necessary to complete the application process, the
notice informs the household that its application has not been
completed and is being processed.
b. If
the application is pending because action by the household is
necessary to complete the application process, the notice explains
what action the household must take and that its application will be
denied if the household fails to take the required action within
sixty (60) days of the date the application was filed.
B. Determining
Cause for Delay: The agency representative shall determine the cause
of the delay using the following criteria:
1.
Household caused delay: A delay shall be considered the fault of
the household if the household has failed to complete the application
process even though the agency has taken all the action it is
required to take to assist the household. The agency must have taken
the following actions before a delay can be considered the fault of
the household:
a. For
households that have failed to complete the application form, the
agency must have offered, or attempted to offer, assistance in its
completion.
b. If
one or more members of the household have failed to register for
work, as required in § 1.11 of this Part, the agency must have:
(1) Informed
the household of the need to register for work
(2) Determined
if the household members are exempt from work registration
(3) Given
the household at least ten (10) days from the date of notification to
register these members
c. In
cases where verification is incomplete, the agency must have:
(1) Provided
the household with a statement of required verification and offered
to assist the household in obtaining required verification
(2)
Allowed the household sufficient time to provide the missing
verification; sufficient time shall be at least ten (10) days from
the date of the agency's initial request for the particular
verification that was missing
d. For
households that have failed to appear for an interview, the agency
must notify the household that it missed the scheduled interview and
that the household is responsible for rescheduling a missed
interview.
(1) If
the household contacts the agency within the thirty (30) day
processing period, the agency must schedule a second interview.
(2) If
the household fails to schedule a second interview or the subsequent
interview is postponed at the household's request or cannot otherwise
be rescheduled until after the twentieth (20th) day but before the
thirtieth (30th) day following the date the application was filed,
the household must appear for the interview, bring verification, and
register members for work by the thirtieth (30th) day; otherwise, the
delay shall be the fault of the household.
(3) If
the household has failed to appear for the first interview, fails to
schedule a second interview, and/or the subsequent interview is
postponed at the household's request until after the thirtieth (30th)
day following the date the application was filed, the delay shall be
the fault of the household.
(4) If
the household has missed both scheduled interviews and requests
another interview, any delay shall be the fault of the household.
2. Agency
Caused Delay
a. Delays
that are the fault of the agency include those cases where the agency
failed to take the actions described in § 1.3.8(B)(a), §
1.3.8(B)(b), § 1.3.8(B)(c) and § 1.3.8(B)(d) of this Part, and/or
the following:
(1) If
the household met its obligations in a timely manner but the agency
failed to complete the application process promptly.
(2) If
the agency representative fails to provide required assistance or
fails to give the household sufficient time.
C. Action
taken if the Household or Agency Causes a Delay
1. Household
Caused Delay
a. If
a request for documentation notice was issued and the client does not
respond within ten (10) days, the case is denied.
b. If
the Department cannot make an eligibility determination by the
thirtieth (30th) day of the original application filing date, due to
the fault of the household, the household loses its entitlement to
benefits for the calendar month of application.
c. If
the household takes the required action within sixty (60) days
following the date the application was filed, the Department reopens
the case without requiring a new application.
(1) No
further action by the Department is required after the notice of
denial or pending notice is sent if the household failed to take the
required action within sixty (60) days following the date the
application was filed.
d. If
the household was at fault for the delay in the first thirty (30) day
period, but is found to be eligible during the second thirty (30) day
period, the Department provides benefits from the date the household
provides the required documentation.
(1) The
household is not entitled to benefits for the calendar month of
application when the delay was the fault of the household.
2. Agency
Caused Delay: Whenever a delay is the fault of the Department,
immediate corrective action occurs. The agency shall not deny the
application if it caused the delay, but shall instead notify the
household by the 30th day following the date the application was
filed that its application is being held pending. The State agency
shall also notify the household of any action it must take to
complete the application process.
a. If
verification is lacking the agency will hold the application pending
for ten (10) days following the date of the initial request for the
particular verification that was missing.
(1) If
the case remains pending after thirty (30) days, but the ten (10) day
period to provide verification has not passed and the client provides
the documentation within the 10 days, benefits are restored from the
date of the original application.
(2) If,
however, the household is found to be ineligible, the agency denies
the application.
b. If
the agency is at fault for not completing the application process by
the end of the second thirty (30) day period, and the case file is
otherwise complete, the Department shall continue to process the
original application until an eligibility determination is reached.
(1) If
the household is determined eligible, and the agency was at fault for
the delay in the initial thirty (30) days, the household shall
receive benefits retroactive to the month of application.
(AA) However,
if the initial delay was the households fault, the household shall
receive benefits retroactive only to the month following the month of
application.
(BB) The
agency uses the original application to determine the household’s
eligibility in the months following the sixty (60) day period, or it
may require the household to file a new application.
(2) If
the agency is at fault for not completing the application process by
the end of the second thirty (30) day period, but the case file is
not complete enough to reach an eligibility determination, the agency
may continue to process the original application, or deny the case
and notify the household to file a new application.
(AA) If
the case is denied, the household must be advised of its possible
entitlement to benefits lost as a result of agency caused delays in
accordance with § 1.18 of this Part.
1.3.9
Expedited Service
A. The
following households are eligible for expedited service:
1.
Households with less than $150 in monthly gross income, provided
their liquid resources (i.e., cash on hand, checking or savings
account, savings certificates and lump sum payments as specified in §
1.5.5 of this Part) do not exceed $100;
2.
Migrant or seasonal farmworker households who are destitute as
defined in § 1.3.9(D) of this Part, provided their liquid resources
(see above) do not exceed $100; or
3.
Eligible households whose combined monthly gross income and liquid
resources are less than the household's monthly rent (or mortgage)
and utilities.
B. Timeframes
for expedited service.
1. Expedited
service procedures apply at initial application. Application
procedures are designed to identify a household eligible for
expedited service at the time a household requests assistance. An
agency representative is assigned responsibility for screening the
application when it is filed or on the day the individual comes in to
apply.
2. For
households entitled to expedited service, the agency shall make SNAP
benefits available to the recipient no later than the seventh
calendar day following the date an application was filed.
a. If
the agency fails to identify a household as being entitled to
expedited service and subsequently discovers that the household is
entitled to expedited service, the agency shall provide expedited
service to households within the seven-day processing standard,
except that the processing standard shall be calculated from the date
the agency discovers the household is entitled to expedited service.
C. Interview
Requirements for expedited service.
1. If
a household is entitled to receive expedited service, the agency
representative must attempt to conduct the interview by the sixth
(6th) calendar day following the date the application was filed. The
first day of this count is the calendar day following application
filing.
2. If
the agency representative conducts a telephone interview and must
mail the application to the household for signature, the mailing time
involved is not calculated in the expedited service standards.
a. Mailing
time only includes the days the application is in the mail to and
from the household and the days the application is in the household's
possession pending signature and mailing.
D.
Verification Procedures - Expedited Service
1. The
identity of the person making the application and, whenever possible,
the household's residency in accordance with § 1.6.1 of this Part,
must be verified through a collateral contact or readily available
documentary evidence.
a. Once
an acceptable collateral contact has been designated, the agency
representative must promptly contact the collateral contact in
accordance with § 1.6.3 of this Part. Although the household has the
primary responsibility for providing other types of verification, the
agency representative must assist the household in promptly obtaining
the necessary verification.
2. A
household entitled to expedited service is asked to furnish a Social
Security Number (SSN) for each person or apply for one for each
person before the second full month of participation.
a. A
household unable to provide the required SSNs, or who does not have
one prior to its next issuance, must be allowed thirty (30) days from
the first day of the first full month of participation to obtain the
SSN in accordance with § 1.4.12 of this Part.
3. All
reasonable efforts must be made to verify within the expedited
processing standards, the household's residency, income statements
(including a statement that the household has no income), liquid
resources and all other factors required by § 1.6 of this Part,
through collateral contacts or readily available documentary
evidence. However, benefits must not be delayed beyond the processing
standards described in this Subchapter, solely because these
eligibility factors have not been verified.
4. A
household entitled to expedited service must meet the resource
criteria in § 1.5.5 of this Part, although verification of resources
for expedited service must not cause a delay.
5. Postponed
Verification: The agency representative should attempt to obtain as
much additional verification as possible during the interview, but
should not delay the certification of households entitled to
expedited service for the full timeframes when it is determined that
it is unlikely that other verification can be obtained within these
timeframes.
a. Except
for a migrant household needing out-of-state verification, when the
postponed verification is not completed within thirty (30) days of
the date of the application, the agency representative must terminate
the household's participation and issue no further benefits.
E. Work
Registration
1. The
agency representative must, at a minimum, require the applicant to
register (unless exempt or unless the household has designated an
authorized representative to apply on its behalf.)
a. The
agency representative may attempt to register other household members
but must postpone the registration of other household members if it
cannot be accomplished within the expedited service timeframes.
F. Certification
Periods
1. Households
which are certified on an expedited basis and have provided all
necessary verification required in § 1.6 of this Part prior to
certification are assigned a normal certification period.
2. Non-migrant
households eligible for expedited service and applying after the 15th
of a month and who are assigned a certification period of longer than
two (2) months must be notified in writing that they must provide
postponed verification before a third month's benefits are issued.
3. A
migrant household eligible for expedited service and applying after
the 15th of a month and who is assigned a certification period of
longer than two (2) months must be notified in writing that they must
provide postponed verification from sources within the state before a
third month's benefits are issued, and must provide all verification
from out-of-state sources before being issued benefits for the third
month.
a. The
notice must also advise the household that if verification results in
changes in the household's eligibility or level of benefits, the
agency representative must act on these changes without advance
notice of adverse action.
b. Migrants
must be entitled to postpone out-of-state verification only once each
season. If a migrant household requesting expedited service has
already received this exception during the current season, the agency
representative must grant a postponement of out- of-state
verification only for the initial month's issuance and not for the
second month's issuance if the household is applying prior to the
fifteenth of the month.
4. Certification
Period-Postponed Verification: If verification was postponed, the
agency representative certifies the household for the month of
application and for those households applying after the fifteenth
(15th) of the month, the month of application and the following
month. When certified only for the month of application and the
following month, the household must complete the verification
requirements which were postponed.
a. When
a certification period of longer than two (2) months is assigned, the
agency representative must notify the household in writing that no
further benefits will be issued until the postponed verification is
completed.
G. Limit
on Expedited Service
1. There
is no limit to the number of times a household can be certified under
the expedited procedures provided that, prior to each expedited
certification, the household either completes the verification
requirements which were postponed at the last expedited certification
or has been certified under normal processing standards since the
last expedited certification.
H. Destitute
Households
1. Destitute
Households are migrant or seasonal farmworker households who may have
little or no income at the time of application and may be in need of
immediate food assistance, even though they receive income at some
other time during the month of application.
a. A
household whose only income for the month of application was received
prior to the date of application, and was from a terminated source,
must be considered a destitute household and provided expedited
service.
2. Special
procedures are used to determine when migrant or seasonal farmworker
households in these circumstances may be considered destitute and,
therefore, entitled to expedited service and special income
calculation procedures. Households other than migrant or seasonal
farmworker households must not be classified as destitute.
3. A
household's source of income is its employer, or, in the case of
self-employed persons, the self-employment enterprise.
a. A
household member who changes jobs but continues to work for the same
employer is considered as still receiving income from the same
source.
b. A
migrant farmworker's source of income is considered to be the grower
for whom the migrant is working at a particular point in time, and
not the crew chief. A migrant who travels with the same crew chief
but moves from one grower to another is considered to have moved from
a terminated to a new source.
c. If
income is received on a monthly or on a more frequent basis, it must
be considered as coming from a terminated source if it will not be
received again from the same source during the balance of the month
of application or during the month following the month of
application.
(1) If
income is normally received less often than monthly, the non-receipt
of income from the same source in the balance of the month of
application, or in the following month, is inappropriate for
determining whether or not the income is terminated.
(2) Therefore,
for households that normally receive income less often than monthly,
the income is considered as coming from a terminated source if it
will not be received in the month in which the next payment would
normally be received.
d. A
household whose only income for the month of application is from a
new source is considered destitute and must be provided expedited
service if income of more than $25 will not be received from the new
source by the tenth calendar day after the date of application.
(1) Income,
which is normally received on a monthly or more frequent basis, is
considered to be from a new source, if income of more than $25 has
not been received from that source within thirty (30) days prior to
the date the application was filed.
(2) If
income is normally received less often than monthly, it is considered
to be from a new source if income of more than $25 was not received
within the last normal interval between payments.
e. A
household may receive income from a terminated source prior to the
date of application and income from a new source after the date of
application, and still be considered destitute if no other income is
received in the month of application from the terminated source and
if income of more than $25 from the new source will not be received
by the 10th calendar day after the date of application.
f. Households
whose only income for the month of application was received prior to
the date of application, and was from a terminated source, shall be
considered destitute households and shall be provided expedited
service.
(1) A
household may receive income from a terminated source prior to the
date of application and income from a new source after the date of
application, and still be considered destitute if no other income is
received in the month of application from the terminated source and
if income of more than twenty-five dollars ($25) from the new source
will not be received by the tenth (10th) calendar day after the date
of application.
4. Determining
Eligibility and Benefits
a. A
destitute household must have its eligibility and level of benefits
calculated for the month of application by considering only income
which is received between the first of the month and the date of
application. Any income from a new source which is anticipated after
the day of application must be disregarded for that month.
b. Some
employers provide travel advances to cover the travel costs of new
employees who must journey to the location of their new employment.
To the extent that these payments are excluded as reimbursements,
receipt of travel advances does not affect the determination of when
a household is destitute.
(1) However,
if the travel advance is by written contract an advance on wages
which will be subtracted from wages later earned by the employee,
rather than a reimbursement, the wage advance must count as income.
Nevertheless, the receipt of a wage advance for the travel costs of a
new employee does not affect the determination of whether subsequent
payments from the employer are from a new source of income, nor
whether a household is considered destitute.
I. Special
Processing - Expedited Service
1. For
residents of drug addiction or alcoholic treatment and rehabilitation
centers who are entitled to expedited service, the agency must make
the SNAP benefits available no later than seven (7) calendar days
following the date the application was filed.
2. For
a resident of a public institution who applies for benefits prior to
his/her release from the institution and who is entitled to expedited
service, the date of filing of his/her SNAP application is the date
of release of the applicant from the institution.
1.4 Non-Financial Requirements
1.4.1
Residency
A. A
household must be living in the project area where it files an
application for participation.
1. No
individual may participate as a member of more than one household or
in more than one project area in any month unless an individual is a
resident of a shelter for battered persons and children as defined in
§ 1.4.8 of this Part and was a member of a household containing the
person who had abused her or him.
a. Residents
of shelters for battered persons and children are handled in
accordance with § 1.4.8 of this Part.
2. Residency
must not be interpreted to mean domicile which is sometimes defined
as the legal place of residence or principle home.
3. No
durational residency requirements must be imposed.
a. An
otherwise eligible household must not be required to reside in a
permanent dwelling or have a fixed mailing address as a condition of
eligibility.
b. Residency
must not mean an intent to permanently reside in the state. However,
a person in the state solely for vacation must not be considered a
resident.
1.4.2
Citizenship and Eligible Non-Citizen Status
A. To
receive SNAP benefits, an individual must be either:
1. A
citizen of the United States as described in § 1.4.2(C) of this
Part; or
2. An
eligible non-citizen as described in § 1.4.2(D) of this Part.
B. A
household with a member who is not a citizen of the United States or
an eligible non-citizen must not be prevented from applying and, if
eligible, receiving benefits for the remaining eligible members of
the household.
C. For
SNAP purposes, a citizen of the United States is defined as an
individual born in one of the fifty (50) States and the District of
Columbia, Puerto Rico, Guam, and the Virgin Islands.
1. In
addition, nationals from American Samoa and Swain's Island are
considered United States citizens for SNAP purposes.
2. Naturalized
citizens are also considered to be citizens since they have the same
status as citizens.
D. Eligible
Non-Citizens
1. Eligibility
for participation in the Supplemental Nutrition Assistance Program
depends on the non-citizen being an eligible non-citizen or a
qualified non-citizen that meets certain conditions related to the
qualified non-citizen status.
2. The
following eligible non-citizens may be eligible to participate in the
Supplemental Nutrition Assistance Program without having to meet any
additional non-citizen requirements:
a. Certain
American Indians born abroad: American Indians born in Canada living
in the U.S. under § 289 of the INA or non-citizen members of a
Federally recognized Indian tribe under § 4(e) of the Indian
Self-Determination and Education Assistance Act; and
b. Hmong
or Highland Laotian tribal members: An individual lawfully residing
in the U.S. who was a member of a Hmong or Highland Laotian tribe
that rendered assistance to U.S. personnel by taking part in a
military or rescue operation during the Vietnam era (August 5, 1964 -
May 7, 1975).
(1) This
category includes the spouse (or unremarried surviving spouse) or
unmarried dependent children of these individuals.
3. The
following qualified non-citizens may be eligible to participate in
the Supplemental Nutrition Assistance Program without having to meet
an additional condition:
a. Asylees:
Individuals granted asylum under § 208 of the Immigration and
Nationality Act (INA);
b. Refugees:
Refugees admitted to the United States under § 207 of the INA;
c. Deportation
withheld: individuals whose deportation is being withheld under §
243(h) of the INA as in effect before 4/1/97, or removal is withheld
under § 241(b)(3) of the INA;
d. Cuban/Haitian
Entrants: Cuban or Haitian entrants under § 501(e) of the Refugee
Education Assistance Act of 1980; or
e. Victims
of Severe Trafficking: Victims under the Trafficking Victims
Protection Act of 2000.
f. Iraqi
and Afghan Special Immigrants (SIV): Iraqi and Afghan special
immigrants who have been granted special immigrant status under §
101(a)(27) of the INA who have worked on behalf of the U.S.
government in Iraq or Afghanistan. The Department of Defense
Appropriations Act of 2010 (DoDAA), P.L. 111-118, § 8120 enacted on
December 19, 2009, provides that SIVs are eligible for all benefits
to the same extent and the same period of time as refugees.
g. "Amerasian
immigrants": as defined under § 584 of the Foreign Operations,
Export Financing and Related Programs Appropriations Act of 1988;
h. Elderly
Non-citizens: elderly individuals born on or before August 22, 1931
and lawfully residing in the United States on August 22, 1996;
i. Children
under 18: Qualified non-citizen children under eighteen (18) years of
age.
j. Individuals
receiving benefits or assistance for blindness or disability:
Individuals who have been determined blind or disabled and are
receiving benefits or assistance for their condition as defined under
§ 3(r) of the Food and Nutrition Act regardless of when they entered
the United States;
k. Military
Connection: Individuals who are lawfully residing in a State and are
on active duty (other than for training) in the U.S. Army, Navy, Air
Force, Marine Corps, or Coast Guard (but not full-time National
Guard) or who are honorably discharged veterans who have not been
discharged due to non-citizen status. This category includes the
spouse (or surviving spouse who has not remarried) or unmarried
dependent children of these individuals. A discharge "Under
Honorable Conditions" does not meet this requirement.
l. A
Legal Permanent Resident (LPR) who prior to adjustment to LPR status
was:
(1) a
refugee under § 207 of the INA, including a victim of severe forms
of trafficking;
(2) an
asylee under § 208 of the INA
(3) a
non-citizen whose deportation was being withheld under § 243(h) of
the INA as in effect before 4/1/97, or removal is withheld under §
241(b)(3) of the INA;
(4) a
Cuban/Haitain entrant (as defined in § 501(e) of the Refugee
Education Assistance Act of 1980); or
(5) an
Amerasian immigrant (as defined in § 584 of the Foreign Operations,
Export Financing and Related Programs Appropriations Act, 1988)
4. The
following qualified non-citizens must meet one additional condition
in order to be eligible to participate in the Supplemental Nutrition
Assistance Program:
a. Legal
Permanent Residents (LPRs): Individuals lawfully admitted for
permanent residence (LPR) in the United States (holders of green
cards).
b. Parolees:
Individuals paroled into the United States under § 212(d)(5) of the
INA for at least one (1) year;
c. Conditional
Entrants: Individuals granted conditional entry under § 203(a)(7) of
the INA as in effect before 4/1/80;
d. Battered
Non-Citizens: Under certain circumstances, a battered non- citizen
spouse or child, non-citizen parent of a battered child or a
non-citizen child of a battered parent with a petition pending under
204(a)(1)(A) or (B) or 244(a)(3) of the INA.
5. In
order to be eligible to receive SNAP benefits, LPR’s, parolees,
conditional entrants and battered non-citizens must meet one of the
following additional conditions:
a. Five
(5) years of residence: has lived in the U.S. as a qualified alien
for five (5) years from the date of entry;
b. Forty
(40) qualifying work quarters (this condition can only be met by
individuals who are lawful permanent residents/LPR’s):
(1) A
LPR who can be credited with forty (40) qualifying quarters of work
under the Social Security system (credits may be earned individually,
in combination with a spouse and in some circumstances a parent);
c. Blind
or disabled: Individuals who have been determined blind or disabled
and are receiving benefits or assistance for their condition;
d. Elderly
Non-citizens: elderly individuals born on or before August 22, 1931
and lawfully residing in the United States on August 22, 1996;
e. Military
connection: an individual who is lawfully residing in a state and is
on active duty in the military (excluding National Guard) or is an
honorably discharged veteran whose discharge is not because of
immigration status (includes spouse, surviving spouse if not married,
and unmarried dependent children).
(1) A
discharge “Under Honorable Conditions”, which is not the same as
an honorable discharge, does not meet this requirement.
f. Child
under 18: Qualified non-citizen children under eighteen (18) years of
age.
6. Battered
Immigrants/Qualified Non-Citizen Criteria
a. Certain
categories of immigrants who have been subjected to battery or
extreme cruelty in the United States by a family member with whom
they reside are provided qualified non-citizen status under § 431 of
PRWORA.
(1) Qualified
non-citizen status also extends to an immigrant whose child or an
immigrant child whose parent has been abused. Additionally, this
group of battered immigrants is exempt from deeming requirements as
outlined in § 1.5.8 of this Part.
b. A
non-citizen is a qualified non-citizen as a battered immigrant if
s/he meets the following seven (7) requirements. In general, these
rules apply to abused immigrants who are (or were) married to Legal
Permanent Residents (LPRs) or U.S. citizens, or whose parents are
LPRs or citizens:
(1) The
battered immigrant must show that s/he has an approved or pending
petition which makes a prima facie case for immigration status in one
of the following categories:
(AA) a
Form I-130 filed by their spouse or the child's parent;
(BB) a
Form I-130 petition as a widow(er) of a U.S. citizen;
(CC) an
approved self-petition under the Violence Against Women Act
(including those filed by a parent); or
(DD)
an application for cancellation of removal or suspension of
deportation filed as a victim of domestic violence.
(2) The
immigrant, the immigrant's child or the immigrant child's parent has
been abused in the United States under the following circumstances:
(AA) The
immigrant has been battered or subjected to extreme cruelty in the
U.S. by a spouse or parent of the immigrant, or by a member of the
spouse's or parent's family residing in the same household if the
spouse or parent consent to the battery or cruelty.
(BB) The
immigrant's child has been battered or subjected to extreme cruelty
in the U.S. by a spouse or parent of the immigrant, or by a member of
the spouse's or parent's family residing in the same household if the
spouse or parent consents to the battery or cruelty, and the
immigrant did not actively participate in the battery or cruelty.
(CC) The
parent of an immigrant child has been battered or subjected to
extreme cruelty in the United States by the parent's spouse, or by a
member of the spouse's family residing in the same household as the
parent, if the spouse consents to or acquiesces in such battery or
cruelty.
(DD) There
is a substantial connection between the battery or extreme cruelty
and the need for SNAP benefits; and
(EE) The
battered immigrant, child, or parent no longer resides in the same
household as the abuser.
c. The
conditions discussed above only establish that the battered immigrant
is a qualified non-citizen. In order for the immigrant to qualify for
SNAP benefits based on her or his immigration status, such a
qualified alien must meet the other conditions for eligibility such
as the five (5) year residency requirement or an LPR with 40
qualifying quarters of work.
(1) The
five (5) year residency period begins when the prima facie case
determination is issued or when the abused immigrant's I- 130 visa
petition is approved.
(AA) In
making its determination, the agency representative must remember
that the relevant date for this immigrant's eligibility is the date
that s/he obtained qualified alien status as an abused immigrant
rather than the date of that individual's immigration status, such as
that of an LPR.
(2) Examples
to assist the agency representative determine whether a substantial
connection exists between the battery or extreme cruelty and the
applicant's need for public benefits include the following situations
where benefits are needed:
(AA) to
enable the applicant and the applicant's child or parent to become
self-sufficient;
(BB) to
escape the abuser or community in which the abuser lives or to ensure
the safety of the applicant;
(CC) because
of a loss of financial support, dwelling, or source of income due to
separation from the abuser; to alleviate nutritional risk; or
(DD) for
medical attention, mental health counseling, or because of a
disability that resulted from the abuse.
7. Undocumented
Non-Citizens
a. When
a household is unable, or unwilling, to provide documentation of
non-citizen status for any household member, that member is
classified as an ineligible non-citizen.
b. In
such cases the agency representative does not continue efforts to
obtain documentation and does not report him/her to the U.S.
Citizenship and Immigration Services (USCIS) office. Only in those
instances where the agency representative has seen the deportation
notice can the immigrant be reported to the USCIS office.
8. Certification
of Remaining Household Members
a. A
non-citizen is ineligible for SNAP benefits until acceptable
verification is provided unless:
(1) A
copy of a document provided by the non-citizen has been submitted to
USCIS for verification. Pending such verification, the agency cannot
reduce, delay, deny or terminate the immigrant's benefits on the
basis of the individual's immigration status; or
(2) A
request has been submitted to the Social Security Administration for
information regarding the number of quarters of work that can be
credited to the individual, SSA has responded that the individual has
fewer than forty (40) quarters, and the individual provides
documentation from SSA that SSA is conducting an investigation to
determine if more quarters can be credited.
(AA) If
SSA indicates that the number of qualifying quarters that can be
credited is under investigation, the agency must certify the
individual pending the results of the investigation for up to six (6)
months from the date of the original determination of insufficient
quarters; or
(BB) The
non-citizen applicant or the agency representative has submitted a
request to a federal agency for verification of information which
bears on the non-citizen's eligible non-citizen status. The agency
representative must certify the individual pending the results of the
investigation for up to six (6) months from the date of the original
request for verification.
b. In
all other situations, while awaiting acceptable verification, the
non-citizen member(s) of the household whose status is questionable
is not eligible. The non-citizen(s) with unverified status must be
considered an ineligible member(s) and the eligibility of the
remaining household members (if any) must be determined as defined in
§ 1.5.6 of this Part.
(1) The
income and resources of the ineligible non-citizen must be treated in
the same manner as an ineligible individual, and must be considered
available in determining the eligibility of any remaining members.
(2) Cash
payments from the ineligible non-citizen member(s) to the household
are considered income under the normal income standards found in §
1.5.6 of this Part.
(3) If
the agency representative determines from discussions with the
household that the non-citizen either does not wish to contact USCIS,
or does not give the agency representative permission to make the
contact for him/her, the household is given the option of withdrawing
its application or participating without the non-citizen member.
(AA) However,
should the agency representative subsequently receive verification of
eligible non-citizen status, the agency representative must act on
the information as a reported change in household membership in
accordance with the timeliness standards set in § 1.13.1 of this
Part.
1.4.3
Drug Addicts/Alcoholics in Treatment Programs
A. Members
of eligible households, including single-person households, who are
narcotics addicts or alcoholics and who regularly participate in a
drug or alcoholic treatment and rehabilitation program on a
non-resident basis may use SNAP benefits to purchase food prepared
for them during the treatment program by a publicly operated
community mental health center or private, non-profit organization or
institution authorized by Food and Nutrition Service (FNS) as a
retailer or certified by the appropriate state agency, including that
agency's determination that the center is a non-profit organization.
1. A
drug addiction or alcoholic treatment and rehabilitation program
means any drug addiction or alcoholic treatment and rehabilitation
program conducted by a publicly operated community mental health
center or private non-profit organization or institution under Part B
of Title XIX of the Public Health Service Act (42 U.S.C., 300x et
seq.)
a. It
also must be certified by the Department of Behavioral Healthcare,
Developmental Disabilities and Hospitals (BHDDH) which is responsible
for the state's programs for alcoholic and drug addicts under the
licensing provisions of Title XIX of the Public Health Service Act as
providing treatment that can lead to the rehabilitation of drug
addicts or alcoholics.
2. If
an alcoholic treatment and rehabilitation program is located in an
Indian reservation and the state does not certify or license
reservation-based centers, approval to participate may be granted and
the program either is funded by the National Institute on Alcohol
Abuse and Alcoholism (NIAAA), or was so funded and has subsequently
been transferred to Indian Health Service (IHS) funding.
3. In
addition, the certification of such programs wishing to redeem
through wholesalers the SNAP benefits received from or on behalf of
their participants, may be authorized by FNS as retailers and show
that the treatment program meets the standards required of treatment
programs under the supervision of the Department of BHDDH.
a. Approval
to participate is automatically withdrawn once a treatment and
rehabilitation program no longer meets the criteria which would make
it eligible for funding under Part B of Title XIX of the Public
Health Service Act.
b. Resident
members (and their children living with them) of such rehabilitation
program centers may also voluntarily elect to participate in the
program but must do so through an authorized representative.
4. Residents
of treatment centers apply and are certified through the use of an
authorized representative who is an employee of and designated by the
publicly operated or private non-profit organization or institution
that is administering the treatment and rehabilitation program.
a. The
organization or institution applies on behalf of the addict or
alcoholic's household and receives and spends the SNAP allotment for
food prepared by and/or served to the addict or alcoholic together
with her or his child(ren) who live with the individual.
5. Individuals
(and their children living with them) who are residents of
addict/alcoholic treatment centers must be certified using the same
provisions that apply to all other applicant households except that
certification is completed through use of the authorized
representative.
a. Prior
to certifying any resident(s) for SNAP benefits, the agency must
verify that the treatment center is authorized by FNS as a retailer
if the center wishes to redeem SNAP benefits through a wholesaler or,
if not authorized by FNS as a retailer, that it is under Part B of
Title XIX of the Public Health Service Act (42 U.S.C., 300x et seq.)
"Under Part B of Title XIX of the Public Health Service Act"
is defined as meeting the criteria which would make it eligible to
receive funds, even if it does not actually receive funding under
Part B of Title XIX.
6. The
room payments made to a treatment center are considered shelter
costs. When a treatment center charges one fee which includes both
room and board, the agency representative must obtain from the
treatment center the actual room portion of the room and board fee.
7. When
normal processing standards apply, the agency representative
completes the verification and documentation requirements prior to
making an eligibility determination for the initial application.
8. For
those residents of treatment centers who are entitled to expedited
service, the agency representative must make benefits available
through the Electronic Benefit Transfer (EBT) card no later than
seven (7) calendar days following the filing date.
9. Resident
households have the same rights to notices of adverse action,
hearings, and entitlement to lost benefits as do all other SNAP
households.
10. Regular
participants in a drug addiction or alcoholic treatment and
rehabilitation program, either on a resident or non-resident basis,
are exempt from work registration requirements.
11. If
the information is questionable, the regular participation of an
addict or alcoholic in a treatment program must be verified through
the organization or institution operating the program before granting
the exemption.
a. To
be considered questionable, information on the application must be
inconsistent with statements made by the applicant, other information
on this application or previous applications or information known to
or received by the agency representative prior to certification.
12. Each
treatment and rehabilitation center must provide the appropriate
agency representative with a list of currently participating
residents on a monthly basis. This list must include a statement
signed by a responsible center official attesting to the validity of
the list.
a. Once
the household leaves the treatment center, the center is no longer
allowed to act as the household's authorized representative.
b. The
treatment center must provide the household, if possible, with a
change report form which is used to report the household's new
address and other circumstances after leaving the center.
c. The
center must advise the household to return the form to the
appropriate certification office within ten (10) days.
d. The
treatment center must notify the agency representative of changes in
the household's income or other household circumstances. The
treatment center must also inform the agency representative when the
addict or alcoholic leaves the treatment center.
13. The
agency establishes a claim for the overissuance of food benefits on
behalf of resident clients if any overissuance is discovered during
an investigation or hearing procedure for redemption violations.
14. If
FNS disqualifies an organization or institution as an authorized
retail food store, the agency suspends its authorized representative
status for the same period.
15. An
agency representative should conduct periodic random on-site visits
to treatment centers to assure the accuracy of the listings and that
the certification agency's records are consistent and up to date.
1.4.4
Households with a Member on Strike
A. For
SNAP purposes, a striker is any person involved in a strike or
concerted work stoppage by employees (including a stoppage by reason
of the expiration of a collective-bargaining agreement) and any
concerted slowdown or other concerted interruption of operations by
employees.
1. Any
employee affected by a lockout, however, must not be deemed to be a
striker. Further, an individual who goes on strike and who is exempt
from work registration in accordance with as described in § 1.11.1
of this Part, the day prior to the strike (other than those exempt
solely on the grounds that they are employed) must not be deemed to
be a striker. Examples of non-strikers who are eligible for
participation in the program include, but are not limited to:
a. Employees
whose work place is closed by an employer in order to resist demands
of employees (e.g., a lockout);
b. Employees
unable to work as a result of striking employees (e.g., truck drivers
who are not working because striking newspaper pressmen prevent
newspapers from being printed); and,
c. Employees
who are not part of the bargaining unit on strike but who do not want
to cross a picket line due to fear of personal injury or death.
2. A
household with a striking member is ineligible to participate in the
program unless the household was eligible for benefits on the day
prior to the strike and is otherwise eligible at the time of
application. However, such a household must not receive an increased
allotment as the result of a decrease in the income of the striking
member of the household.
a. Pre-strike
eligibility is determined by considering the day prior to the strike
as the day of application and assuming the strike did not occur.
(1) Eligibility
at the time of application must be determined by comparing the
striking member's monthly income before the strike to the striking
member's current monthly income and adding the higher of the two to
the current income of non-striking members during the month of
application.
(2) To
determine benefits (and eligibility for a household subject to the
net income eligibility standard), deductions must be calculated for
the month of application as for any other household.
(3) Whether
the striker's pre-strike earnings are used or his/her current
earnings are used, the earned income deduction is allowed, if
appropriate.
b. Vehicles
normally exempt for equity value because they are used for commuting
do not lose this exclusion during the strike.
3. A
striker whose household is eligible to participate under the criteria
in this Section is subject to the work registration requirements in §
1.11 of this Part, unless exempt under § 1.11.1 of this Part on the
day of application.
1.4.5 Migrant
Farm Laborers
A. Since
migrant farm laborers usually have little or no income when entering
an area, they may qualify for expedited service as discussed in §
1.3.9 of this Part. Also see § 1.3.9 of this Part for handling
income for migrant farm laborers.
1. Particular
attention should be paid to real property in the home-base area. Each
applicant household is permitted one home and lot as an exemption
from resources.
a. As
noted in § 1.5.7 of this Part shelter costs for the home when not
occupied by the household because of employment may be allowed under
certain circumstances.
(1) To
be included in the household's shelter costs, the household must
intend to return, the current occupants of the home, if any, must not
be claiming the shelter costs, and the home must not be leased or
rented. Verification requirements for those expenses are discussed in
§ 1.5.7 of this Part.
b. Additionally,
the eligibility technician should explore the possibility that
out-of-State real property is being rented or is producing income in
some way. If such property is producing income, such income must be
added to all other household income in determining eligibility and
basis of issuance.
2. Employable
members of migrant households who are not employed at least 30 hours
a week or receiving weekly earnings equal to the Federal minimum wage
multiplied by 30 hours must register for and accept suitable
employment in the same manner as other persons.
3. When
the household receives one payment which includes the income of
migrant children under 18 years of age who are students, the
child’s/student’s income must be differentiated from the rest of
the household's income.
a. Unless
income can be identified as being earned specifically by the student,
the agency representative must prorate the income equally among the
number of household members working and exclude that portion allotted
to the student. This provision applies to students who are currently
attending school and those who plan to return to school after
academic breaks. Individuals are considered children for purposes of
this provision if they are under the parental control of another
household member.
1.4.6
School Employees
A. Households
that derive their annual income in a period of time shorter than one
year should have that income averaged over a 12-month period,
provided the income is not received on an hourly or piecework basis.
This provision may include teachers and other school employees who
are under a contract which is renewable on an annual basis.
1. Such
members are considered to receive compensation for an entire year
even though pre-determined non-work periods are involved, or actual
compensation is scheduled for payment during the work periods only.
2. The
annual income household members received from contractual employment
is averaged over a 12-month period to determine the member's average
monthly income.
a. To
determine household eligibility, all other monthly income from other
household members is added to this average monthly income, and income
exclusions and deductions are applied in the normal manner.
b. Once
eligibility has been determined, the annualized income may be
averaged or prorated over the twelve (12) months before adding it to
other monthly income to determine the household's basis of issuance
during the certification period.
(1)
This provision does not apply to recipients of emergency SNAP
assistance, in situations where the other party to the contract
cannot or will not make payments specified in the contract or where
labor disputes interrupt the flow of earnings specified in the
contract.
(2) If,
during non-work periods, the person under contract receives weekly
earnings at least equal to the Federal minimum wage, the individual
is exempt from work registration.
1.4.7
Residents of Group Living Arrangements
A. Disabled
or blind (see definitions in § 1.4.11 of this Part) residents of a
group living arrangement, as defined in § 1.2.12 of this Part, may
voluntarily apply for the SNAP.
1. If
these residents apply through the use of the facility's authorized
representative, their eligibility shall be determined as one-person
households.
2. If
the residents apply on their own behalf, the household size is in
accordance with the definition in § 1.2.12 of this Part.
3. The
agency certifies these residents using the same provisions that apply
to all other households.
4. Prior
to certifying any residents for SNAP benefits, the agency must verify
that the group living arrangement is authorized by FNS or is
certified by the Department of Behavioral Healthcare, Developmental
Disabilities and Hospitals (BHDDH), including that agency's
determination that the group living arrangement is a non-profit
organization.
B. Eligible
residents of a group living arrangement, acting on their own behalf,
may use benefits issued to them to purchase meals prepared especially
for them at a group living arrangement if the facility is authorized
by FNS for that purpose.
1. The
group living arrangement may purchase and prepare food to be consumed
by eligible residents on a group basis if residents normally obtain
their meals at a central location as part of the group living
arrangement services or if meals are prepared at a central location
for delivery to the individual residents.
2. If
residents purchase and/or prepare food for home consumption, as
opposed to communal dining, the group living arrangement must ensure
that each resident's SNAP benefits are used for meals intended for
that resident.
C. The
same provisions applicable to drug and alcoholic treatment centers in
§ 1.2.12 of this Part also apply when a group living arrangements
acts as an authorized representative.
1. These
provisions, however, are not applicable if a resident has applied on
his/her own.
D. The
same provisions applicable in § 1.2.12 of this Part to residents of
treatment centers also apply to blind or disabled residents of group
living arrangements who receive benefits under Title II or Title XVI
of the Social Security Act when the facility acts as the resident's
authorized representative.
E. Any
group living arrangements wishing to redeem SNAP benefits directly
through wholesalers must be authorized by FNS as retail food stores.
1. The
group living arrangement must be certified by the Department of
Behavioral Healthcare, Developmental Disabilities and Hospitals
(BHDDH) under regulations issued under § 1616 (e) of the Social
Security Act.
a. Approval
to participate is automatically cancelled at any time that a program
loses its certification from BHDDH. In such a situation, the
household is not entitled to a notice of adverse action.
2. Each
group living arrangement must provide the agency with a list of
currently participating residents.
a. This
list must include a statement signed by a responsible official of the
facility attesting to the validity of the list.
3. If
the group living arrangement is acting in the capacity of an
authorized representative, the group living arrangement must notify
the agency of changes in the household's income or other household
circumstances and when the individual leaves the group living
arrangement.
4. If
a resident, or a group of residents, applies on her or his own
behalf, and if s/he retains use of the benefits, these individuals
are entitled to the benefits when they leave.
a. The
household is responsible for reporting the changes in household
circumstances to the agency representative.
b. The
resident applying on his/her own behalf is responsible for any
overissuance in the same manner as any other household.
1.4.8
Shelters for Battered Persons and Children
A. Prior
to certifying its residents, it must be determined that the shelter
for battered persons and children meets the definition in §
1.1.12(A)(6) of this Part and the basis for this determination must
be documented.
1. Shelters
having FNS authorization to redeem at wholesalers are considered to
meet this definition and it is not required to make any further
determination.
a. Each
certifying office is required to maintain a list of shelters meeting
the definition to facilitate prompt certification of eligible
residents.
2. The
battered person’s former household may be certified for
participation in the program, and its certification may be based on a
household size that includes the battered person and child(ren) who
have just left.
a. A
shelter resident who is included in such a certified household may,
nevertheless, apply for and (if otherwise eligible) participate in
the program as a separate household if such certified household which
included them is the household containing the person who subjected
them to abuse.
b. Shelter
residents who are included in such certified households may receive
an additional allotment as a separate household only once a month.
c. Shelter
residents who apply as separate households are certified solely on
the basis of their income and resources and the expenses for which
they are responsible. They are certified without regard to the
income, resources and expenses of their former household.
d. Jointly-held
resources are only considered inaccessible in accordance with §
1.5.5(F) of this Part.
e. Room
payments to the shelter are considered as shelter expenses.
3. Any
shelter residents eligible for expedited service must be handled in
accordance with the processing standards set forth in § 1.3.9 of
this Part.
1.4.9
Homeless SNAP Households
A. Homeless
households are permitted to use their SNAP benefits to purchase
prepared meals from authorized homeless meal providers.
1. Definitions
of terms are:
a. A
Homeless Individual is defined as an individual who lacks a fixed and
regular nighttime residence or an individual whose primary nighttime
residence is:
(1) A
supervised shelter designed to provide temporary accommodations such
as an emergency shelter;
(2) A
halfway house or similar institution which provides temporary
residence for individuals intended to be institutionalized;
(3) A
temporary accommodation in the residence of another individual for
not more than ninety (90) days; or
(4) A
place not designed for, or ordinarily used, as a regular sleeping
accommodation, such as a bus station, a lobby or similar places.
b. A
homeless Meal Provider is a public or private non-profit
establishment, approved by the Department of Human Services (DHS),
which feeds homeless individuals.
(1) Examples
of such establishments are soup kitchens and temporary shelters.
2. Food
and Nutrition Service will authorize as retail food stores those
homeless meal providers who apply and qualify for authorization to
accept EBT SNAP benefits from homeless SNAP recipients.
a. Such
meal providers must be public or private non-profit organizations;
must serve meals which include food purchased by the meal provider;
must be authorized by FNS as retail food stores; and must be approved
by DHS as providers of meals to homeless individuals.
b. A
homeless meal provider is responsible for obtaining approval from DHS
and must provide written documentation of such approval to FNS prior
to approval of the provider's application for authorization.
(1) If
such approval is subsequently withdrawn, FNS authorization is also
withdrawn.
c. Homeless
meal providers serving meals which consist wholly of donated food are
not eligible for authorization.
1.4.10
Pre-Release Applicants
A. A
household consisting of a resident or residents of a public
institution(s) and applying for SSI under the Social Security
Administration's Pre-release Program for the Institutionalized, must
be allowed to apply for SNAP benefits at the same time prior to the
release from the institution.
1. Such
a household is certified in accordance with § 1.2.9 of this Part.
1.4.11
Elderly or Disabled Household Members
A. Elderly
or disabled member means a member of a household who:
1. Is
60 years of age or older. If a household contains a member who is 59
years old on the date of application, but who will become 60 before
the end of the month of application, the individual is considered an
elderly household member;
2. Receives
(or is certified to receive) SSI income benefits under Title XVI of
the Social Security Act or disability or blindness payments under
Titles I, II, X, XIV, or XVI of the Social Security Act;
3. Receives
federally or State-administered supplemental benefits under §
1616(a) of the Social Security Act, interim assistance pending
receipt of SSI, disability-related Medicaid under title XIX of the
Social Security Act, or disability-based general public assistance
(GPA), provided that the eligibility to receive the benefits is based
upon the disability or blindness criteria used under title XVI of the
Social Security Act;
4. Receives
federally or state-administered supplemental benefits under § 212(a)
of Public Law 93-66;
5. Receives
disability retirement benefits from a governmental agency because of
a disability considered permanent under § 221(i) of the Social
Security Act;
6. Is
a veteran who has a service-connected or non-service-connected
disability which is rated total under Title 38, U.S. Code; or is
considered in need of regular aid and attendance or permanently
housebound under such title;
7. Is
a surviving spouse of a veteran and considered by the VA to be in
need of aid and attendance or permanently housebound under title 38;
or is entitled to compensation for a service-connected death or
pension benefits for a non-service-connected death under title 38 and
has a disability considered permanent under § 221(i) of the Social
Security Act;
8. Is
a surviving child of a veteran and is considered permanently
incapable of self-support under Title 38 of the U.S. Code; or is
entitled to compensation for a service-connected death or pension
benefits for a non-service-connected death under Title 38 of the U.S.
Code and has a disability considered permanently under § 221(i) of
the Social Security Act. ("Entitled" as used in this
definition refers to those veterans' surviving spouses and children
who are receiving the compensation or benefits stated or have been
approved for such payments, but are not receiving them.); or
9. Receives
an annuity payment under § 2(a)(1)(iv) of the Railroad Retirement
Act of 1974 and is determined to be eligible to receive Medicare by
the Railroad Retirement Board; or § 2(a)(1)(v) of the Railroad
Retirement Act of 1974 and is determined to be disabled based upon
the criteria used under Title XVI of the Social Security Act.
1.4.12
Social Security Number (SSN) Requirements
A. A
household participating, or applying for participation in the SNAP,
is required to provide the agency with the SSN for each household
member or apply for one before certification.
1. If
an individual has more than one number, all numbers are required.
2. The
agency representative must explain to applicants and participants
that refusal to provide an SSN will result in the disqualification of
the individual for whom an SSN is not obtained in accordance with §
1.4.12(B) of this Part.
3. Ineligible
immigrant (non-citizen) household members required by § 1.2.5 of
this Part to be included as a household member, can be designated as
non-applicants for the purposes of providing a Social Security Number
to the agency.
4. Non-applicant
household members do not have to provide the agency with a SSN when
applying for the U.S. Citizen children. Such members, however, must
comply with all required information on income and resources.
B. If
the agency determines that a household member has refused or failed
without good cause to provide or apply for an SSN, then the
individual is ineligible to participate in the SNAP.
1. The
disqualification applies to the individual(s) for whom the SSN is not
provided and not to the entire household.
2. The
earned or unearned income of an individual disqualified from the
program for failure to comply with this requirement must be
considered as outlined in § 1.5.6 of this Part.
3. The
household member disqualified may become eligible upon providing the
agency with an SSN. Completion of the SS-5 is sufficient to end a
disqualification due to failure to comply with the SSN requirement.
C. In
determining if good cause exists for failure to comply with the
requirement to apply for or provide the agency with an SSN, the
agency representative considers information from the household
member, the Social Security Administration, and the agency
(especially if the agency either did not process the SS-5 or did not
process it in a timely manner).
1. Documentary
evidence or collateral information indicating the household member
has applied for the SSN or made every effort to supply SSA with the
necessary information must be considered good cause for not complying
with this requirement.
2. Good
cause does not include delays due to illness, lack of transportation
or temporary absence, because the Social Security Administration
makes provision for mail-in applications in lieu of applying in
person.
3. If
the household member can show good cause why an application for an
SSN has not been completed in a timely manner, that person is allowed
to participate for one month in addition to the month of application.
4. If
the household member applying for an SSN has been unable to obtain
the documents required by SSA, the agency representative should make
every effort to assist the individual in obtaining these documents.
5. Good
cause for failure to apply must be shown monthly in order for such a
household member to continue to participate. Once an application has
been filed, the agency must permit the member to continue to
participate pending notification to the agency of the household
member's SSN.
D. The
agency is authorized to use social security numbers in the
administration of the SNAP. To the extent determined necessary by
USDA and HHS, the agency has access to information regarding
individual SNAP applicants and participants who receive benefits
under Title XVI of the Social Security Act:
1. to
determine such household's eligibility to receive assistance, and the
amount of assistance;
2. to
verify information related to the benefits of these households;
3. to
use the State Data Exchange (SDX) to the maximum extent possible;
4. to
prevent duplicate participation;
5. to
facilitate mass changes in Federal benefits;
6. to
determine the accuracy and/or reliability of information given by
households; and
7. to
request and exchange information on individuals through the Income
and Eligibility Verification System (IEVS).
1.5 Financial Requirements
1.5.1
Categorical Eligibility
A. The
following households are considered categorically eligible for SNAP
benefits:
1. A
household in which all members receive or are authorized to receive
Rhode Island Works (RIW) cash assistance.
2. A
household in which all members receive or are authorized to receive
SSI.
3. A
resident of a public institution who applies jointly for SSI and SNAP
benefits prior to his/her release from the institution, is not
categorically eligible for SNAP benefits upon a finding by SSA of
potential SSI eligibility prior to release.
a. This
individual is considered categorically eligible at such time as a
final SSI eligibility determination has been made and the individual
has been released from the institution.
4. A
household whose RIW or SSI benefits are suspended or being recouped.
5. A
household entitled to RIW benefits but is not paid such benefits
because the grant is less than ten dollars ($10).
6. A
household in which all members receive or are authorized to receive
General Public Assistance (GPA) benefits.
7. A
household (including related children) authorized to receive a
TANF-funded service.
a. A
TANF-funded service includes receipt of the RI Department of Human
Services TANF Information Publication.
b. These
households must meet the Gross Monthly Income Standards (Table IV or
Table V in § 1.15 of this Part) in order to be eligible for a
TANF-funded service, and will receive a benefit as long as the normal
benefit calculation (the Thrifty Food Plan amount for the household’s
size reduced by thirty (30) percent of the household’s net income
in Table II in § 1.15 of this Part) results in a positive benefit
amount.
(1) Households
with three or more members which would not receive a benefit will be
denied.
(2) Categorically
eligible households of one and two will receive at least the minimum
monthly benefit of fifteen dollars ($15) after the calculation is
completed.
B. RIW
and GPA Households
1. To
facilitate participation in the program, households in which members
are applying for RIW and/or GPA (PA households) must be allowed to
complete a joint application for SNAP benefits at the same time they
apply for such assistance. These households' SNAP eligibility and
benefit levels are based solely on SNAP eligibility criteria.
2. The
joint application processing procedures in this Section are used for
a SNAP household in which some members are receiving RIW and/or GPA
and others are receiving SSI.
a. A
household consisting of some members who are receiving RIW/GPA/SSI
and some not receiving assistance also may file a joint application
for SNAP benefits.
3. Categorical
eligibility must also be assumed at recertification in the absence of
a timely RIW redetermination.
C. Reporting
Changes
1. Households
are not required to report changes in the assistance payment grant.
Since the agency representative has prior knowledge of all changes in
the assistance payment grant, action must be taken on this
information.
2. Except
for PA grant changes, PA households must report changes within ten
(10) days.
a. PA
households which report a change in circumstances to the PA worker
are considered to have reported the change for SNAP purposes.
3. A
household must be notified whenever its benefits are altered as a
result of changes in the PA benefits. Adequate time for the agency
representative to send a notice of expiration and for the household
to timely reapply must be allowed.
4. Whenever
a change results in the reduction or termination of the household's
PA benefits within its SNAP certification period, and the agency
representative has sufficient information to determine how the change
affects the household's SNAP eligibility and benefit level, the
agency representative takes the following actions:
a. If
a change in household circumstances requires both a reduction or
termination in the PA payment and a reduction or termination in SNAP
benefits, the agency representative must issue a notice of adverse
action for both the PA and SNAP actions.
b. If
the household requests a hearing within the period provided by the
notice of adverse action, the household's SNAP benefits should be
continued on the basis authorized immediately prior to sending the
notice.
c. If
the hearing is requested for both programs' benefits, the hearing is
conducted according to PA procedures and timeliness standards.
However, the household must reapply for SNAP benefits if the SNAP
certification period expires before the hearing process is completed.
d. If
the household does not appeal, the change is made effective in
accordance with the procedures specified in § 1.13.1(D) of this
Part.
5. If
the household's SNAP benefits are increased as a result of the
reduction or termination of PA benefits, the agency representative
issues the PA notice of adverse action, but does not take any action
to increase the household's SNAP benefits until the household decides
whether it will appeal the adverse PA action.
a. If
the household decides to appeal and its PA benefits are continued,
the household's SNAP benefits may continue at the previous basis.
b. If
the household does not appeal, the agency representative makes the
change effective in accordance with the procedures specified in §
1.13.1 of this Part except that the time limits for the agency
representative to act on changes which increase a household's
benefits are calculated from the date the PA notice of adverse action
period expires.
6. Whenever
a change results in the termination of a household's PA benefits
within its SNAP certification period, and the agency representative
does not have sufficient information to determine how the change
affects the household's SNAP eligibility and benefit level, the
agency representative does not terminate the household's SNAP
benefits but instead takes the following action:
a. If
the situation requires a reduction or termination of PA benefits, the
agency must issue a request for documentation at the same time it
sends a PA notice of adverse action.
b. Before
taking further action, the agency must wait until the household's PA
notice of adverse action period expires or until the household
requests a fair hearing, whichever occurs first.
c. If
the household requests a fair hearing and elects to have its PA
benefits continued pending the appeal, the agency must continue the
household's SNAP benefits at the same level.
d. If
the household decides not to request a fair hearing and continuation
of its PA benefits, the agency must resume action on the changes.
e. If
the situation does not require a PA notice of adverse action, the
agency must issue a request for documentation. Depending on the
household's response to the request for documentation, the agency
must take appropriate action, if necessary, to close the household's
case or adjust the household's benefit amount.
D. Mass
Changes in Public Assistance
1. When
an overall adjustment to public assistance payments is made,
corresponding adjustments in households' SNAP benefits are handled as
a mass change.
2. When
there is at least thirty (30) days advance knowledge of the amount of
the public assistance adjustment, SNAP benefits must be recalculated
to be effective in the same month as the public assistance change.
3. If
there is not sufficient notice, the SNAP change must be effective not
later than the month following the month in which the public
assistance change was made.
4. A
notice of adverse action is not required when a household's SNAP
benefits are reduced or terminated as a result of a mass change in
the public assistance grant. However, the agency sends individual
notices to such households to inform them of the change.
a. If
a household requests a fair hearing, benefits are continued at the
former level only if the issue being appealed is that SNAP
eligibility or benefits were improperly computed.
E. Deemed
Eligibility Factors
1. The
eligibility factors which are deemed for SNAP eligibility without the
required verification because of the household's RIW, GPA or SSI
status are:
a. the
resource limit;
b. the
gross and net income limits;
c. social
security number information;
d. sponsored
immigrant information; and
e. residency.
2. The
eligibility factors which are deemed for SNAP eligibility without the
required verification because of the household's expanded categorical
eligibility status due to receipt of a TANF-funded service are:
a. the
resource limit;
b. the
gross and net income limits.
F. Verification
of Questionable Factors
1. If
any of the following factors are questionable, the agency must verify
that the household which is considered categorically eligible:
a. Contains
only members who are RIW, GPA TANF-funded service (TANF Information
Publication) or SSI recipients;
b. Meets
the household definition (§ 1.2 of this Part);
c. Includes
all persons who purchase and prepare food together in one SNAP
household regardless of whether or not they are separate units for
RIW, GPA or SSI purposes; and
d. Includes
no person(s) who has been disqualified from the Supplemental
Nutrition Assistance Program.
G. Households
Not Categorically Eligible
1. Under
no circumstances should any household be considered categorically
eligible if any member of that household is disqualified for:
a. an
intentional program violation in accordance with § 1.8 of this Part
or
b. if
head of household fails to comply with the work requirements in §
1.11 of this Part.
2. These
households are subject to all SNAP eligibility and benefit
provisions.
F. Verification
Standards
1. The
Department shall verify the following factors for TANF-funded
service/expanded categorically eligible households:
a. The
household is eligible for the TANF Information Publication by
comparing the income of the household to appropriate standards for
the SNAP-only TANF-funded Service household.
b. The
household contains no individuals disqualified in accordance with §
1.8 and § 1.11.5 of this Part.
c. The
household composition meets the definition of a household in
accordance with § 1.2 of this Part.
d. The
household meets the verification requirements set forth in § 1.6 of
this Part, with the exception of the requirement to verify resource
information.
2. The
Department shall verify the following factors for households applying
for both Public Assistance (PA) and SNAP benefits.
a. Verification
procedures described in § 1.6 of this Part apply to determine the
household's eligibility for SNAP benefits.
b. Verification
procedures described in PA rules apply to determine both PA and SNAP
eligibility.
c. The
agency representative must not delay the household's SNAP benefits
if, at the end of thirty (30) days following the date the application
was filed, the agency representative has sufficient verification to
meet the verification for SNAP purposes but does not have sufficient
verification to meet the PA verification rules.
G. Timeliness
Standard
1. In
order to determine if a household is categorically eligible due to
its status as a recipient RIW/GPA/SSI, the agency may temporarily
postpone, within the thirty (30) day processing standard, the SNAP
eligibility determination if the household is not entitled to
expedited service and appears to be categorically eligible.
a. The
agency should postpone denying a potentially categorically eligible
household until the thirtieth (30th) day in case the household is
determined eligible for RIW, GPA and/or SSI benefits.
b. Once
the RIW, GPA and/or SSI application is approved, the household is
considered categorically eligible if it meets all the categorically
eligible criteria in this Subchapter.
2. Action
on the SNAP portion of the application must not be delayed nor may
the application be denied on the grounds that the PA determination
has not been made.
a. If
the agency can anticipate the amount and the date of receipt of the
initial PA payment but the payment is not received until a subsequent
month, the agency must vary the household's SNAP benefit level
according to the anticipated receipt of the payment and so notify the
household.
b. The
portion of the initial PA payment intended to retroactively cover a
previous month is disregarded as a lump sum payment.
c. If
the amount or date of receipt of the initial PA payment cannot be
reasonably anticipated at the time of the SNAP eligibility
determination, the PA payment must be handled as a change in
circumstances.
(1) However,
the agency is not required to send a notice of adverse action if the
receipt of the PA grant reduces, suspends or terminates the
household's SNAP benefits, provided the household was notified in
advance that its benefits may be reduced, suspended or terminated
when the PA grant is received.
H. Persons
Not Considered Household Members
1. No
person is included as a member in any household that is otherwise
categorically eligible if that person is:
a. An
ineligible non-citizen as defined in § 1.4.2 of this Part;
b. An
ineligible student under the provision in § 1.2.4 of this Part; or,
c. A
person who is institutionalized in a non-exempt facility as defined
in § 1.2.8 of this Part.
d. A
household member that refuses to comply with the work requirements.
(1) For
households in receipt of a TANF-funded service, the resources of this
household member continue to count in their entirety to the remaining
household members.
I. Income
Standards for PA Households
1. All
income received by the PA household, including the RIW, GPA, or SSI
grant, any special allowances, and any other income, is counted in
determining the net monthly SNAP income for basis of issuance
purposes unless otherwise excludable for SNAP purposes.
2. Exemptions
from income allowed under PA for purposes of grant computation are
not allowed in determining income for SNAP purposes.
J. SSI/SNAP
Joint Application Process
1. Households
applying simultaneously for SSI and SNAP must be subject to SNAP
eligibility criteria, and benefit levels must be based solely on such
criteria until the household is considered categorically eligible.
a. However,
households in which all members are either RIW or SSI recipients or
are authorized to receive RIW or SSI benefits must be eligible for
SNAP based on their RIW/SSI status in accordance with the provisions
for categorical eligibility for SNAP benefits.
2. When
a household, with an SSI application pending, is denied SNAP benefits
as an non-public assistance (NPA) household, it must be informed on
the notice of denial of the possibility of categorical eligibility if
the person becomes an SSI recipient.
3. The
SSA will accept and complete SNAP applications received at the SSA
office from SSI households and forward them, within one (1) working
day after receipt of a signed application to the SNAP office. SSA
must verify those items for which verification can be made at the
time of the interview from either SSA records or from documents
provided by the applicant.
4. The
SSA also refers non-SSI households and those in which not all members
have applied for or receive SSI to the SNAP office.
a. Applications
from such households are considered filed on the date the signed
application is taken at the SNAP office, and the normal and expedited
processing time standards begin on that date.
5. The
SSA must also screen all applications for entitlement to expedited
services on the day the application is received at the SSA office and
should mark "Expedited Processing" on the first page of all
applications that appear to be entitled to such service.
a. The
SSA informs households which appear to meet the criteria for
expedited service that benefits may be issued sooner if the household
applies directly at the SNAP office.
6. The
household may take the application from SSA to the SNAP office for
screening and processing of the application.
7. If
SSA takes an SSI application or redetermination on the telephone from
a member of a pure SSI household, a SNAP application must also be
completed during the telephone interview.
a. In
such cases, the SNAP application is mailed to the claimant for
signature and for return to either the SSA office or the SNAP office.
SSA should forward any SNAP applications it receives to the SNAP
office.
8. The
SSA sends a notice to SSI recipients redetermined for SSI, by mail,
informing them of their right to file a SNAP application at the SSA
office (if they are members of a pure SSI household) or at their
local SNAP office, and their right to an out-of-office SNAP interview
to be performed by an agency representative.
9. SSA
distributes an information sheet, provided by the DHS, to all pure
SSI households informing such households of the address and telephone
number of the household's correct SNAP office; the remaining actions
to be taken in the application process; and, a statement that a
household should be notified of the SNAP determination within thirty
(30) days and can contact the SNAP office if it receives no
notification within thirty (30) days, or has other questions or
problems.
a. It
also includes the client's rights and responsibilities (including
fair hearings, authorized representatives, out- of- office
interviews, reporting changes and timely reapplication), information
on how and where to obtain SNAP benefits, and how to use SNAP
benefits (including the commodities clients may purchase with the
SNAP benefits).
10. Except
for applications taken from residents of public institutions prior to
their release, the DHS must make an eligibility determination and
issue SNAP benefits to eligible SSI households within thirty (30)
days following the date the application was received by the SSA.
a. Applications
are considered filed for normal processing purposes when the signed
application is received by SSA.
b. The
expedited processing time standards begins on the date the DHS
receives a SNAP application.
c. The
agency must make an eligibility determination and issue SNAP benefits
to a resident of a public institution who applies jointly for SSI and
SNAP benefits within thirty (30) days following the date of his/her
release from the institution.
(1) Expedited
processing time standards for such an applicant must also begin on
the date of his/her release from the institution.
(2) SSA
will notify the DHS of the date of the applicant's release.
(3) If,
for any reason, DHS is not notified on a timely basis of the
applicant's release, the Department must restore lost benefits, in
accordance with § 1.18 of this Part, back to the date of release.
d. The
DHS should not require pure SSI households to see an agency
representative or to have an additional interview.
e. The
SNAP application is processed by the DHS. The DHS should not contact
the household further in order to obtain information for
certification for SNAP benefits, unless:
(1) the
application is improperly completed;
(2) mandatory
verification is missing; or,
(3) certain
information on the application is determined to be questionable.
f. In
no event would the applicant be required to appear at the DHS office
to finalize the eligibility determination.
g. The
DHS should screen all applications received from the SSA for
entitlement to expedited service on the day the application is
received.
(1) All
SSI households entitled to expedited service are certified in
accordance with procedures explained in § 1.3.9 of this Part except
that the expedited processing time standard begins on the date the
application is received.
11. The
DHS should ensure that information required in accordance with § 1.6
of this Part is verified prior to certification for initial
application.
a. SSI
benefit payments may be verified through information supplied by SSA
or through verification provided by the household.
12. In
jointly processed cases in which the SSI determination results in
denial and the agency representative believes that SNAP eligibility
or benefit levels may be affected, the agency representative sends
the household a notice of expiration advising that the certification
period will expire the end of the month following the month in which
the notice is sent and that it must reapply if it wishes to continue
to participate.
a. The
notice must also explain that its certification period is expiring
because of changes in circumstances which may affect SNAP eligibility
or benefit levels and that the household is entitled to an
out-of-office interview.
13. The
agency representative must restore to the household benefits which
were lost whenever the loss was caused by an error by the DHS or by
the SSA office through joint processing.
a. Such
an error includes, but is not limited to, the loss of an applicant's
SNAP application after it has been filed with SSA. Lost benefits are
restored in accordance with § 1.18 of this Part.
14. A
household member who is applying simultaneously for SSI and SNAP
benefits has the requirement for work registration waived until:
a. s/he
is determined eligible for SSI and is thereby exempt from work
registration or,
b. s/he
is determined ineligible for SSI and, when applicable, a
determination of her/his work registration status must then be made
through recertification procedures, or through other means.
1.5.2 Income
A.
Household income means all income from whatever source excluding only
the items specified in § 1.13.1 of this Part.
1. Earned
Income
a. The
following types of income are considered earned income:
(1) Wages:
All wages and salaries for services performed as an employee,
including payments to individuals for providing attendant care
services.
(2) Garnishments:
Wages earned by a household member that are garnished or diverted by
an employer, and paid to a third party for a household's expenses,
such as rent, are considered income.
(AA) However,
if the employer pays a household's rent directly to the landlord, in
addition to paying the household its regular wages, this rent payment
is excluded as a vendor payment.
(BB) In
addition, if the employer provides housing to an employee, the value
of the housing is not counted as income.
(3) Income
from Excluded Household Members: The earned income of an individual
excluded from the household for failure to comply with the
requirement to provide a Social Security Number, or of an individual
determined to be an ineligible alien, must be counted as income, less
the pro rata share for the individual.
(4) Income
of Individuals Disqualified for IPV: The earned income of an
individual disqualified from the household for an intentional program
violation must continue to be attributed in its entirety to the
remaining household members. (Refer to § 1.5.6(A) of this Part)
(5) Self-Employment:
The total gross income from a self-employment enterprise, including
the total gain from the sale of any capital goods or equipment
related to the business, excluding the costs of doing business.
(AA) Ownership
of rental property is considered self-employment. However, income
derived from the rental property is considered earned income only if
a member of the household is actively engaged in management of the
property at least an average of twenty (20) hours per week.
(BB) Payments
from a roomer or boarder and returns on rental property are also
self-employment income.
(6) Training
Allowances: Training allowances from vocational and rehabilitative
programs sponsored by Federal, State, or local governments, to the
extent they are not a reimbursement, except for allowances received
through programs authorized by the Workforce Innovation and
Opportunity Act (WIOA) and the federal Welfare to Work (WTW) Program.
(7) Title
I: Certain Payments under Title I (VISTA, University Year for Action
(UYA), etc.) of the Domestic Volunteer Service Act of 1973, as
amended, must be considered earned income and subject to the earned
income deduction described in § 1.5.7 of this Part and excluding any
payments made on behalf of households specified under § 1.5.3 of
this Part ("Vendor Payments").
(8) WIOA
(Workforce Innovation and Opportunity Act) On-the-Job-Training:
Earnings paid to an individual who is participating in an on-the-job
(OJT) training program under the Workforce Innovation and Opportunity
Act.
(AA) This
provision does not apply to a household member, who is under nineteen
(19) years of age and under the parental control of an adult
household member, regardless of school attendance and/or enrollment.
(9) Monies
which are legally obligated and otherwise payable to the household,
but which are diverted by the provider of the payment to a third
party for household expenses.
(AA) Such
funds include wages earned by a household member and owed to the
household. If an employer owes these funds to a household diverts
them instead to a third party to pay for a household expense, these
payments are still counted as income to the household.
(BB) However,
if an employer makes payments for household expenses to a third party
from funds that are not owed to the household, these payments are
excluded as vendor payments. (Refer to § 1.5.3 of this Part)
b. The
term "earned income" does not include any portion of the
income earned under a work supplementation or support program that is
attributable to public assistance.
2. Unearned
Income
a. The
following types of income are considered unearned (This list is not
inclusive):
(1) Assistance
Payments
(AA) Assistance
payments from Federal or federally aided public assistance programs,
such as Supplemental Security Income (SSI), RI Works Program (RIW),
General Public Assistance (GPA) or other assistance programs based on
need, are considered to be unearned income even if provided in the
form of a vendor payment (provided to a third party on behalf of the
household), unless the vendor payment is specifically exempt under
the provisions of § 1.5.3 of this Part.
(BB) Assistance
payments from programs which require as a condition of eligibility
the actual performance of work without compensation other than the
assistance payments themselves are considered unearned income.
(2) Pensions,
Social Security
(AA) Include
as income annuities, pensions, retirement, Veteran's or disability
benefits, Worker's or Unemployment Insurance, Social Security
benefits, including the SMI amount, or strike benefits.
(3) Support
and Alimony
(AA) Any
support or alimony payments made directly to the household from
non-household members is counted as income.
(BB) Money
deducted or diverted from a court-ordered support of alimony
agreement to a third party to pay the household's expenses are also
included as income to the household.
(CC) However,
payments specified by the court order or other legally binding
agreement to go directly to the third party rather than the household
are excluded as vendor payments.
(DD) Support
payments not required by a court order or other legally binding
agreement (including payments in excess of the amount specified in a
court order or written agreement) that are paid to a third party
rather than the household even if the household agrees to the
arrangement are also excluded as a vendor payment.
(EE) Any
Child Support Bonus paid to RIW recipients through the Office of
Child Support Services (OCSS) must be counted as unearned income for
SNAP purposes.
(4) Educational
Loans and Grants
(AA) Include
as income educational loans on which payment is deferred,
scholarships, fellowships, educational grants, veteran's educational
benefits and the like in excess of amounts excluded under the
provisions in § 1.5.3 of this Part.
(BB) Also,
educational loans on which payment is deferred, grants, scholarships,
fellowships, veterans' educational benefits and the like which are
provided to a third party on behalf of a household for living
expenses, such as rent or mortgage, clothing, or food eaten at home
must be treated as money payable directly to the household (unearned
income) and are not excludable as a vendor payment.
(5) Managed
Income
(AA) Any
or part of a public assistance grant that is diverted to a third
party or to a protective payee for purposes such as but not limited
to, managing a household's expenses, is considered income to the
household and not excluded as a vendor payment except as provided in
§ 1.5.3 of this Part.
(BB) Assistance
financed by State or local funds (GPA) which is provided over and
above the normal RIW or GPA payment, or is not normally provided as
part of such payment, is considered emergency or special assistance
and is excluded if provided to a third party on behalf of the
household.
(6) Garnishments
(AA) When
a household member earns wages and the wages are garnished or
diverted by the employer and paid to a third party for a household
expense, such as rent, this vendor payment is counted as income.
(BB) However,
if the employer pays a household pays a household’s rent directly
to the landlord in addition to paying the household its regular
wages, the rent payment shall be excluded as income.
(7) Grants,
Interest Payments
(AA) Include
as income payments from government-sponsored programs, dividends,
interest, royalties, and all other direct money payments from any
source which can be construed to be a gain or benefit.
(8) Income
from Excluded Household Members
(AA) The
unearned income of an individual excluded from the household for
failure to comply with the requirement to provide a Social Security
Number, or of an individual determined to be an ineligible alien,
must be counted as income, less the pro rata share for the
individual. (Refer to § 1.5.6 of this Part)
(9) Certain
Rental Income
(AA) Include
as income the gross income, minus the cost of doing business, derived
from rental property if a household member is not actively engaged in
management of the property at least twenty (20) hours a week.
(10) Certain
"Vendor" Payments
(AA) Include
as income monies which are legally obligated and otherwise payable to
the household, but which are diverted by the provider of the payment
to a third party for household expenses, are counted as income and
not excluded as a vendor payment.
(BB) The
distinction is whether the person or organization making the payment
on behalf of a household is using funds that are otherwise payable to
the household.
(i) Such
funds include a public assistance grant to which a household is
legally entitled, and support or alimony payments in amounts which
legally must be paid to a household member.
(ii) If
an agency, or former spouse who owes these funds to a household
diverts them instead to a third party to pay for a household expense,
these payments are still counted as income to the household. However,
if agency, former spouse or other person makes payments for household
expenses to a third party from funds that are not owed to the
household, these payments are excluded as vendor payments. (Refer to
§ 1.5.3 of this Part)
(11) Trust
Withdrawals
(AA) Include
as income monies that are withdrawn or dividends that are or could be
received by a household from trust funds considered to be excludable
resources, in accordance with § 1.5.5 of this Part.
(BB) Such
trust withdrawals must be considered income in the month received,
unless otherwise exempt under the provisions of § 1.5.3 of this
Part.
(CC) Dividends
that the household has the option of either receiving as income or
reinvesting in the trust are considered as income in the month they
become available to the household, unless otherwise exempt.
(12) Deemed
Income from an Alien's Sponsor
(AA) The
income and resources of a legal permanent resident's sponsor (and the
sponsor's spouse) who has signed a legally binding affidavit of
support on or after December 17, 1997 are required to be counted as
belonging to the immigrant (or deemed), regardless of actual
availability, when determining the sponsored immigrant's eligibility
and benefit amount for SNAP benefits unless the immigrant is exempted
from sponsorship deeming. § 1.5.8 of this Part outlines exemptions
from sponsor deeming.
(BB) If
the immigrant is categorically eligible due to receipt of a
TANF-funded service/publication, the resources of the immigrant's
sponsor (and the sponsor's spouse) are not counted when determining
eligibility for SNAP benefits.
(CC) See
§ 1.5.8 of this Part for instructions for calculating the amounts of
income and resources to be deemed.
(DD) If
the sponsor signs an affidavit of support for more than one
immigrant, the sponsor's income is pro-rated among the sponsored
immigrants.
(EE) Actual
money paid to the immigrant by the sponsor or the sponsor's spouse is
not considered income to the alien unless the amount paid exceeds the
amount attributed (deemed).
(i) In
such case, the amount paid that actually exceeded the amount deemed
would be considered income to the non-citizen in addition to the
amount deemed to the non-citizen.
(13) Income
of Individuals Disqualified for an IPV
(AA) The
unearned income of an individual disqualified from the household for
an intentional program violation must continue to be attributed in
its entirety to the remaining household members. (Refer to § 1.5.6
of this Part)
(14) Foster
Care Payments
(AA) Include
as income foster care and/or guardianship payments for children or
adults who are considered members of the SNAP household (see § 1.2.6
of this Part for provisions regarding including boarders in the
household providing the board).
B. Expenses
Exceeding Income
1. A
household's report of expenses which exceed its income are grounds
for a determination that further verification is required. However,
this circumstance is not, in and of itself, grounds for a denial.
a. The
agency representative, instead, explores with the household how it is
managing its finances, whether the household receives excluded income
or has resources, and how long the household has managed under these
circumstances.
C. Averaging
Educational Assistance
A
household that receives a scholarship, deferred education loan, or
other educational grants, has such income, after exclusions, averaged
over the period for which it was provided.
1.5.3
Excluded Income
A. In
the Food and Nutrition Act, as amended, Congress has specified the
types of income which are excluded for SNAP purposes. Only the types
of income listed in this Section are excluded from household income,
and no other income is excluded.
1. In-Kind
Income
a. Any
gain or benefit, not in the form of money, payable directly to the
household such as non-monetary or in-kind benefits. For example,
meals, clothing, public housing, or produce from a garden.
2. Vendor
Payments
a. A
payment made in money on behalf of a household is considered a vendor
payment whenever a person or organization outside the household uses
its own funds to make a direct payment to either a household's
creditors or a person or organization providing a service to the
household.
b. The
following types of payments may be excluded as vendor payments:
(1) An
employer pays a household's rent directly to the landlord in addition
to paying the household regular wages;
(2) An
employer provides free housing to an employee;
(3) A
RIW, SSI, or GPA payment which is not made directly to the household,
but paid to a third party on behalf of the household to pay a
household expense, are vendor payments and not counted as income to
the household if such payment is for:
(AA) Medicaid;
(BB) Child
care assistance;
(CC) A
payment or allowance as described in § 1.5.3(A)(18) of this Part;
(DD) Assistance
provided by a State or local housing authority;
(EE) Emergency
assistance for migrant or seasonal farmworker households during the
time the household is in the job stream (this assistance may include,
but is not limited to, emergency vendor payments for housing or
transportation); or
(FF) Housing
assistance made to a third party on behalf of the household residing
in transitional housing for the homeless.
3. Energy
Assistance Payments
a. Any
payments or allowances made for the purpose of providing energy
assistance under any Federal law other than part A of Title IV of the
Social Security Act (42 U.S.C. 601 et seq.), including utility
reimbursements made by the Department of Housing and Urban
Development and the Rural Housing Service, or
b. A
one-time payment or allowance applied for on an as-needed basis and
made under a Federal or State law for the costs of weatherization or
emergency repair or replacement of an unsafe or inoperative furnace
or other heating or cooling device. A down-payment followed by a
final payment upon completion of the work will be considered a
one-time payment for purposes of this provision.
4. HUD
Vendor Payments
a. Rent
or mortgage payments paid to a landlord or mortgagee by the Housing
and Urban Development (HUD), State or local housing authorities are
vendor payments and are excluded.
b. HUD
Community Development Block Grant Funds used for rehabilitation of
the individual's residence are also excluded as vendor payments.
5. Grants,
Support or Alimony Payments
a. If
an employer, agency, former spouse or other person makes payments for
household expenses to a third party from funds not owed to the
household, these payments are excluded as vendor payments.
b. Payments
specified by a court order or other legally binding agreement to go
directly to the third party rather than to the household and support
payments not required by a court order or other legally binding
agreement (including payments in excess of the amount specified in a
court order or written agreement) which are paid to a third party
rather than the household, are excluded as a vendor payment, even if
the household agrees to the arrangement.
6. Child
Care Payments
a. Payments
by a government agency to a child care institution to provide child
care for a household member are excluded as vendor payments.
7. Child
Support Income Exclusion
a. Legally
obligated child support payments made by a household member to or for
a non-household member are an income exclusion.
b. Allowable
payments include those child support payments made to a third party
on behalf of the non-household member (vendor payments).
c. Payments
toward a current arrearage order(s) also count toward this exclusion.
d. Any
child support payments made in excess of the amount a household
member is legally obligated to pay are not allowable as an exclusion.
8. Income
Excluded by Law
a. Student
financial assistance received under Title IV, or under Bureau of
Indian Affairs student assistance programs, shall not be counted in
the determination of eligibility of any person for benefits or
assistance, or the amount of such benefits or assistance, under any
Federal, State, or local program financed in whole or in part with
Federal funds.
(1) Educational
assistance authorized under Title IV includes the following:
(AA) Basic
Educational Opportunity Grants (BEOG or Pell Grants);
(BB) Presidential
Access Scholarships (Super Pell Grants);
(CC) Federal
Supplemental Educational Opportunity Grants (FSEOG);
(DD) State
Student Incentive Grants (SSIG);
(EE) Robert
C. Byrd Honors Scholarship Program;
(FF) Federal
or State Work Study income wholly or partially funded by Title IV of
the Higher Education Act (Note: Not all Federal work study funds come
under Title IV of the Higher Education Act. Education assistance that
is not funded under Title IV may still be excluded as income if it is
used or will be used for paying tuition, fees, or other necessary
education expenses at any educational institution);
(GG) Federal
Family Education Loan Program (Formerly GSL):
(i) Supplemental
Loans for students,
(ii) PLUS
loans for parents,
(iii) Robert
T. Stafford Student Loans;
(iv) Federal
Perkins Loan Program - Direct loans to students in institutions of
higher education (Perkins Loans, formerly NDSL);
(v) TRIO
Grants (Go to organizations or institutions for students from
disadvantaged backgrounds);
(vi) Robert
C. Byrd Honors Scholarship Program;
(vii) High
School Equivalency Program; and
(viii) National
Early Intervention Scholarship and Partnership Program.
b. Under
P. L. 93-113, the Domestic Volunteer Services Act of 1973, Titles I
and II, as amended, payments under Title I of that Act (including
payments for such Title I programs as VISTA, University Year for
Action, and Urban Crime Prevention Program) to volunteers must be
excluded for those individuals receiving SNAP benefits or public
assistance at the time they joined the Title I program, except that
households which were receiving an income exclusion for a VISTA or
other Title I subsistence allowance at the time of conversion to the
Food Stamp Act of 1977 must continue to receive an income exclusion
for VISTA for the length of their volunteer contract in effect at the
time of conversion.
(1) Temporary
interruptions in SNAP participation do not alter the exclusion once
an initial determination has been made.
(2) New
applicants who were not receiving public assistance or SNAP benefits
at the time they joined VISTA shall have these volunteer payments
included as earned income.
c. Payments
under Title II including the Retired Senior Volunteer Program (RSVP),
Foster Grandparents, and Senior Companion Program are also excluded.
d. Income
received by individuals age 55 and older, under the Senior Community
Service Employment Program (SCSEP) authorized under the Title V of
the Older Americans Act.
(1) These
funds are excluded by Public Law 100-175 as income for SNAP purposes.
e. The
Workforce Innovation and Opportunity Act (WIOA).
(1) Training
allowances paid to individuals participating in programs under WIOA
are excluded as income with the exception of earnings paid to an
individual age 19 or over, participating in an on-the-job training
program.
(2) Earnings
include monies paid under the WIOA and monies paid by the employer.
(3) P.
L. 101-610, § 117(d), 11/16/90, National and Community Service Act
(NCSA) of 1990, provides that § 142(b) of the WIOA applies to
projects conducted under Title I of the National and Community
Services Act of 1990 as if such projects were conducted under the
WIOA.
(AA) Title
I includes three Acts: 1) Serve-America: The Community Service,
Schools and Service-Learning Act of 1990, 2) the American
Conservation and Youth Service Corps Act of 1990, and 3) the National
and Community Service Act.
(BB) Most
payments are made as a weekly stipend or for educational assistance.
(CC) The
Higher-Education Service-Learning program and the AmeriCorps umbrella
program come under this Title.
(DD) The
National Civilian Community Corps (NCCC) is a federally managed
AmeriCorps program.
f. Under
P. L. 101-508, Federal earned income tax credit (EITC) payments
received either as a lump sum payment or an advance payment included
as part of the paycheck (or as a reduction in taxes that would
otherwise have been paid at the end of the year);
g. Payments
made under P. L. 99-425, § (e), the Low-Income Home Energy
Assistance Act, 9/30/86; in determining any excess shelter deduction,
the full amount of such payments shall be deemed to be expended by
the recipient household for heating or cooling costs.
h. Under
provisions of P. L. 89-642, the value of assistance to children under
the Child Nutrition Act;
i. As
provided in P. L. 100-435, under WIC demonstration projects, coupons
which can be exchanged for food at farmers' markets;
j. Certain
child care payments:
(1) Under
P. L. 100-485, the value of any child care payments made under Title
IV-A, including transitional child care payments are excluded;
(2) "At-risk"
block grant child care payments made under § 5801 of P. L.101-508;
no deduction may be allowed for any expense covered by such payments;
(3) Under
P. L. 102-586, the value of any child care provided or any
reimbursement for costs incurred under the Child Care and Development
Block Grant is excluded from income from any other federal or
federally assisted program in which eligibility, or amount of
benefits, is based on need.
k. Certain
military payments:
(1) The
mandatory salary reduction amount for military service personnel that
is used to fund the G. I. Bill;
(2) Payments
made under the provisions of Public Law 100-383, entitled "Wartime
Relocation of Civilians", to certain United States citizens of
Japanese ancestry, resident Japanese aliens and certain eligible
Aleuts (natives of the Aleutian Islands.)
(3) Under
P. L.110-246, combat-related military pay is excluded from
consideration as income when determining SNAP eligibility and benefit
levels if the additional pay is the result of deployment to or
service in a combat zone and was not received immediately prior to
serving In a combat zone.
(4) Any
monetary allowances paid by the Veterans Administration under P.L.
104-204, § 1805(d), to a child of a Vietnam Veteran for any
disability resulting from Spina Bifida suffered by such child.
(5) Any
monetary allowances paid by the Veterans Administration under P.L.
106-419, § 1815 (a), to any individual with one or more covered
birth defects if he or she is a child of a female Vietnam veteran.
l. All
payments from the Agent Orange Settlement fund or any other fund
established pursuant to the settlement in the Agent Orange product
liability litigation retroactive to January 1, 1989.
(1) The
disabled veteran will receive yearly payments; survivors of the
deceased disabled veterans will receive a lump-sum payment.
(2) These
payments were disbursed by the Aetna Insurance Company.
(3) Note:
Veterans' benefits were authorized under provisions of P. L. 102-4,
Agent Orange Act of 1991, to some veterans with service connected
disabilities resulting from exposure to Agent Orange. These VA
payments are not excluded by law.
(4) P.
L. 101-239 also excluded payments made from the Agent Orange
settlement fund or any other fund established pursuant to the
settlement in the In re Agent Orange product liability litigation,
M.D. L/ No. 381 (E.D.N.Y.).
m. Utility
reimbursements made by HUD directly to the household or via a
two-party check payable to both the household and the utility
provider are excluded from income and are not allowable shelter
costs.
n. Under
P.L. 103-322, § 230202, dated 9/13/94, amended § of the Crime Act
of 1984 (42 U.S.C. 10602), compensation paid by a eligible crime
victim compensation program is excluded as income to the household.
o. Under
P. L. 93-288, § 312(d), the Disaster Relief Act of 1974, as amended,
payments precipitated by a an emergency or major disaster as defined
in the Act, as amended;
(1) This
exclusion applies to Federal assistance provided to persons directly
affected and to comparable disaster assistance provided by States,
local governments, and disaster relief organizations.
(2) A
major disaster is any natural catastrophe such as a hurricane or
drought, or regardless of cause, any fire, flood, or explosion, which
the President determines causes damage of sufficient severity and
magnitude to warrant major disaster assistance to supplement the
efforts and available resources of States, local governments, and
disaster relief organizations in alleviating the damage, loss,
hardship, or suffering caused thereby.
(3) An
emergency is any occasion or instance for which the President
determines that Federal assistance is needed to supplant State and
local efforts and capabilities to save lives, and to protect property
and public health and safety, or to lessen or avert the threat of a
catastrophe.
(4) Most
Federal Emergency Management Assistance (FEMA) funds are excluded;
however, some payments made to homeless people to pay for rent,
mortgage, food, and utility assistance when there is no major
disaster or emergency is not excluded under this provision.
p. Funds
paid under P. L. 101-426, § 6(h)(2), the Radiation Exposure
Compensation Act, 10/15/90;
q. Certain
Native American/American Indian tribal payments:
(1) Payments
received under P. L. 92-203, § 29, 1/2/76, the Alaska Native Claims
Settlement Act;
(2) Payments
of relocation assistance to members of the Navajo and Hopi Tribes
under Public Law 93-531.
(3) Income
derived from certain sub marginal land of the United States that is
held in trust for certain Indian tribes (P. L. 94-114);
(4) Income
derived from the disposition of funds to the Grand River Band of
Ottawa Indians (P. L. 94-540);
(5) Payments
by the Indian Claims Commission to the Confederated Tribes and Bands
of the Yakima Indian Nation or the Apache Tribe of the Mescalero
Reservation under P. L. 95-433;
(6) Payments
to the Passamaquoddy Tribe and the Penobscot Nation or any of their
members received pursuant to the Maine Indian Claims Settlement Act
of 1980 (P. L. 96-420, § 9(c));
(7) P.
L. 97-403 - Payments to the Turtle Mountain Band of Chippewas,
Arizona;
(8) P.
L. 97-408 - Payments to the Blackfeet, Gros Ventre, and Assiniboine
tribes, Montana and the Papago, Arizona;
(9) Per
capita and interest payments under P. L. 98-123 made to the Red Lake
Band of Chippewas;
(10) Per
capita and interest payments under P. L. 98-124 to the Assiniboine
tribe of the Fort Belknap Indian Community and the Assiniboine Tribe
of the Fort Peck Indian Reservation, Montana;
(11) Payments
under the Old Age Assistance Claims Settlement Act (P. L. 98-500, §
8) made to heirs of deceased Indians except for per capita shares in
excess of $2,000;
(12) Funds
distributed for members of the Chippewas of Lake Superior under P. L.
99-146, § 6(b);
(13) Moneys
paid pursuant to P. L. 99-264, White Earth Reservation Land
Settlement Act of 1985;
(14) Disbursements
made under P. L. 99-346 to the Saginaw Chippewa Indian Tribe of
Michigan; and
(15) Per
capita payments to the Chippewas of Mississippi (P. L. 99-377).
(16) P.
L. 101-41, the Puyallup Tribe of Indians Settlement Act, provides
that none of the funds, assets, or income from the trust fund
established in § 6(b) shall at any time be used as a basis for
denying or reducing funds to the Tribe under any Federal, State, or
local program.
(17) P.
L. 101-503, Seneca Nation Settlement Act provides that none of the
payments, funds, or distributions authorized, established, or
directed by this Act, and none of the income therefrom, shall affect
the eligibility of the Seneca Nation or its members or be used as a
basis for denying or reducing funds under any federal program.
9. Reimbursements
a. Reimbursements
are excluded as income for past or future expenses to the extent they
do not exceed actual expenses and do not represent a gain or benefit
to the household.
b. Reimbursements
for normal living expenses of the household are not excluded.
c. To
be excluded, such payments must be provided specifically for an
identified expense, other than normal living expenses, and used for
the purpose intended.
d. Payments
made to a disabled household member for attendant care services are
considered to be reimbursements for expenses and are excludable
income.
(1) If
attendant care services are provided by a household member, the
payment for these services is considered earned income of the care
giver.
e. When
a reimbursement, including a flat allowance, covers multiple
expenses, each expense does not have to be separately identified as
long as none of the reimbursement covers normal living expenses.
(Reimbursements for normal living expenses are not excluded.)
f. The
amount by which a reimbursement exceeds the actual incurred expense
must be counted as income. However, reimbursements are not considered
to exceed actual expenses, unless the provider or the household
indicates the amount is excessive.
g. The
following are considered excludable reimbursements:
(1) Reimbursements
or flat allowances for job or training-related expenses such as
travel, per diem, uniforms, and transportation to and from the job or
training site.
(AA) Reimbursements
which are provided over and above basic wages for these expenses are
excluded.
(BB) However,
these expenses, if not reimbursed, are not otherwise deductible.
(2)
Reimbursements for the travel expenses of migrant workers.
(3) Reimbursements
for out-of-pocket expenses of volunteers incurred in the course of
their work.
(4) Medical
or dependent care reimbursements, including payments made to a
disabled individual for attendant care.
(5) Non-federal
reimbursements or allowances to students for specific educational
expenses, such as travel or books, but not allowances for normal
living expenses such as food, rent, or clothing.
(AA) Portions
of a general grant or scholarship must be specifically earmarked by
the grantor for education expenses rather than for living expenses to
be excluded as a reimbursement.
(6) Reimbursements
received by households to pay for services provided by the Social
Services Block Grant.
(7) Reimbursements
for per diem transportation allowances under the SNAP E&T or RI
Works education, training, and job search components.
h. The
following are not considered to be excludable reimbursements under
this provision:
(1) No
portion of any Federal educational grant, scholarship, fellowship,
veterans' benefit and the like to the extent it provides income
assistance beyond that used for tuition and mandatory school fees, is
considered excludable under this provision.
(AA) This
provision does not apply to educational assistance provided by a
program funded in whole or in part under Title IV of the Higher
Education Act or the Carl D. Perkins Vocational Education Act.
(2) No
portion of any non-Federal, i.e., State, local, or private
educational grant, scholarship, fellowship, veterans' benefit and the
like that is provided for living expenses is considered excludable
under this provision.
(AA) Thus,
to be excludable, such assistance must be specifically earmarked by
the grantor for education expenses, such as travel or books, but not
for living expenses, such as food, rent, or clothing.
10. Educational
Assistance
a. Exclude
as income any educational loans on which payment is deferred, grants,
scholarships, fellowships, veterans' educational benefits and the
like to the extent that they are used for or made available (i.e.,
earmarked) by a school, institution, program, or other grantor for
tuition and mandatory fees, books, supplies, transportation, and
miscellaneous personal expenses (other than living expenses) of the
student incidental to attending the school, institution, or program.
b. If the educational assistance is provided by a program funded in
whole or in part under the Carl D. Perkins Vocational and Applied
Technology Act.
c. The
student must be enrolled at a recognized institution of
post-secondary education, at a school for the handicapped, in a
vocational education program, or in a program that provides for
completion of a secondary school diploma or obtaining the equivalent
thereof.
(1) For
the purpose of this provision, "institution of post-secondary
education" means any public or private educational institution
which either normally requires for enrollment a high school diploma
or equivalency certificate or admits persons who are beyond the age
of compulsory school attendance (age 16 in Rhode Island) without a
high school diploma.
(2) The
institution must be legally authorized and recognized by the State to
provide an educational program of training to prepare students for
gainful employment.
d. Educational
assistance is excluded based on the amounts earmarked by the
institution, school, program, or other grantor as made available for
the specific costs of tuition, mandatory fees, books, supplies,
transportation, and miscellaneous personal expenses (other than
living expenses).
(1) If
the institution, school, program, or other grantor does not earmark
amounts made available for the allowable costs involved, the student
may verify the use of the educational assistance for allowable costs
and thus receive an exclusion.
(2) Students
may also provide verification of amounts used for allowable costs in
excess of the amounts earmarked by the school or grantor to obtain an
exclusion.
(3) However,
excludable expenses claimed by the student must not exceed the amount
of the educational assistance.
e. Origination
fees and insurance premiums on student loans are excludable charges.
(1) Only
the amount of the loan after these charges have been excluded is to
be considered income.
11. Mandatory
Fees
a. Mandatory
fees encompass those charges to students including the rental or
purchase of any equipment, materials, and supplies which are related
to the pursuit of the course of study involved.
b. For
example, uniforms, lab fees, or equipment charged to students in
order to enroll in a chemistry course would be excluded. However,
transportation, supplies, and textbook expenses are not uniformly
charged to students and, therefore, would not be excluded as
mandatory fees.
c. Tuition
and mandatory fees paid from earnings, resources, or any source other
than grants, deferred loans, etc. are not excluded.
12. Financial
Aid under the Carl D. Perkins Act
a. Financial
assistance, such as grants, loans, reimbursements or allowances,
under the Carl D. Perkins Vocational and Applied Technology Act must
be for tuition, mandatory school fees, books, supplies,
transportation, and miscellaneous personal expenses with the
additional exclusion of payments made for dependent care expenses;
(1) Room
and board expenses are not excluded under Carl D. Perkins.
b. In
order to qualify for this exclusion, the student must be attending an
institution of post-secondary education on at least a half-time basis
and be eligible to participate in the SNAP in accordance with the
student eligibility requirements in § 1.11.1(A)(9) of this Part.
c. The
student is responsible for providing the agency with information to
verify that:
(1) The
institution considers the student to be attending the institution on
at least a half-time basis;
(2) The
educational assistance received is from a program funded in whole or
in part under the Carl D. Perkins Act.
d. For
financial assistance awarded under the Carl Perkins Act, exclude the
amounts claimed for tuition, mandatory school fees, books, supplies,
transportation, and miscellaneous personal expenses that are related
to the cost of attendance at the educational institution.
e. Dependent
care expenses are also considered excludable.
f. Excludable
expenses claimed by the student must not exceed the value of the
total amount of educational assistance granted from the Carl Perkins
Vocational Education Act.
13. Monies
Received for Third Parties
a. Exclude
as income monies which are received and used for the care and
maintenance of a third-party beneficiary who is not a household
member.
b. If
the intended beneficiaries of a single payment are both household and
non-household members, any identifiable portion of the payment
intended and used for the care and maintenance of the non-household
member is excluded. If the non-household member's portion cannot be
readily identified, the payment is prorated among intended
beneficiaries and the exclusion applied to the non-household member's
pro-rata share or the amount actually used for the non-household
member's care and maintenance, whichever is less.
14. Earnings
of Children
a. Disregard
the earned income of children who are members of the household if
they are elementary or high school students at least half-time and
are not yet eighteen (18) years of age.
b. Their
income is also excluded during temporary interruptions in school
attendance due to semester or vacation breaks, provided the child's
enrollment will resume following the break.
c. If
the child's earnings or the amount of work performed cannot be
differentiated from that of the other household members, the total
earnings must be prorated equally among the working members and the
child's pro-rata share excluded.
d. Individuals
are considered children for this exclusion if they are under eighteen
and under the parental control of another household member.
15. Cash
Donations
a. Cash
donations, based on need, which a household receives from one or more
private, nonprofit charitable organizations, are excluded as income.
b. This
exclusion cannot exceed $300 in a quarter. For purposes of this
exclusion, a quarter is defined as the Federal fiscal year quarters
as follows:
(1) October,
November, December - 1st quarter
(2) January,
February, March - 2nd quarter
(3) April,
May, June - 3rd quarter
(4) July,
August, September - 4th quarter
16. Loans
a. All
loans on which repayment is deferred, including loans from private
individuals as well as commercial institutions and reverse mortgages,
other than educational loans, are excluded as income for SNAP
purposes.
b. Federal
deferred payment educational loans, to the extent that they provide
income assistance beyond that used for tuition and mandatory fees,
are not excludable under this provision.
c. If
the deferred educational loan is provided by a program funded in
whole or in part under Title IV of the Higher Education Act.
d. Portions
of non-Federal (State, local or private) deferred payment educational
loans are excludable under this provision only to the extent that the
lender specifically earmarks portions or all of such loan to provide
for educational expenses such as travel or books, but not for living
expenses such as rent, mortgage, personal clothing or food eaten at
home.
17. Irregular
Income
a. Any
income in the certification period which is received too infrequently
or irregularly to be reasonably anticipated but not in excess of $30
in a quarter, is excluded as income for SNAP purposes.
18. Nonrecurring
Lump Sum Payments
a. Exclude
as income money received in the form of a nonrecurring lump sum
payment, including but not limited to, income tax refunds, rebates or
credits; retroactive lump sum social security, SSI, public
assistance, railroad retirement benefits or other payments; lump sum
insurance settlements; or refunds of security deposits on rental
property or utilities.
b. These
payments are counted as resources in the month received unless
specifically excluded from consideration as a resource by other
Federal laws.
19. Costs
of Self-Employment
a. Exclude
as income the cost of producing self-employment income.
20. Income
of Non-Household Members
a. The
income of a non-household member (defined in § 1.2.4 of this Part),
is not considered available to the household.
21. Energy
Assistance
a. Any
payments or allowances made for the purpose of providing energy
assistance under any Federal law (other than Title IV-A of the Social
Security Act), or a one-time payment or allowance made under a
Federal or State law for the costs of weatherization or emergency
repair or replacement of an unsafe or inoperative furnace or other
heating or cooling device are excluded.
22. Payments
Which Are Not Considered Income
a. Exclude
as income monies withheld from an assistance payment, earned income,
or other income source, or monies received from any income source
which are voluntarily or involuntarily returned to repay a prior
overissuance received from that income source, provided that the
overissuance is not excluded under another paragraph in this
Subchapter.
b. However,
monies withheld from an assistance program, for purposes of recouping
from a household an overissuance which resulted from the household's
intentional failure to comply with that program's requirements, must
be included as income.
23. Child
Support Payments
a. Exclude
as income child support payments received by RIW recipients which
must be transferred to the Child Support Agency to maintain RIW
eligibility.
24. Foster
Care - Guardianship Payments
a. Exclude
as income for the household, foster care and/or guardianship payments
for children or adults for whom the household provides care, unless
the household elects to include the foster child or adult as a member
of the SNAP household.
25. PASS
Accounts
a. Exclude
as income amounts necessary for the fulfillment of a Plan to Achieve
Self-Support (PASS) of a household member under Title XVI of the
Social Security Act (SSI).
1.5.4
Households with Income from Self-Employment
A. Income
from Rental Property
1. Income
derived from rental property is considered earned income for the
twenty percent (20%) earned income deduction only if a member of the
household is actively engaged in the management of the property at
least an average of twenty (20) hours per week.
2. Regardless,
the cost of doing business is deducted from rental property. If the
twenty (20) hours per week criterion is not met, the net income is
considered unearned.
B. Capital
Gains
1. The
proceeds from the sale of capital goods or equipment are calculated
in the same manner as a capital gain for Federal income tax purposes.
2. Even
if only fifty percent (50%) of the proceeds from the sale of capital
goods or equipment is taxed for Federal income tax purposes, the
agency representative must count the full amount of the capital gain
as income for SNAP purposes.
C. Costs
of Producing Self-Employment Income
1. Allowable
costs of producing self-employment income include, but are not
limited to:
a. payment
on the principal of the purchase price of income producing real
estate and capital assets, equipment, machinery and other durable
goods;
b. the
identifiable costs of labor, stock, raw material, seed and
fertilizer;
c. interest
paid to purchase income-producing property;
d. insurance
premiums, and taxes paid on income-producing property.
2. The
following items are not allowable costs of doing business:
a. Net
losses from previous periods;
b. Federal,
State, and local income taxes,
c. money
set aside for retirement purposes, and other work-related personal
expenses (such as transportation to and from work), as these expenses
are accounted for by the 20 percent earned income deduction
d. Depreciation;
and
e. Any
amount that exceeds the payment a household receives from a boarder
for lodging and meals
D. Averaging
Self-Employment Income
1. Self-employment
income which represents a household's annual support, is annualized
over a 12-month period, even if the income is received in only a
short period of time during the twelve (12) months.
2. However,
if the averaged annualized amount does not accurately reflect the
household's circumstances because the household has experienced a
substantial increase or decrease in business, the agency must
calculate the self-employment income on anticipated earnings.
3. The
agency must not calculate self-employment income on the basis of
prior income (e.g., income tax return) when the household has
experienced a substantial increase or decrease in business.
4. For
the period of time over which self-employment is determined, the
agency representative adds all gross self-employment income
(including capital gains), excludes the cost of producing the
self-employment income, and divides the self-employment income by the
number of months over which the income will be averaged.
5. If,
however, the averaged amount does not accurately reflect the
household's actual circumstances because the household has
experienced a substantial increase or decrease in business, the
agency representative calculates the self-employment income based on
anticipated earnings.
6. For
those households whose self-employment income is not averaged but is
instead calculated on an anticipated basis, the agency representative
adds any capital gains the household anticipates it will receive in
the next twelve (12) months (starting with the date the application
is filed) and divides this amount by twelve (12).
a. This
amount is used in successive certification periods during the next
twelve (12) months, except that a new average monthly amount is
calculated over this 12-month period if the anticipated amount of
capital gains changes.
b. The
agency representative then adds the anticipated monthly amount of
capital gains to be anticipated monthly self-employment income, and
subtracts the cost of producing the self- employment income.
c. The
cost of producing the self-employment income is calculated by
anticipating the monthly allowable costs of producing the
self-employment income.
E. Monthly
Income from Self-Employment
1. If
it is determined that a household is eligible based on its monthly
net income, the household may have the option to have its benefit
level determined by using either the same net income which was used
to determine eligibility, or by unevenly prorating the household's
total net income over the period for which the household's
self-employment income was averaged to more closely approximate the
time when the income is actually received.
a. If
income is prorated, the net income assigned in any month cannot
exceed the maximum monthly income eligibility standards for the
household's size.
b. If
the cost of producing self-employment farm income exceeds the income
which is derived from self-employment as a farmer, such losses must
be offset against any other countable income in the household.
(1) Losses
from self-employment farm income are offset in two phases:
(AA)
The first phase is to offset losses against non-farm self-employment
income.
(BB) The
second phase is to offset the remaining losses against the total of
the household's earned and unearned income.
(i) To
be considered a self-employed farmer, eligible for this offset of
expenses, the farmer must receive or anticipate receiving annual
gross proceeds of $1,000 or more from the farming enterprise.
F. Determining
Net Monthly SNAP Income
1. To
determine the monthly SNAP income for households with income from
self-employment enterprises, the monthly net self-employment income
is added to any other earned income received by the household.
2. The
total monthly earned income, less the twenty percent (20%) earned
income deduction, is then added to all other monthly income received
by the household.
3. The
standard deduction, dependent care and shelter costs are computed as
for any other household and subtracted to determine the monthly net
income of the household.
G. Households
with Boarders
1. A
household that operates commercial boarding houses are considered
self-employed and the criteria § 1.11.2 of this Part apply.
2. Households
with boarders are allowed to deduct the cost of doing business.
3. A
person paying a reasonable amount for room and board, as discussed in
§ 1.2.6 of this Part, is excluded from the household when
determining the household's eligibility and benefit level.
4. Payments
from that boarder are treated as self-employment income.
5. Cost
of Doing Business
a. After
determining the income received from a boarder, the agency
representative excludes that portion of the boarder payment which is
a cost of doing business.
b. The
cost of doing business is equal to one of the following provided that
the amount allowed as the cost of doing business does not exceed the
payment the household received from the boarder for lodging and
meals:
(1) The
cost of the thrifty food plan for a household size that is equal to
the number of boarders; or
(2) The
actual documented cost of providing room and meals if the actual cost
exceeds the thrifty food plan. If actual costs are used, only
separate and identifiable costs of providing room and board to the
boarder are excluded.
6. Deductible
Expenses
a. The
net income from self-employment is added to other earned income and
the twenty percent (20%) earned income deduction is applied to the
total.
b. Shelter
costs which the household actually incurs, even if the boarder
contributes to the household for part of the household's shelter
expenses, is computed to determine if the household receives a
shelter deduction.
(1) However,
the shelter costs must not include any shelter expenses paid directly
by the boarder to a third party, such as to the landlord or utility
company.
H. Work
Registration
1. The
receipt of income from self-employment does not automatically exempt
a member from the work registration requirement.
2. The
member must be actively engaged in the enterprise on a day-to-day
basis and the agency representative must determine that the self-
employment enterprise either requires at least thirty (30) hours of
work per week during the period of certification or an average of
thirty (30) hours per week on an annual basis or, if not working
thirty (30) hours per week, is receiving weekly earnings at least
equal to the Federal minimum wage multiplied by thirty (30) hours.
3. In
instances when the member hires or contracts for another person or
firm to handle the daily activities of such enterprise, the member is
not considered as self-employed for the purpose of work registration
unless the person works in such activity at least thirty (30) hours
per week.
1.5.5 Resources
A. The
Food and Nutrition Act requires that participation be "limited
to those households whose income and other financial resources, held
singly or in joint ownership, are determined to be a substantial
limiting factor in permitting them to obtain a more nutritious diet."
The standards are established by law and apply to all households
applying for Program benefits.
1. With
the exception of categorically eligible households defined in §
1.5.1 of this Part, a household must report at the time of
application all resources and potential resources expected during the
certification period so that the value and the treatment of the
resources for all eligible and ineligible household members can be
determined.
2. Available
resources at the time the household is interviewed are used to
determine the household's eligibility.
B. Resource
Eligibility Standards
1. Eligibility
must be denied or discontinued if the value of non-exempt resources,
both liquid and non-liquid assets, for the household exceeds either:
a. Three
thousand, five hundred dollars ($3,500) for all households that
consist of, or include, at least one member who is disabled or sixty
(60) years of age or over; or
b. Two
thousand, two hundred and fifty dollars ($2,250) for all other
households.
2. These
resource standards are to be applied to all applicant households,
including those in which some members are recipients of PA with the
exception of the following:
a. In
a mixed household, i.e., a household comprised of some members
receiving SSI or RIW cash assistance and some not receiving SSI or
RIW cash assistance, all resources of the SSI/RIW recipient(s) are
categorically excluded. The resource standards are applied to the
remaining household members.
b. Households
in which all members receive SSI, RIW, a TANF-funded service or GPA
and which are categorically eligible as defined in § 1.5.1 of this
Part, do not have to meet the resource limits or definitions in this
Part.
C. Verification
of Resources
1. Documentary
evidence is used as the primary source of verification, although
collateral contacts may also be sources of verification if written
verification is unavailable.
D. Exempt
Resources
1. In
determining the resources of a household, only the following types,
are exempted:
a. Resources
of RIW/SSI Recipients
(1) The
resources of any household member who receives Supplemental Security
Income (SSI) or who receives benefits under Part A Title IV of the
Social Security Act (RIW) shall be considered exempt for SNAP
purposes.
(2) This
applies whether or not the household receives SNAP benefits as
categorically eligible.
b. Home
and Lot
(1) The
home and surrounding property which is not separated from the home by
intervening property owned by others.
(2) Public
rights of way, such as roads, which run through the surrounding
property and separate it from the home, do not affect the exemption
of the property.
(3) The
home and surrounding property remains exempt when temporarily
unoccupied for reasons of employment, training for future employment,
illness, vacation or is not inhabitable because of a casualty or
natural disaster, if the household intends to return.
(4) If
the household does not already own a home, but owns or is purchasing
a lot on which it intends to build or is building a permanent home,
it receives an exclusion for the value of the lot, and if it is
partially completed, for the home.
c. Household
Goods, Life Insurance & Pensions
(1) Exclude
as a resource household goods, personal effects, including one burial
lot per household member, and the cash value of life insurance
policies.
(2) The
cash value of pension plans or funds is excluded.
d. Excluded
Vehicles
(1) Exclude
the value of vehicles as specified below:
(AA) One
vehicle (licensed or unlicensed) for each adult household member, but
not to exceed two (2) vehicles per household, shall not be counted as
resources of the family.
(BB) Exclude
the entire value of any licensed vehicle, such as, but not limited
to, a taxi, truck, tractor, or fishing boat, if:
(i) The
vehicle is used primarily (over fifty percent (50%) of the time the
vehicle is used) for income-producing purposes.
(ii) Licensed
vehicles which have previously been used by a self-employed household
member engaged in farming, but are no longer used over fifty percent
(50%) of the time in farming because the individual has terminated
her/his self-employment from farming, continue to be excluded for one
(1) year from the date the individual terminated her/his
self-employment from farming.
(iii) The
vehicle annually produces income consistent with its fair market
value, even if used only on a seasonal basis.
(iv) The
vehicle is necessary for long distance travel, other than daily
commuting, which is essential to the employment of a household member
(or an ineligible or a disqualified person whose resources are being
considered available to the household). Such vehicles include that of
a traveling sales person or a migrant farmworker following the work
stream.
(v) The
vehicle is used as the household's home. This exemption applies
during temporary periods of unemployment when the vehicle is not in
use and for unlicensed vehicles on Indian reservations which do not
require vehicles driven by tribal members to be licensed.
(2) Maintenance
of excluded vehicles
(AA) Exclude
any property, real or personal, to the extent that it is directly
related to the maintenance or use of a vehicle excluded above.
(BB) Only
that portion of real property determined necessary for maintenance or
use is excludable under this provision.
(3) Vehicles
for the Disabled
(AA) Exclude
the entire value of any licensed vehicle if the vehicle is necessary
to transport a physically disabled household member (or disabled
ineligible or disqualified person whose resources are being
considered available to the household) regardless of the purpose of
such transportation.
(BB) This
exemption is limited to one (1) vehicle per physically disabled
household member. A vehicle is considered necessary for the
transportation of a physically disabled household member if the
vehicle is specially equipped to meet the specific needs of the
disabled person or if the vehicle is a special type of vehicle which
makes it possible to transport the disabled person.
(CC) The
vehicle need not have special equipment or be used primarily by or
for the transportation of the physically disabled household member.
(4) Fuel
or Water Carrier
(AA) Licensed
vehicle if the vehicle is necessary to carry fuel for heating or
water for home use when the transported fuel or water is anticipated
to be the primary source of fuel or water for the household during
the certification period.
(5) Inaccessible
Resource
(AA) Exclude
from resources the value of a vehicle that is inaccessible, in
accordance with § 1.5.5(F) of this Part, because its sale would
produce an estimated return of not more than one thousand five
hundred dollars ($1,500).
(6) Income-Producing
Property
(AA) Exclude
property which annually produces income consistent with its fair
market value, even if only used on a seasonal basis. Such property
includes a rental home and a vacation home.
(BB) Exclude
property such as farm land which is essential to the employment or
the self-employment of a house-hold member.
(CC) Exclude
work-related equipment, such as the tools of a tradesperson or the
machinery of a farmer which is essential to the employment or
self-employment of a household member.
(i) Property
essential to the self-employment of a household member engaged in
farming continues to be excluded for one (1) year from the date the
individual terminates her/his self-employment from farming.
(7) Exclude
installment contracts for the sale of land or buildings, if the
contract or agreement is producing income consistent with its fair
market value.
(AA) The
value of the property sold under installment contract, or held as
security in exchange for a purchase price consistent with the market
value of that property.
E. Determining
Fair Market Value of Property
1.
If the agency representative determines that the property is not
producing income consistent with its fair market value, such property
must be counted as a resource.
a. However,
if the property is leased for a return that is comparable to other
property in the area leased for similar purposes, it is considered as
producing income consistent with its fair market value and is not
considered a resource.
2. Property
exempt as essential to employment need not be producing income
consistent with its fair market value.
F. Inaccessible
Resources
1. Resources
with cash value that is not accessible to the household, such as but
not limited to, irrevocable trust funds, security deposits on rental
property or utilities, property in probate and real property which
the household is making a good faith effort to sell at a reasonable
price and which have not been sold are exempted.
a. In
such cases, the agency representative verifies that the property is
for sale and that the household has not declined a reasonable offer.
2. Any
funds in a trust or transferred to a trust, and the income produced
by that trust, to the extent it is not available to the household, is
considered inaccessible to the household if:
a. the
trust arrangement is not likely to cease during the certification
period and no household member has the power to revoke the trust
arrangement or change the name of the beneficiary during the
certification period;
b. the
trustee administering the funds is either:
(1) a
court, or an institution, corporation, or organization which is not
under the direction or ownership of any household member; or,
(2) an
individual appointed by the court who has court imposed limitations
placed on his/her use of the funds which meet the requirements of
this Section;
(3) trust
investments made on behalf of the trust do not directly involve or
assist any business or corporation under the control, direction, or
influence of a household member; and,
(4) the
funds held in irrevocable trust are either:
(AA) established
from the household's own funds, if the trustee uses the funds solely
to make investments on behalf of the trust or to pay the educational
or medical expenses of any person named by the household creating the
trust; or,
(BB) established
from non-household funds by a non-household member.
G. Resources
Excluded by Law
1. Under
P.L. 103-66, earned income tax credits (EITC) received by any member
of the household shall be excluded from financial resources for
twelve (12) months from receipt if the household member is
participating in the program at the time of its receipt and
participates continuously during the twelve (12) month period.
2. Benefits
received from the special supplemental food program for women,
infants, and children (WIC).
3. Under
P. L. 89-642, § 11 of the Child Nutrition Act, the value of
assistance to children.
4. As
provided in P. L. 100-435, § 501, 9/19/88, of the Child Nutrition
Act: under WIC demonstration projects, coupons that can be exchanged
for food at farmers' markets.
5. Under
P. L. 99-425, § (e), the Low-Income Home Energy Assistance Act,
9/30/86. The amount of any home energy assistance payments or
allowances provided directly to, or indirectly in behalf of, a
household is excluded.
6. Financial
assistance provided by a program funded in whole or in part under
Title IV of the Higher Education Act in accordance with Public Law
99-498.
7. Payments
made under P. L. 98-524, the Carl D. Perkins Vocational Education
Act, § 507, as amended by P. L. 101-392, 9/25/90.
8. Reimbursements
from the Uniform Relocation Assistance and Real Property Acquisition
Policy Act of 1970.
9. Payments
made under provisions of P. L. 93-288, the Disaster Relief Act of
1974, as amended. This exclusion applies to Federal assistance
provided to persons directly affected and to comparable disaster
assistance provided by States, local governments, and disaster relief
organizations.
10. Payments
made under the provisions of Public Law 100-383, entitled "Wartime
Relocation of Civilians", to certain United States citizens of
Japanese ancestry, resident Japanese aliens and certain eligible
Aleuts (natives of the Aleutian Islands).
11. All
payments from the Agent Orange Settlement fund or any other fund
established pursuant to the settlement in the Agent Orange product
liability litigation retroactive to January 1, 1989. The disabled
veteran will receive annual payments; survivors of the deceased
disabled veterans will receive a lump-sum payment. These payments
were disbursed by Aetna Insurance Company.
12. Payments
made under P. L. 101-426, § 6(h)(2), the Radiation Exposure
Compensation Act, dated October 15, 1990.
13. Payments
received under the Alaska Native Claims Settlement Act or the Sac and
Fox Indian claims agreement.
14. Funds
distributed under P. L. 94-189, § 6, 12/31/75, to the Sac and Fox
Indians.
15. Payments
of relocation assistance to members of the Navajo and Hopi Tribes
under Public Law 93-531.
16. Payments
received by certain Indian tribal members under Public Law 94-114, §
6, regarding submarginal land held in trust by the United States.
17. Payments
received from the disposition of funds to the Grand River Band of
Ottawa Indians (Public Law 94-540).
18. Funds
paid under P.L. 98-123, § 3, 10/13/83 to members of the Red Lake
Band of Chippewa Indians.
19. Payments
received by the Confederated Tribes and Bands of the Yakima Indian
Nation and the Apache Tribe of the Mescalero Reservation from the
Indian Claims Commission (P.L. 95-433).
20. Payments
to the Passamaquoddy Tribe and the Penobscot Nation or any of their
members received pursuant to the Maine Indian Claims Settlement Act
of 1980 (P.L. 96-420).
21. Payments
to the Blackfeet, Grosventre, and Assiniboine tribes, Montana, and
the Papago, Arizona (P.L. 97-408).
22. Funds
distributed per capita or held in trust under P. L. 99-146, § 6(b),
11/11/85, for members of the Chippewas of Lake Superior.
23. Moneys
paid under P. L. 99-264, the White Earth Reservation Land Settlement
Act of 1985, 3/24/86.
24. Payments
to the Saginaw Chippewa Indian Tribe under P. L. 99-346.
25. Funds
distributed under P. L. 99-377 § 4(b), 8/8/86 to the Chippewas of
the Mississippi.
26. Moneys
paid under P.L. 95-608, Indian Child Welfare.
27. Payments
to the Turtle Mountain Band of Chippewas, Arizona (P.L. 97-403).
28. Funds
paid to members of the Assiniboine Tribe, Fort Belknap and Fort Peck,
Montana under P.L. 98-124.
29. Under
P.L. 98-500, Old Age Assistance Claims Settlement, Act payments to
heirs are excluded except for per capita shares in excess of $2000.
30. Payments
made under P.L. 101-41, the Puyallup Tribe of Indians Settlement Act.
31. Funds
awarded to the Seminole Indians in dockets 73, 151, and 73-A of the
Indian Claims Commission are excluded except for per capita shares in
excess of $2000 paid under P.L. 101-277.
32. Payments
made under P.L. 101-503, Seneca Nation Settlement Act.
33. Any
monetary allowances paid by the Veterans Administration under P.L.
104-204, § 1805(d), to a child of a Vietnam Veteran for any
disability resulting from Spina Bifida suffered by such child.
34. Any
monetary allowances paid by the Veterans Administration under P.L.
106-419, § 1815 (a), to any individual with one or more covered
birth defects if he or she is a child of a female Vietnam veteran.
35. Under
P.L. 103-322, § 230202, dated 9/13/94, amended § 1403 of the Crime
Act of 1984 (42 U.S.C. 10602), compensation paid by an eligible crime
victim compensation program.
36. Under
P.L. 110-246, the Food, Conservation and Energy Act of 2008 which
revised the Food Stamp Act, any funds in a plan, contract or account
described in §§ 401(a), 403(a), 403(b), 408, 408A, and 501(c)(18)
of the Internal Revenue Code of 1986 and the value of funds in a
Federal Thrift Savings Plan account as provided in § 8439 of title 5
United States code; and any retirement program or account included in
any successor or similar provision that may be enacted and determined
to be exempt from tax under the Internal Revenue Code of 1986.
37. Included
in the above exclusion are: Pension or traditional defined-benefit,
401(k), SIMPLE 401(k), 501(c)(18), 403(b), 457, Federal Employee
Thrift Savings, Keogh, IRA, Roth IRA, SIMPLE IRA, Simplified
Employer, Profit Sharing and Cash Balance plans.
38. Under
P.L. 110-246, the Food, Conservation and Energy Act of 2008 which
revised the Food Stamp Act, any funds in a qualified tuition program
described in § 529 of the Internal Revenue Code of 1986 or in a
Coverdell education savings account under § 530 of that code.
H. Other
Excluded Resources
1. Earmarked
Resources
a. Any
governmental payments which are designated for the restoration of a
home damaged in a disaster, if the household is subject to a legal
sanction should the funds not be used as intended.
2. Prorated
Income
a. Resources,
such as those of students or self-employed persons, which have been
prorated and counted as income.
3. Indian
Lands
a. Indian
lands held jointly with the Tribe, or land that can be sold only with
the approval of the Bureau of Indian Affairs.
4. Energy
Assistance
a. Energy
assistance payments or allowances are considered excluded income
under § 1.5.3 of this Part.
5. Inaccessible
Resources
a. Non-liquid
asset(s) against which a lien has been placed as a result of taking
out a business loan when the household is prohibited by the security
or lien agreement with the lien holder (creditor) from selling the
asset.
6. Resources
which cannot be sold for a significant return
a. a
resource is excluded if a household is unlikely to be able to sell
that resource for a significant return because the household's
interest is relatively slight or because the cost of selling the
household's interest would be relatively great. Such a resource is
considered inaccessible.
b. This
inaccessibility provision does not apply to financial instruments
such as stocks, bonds, or negotiable financial instruments.
c. This
provision does apply to vehicles. For example, the value of a vehicle
is considered inaccessible because its sale would produce an
estimated return of not more than one thousand five hundred dollars
($1,500).
d. A
complete description of the reasons for the determination of
inaccessibility of the resource must be notated in the eligibility
system.
e. For
the purposes of this Subchapter:
(1) Significant
return means any return, after estimating costs of sale or
disposition, and taking into account the ownership interest of the
household, that the State agency determines are more than one
thousand five hundred dollars ($1,500);
(2) Any
significant amount of funds means funds amounting to more than one
thousand five hundred dollars ($1,500).
I. Handling
Excluded Funds
1. Excluded
monies which are kept in a separate account, and are not commingled
in an account with non-excluded (countable) funds, retain their
resource exclusion for an unlimited period of time.
2. The
resources of students and self-employed households which are excluded
(per above) and are commingled in an account with non-excluded funds
retain exclusion for the period of time over which they have been
prorated as income.
3. All
other excluded monies which are commingled in an account with
non-excluded funds retain their exclusion for six (6) months from the
day they are commingled.
a. After
six (6) months from the date of commingling, all funds in the
commingled account must be counted as a resource.
J. The
following non-exempt resources must be counted in determining the
total value of the household's resources:
1. Liquid
Resources
a. These
include, but are not limited to, cash on hand, a checking or savings
account in a bank or other financial institution, savings
certificates, stocks or bonds, and lump sum payments.
(1) In
determining the resources of a household with an Education account
(e.g. 529 plan), or an IRA or countable Keough plan, see § 1.5.3 of
this Part, "Resources Excluded by Law."
2. Non-Liquid
Resources
a. These
include real and personal property, such as but not limited to,
licensed and unlicensed vehicles, buildings, land, recreational
properties, boats, vacation homes, mobile homes and other property
not specifically excluded in this Subchapter.
3. Deemed
Resources
a. For
a household containing a sponsored non-citizen (as defined in §
1.5.8 of this Part), its resources also include the resources of the
alien's sponsor and the sponsor's spouse (if any) which are deemed to
the alien in accordance with the procedures described in § 1.5.8 of
this Part.
4. Resources
of Excluded/Non-Household Members
a. The
resources of non-household members must not be counted as available
to the household. (See § 1.2.4 of this Part)
b. The
resources of ineligible household members must be counted in their
entirety as available to the remaining household members. (See §
1.5.6 of this Part)
5. Jointly
Owned Resources
a. Resources
owned jointly by separate households must be considered available in
their entirety to each household, unless the household can
demonstrate otherwise.
b. A
household member who states that s/he is not the owner, or is only
the partial owner of the resource must be required to demonstrate the
ownership of the funds.
c. A
household member who states that s/he has no access, or only partial
access to the resource, must be required to demonstrate such lack of
access.
d. If
the household can demonstrate that it has ownership of, or access to,
only a portion of the resource, only that portion must be counted
toward the household's resource level.
K. Evaluating
Ownership of a Resource
1. If
the applicant/recipient can verify the lack of either access to, or
ownership of, a resource that resource is not counted towards the
resource limit when determining eligibility for SNAP benefits.
2. A
resource is considered inaccessible to the household if the resource
cannot be practically subdivided or the household's access to the
value of the resource is dependent on the agreement of the joint
owner who refuses to comply.
3. Resources
must be considered inaccessible to a person residing in a shelter for
battered persons and children (as defined in § 1.4.8 of this Part)
if:
a. the
resources are jointly owned by such a person and by members of
his/her former household; and,
b. the
shelter resident's access to the value of the resources is dependent
on the agreement of a joint owner who still resides in the former
household.
4. In
order for a household member to demonstrate a lack of ownership, or
only partial ownership of a resource, two (2) of the following
sources of documentation must be presented as evidence:
a. Documents
showing the origin of the resource. For example, if a bank account
was opened, who opened it or whose money was used to open the
account;
b. Documentation
through federal or state tax records as to which of the joint account
holders declares the tax on the interest credited to the account as
income;
c. Records
of who makes deposits and withdrawals and, if appropriate, of how
withdrawn funds are spent.
(1) The
person claiming a lack of ownership (or accessibility) should not
have made any withdrawals.
d. A
notarized affidavit which details a written or oral agreement made
between the parties listed on the resource or by someone who
established or contributed to the resource, with respect to the
ownership of the funds in the resource;
e. When
the household member states that s/he does not own a bank account but
is listed as a co-holder solely as a convenience to the other
co-holder to conduct bank transactions on his/her behalf, evidence of
the age, relationship, physical or mental condition, or place of
residence of the co-holder must be provided;
f. A
signed, notarized statement from the household member and from either
other individual(s) listed in the joint account, or the person who
established or contributed to the account, stating that the applicant
or recipient had no knowledge of the existence of the account.
g. A
document or piece of evidence submitted to verify a particular fact
does not count as more than one verification under the above
Subchapter.
(1) However,
a document, piece of evidence or a statement may address more than
one fact needed for verification.
h. For
a bank account, a change in the account designation removing the
household member's name or restricting access to the funds in the
account must be made.
L. Nonrecurring
Lump Sum Payments
1. Money
received in the form of a nonrecurring lump sum payment, including,
but not limited to, income tax refunds, rebates, or credits;
retroactive lump sum social security, SSI, public assistance,
railroad retirement benefits or other payments; lump sum insurance
settlements; or refunds of security deposits on rental property or
utilities.
2. These
payments are counted as resources in the month received, unless
specifically excluded from consideration as a resource by other
Federal laws.
3. If
the total amount of resources exceeds the allowable resource limit,
the household must be given an opportunity to update its entire
resource statement.
a. If
it declines to do so, or the amount of resources still exceeds the
limit, the agency representative takes action to discontinue the
household's certification.
M. Non-Excluded
Vehicles
1. If
a vehicle is not excluded under this Section, the agency
representative then handles each vehicle as follows:
a. Individually
determines the resource value of each vehicle not excluded by:
(1) determining
the amount, if any, in excess of $4,650 of the vehicle's Fair Market
Value.
(2) calculating
the vehicle's equity value, unless specifically exempt from the
equity value test.
(AA) Unlicensed
vehicles and non-income producing licensed vehicles, except for those
excluded, are evaluated for equity value.
(BB) Equity
value is fair market value less encumbrances.
(CC) Equity
value is attributed toward the household's resource level except when
a vehicle's equity value is less than one thousand five hundred
dollars ($1,500).
(3) Counts
as a resource only the greater of the two (2) amounts if the vehicle
has a countable fair market value of more than $4,650 and also has a
countable equity value.
2. Determining
Fair Market Value (FMV) of Licensed Vehicles
a. The
fair market value of licensed automobiles, trucks and vans is
determined by the wholesale value of the vehicle as listed in
publications written for the purpose of providing guidance to
automobile dealers and loan companies.
b. The
agency representative must not increase the basic value of a vehicle
by considering such variables as low mileage or other factors such as
optional equipment.
c. Any
household that claims the blue book value does not apply to its
vehicle must be given the opportunity to acquire verification of the
true value from a reliable source.
(1) Households
are asked to acquire verification of the value of a licensed antique,
custom made, or classic vehicle, if the agency representative is
unable to make an accurate appraisal.
(2) If
a vehicle is specially equipped with apparatus for a disabled person,
the apparatus must not increase the value of the vehicle.
(3) If
a vehicle is no longer listed in the blue book, the household's
estimate of the value of the vehicle is accepted, unless the agency
representative has reason to believe that the estimate is incorrect.
(AA) In
such a case, if it appears that the vehicle's value may affect
eligibility, the household must obtain an appraisal or produce other
evidence of its value, such as a tax assessment or newspaper
advertisement indicating the sale price of similar vehicles.
(BB) If
a new vehicle is not yet listed in a blue book, the agency
representative determines the wholesale value through some other
means, such as contacting a car dealer who sells that make of
vehicle.
3. When
Fair Market Value is Counted
a. All
non-income producing licensed vehicles must be evaluated individually
for fair market value.
b. That
portion of the value which exceeds $4,650 is attributed in full
toward the household's resource level, regardless of any encumbrances
on the vehicles unless the vehicle has both fair market and equity
value.
c. Any
value in excess of $4,650 must be attributed to the household's
resource level, regardless of the amount of the household's
investment in the vehicle, and regardless of whether or not the
vehicle is used to transport household members to and from employment
unless the criteria in (5) below, is applicable.
d. Each
vehicle must be appraised individually. The values of two or more
vehicles must not be added together to reach a total fair market
value in excess of $4,650.
4. Vehicles
Exempt from the Equity Test
a. Only
the following vehicles are exempt from the equity value test:
(1) Vehicles
excluded in this Subchapter;
(2) One
licensed vehicle per adult household member (or an ineligible alien
or disqualified household member whose resources are being considered
available to household), regardless of the use of the vehicle; and
(3) Any
other vehicle a household member under age eighteen (18) (or an
ineligible alien or disqualified household member under age eighteen
(18) whose resources are being considered available to household)
drives to commute to and from employment, or to and from training or
education which is preparatory to employment, or to seek employment.
5. Counting
Either Fair Market Value or Equity Value
a. When
a licensed vehicle is assigned both a fair market value in excess of
$4,650 and an equity value, only the greater of the two amounts is
counted as a resource if the vehicle is not otherwise excluded.
b. COUNT
THE HIGHER OF
(1) Fair
Market Value Over $4,650; or
(2) Equity
(Fair Market Value Less Encumbrances)
Table
on Treatment of Vehicles
TOTALLY
EXEMPT
NON-EXEMPT
COUNT
FAIR MARKET VALUE OVER $4,650
A
vehicle (licensed or unlicensed) for each adult household member,
not to exceed two (2) vehicles per household
One
vehicle per adult household member, regardless of use
Income
producing
Used
to transport household members under age 18 to work, school, other
or training to look for work
Necessary
for long-distance travel, other than daily commuting, that is
essential to the employment of a household member (or ineligible
non-citizen or disqualified person whose resources are being
considered available to the household)
Necessary
to transport a physically disabled household member
Used
as household’s home
Necessary
to carry fuel for heating or water for home use when such
transported fuel or water is the primary source of fuel or water
for the household
Classified
as an inaccessible resource
N. Vacation
Homes
1. A
vacation home used part of the year by the household and that is not
producing income consistent with its fair market value has its equity
value counted toward the resource limit.
O. Transfer
of Resources
1. Households
which have knowingly transferred resources for the purpose of
qualifying or attempting to qualify for SNAP benefits must be
disqualified from participation in the program for up to one year
from the date of the discovery of the transfer.
a. This
disqualification period must be applied if the resources are
transferred knowingly in the three-month period prior to application
or if they are transferred after the household is determined eligible
for benefits.
2. Eligibility
for the program is not affected by transfer of a resource which:
a. Would
not otherwise affect eligibility;
b. Is
sold or traded at or near fair market value;
c. Is
transferred between members of the same household (including an
ineligible non-citizen or a disqualified person whose resources are
being considered available to the household); or,
d. Is
transferred for reasons other than qualifying or attempting to
qualify for SNAP benefits.
3. The
length of the disqualification period is based on the amount by which
the transferred resource, when added to other countable resources,
exceeded the allowable resource limit.
a. The
following chart is used to determine the period of disqualification:
Amount
in Excess of the Resource Limit
Period
of Disqualification
$1
- $249.99
One
Month
$250
- $999.99
Three
Months
$1,000
- $2,999.99
Six
Months
$3,000
- $4999.99
Nine
Months
$5,000
- and up
Twelve
Months
b. In
the event the agency establishes that an applicant household
knowingly transferred resources for the purpose of qualifying or
attempting to qualify for SNAP benefits, the agency sends the
household a notice of denial explaining the reason for and length of
the disqualification.
c. The
period of disqualification begins in the month of application.
d. If
the household is participating at the time of the discovery of the
transfer, a notice of adverse action explaining the reason for and
length of the disqualification period is sent.
e. The
period of disqualification is effective with the first allotment
issued after the adverse notice period has expired, unless the
household has requested a hearing and continued benefits.
1.5.6
Special Situations
A. Income/Resources
of Ineligible Members
1. The
following procedures are used to determine the eligibility and
benefit level of any remaining household member(s) of a household
containing an individual determined ineligible for SNAP benefits:
a. For
households with an ineligible non-citizen, an individual ineligible
for failing to attest to his/her U.S. citizenship or immigration
status, an individual ineligible because of disqualification for
failure or refusal to obtain or provide an SSN or an individual
ineligible due to meeting the time limit for able-bodied adult
without dependents:
(1) Resources:
The resources of such an ineligible member(s) continue to count in
their entirety to the remaining household members.
(2) Income:
pro-rata share of the income of such an ineligible member(s) is
counted as income to the remaining members.
(AA) This
pro-rata share is calculated by first subtracting the allowable
exclusions from the ineligible members' income and dividing the
income evenly among the household members, including the ineligible
members.
(BB) However,
if the ineligible member receives no income of his or her own, the
RIW payment shall not be prorated.
(3) Deductible
Expenses: The twenty percent (20%) earned income deduction applies to
the pro-rated income earned by such an ineligible member(s) which is
attributed to the household.
(AA) That
portion of the household's allowable shelter and dependent care
expenses which are either paid by or billed to the ineligible
members(s), is divided evenly among the household's members,
including the ineligible member(s).
(BB) All
but the ineligible members' share is counted as a deductible shelter
or dependent care expense for the remaining household members.
(CC) If
the expense is paid in full by an eligible member, the expense is
allowed in full for the household.
(DD) The
mandatory SUA will not be prorated--the full SUA will be provided to
the household if it is entitled to it.
(EE) If
a household contains an ineligible member with no income of his/her
own, the full shelter and/or dependent care costs are allowed in the
determination of eligibility and benefit level for SNAP.
(4) Eligibility
and benefit level: Such an ineligible member(s) must not be included
when determining the household's size for the purposes of:
(AA) Assigning
a benefit level to the household;
(BB) Assigning
a standard deduction to the household;
(CC) Comparing
the household's monthly income with the income eligibility standards;
or,
(DD) Comparing
the household's resources with the resource eligibility limits.
b. For
households with an individual who is ineligible because of
disqualification for an intentional program violation (IPV) or
ineligible because a sanction has been imposed for failing to comply
with work requirements in § 1.11 of this Part:
(1) Income,
Resources and Deductible Expenses
(AA) The
income and resources of the ineligible household member(s) continue
to count in their entirety, and the entire household's allowable
earned income, standard, medical, dependent care, and excess shelter
deductions continue to apply to the remaining household members.
(2) Eligibility
and Benefit Level
(AA) The
ineligible member is not included when determining the household's
size for the purpose of:
(i) Assigning
a benefit level to the household;
(ii) Assigning
a standard deduction to the household;
(iii) Comparing
the household's monthly income with the income eligibility standards;
or
(iv) Comparing
the household's resources with the resource eligibility limits.
c. The
agency representative must ensure that no household's benefit
allotment is increased as a result of the exclusion of one or more
household member(s).
2. If
a household's benefits are reduced or terminated within the
certification period because one of its members was determined
ineligible because of disqualification for intentional program
violation, the agency must notify the remaining members of their
eligibility and benefit level at the same time the ineligible member
is notified of his/her disqualification.
a. The
household is not entitled to a notice of adverse action but may
request a fair hearing to contest the reduction or termination of
benefits.
3. If
a household's benefits are reduced or terminated within the
certification period because one or more of its members is an
ineligible non-citizen, is ineligible because a sanction has been
imposed while s/he was participating in a household disqualified for
failing to comply with work requirements, or ineligible because s/he
was disqualified for refusal to obtain or provide an SSN, the agency
must issue a notice of adverse action which informs the household of
the ineligibility, the reason for the ineligibility, the eligibility
and benefit level of the remaining members, and the action the
household must take to end the ineligibility.
B. RIW,
GPA and SSI Households
1. To
facilitate participation in the program, households in which members
are applying for RIW and/or GPA (PA households) must be allowed to
complete a joint application for SNAP benefits at the same time they
apply for such assistance.
a. These
households' SNAP eligibility and benefit levels are based solely on
SNAP eligibility criteria.
b. The
joint application processing procedures in this Section are used for
a SNAP household in which some members are receiving RIW and/or GPA
and others are receiving SSI.
c. A
household consisting of some members who are receiving RIW/GPA/SSI
and some not receiving assistance also may file a joint application
for SNAP benefits.
d. The
RIW and GPA application form contains all the information necessary
to determine a household's SNAP eligibility and level of benefits.
C. Income/Resources
of a Non-Household Member
1. For
all other non-household members who are not specifically mentioned in
(B) above, such as a roomer or an ineligible student, the income and
resources of such individuals must not be considered available to the
household with whom the individual resides.
2. Voluntary
cash payments from a non-household member to the household are
considered income under the normal income standards.
3. Vendor
payments are excluded as income.
4. If
the household shares deductible expenses with the non-household
member, only the amount actually paid or contributed by the household
is deducted as a household expense.
a. If
the payments or contributions cannot be differentiated, the expenses
must be prorated evenly among persons actually paying or contributing
to the expense and only the household's pro rata share is deducted.
b. The
mandatory SUA will not be prorated—the full SUA will be granted to
the household if the household is entitled to it.
5. When
the earned income of one or more household members and the earned
income of a non-household member are combined into one wage, the
income of the household member(s) is determined as follows:
a. If
the household's share can be identified, the agency representative
counts that portion due to the household as earned income.
b. If
the household's share cannot be identified, the agency representative
must prorate the earned income among all those whom it was intended
to cover and counts that prorated portion to the household.
6. Such
non-household members must not be included when determining the size
of the household for the purposes of:
a. Assigning
a benefit level to the household;
b. Assigning
a standard deduction to the household;
c. Comparing
the household's monthly income with the income eligibility standards;
or
d. Comparing
the household's resources with the resources eligibility limits.
1.5.7
Deductions and Expenses
A. Deductible
expenses include only certain medical, dependent care, and shelter
costs as described in this.
1. Categorically
eligible SSI recipients entitled to the excess medical deduction and
the uncapped shelter expense must receive such deductions, if they
incur such expenses, for the period for which they are authorized to
receive SSI benefits or the date of the SNAP application whichever is
later as discussed in the categorical eligibility provisions (§
1.5.1 of this Part).
a. Such
individuals who are entitled to restored benefits in accordance with
those provisions must have their benefits restored using these
special deductions if they have such expenses.
2. Disallowed
Expenses
a. An
expense covered by either an excluded reimbursement or vendor
payment, except an energy assistance vendor payment made under the
Low-Income Home Energy Assistance Act of 1981, is not deductible.
b. Expenses
are only deductible if the service is provided by someone outside of
the household, and the household makes a money payment for the
service.
c. If
the household reports an allowable medical expense at the time of
certification but cannot provide verification at that time, and if
the amount of the expense cannot be reasonably anticipated based upon
available information about the individual's medical condition and
public or private medical insurance coverage, the household shall
have the non-reimbursable portion of the medical expense considered
at the time the amount of the expense or reimbursement is reported
and verified.
3. Except
as provided in § 1.5.7(A)(5) of this Part, a deduction is allowed in
the month the expense is billed or otherwise becomes due, regardless
of when the household intends to pay the expense.
a. Amounts
carried forward from past billing periods are not deductible even if
included with the most recent billing and actually paid by the
household.
b. An
expense may only be deducted once.
4. Anticipating
Expenses
a. The
agency representative calculates a household's expenses based on
those expenses the household expects to be billed for during the
certification period.
b. Anticipation
of an expense is based on the most recent month's bills, unless the
household is reasonably certain a change will occur.
c. The
SNAP allotment is adjusted for the remainder of the certification
period and, if necessary, a supplemental allotment is provided for
the month in which the change is verified.
d. The
household may elect to average its expenses (see 5, below).
5. Averaging
Expenses
a. Households
may elect to have fluctuating expenses averaged.
b. Households
may also elect to have expenses which are billed less often than
monthly averaged forward over the interval between scheduled
billings, or, if there is no scheduled interval, averaged forward
over the period the expense is intended to cover.
c. Households
reporting one-time only medical expenses during their certification
period may elect to have a one-time deduction or to have the expense
averaged over the remaining months of their certification period.
d. Averaging
begins the month the change becomes effective.
e. For
households certified for twenty-four (24) months that have one-time
medical expenses, the agency will utilize the following procedure:
(1) In
averaging any one-time medical expense incurred by a household during
the first 12 months, the agency will give the household the option of
deducting the expense for one month, averaging the expense over the
remainder of the first 12 months of the certification period, or
averaging the expense over the remaining months in the certification
period.
(2) One-time
expenses reported after the 12th month of the certification period
will be deducted in one month or averaged over the remaining months
in the certification period, at the household's option.
f. Averaging
Energy Assistance Payments
(1) Except
for payments made under the Low Income Home Energy Assistance Act of
1981, any energy assistance payments which a household receives are
prorated over the entire heating (or cooling) season for which the
payment is intended to cover.
6. The
SNAP allows five (5) deductions from a household's gross income.
These deductions are:
a. the
earned income deduction
(1) A
household with earned income shall be allowed a deduction of twenty
percent (20%) of all earned income to compensate for taxes, other
mandatory deductions from salary, and work expenses.
(2) The
term "earned income" does not include any portion of the
income earned under a work supplementation or support program that is
attributable to public assistance. For the definition of earned
income, see § 1.5.2 of this Part.
(3) Exception:
the deduction described above shall not be allowed with respect to
determining an overissuance due to the failure of a household to
report earned income in a timely manner.
b. the
standard deduction
(1) The
standard deduction is adjusted annually on October 1 to reflect
changes in the CPI-U
(2) Each
household is allowed a standard deduction as outlined below:
Household
Size
Standard
Deduction Amount
1
$160
2
$160
3
$160
4
$170
5
$199
6
$228
(3) The
amounts above are provided annually by Food and Nutrition Services
(FNS) and equal 8.31 percent of the Federal poverty level but not
more than 8.31 percent of the Federal Poverty Level (FPL) for a
household of six (6).
c. The
excess medical expense deduction
(1) An
excess medical deduction is that portion of total medical expenses in
excess of $35 per month, excluding special diets, incurred by all
household members who are elderly or disabled (Including disabled
veterans or surviving disabled spouses/children of veterans.)
(AA) The
thirty-five dollar ($35) disregard applies to the entire household
and not individual members.
(2) A
spouse or other person receiving benefits as a dependent of the SSI
or disability and blindness recipient is not eligible to receive this
deduction, but persons receiving emergency SSI benefits based on
presumptive eligibility are eligible for this deduction.
(3) The
household's monthly medical deduction for the certification period
shall be based on the information reported and verified by the
household, and any anticipated changes that can be reasonably
expected to occur during the certification period based on available
information about the individual's medical condition, public or
private health insurance coverage, and the current verified medical
expenses.
(AA) The
household shall not be required to report changes in its medical
expenses during the certification period.
(BB) If
the household voluntarily reports a change in its medical expenses,
the worker will verify the change in accordance with procedures
described in § 1.13.1 of this Part.
(4) Allowable
medical costs are:
(AA) Medical
and dental care, including psychotherapy and rehabilitation services,
provided by a licensed practitioner authorized by state law or other
qualified health professional.
(BB) Hospitalization,
outpatient treatment, nursing care, and nursing home care, including
payments by the household for an individual who was a household
member immediately prior to entering a hospital or nursing home
provided by a facility recognized by the state.
(CC) Prescription
drugs when prescribed by a licensed practitioner authorized under
state law, and other over-the-counter medication (including insulin),
when approved by a licensed practitioner or other qualified health
professional (exception: medicinal marijuana is not an allowable
medical cost for purposes of determining SNAP eligibility and/or
benefit level);
(i) In
addition, postage for prescription drugs, costs of medical supplies,
sick room equipment (including rental) or other prescribed equipment
are deductible.
(DD) Health
and hospitalization insurance policy premiums.
(i) The
costs of health and accident policies, such as those payable in lump
sum settlements for death or dismemberment, or income maintenance
policies, such as those which continue mortgage or loan payments
while the beneficiary is disabled, are not deductible.
(EE) Medicare
premiums, and any cost-sharing or spend-down expenses incurred by
Medicaid recipients.
(FF) Repayments
made on a loan when the loan is used to pay a one-time only medical
expense.
(i) Loan
expenses, such as interest, are not allowable as part of the medical
expense.
(ii) If
a second mortgage is obtained for medical expenses, repayment is
treated as a shelter expense and not as a medical expense.
(GG) Dentures,
hearing aids, and prosthetics.
(HH) Securing
and maintaining a seeing eye, hearing dog or service animal,
including the cost of food for the animal and veterinarian bills.
(II) Eye
glasses prescribed by a physician skilled in eye disease, or by an
optometrist.
(JJ) Reasonable
cost of transportation and lodging to obtain medical treatment or
services.
(KK) Maintaining
an attendant homemaker, home health aide, or child care services
necessary due to age, infirmity, or illness. In addition, an amount
equal to the one-person SNAP allotment is deducted if the household
furnishes the majority of the attendant's meals.
(i) The
allotment is that which is in effect at the time of initial
certification.
(ii) The
allotment amount is updated at the next scheduled recertification.
(iii) If
a household incurs attendant care costs that could qualify under both
the medical deduction and dependent care deduction, the cost is
treated as a medical expense.
d. The
dependent care deduction
(1) Payments
for the actual cost for the care of a child under the age of eighteen
(18) or an adult who is incapacitated when necessary for a household
member to accept or continue employment, comply with the employment
and training requirements as specified in § 1.11 of this Part (or an
equivalent effort by those not subject to those requirements), or
attend training or education preparatory to employment.
(AA) Incapacitation
refers to any permanent or temporary condition that prevents an
individual from participating fully in normal activities without
supervision (including but not limited to work or school) and that
requires the care of another person to ensure the health and safety
of the individual, or a condition or situations that makes a lack of
supervision risky to the health and safety of the individual.
(2) The
agency will accept the household’s statement of these expenses
unless the statement is questionable as defined in § 1.6.2 of this
Part.
e. The
excess shelter deduction
(1) Monthly
shelter costs in excess of fifty percent (50%) of the household's
income after all the above deductions have been allowed. Shelter
costs include only the following:
(AA) A
standard shelter expense estimate of $143 per household for all
homeless households where all members are homeless and are not
receiving free shelter throughout the calendar month.
(i) All
homeless households which incur or reasonably expect to incur shelter
costs in a month shall be eligible for the estimate unless higher
costs are claimed, at which point the household may use actual
shelter costs rather than the estimate.
(ii) Homeless
households which incur no shelter costs shall not be eligible for the
standard estimate. A homeless household may not receive both the
homeless shelter estimate and the Standard Utility Allowance (SUA).
(BB) Continuing
charges for the shelter occupied by the household, including rent,
mortgage, or other continuing charges leading to the ownership of
shelter, such as loan repayments for the purchase of a mobile home,
including interest on such payments.
(i) Payments
on second mortgages and home equity loans are allowable shelter
costs.
(ii) Payments
on personal loans that are not secured by a lien on the property are
not allowable costs even if the bank is listed as a beneficiary on
the homeowner's insurance policy.
(iii) If
a household owns a home and lot and later purchases a connecting
piece of property, the mortgage payments on the new property can only
be allowed as shelter costs if the new property was financed by a
second mortgage or other loan secured by the home and lot.
(CC) Property
taxes, state and local assessments, and insurance on the structure
itself, but not separate costs for insuring furniture or personal
belongings.
(DD) Charges
for heating, cooling, and cooking fuel; electricity; water and sewer;
garbage and trash collection fees; the basic service fee for one
telephone, including tax on the basic fee; and fees charged by the
utility provider for initial installation of the utility.
(i) One-time
deposits are not included as shelter costs.
(ii) Note
that the Standard Utility Allowance must be utilized instead of
actual charges if the household incurs charges for heating and/or
cooling expenses.
(EE) The
above shelter costs for the home if not actually occupied by the
household because of employment away from home, illness, or
abandonment of the home due to natural disaster or casualty loss.
(i) For
the costs of a vacated home to be included in shelter costs, the
household must intend to return to the home; the current occupants of
the home, if any, must not be claiming the shelter costs during the
absence of the household; and the home must not be leased or rented
in the household's absence.
(ii) The
standard utility allowance must be used if the household incurs
heating and/or cooling expenses.
(iii) A
household that incurs expenses for both an occupied and unoccupied
home is only entitled to one Standard Utility Allowance (SUA).
(FF) Charges
for the repair of the home which was substantially damaged or
destroyed due to a natural disaster such as a fire or flood.
(i) Shelter
costs do not include charges for repair of the home that have been or
will be reimbursed by private or public relief agencies, insurance
companies, or from any other source.
(ii) The
cost of repairs as a result of wear and tear, incidental repairs, and
improvements are not allowed for homeowners, renters who work-off
their rent, or other renters.
(GG) For
condominium owners, the entire condominium fee is allowable as a
shelter cost.
(2) The
maximum excess shelter deduction is five hundred and thirty-five
dollars ($535.00) per household per month for households incurring
shelter costs.
(AA) The
maximum does not apply to households with an individual age sixty
(60) and older and/or a disabled household member as defined in §
1.4.11 of this Part.
(i) Such
households receive an excess shelter deduction for the monthly cost
that exceeds fifty percent (50%) of the household's monthly income
after all other applicable deductions.
(ii) The
maximum shelter cost deduction is subject to change annually.
B. Standard
Medical Deduction
1. Households
that contain elderly and/or disabled members who claim to have
medical expenses of more than thirty-five dollars ($35) will be given
a standard medical deduction of one hundred and forty one dollars
($141).
2. At
initial application or when an active case containing a qualifying
member reports medical expenses, the agency must verify if monthly
medical expenses are more than thirty five dollars ($35).
a. If
the household fails to verify any medical expenses, the household is
not entitled to a Standard Medical Deduction.
b. If
total medical costs for the qualifying member(s) are more than thirty
five dollars ($35) per month, allow the appropriate Standard Medical
Deduction.
3. If
the household claims that its monthly medical expenses exceed one
hundred and seventy six dollars ($176) per month, the agency will
grant the household the option of verifying and utilizing its actual
monthly medical expenses instead of the standard medical deduction.
a. If
the household verifies that medical expenses exceed thirty five
dollars ($35) per month but fails to verify total monthly medical
expenses over one hundred and seventy six dollars ($176), the
household's benefits will be calculated using the Standard Medical
Deduction.
4. Participating
households will remain eligible for the standard medical deduction at
recertification if they declare that the medical expenses continue to
exceed thirty five dollars ($35) per month.
a. Verification
is not required at recertification unless the declaration is
questionable. Declaration is a verbal statement, written statement,
or appropriate response to a question supplied on a form. No further
verification is required.
C. Utility
Expenses
1. There
are three methods of calculating utility expenses for households:
a. The
standard utility allowance which is used only when the household is
billed for heating and/or cooling costs on a regular basis or has
received a LIHEAA payment at its current address;
b. The
actual utility expenses, not including heating and/or cooling costs,
which the household incurs and pays for separately.
(1) These
utility amounts are then added to the rent or mortgage payments
(including property taxes, insurance and local assessment) to obtain
the total shelter expense; and,
c. The
standard telephone allowance of $22.50, which is used for a household
that incurs the expense of a basic service charge for one telephone
and is not eligible to use the standard utility allowance.
(1) If
a household can demonstrate that its cost for basic service for one
telephone is greater than the Standard Telephone Allowance, then the
actual cost is used.
(2) If
the expense is shared by separate households, each household can
claim the Standard Telephone Allowance.
2. Standard
Utility Allowance (SUA)
a. The
Standard Utility Allowance (SUA) which includes a heating or cooling
component must be used by households which incur heating and/or
cooling costs separately and apart from their rent or mortgage.
b. The
standard utility allowance includes the cost of heating and/or
cooling, cooking fuel, electricity, or gas not used to heat or cool
the residence, the basic service fee for one telephone, water,
sewerage and garbage and trash collection.
c. To
qualify, the household must be billed on a regular basis for its
heating or cooling costs or have received a LIHEAA payment in the
month of application or in the immediately preceding twelve months.
(1) These
households include:
(AA) Residents
of rental housing who are billed on a monthly basis by their
landlords for actual usage through individual metering;
(BB) Recipients
of indirect energy assistance payments (vendor payments), made under
a program other than the Low-Income Home Energy Assistance Act of
1981 (LIHEAA), who also incur out-of-pocket heating or cooling
expenses during any month covered by the certification period; or
(CC) Recipients
of energy assistance payments made under the Low-Income Home Energy
Assistance Act of 1981 (LIHEAA).
(i) These
households are deemed to have incurred out-of-pocket heating or
cooling costs even if heat and utilities are included in their rent.
(ii) If
a household received a LIHEAA payment at its current address in the
month of application or in the immediately preceding twelve months,
the household is entitled to the SUA.
d. A
household which incurs cooling or heating fuel costs on an irregular
basis, but is otherwise eligible to use the standard utility
allowance, continues to use the allowance between billing periods.
e. A
cooling cost is a utility expense relating only to the operation of
air conditioning systems or room air conditioners.
f. A
household living in a public housing unit, or other rental housing
unit which has central utility meters and charges the household only
for excess heating or cooling costs must use the standard utility
allowance.
g. If
the household shares utility expenses with, and lives with, another
individual not participating in the SNAP, another household
participating in the SNAP, or both, the household is entitled to the
full Standard Utility allowance.
h. The
SUA is six hundred and twenty-eight dollars ($628.00) per household
per month based on an annualized (twelve-month) average of utility
costs.
i. Verification
for Use of the SUA
(1) If
a household is to qualify for the standard utility allowance based on
incurring heating or cooling expenses, the household must be billed
on a regular basis for those costs and the household’s statement of
the costs is accepted as verification, unless the statement is
questionable, as defined in § 1.6.2 of this Part.
(2) If
a household is to qualify for the standard utility allowance based on
the receipt of a Low-Income Home Energy Assistance Payment (LIHEAP),
the household’s statement is used as acceptable verification unless
questionable as defined in § 1.6.2 of this Part.
(3) When
a household moves, its entitlement to the SUA is redetermined.
3. If
the household claims expenses for an unoccupied home, the household
must provide its actual utility expenses if it is not entitled to the
SUA for the unoccupied home.
a. If
the household incurs expenses for heating or cooling the unoccupied
home, the SUA may be used but the household cannot receive the SUA
for both an occupied and unoccupied home.
4. Expenses
verified only if questionable (as defined in § 1.6.2 of this Part)
and if allowing the expense would actually result in a deduction.
a. If
a deductible expense must be verified, and obtaining the verification
may delay the household's certification, the agency representative
advises the household that its eligibility and benefit level may be
determined without providing a deduction for the claimed but
unverified expense.
(1) If
the expense cannot be verified within 30 days of the date of
application, the agency representative determines the household's
eligibility and benefit level without providing a deduction for the
unverified expense.
(AA) The
household is entitled to restoration of any benefits retroactive to
the month of application only if the expense could not be verified
within the 30-day processing standard because the agency
representative failed to allow the household sufficient time, to
verify the expense.
D. Shelter
Costs for Unoccupied Homes
1. A
household that wishes to claim shelter costs for a home which is
unoccupied because of employment, training away from the home,
illness, or abandonment caused by a natural disaster or casualty
loss, is responsible for providing verification of the expense if it
is questionable (as defined in § 1.6.2 of this Part) and if the
expense would result in a deduction.
a. The
agency representative is not required to assist a household in
obtaining verification of this expense if the verification would have
to be obtained from a source outside of the State.
b. The
SUA is allowed if the household incurs heating or cooling expenses on
the home.
(1) A
household that incurs expenses for both an occupied and unoccupied
home is only entitled to one Standard Utility Allowance (SUA).
1.5.8
Deeming
A. Households
Containing Sponsored Non-Citizen
1. For
purposes of determining the eligibility and benefit level of a
household in which an eligible sponsored non-citizen is a member, the
agency must deem the income and resources of the sponsor and the
sponsor's spouse, if s/he has executed INS Form I-864 or I-864A on or
after December 19, 1997, as the unearned income and resources of the
legal permanent resident (LPR).
2. The
sponsor's income and resources shall be deemed until the LPR alien
gains U.S. citizenship, has worked or can receive credit for forty
(40) qualifying quarters of work covered by Title II of the Social
Security Act or can be credited with such qualifying quarters under §
435;
a. and
in the case of any such qualifying quarter creditable for any period
beginning after December 31, 1996, did not receive any Federal
means-tested public benefit during any such period, or s/he or the
sponsor dies.
B. Income
Deeming
1. The
monthly income of the sponsor (and sponsor's spouse) who executed INS
Form I-864 or I-864A) deemed as that of the eligible sponsored
immigrant shall be the total monthly earned and unearned income of
the sponsor and sponsor's spouse at the time the household containing
the sponsored alien member applies or is recertified for
participation, reduced by:
a. A
twenty percent (20%) earned income amount for that portion of the
income determined as earned income of the sponsor and the sponsor's
spouse; and
b. An
amount equal to the monthly gross income eligibility limit for a
household equal in size to the sponsor, the sponsor's spouse, and any
other person who is claimed or could be claimed by the sponsor or the
sponsor's spouse as a dependent for Federal income tax purposes.
c. If
the sponsor has signed an affidavit of support for more than one
immigrant, the sponsor's income is pro-rated among the sponsored
immigrants.
C. Resource
Deeming
1. All
but one thousand five hundred dollars ($1,500.00) of the total
resources of the sponsor are deemed available to the sponsored
non-citizen.
a. Non-citizens
exempt from income deeming are exempt from resource deeming.
D. Exemptions
from Sponsor Deeming
1. The
following classifications of non-citizens are not subject to deeming
rules:
a. Sponsor
in same SNAP household:
(1) If
the sponsor lives in the same household as the non-citizen, deeming
does not apply because the sponsor's income and resources are already
counted.
(2) There
is, however, no deeming exemption if the sponsor receives SNAP in
another household.
b. Ineligible
Member:
(1) If
the sponsored non-citizen is ineligible for SNAP benefits because of
immigration status (i.e., is not a qualified non-citizen or is an LPR
without five (5) years of residency), the sponsor's income is not
deemed to other eligible members of the immigrant's household.
c. Immigrant
whose sponsor has not signed a legally binding affidavit of support:
(1) This
category includes all but family-based and a few employment-based
LPRs who applied on or after December 19, 1997 and all immigrants who
became LPRs or whose sponsors signed affidavits of support before
December 19, 1997.
(2) Non-citizens,
such as refugees, who are sponsored by an organization or group also
fall into this category.
d. Immigrant
without sponsors:
(1) In
general, qualified non-citizens who enter the country under
provisions of immigration law other than the family-sponsored
categories do not have sponsors of the type that incur a liability
when the immigrant obtains means-tested benefits.
(AA) Included
in this group are refugees, asylees, persons granted withholding of
deportation, Amerasians, and Cuban or Haitian entrants. (While it is
possible for these individuals to be "sponsored" by an
organization such as a church, they are not sponsored on an I-864
Affidavit of Support and that organization does not have to sign a
legally binding affidavit of support that would subject that
individual to deeming requirements.)
e. Indigent
Exception:
(1) If
the immigrant's own income and any assistance provided by the sponsor
or any other individuals is not enough for the immigrant to obtain
food and shelter without the program, the amount of the income and
resources attributed to the non-citizen through deeming cannot exceed
the amount actually provided for up to a twelve (12) month period.
(2) The
State agency must notify the U.S. Citizenship and Immigration
Services (USCIS) if such determinations are made.
(3) An
immigrant is considered "indigent" if the sum of the
immigrant's household's own income and any cash or in- kind
assistance provided by the sponsor or others is less than one hundred
thirty percent (130%) of the poverty income line.
(4) Each
indigence determination is effective for twelve (12) months and may
be renewed for additional twelve (12) month periods.
f. Battered
Spouse or Child Exception:
(1) Deeming
also does not apply during any twelve (12) month period if the
non-citizen is a battered spouse, battered child or parent, or child
of a battered person providing the battered non-citizen lives in a
separate household from the person responsible for the battery.
(2) The
exemption can be extended for additional twelve (12) month periods if
the non-citizen demonstrates that the battery is recognized by a
court, administrative order, or by the USCIS and if the agency
administering the benefits determines that the battery has a
substantial connection to the need for benefits.
g. Children
under eighteen (18) years old
h. Immigrant
whose deeming period has ended.
E. Eligibility
Determination
1. The
amount of income and resources deemed to be that of the sponsored
non-citizen must be considered in determining the eligibility and
benefit level of the household of which the non-citizen is a member.
2. If
an immigrant is subject to deeming, the eligible sponsored immigrant
is responsible for obtaining the cooperation of the sponsor and for
providing the State agency at the time of application and
recertification with the information and documentation necessary to
calculate deemed income and resources.
a. The
State agency must assist the household in obtaining the necessary
verification.
b. If
necessary, USCIS through its SAVE program can provide the sponsor's
name, address, and Social Security number.
c. Immigrants
who are exempt from deeming do not need to provide information about
the sponsor's income and resources.
3. The
agency representative must obtain from the immigrant or immigrant's
spouse the following information:
a. The
income and resources of the immigrant's sponsor and the sponsor's
spouse (if any) at the time of the immigrant's application for SNAP
assistance.
b. All
other information which is determined questionable and which affects
household eligibility and benefit level in accordance with procedures
established in § 1.6.2 of this Part for verifying questionable
information.
c. While
the agency representative is awaiting receipt and/or verification
from the immigrant of information necessary to carry out the deeming
provisions of this Section, the sponsored immigrant is ineligible
until such time as all necessary facts are obtained.
(1) The
eligibility of any remaining household members must be determined.
(2) The
income and resources of the ineligible non-citizen (excluding the
deemed income and resources of the immigrant's sponsor and sponsor's
spouse) are considered available in determining the eligibility and
benefit level of the remaining household members in accordance with §
1.5.6 of this Part.
d. If
the sponsored non-citizen refuses to cooperate in providing and/or
verifying needed information, the other adult members of the
non-citizen's household must be responsible for providing and/or
verifying information required in accordance with the provisions of §
1.6.7 of this Part.
(1) If
the information and/or verification is subsequently received, the
agency representative acts on the information as a reported change in
household membership in accordance with the timeliness standards in §
1.13.1 of this Part.
(2) If
the same sponsor is responsible for the entire household, the entire
household is ineligible until such time as needed sponsor information
is provided and/or verified.
F. Enforcing
Sponsor Liability Claims
1. A
sponsor who has signed a legally binding affidavit of support on or
after December 19, 1997 for an immigrant s/he sponsored may be liable
for reimbursement of the value of SNAP benefits received by that
sponsored immigrant.
a. Only
the sponsors who signed binding affidavits of support (INS Form
I-864) may be responsible for SNAP benefits received by immigrants
they sponsor if those benefits were received during the period of
time the affidavit of support was in effect.
b. The
affidavit of support remains in effect until the sponsored immigrant
becomes a naturalized citizen, can be credited with forty (40)
qualifying quarters of work, is no longer an LPR and leaves the
United States permanently, or until the sponsor or the sponsored
immigrant dies.
(1) The
sponsor is not responsible for benefits the sponsored immigrant
receives after the support period has ended.
(2) If,
however, benefits were received by sponsored immigrants during the
period when the agreement was in effect, the sponsor or the sponsor's
estate is liable to repay the cost of these benefits for ten (10)
years after benefits were last received.
c. Sponsors
who fail to support the immigrants they sponsor can be sued by
government entities providing means-tested benefits as well as by the
immigrants they sponsor.
(1) However,
the agency cannot request reimbursement from the sponsor during any
period of time that the sponsor receives SNAP benefits.
1.5.9
Treating Lost Income due to Noncompliance
A. The
agency must ensure that, in most cases, there is no increase in SNAP
benefits to households on which a sanction resulting in a decrease in
benefits has been imposed for failure to comply with a requirement of
a Federal, State, or local welfare program (for example, RIW) which
is means-tested and distributes publicly funded benefits.
1. The
procedures for determining SNAP benefits when there is such a
decrease in benefits are as follows:
a. The
agency will calculate the SNAP allotment using the other program's
reduced benefit amount, then apply a 20% reduction to that allotment.
b. If
the person is also non-compliant with work requirements of the SNAP,
action is taken according to § 1.11.5 of this Part, and the 20%
reduction is not applied.
c. With
the exception of agency error cases, if the household's other program
benefit is subject to recoupment due to a prior overissuance, the
full amount of that program's benefit will be used in the SNAP
computation.
1.6 Verification
1.6.1 Verification
Introduction
A. Verification
is the use of third party information or documentation to establish
the accuracy of statements on the application. This Section sets
forth the general requirements for verification of financial and
non-financial eligibility factors.
1. The
agency representative must examine both financial and non-financial
information provided by applicant households as part of the
eligibility process.
a. Financial
information includes statements presented by the household on its
resources, monthly income, and deductible expenses.
b. Non-financial
information includes residency in the project area, the composition
of the household, its citizenship or alien status, the need for
certain members to register for work, and verification of social
security number(s) (SSN).
1.6.2 Verification
of Questionable Information
A. The
agency representative must verify, prior to certification of the
household, all factors of eligibility which the agency representative
determines are questionable and affect the household's eligibility
and benefit level. Questionable information cannot be based on race,
religion, ethnic background, or national origin. Groups such as
migrant farmworkers or American Indians cannot be targeted for more
intensive verification.
1. As
a guideline, questionable information is information that is:
a. Inconsistent
with statements made by the applicant or with other information on
the application or previous applications; or,
b. Inconsistent
with information received from another source.
1.6.3
Sources for Verification
A. The
agency representative uses documentary evidence as the primary source
of verification. Documentary evidence consists of a written
confirmation of a household's circumstances. Although documentary
evidence must be the primary source of verification, acceptable
verification must not be limited to any single type of document and
may be obtained from the applicant/member or other source. Whenever
documentary evidence cannot be obtained or is insufficient to make a
firm determination of eligibility or benefit level, the agency
representative may require collateral contacts or home visits.
1. Documentary
Evidence
a. The
agency representative accepts any reasonable documentary evidence
provided by the household and is primarily concerned with how
adequately the verification proves the statements on the application.
(1) If
the household is unable to obtain the documentary evidence in a
timely manner, or the agency representative can do so more
expeditiously than the household, the agency representative offers
assistance to the household in obtaining the documentary evidence.
The agency is not required, however, to assist households in
obtaining verification of shelter costs for an unoccupied home if
verification would have to be obtained from sources outside of the
project area.
b. When
information from another source contradicts statements made by the
household, the household is immediately afforded the opportunity to
resolve the discrepancy.
(1) Whenever
documentary evidence is insufficient to make a firm determination of
eligibility or benefit level, or cannot be obtained, the agency
representative uses alternate sources of verification, such as
collateral contact and home visits. In all cases, the method of
verification is recorded in the case record.
2. Collateral
Contacts
a. A
collateral contact is an oral confirmation of a household's
circumstances by a person outside of the household who can be
expected to provide accurate third-party verification.
(1) The
collateral contact may be made either in person or over the
telephone.
(2) The
agency representative may select a collateral contact if the
household fails to designate one or designates one unacceptable to
the agency representative.
b. If
the agency representative designates a collateral contact, the agency
representative must not make the contact without providing prior
written or oral notice to the household. At the time of this notice,
the agency representative must inform the household that it has the
following options:
(1) Consent
to the contact; or,
(2) Provide
acceptable verification in another form; or,
(3) Withdraw
its application.
c. If
the household refuses to choose one of the options in § 1.6.3(2)(b),
its application must be denied in accordance with the normal
procedures for failure to verify information under § 1.3 of this
Part.
3. Home
Visits
a. Home
visits are used as verification only if documentary evidence cannot
be obtained and the visit is scheduled in advance with the household.
4. Self-attestation
a. The
agency will accept a household’s attestation or self-declaration as
verification of the following factors:
(1) Shelter
deductions;
(2) Utility
expenses such as heating and cooling expenses which qualify the
household for the Standard Utility Allowance;
(3) Receipt
of Low-Income Home Energy Assistance (LIHEA);
(4) Dependent
care expenses
b. Verification
shall only be required if the information provided by household is
considered questionable as defined in § 1.6.2 of this Part.
1.6.4
Verification of Reported Changes
A. Changes
reported during the certification period are subject to the same
verification procedures as apply at initial certification, except
that the agency should not verify changes in income if the source has
not changed and if the amount has changed by fifty dollars ($50) or
less, or total medical expenses or actual utility expenses which are
unchanged or have changed by twenty-five dollars ($25.00) or less,
unless the information is incomplete, inaccurate, inconsistent, or
outdated.
1. Households
must verify medical expenses of over thirty-five dollars if no
previous medical deduction was provided in order to receive the
standard medical deduction of one hundred and forty one dollars
($141).
a. Households
that elect to claim actual medical expenses (those households with
medical expenses over one hundred and seventy- six dollars ($176)),
must verify at a reported change, previously unreported medical
expenses and total recurring allowable medical expenses that have
changed by more than twenty-five dollars ($25.00).
b. Medical
expenses that are unchanged or changed by $25.00 or less will not be
verified unless information regarding these expenses is incomplete,
inaccurate, inconsistent or outdated.
c. If
the household declares a medical expense that must be verified, but
chooses not to verify it, this decision must be documented in the
case record. The household will be advised that the case will be
processed without the medical expense and that it may furnish this
required verification at a later date.
d. When
the household does provide verification of the medical expense, the
expense will be deducted, and the SNAP benefit amount adjusted
according to the timeliness standards for a reported change.
e. If
the agency learns of a change in its medical expenses from a source
other than the household, the agency must act on the change, provided
that no additional information or verification is required from the
household. The agency will not contact the household and will not
take any action on the household's medical expense deduction if the
report of a change in medical expenses requires contact with the
household.
1.6.5 Verification
at Recertification
A. Income
Changes
1. At
recertification, the agency representative must verify any change in
income if:
a. the
source has changed; or
b. the
amount has changed by more than fifty dollars ($50)
2. The
agency shall not verify income if the source has not changed and if
the amount is unchanged or has changed by fifty dollars ($50) or
less, unless the information is incomplete, inaccurate, inconsistent,
or outdated.
B. Expense
Changes
1. At
recertification, agency shall not verify total medical expenses
claimed by households which are unchanged or have changed by $25 or
less, unless the information is incomplete, inaccurate, inconsistent
or outdated.
2. For
households eligible for the child support exclusion, the agency shall
require to household to verify any changes in legal obligation to pay
child support, the obligated amount, and the amount of legally
obligated child support a household member pays to a non-household
member.
a. The
agency representative shall verify reportedly unchanged child support
information only if the information is incomplete, inaccurate,
inconsistent or outdated.
1.6.6
Verification after Non-Cooperation with Quality Control
A. The
agency representative must verify all factors of eligibility for
households who have been terminated for refusal to cooperate with the
DHS QC reviewer, and who reapply after one hundred and twenty-five
(125) days from the end of the annual review period.
1. Also,
the agency representative must verify all factors of eligibility for
households who have been terminated for refusal to cooperate with a
Federal QC reviewer, and who reapply after nine (9) months from the
end of the annual review period.
1.6.7
Non-Financial Verification
A. Identity
1. The
identity of the person making application must be verified.
2. When
an authorized representative applies on behalf of a household, the
identity of both the authorized representative and the head of
household must be verified.
3. Identity
may be verified through readily available documentary evidence, or if
this is unavailable, through a collateral contact.
a. Any
documents which reasonably establish the applicant's identity must be
accepted, and no requirement for a specific type of document, such as
a birth certificate, may be imposed.
B. Social
Security Numbers.
1. The
agency must verify the Social Security Numbers (SSNs) of all
household members applying for participation in the SNAP by
submitting them to the Social Security Administration (SSA) for
verification according to procedures established by the SSA.
2. The
agency should not delay the certification for, or issuance of,
benefits to an otherwise eligible household solely to verify the SSN
of a household member.
C. Residency
1. Rhode
Island residency must be verified except in unusual cases (such as a
homeless household, a migrant farm worker household or a household
newly arrived in the project area) where verification of residency
cannot reasonably be accomplished.
2. Verification
of residency should be accomplished to the extent possible in
conjunction with the verification of other information such as, but
not limited to, rent and mortgage payments, utility expenses, and
identity.
a. If
verification of residence cannot be accomplished in conjunction with
the other verification, then the agency representative may use a
collateral contact or other readily available documentary evidence.
b. Documents
used to verify other factors of eligibility should normally suffice
to verify residency as well. Any documents or collateral contact
which reasonably establish the applicant's residency must be accepted
and no requirement for a specific type of verification may be
imposed.
D. Household
Composition
1. Households
must list on their applications the various members they wish to be
considered for SNAP benefits. Individuals who claim to be a separate
household from those with whom they reside based on the various age
and disability factors for determining separateness are responsible
for proving a claim of separateness (at the agency's request) in
accordance with the provisions of § 1.2 of this Part
E. U.
S. Citizenship
1. U.S.
citizenship must be verified only when the citizenship statement is
inconsistent with other information on the application, previous
applications or other documented information known to the agency
representative.
2. When
a household's statement that one or more of the members are U.S.
citizens is questionable, the agency representative must request the
household to provide acceptable verification.
a. Participation
in the RIW program may be considered acceptable verification if
verification of citizenship was obtained for that program.
3. If
verification cannot be obtained, and the household can provide a
reasonable explanation as to why verification is not available, the
agency representative may accept a signed statement from someone who
is a U.S. citizen which declares, under penalty of perjury, that the
member in question is a U.S. citizen.
4. A
member whose citizenship is in question is ineligible to participate
until proof of U.S. citizenship is obtained.
a. The
member whose citizenship is in question has his/her income, less a
pro rata share, and all his/her resources considered available to any
remaining household members as set forth in § 1.5.6 of this Part.
5. Pending
verification from USCIS, the agency must not delay, deny, reduce, or
discontinue the individual's eligibility for benefits on the basis of
the individual's immigration status.
a. The
agency must provide non-citizen applicants with a reasonable
opportunity to submit acceptable documentation of their eligible
non-citizen status as of the 30th day following the date of
application.
b. A
reasonable opportunity is at least ten days from the date of the
agency's request for an acceptable document.
c. When
the agency accepts non-USCIS documentation and fails to provide a
non-citizen applicant with a reasonable opportunity as of the 30th
day following the date of application, the agency must provide the
household with benefits no later than 30 days following the date of
application provided the household is otherwise eligible.
F. Disability
Verification
1. A
disabled household member means a member of a household who receives
one or more of the following benefits authorized under the Social
Security Act:
a. supplemental
security income benefits under title XVI of the Social Security Act
or disability or blindness payments under titles I, II, X, XIV, or
XVI of the Social Security Act;
b. federally
or State-administered supplemental benefits under § 1616(a) of the
Social Security Act provided that the eligibility to receive the
benefits is based upon the disability or blindness criteria used
under title XVI of the Social Security Act;
c. federally
or State-administered supplemental benefits under § 212(a) of Pub.
L. 93-66
(1) For
individuals to be considered disabled under this definition, the
household shall provide proof that the disabled individual is
receiving benefits under titles I, II, X, XIV or XVI of the Social
Security Act.
2.
Is a veteran with a service-connected or non-service-connected
disability rated by the Veteran's Administration (VA) as total or
paid as total by the VA under title 38 of the United States Code;
a. For
individuals to be considered disabled this definition, the household
must present a statement from the Veterans Administration (VA) which
clearly indicates that the disabled individual is receiving VA
disability benefits for a service-connected or non-service-connected
disability and that the disability is rated as total or paid at the
total rate by VA.
3. Is
a veteran considered by the VA to be in need of regular aid and
attendance or permanently housebound under title 38 of the United
States Code;
a. Is
a surviving spouse of a veteran and considered by the VA to be in
need of regular aid and attendance or permanently housebound or a
surviving child of a veteran and considered by the VA to be
permanently incapable of self-support under title 38 of the United
States Code;
(1) For
individuals to be considered disabled under this definition, proof by
the household that the disabled individual is receiving VA disability
benefits is sufficient verification of disability.
4.
Receives disability retirement benefits from a governmental agency
because of a disability considered permanent under § 221(i) of the
Social Security Act.
a. Is
a surviving spouse or surviving child of a veteran and considered by
the VA to be entitled to compensation for a service-connected death
or pension benefits for a non-service-connected death under title 38
of the United States Code and has a disability considered permanent
under § 221(i) of the Social Security Act. “Entitled” as used in
this definition refers to those veterans' surviving spouses and
surviving children who are receiving the compensation or pension
benefits stated or have been approved for such payments, but are not
yet receiving them;
(1) For
individuals to be considered disabled under this definition, the
State agency shall use the Social Security Administration's (SSA)
most current list of disabilities considered permanent under the
Social Security Act for verifying disability.
(2) If
it is obvious to the agency representative that the individual has
one of the listed disabilities, the household shall be considered to
have verified disability.
(3) If
disability is not obvious to the agency representative, the household
shall provide a statement from a physician or licensed or certified
psychologist certifying that the individual has one of the nonobvious
disabilities listed as the means for verifying disability.
5.
Receives an annuity payment under: § 2(a)(1)(iv) of the Railroad
Retirement Act of 1974 and is determined to be eligible to receive
Medicare by the Railroad Retirement Board; or
a. §
2(a)(1)(v) of the Railroad Retirement Act of 1974 and is determined
to be disabled based upon the criteria used under title XVI of the
Social Security Act.
(1) For
individuals to be considered disabled under this definition, the
household shall provide proof that the individual receives a Railroad
Retirement disability annuity from the Railroad Retirement Board and
has been determined to qualify for Medicare.
6.
Is a recipient of interim assistance benefits pending the receipt of
Supplemented Security Income, a recipient of disability related
medical assistance under title XIX of the Social Security Act, or a
recipient of disability-based State general assistance benefits
provided that the eligibility to receive any of these benefits is
based upon disability or blindness criteria established by the State
agency which are at least as stringent as those used under title XVI
of the Social Security Act (as set forth at 20 CFR § 416, subpart I,
Determining Disability and Blindness as defined in Title XVI).
a. For
individuals to be considered disabled under this definition, the
household shall provide proof that the individual receives interim
assistance benefits pending the receipt of Supplemental Security
Income; or
b. disability-related
medical assistance under Title XIX of the SSA; or
c. disability-based
State general assistance benefits.
(1) The
State agency shall verify that the eligibility to receive these
benefits is based upon disability or blindness criteria which are at
least as stringent as those used under Title XVI of the Social
Security Act.
1.6.8
Financial Verification
A. The
agency representative must use documentary evidence as the primary
source of verification. If other types of verification are used, the
agency representative documents the case record as to why an
alternate source was used.
B. Loans
1. When
verifying that income is exempt as a loan, a legally binding
agreement is not required. A simple statement signed by both parties
that indicates that the payment is a loan and must be repaid is
sufficient verification.
2. However,
if the household receives payments on a recurrent or regular basis
from the same source, but claims the payments are loans, the agency
representative must also require that the provider of the loan sign
an affidavit indicating that repayments are being made or that
payments will be made in accordance with an established repayment
schedule.
C. Income
Budgeting
1. For
the purpose of determining a household's eligibility and monthly
allotment, the agency representative takes into account the income
already received by the household during the certification period and
any anticipated income the household and the agency representative
are reasonably certain will be received during the remainder of the
certification period.
a. If
the amount of income that will be received, or when it will be
received, is uncertain, the portion of the household's income that is
uncertain is not counted by the agency representative.
2. Income
received during the past thirty days is used as an indicator of
anticipated income. However, past income is not used for any month in
which a change in income has occurred or can be anticipated.
a. If
income fluctuates to the extent that a 30-day period alone cannot
provide an accurate indication of anticipated income, the agency
representative may use a longer period of past time if it provides an
accurate indication of anticipated income.
b. If
the household's income fluctuates seasonally, it may be appropriate
to use the most recent season comparable to the certification period,
rather than the last thirty (30) days, as one indicator of
anticipated income.
c. In
many cases of seasonally fluctuating income, the income also
fluctuates from one season in one year to the same season in the next
year.
(1) In
no event may the agency representative automatically attribute to the
household the amounts of any past income.
(2) The
agency representative may not use past income as an indicator of
anticipated income when changes in income have occurred or can be
anticipated during the certification period.
3. Cases
with Earnings
a. In
cases where the head of the household is steadily employed, income
from previous months is usually a good indicator of the amount of
income which can be anticipated in the month of application and
subsequent months.
b. Hourly
and Piece Work Wages
(1) When
income is received on an hourly wage or piece work basis, weekly
income may fluctuate if the wage earner works less than eight (8)
hours some days or is required to work overtime on others.
(2) When
determining the amount of anticipated income, review pay stubs from
the previous four (4) weeks in order to determine a weekly average.
c. Withheld
Wages: Wages withheld at the request of the employee must be
considered income to the household in the month the wages would
otherwise have been paid by the employer.
(1) However,
wages withheld by the employer as a general practice, even if in
violation of law, are not counted as income to the household, unless
the household anticipates that it will ask for and receive an
advance, or the household anticipates that it will receive income
from wages that were previously held by the employer as general
practice and that were, therefore, not previously counted as income
by the agency.
d. Advances
on wages must only count as income if reasonably anticipated.
4. Verification
of Income
a. Gross
non-exempt income must be verified for all households prior to
certification.
(1) However,
where all attempts to verify income have been unsuccessful because
the income provider fails to cooperate with the household and the
agency representative, and because all other sources of verification
are unavailable, the agency representative must determine an amount
to be used, based on the best available information.
5. Averaging
Income
a. Whenever
a full month's income is anticipated but is received on a weekly
basis, the agency representative converts the income to a monthly
amount by multiplying the weekly income by 4.3333.
b. Whenever
a full month’s income is anticipated but is received on a bi-weekly
basis, the agency representative converts the income into a monthly
amount by multiplying the income by 2.1666.
c. A
household that, by contract or self-employment, derives its annual
income in a period of time shorter than one year has such income
averaged over a 12-month period, provided the income from the
contract is not received on an hourly or piece work basis.
(1) Examples
of such households may include school employees, share croppers,
farmers and other self-employed households. However, these provisions
do not apply to migrant or seasonal farm workers.
(2) Such
income shall not affect more budget months than the number of months
in the period over which it is annualized or prorated.
d. Income
must not be averaged for a destitute household since averaging would
result in assigning to the month of application income from future
periods which is not available to the destitute household for its
current food needs.
D. Self-Employment
Income
1. Self-employment
income includes the total gross income from a self-employment
enterprise, including the total gain from the sale of any capital
goods or equipment related to the business, excluding the costs of
doing business .
2. Ownership
of rental property is considered self-employment. However, income
derived from the rental property is considered earned income only if
a member of the household is actively engaged in management of the
property at least an average of twenty (20) hours per week.
a. Payments
from a roomer or boarder and returns on rental property are also
self-employment income.
3. Examples
of types of verification for self-employment income include state or
federal income tax returns, self-employment bookkeeping records, or
sales and expenditure reports.
E. Unreported
Income
1. In
addition to verifying reported income, the agency representative may
have occasion to explore the possibilities of unreported income.
a. When
the applicant states that s/he has no earnings or other income, and
the applicant is employable, or it appears s/he may be eligible for
other benefits such as Social Security, unemployment insurance, or
assistance payments, it is necessary to verify that s/he is not
receiving income from such sources.
b. Additional
situations in which the possibility of unreported income are
investigated are difficulty in finding the head of the household at
home, seasonal employment in the area which is at its peak, shelter
costs higher than reported income, or similar questionable
situations.
1.7 Recertification
A. The
agency must complete the recertification process if the household
meets all requirements and finishes the necessary processing steps,
and approve or deny timely applications for recertification prior to
the end of the household's current certification period. Any eligible
household must be provided an opportunity to participate by its
normal issuance cycle in the month following the end of its current
certification period.
1. The
household loses its right to uninterrupted benefits for failure
either to attend any interview scheduled on or after the deadline for
timely filing of the application for recertification, or to submit
all necessary verification within the timeframe established by the
agency as long as the timeframe elapses after the deadline for filing
a timely application for recertification.
a. Although
a household loses its right to uninterrupted benefits for such
failures, the household must not be denied at that time, unless it
refused to cooperate or the certification period has lapsed.
b. If
the household loses its right to uninterrupted benefits due to such
failures but is otherwise eligible after correcting such failures,
the agency must, at a minimum, provide benefits within thirty (30)
days after the date the application was filed.
(1) The
agency may, at its option, either provide benefits by the household's
next normal issuance date or provide uninterrupted benefits to a
household determined eligible despite such failures.
(2) If
the household submits an application for recertification prior to the
end of its current certification period and is found eligible for the
first month following the end of the certification period, then that
month is not an initial month.
c. Denials,
including those for failure to complete the interview or provide
missing verification, must be completed either by the end of the
current certification period or within thirty (30) days after the
date the application was filed as long as the household has had
adequate time for providing the missing verification.
d. The
agency must not continue benefits to the household beyond the end of
the certification period unless the household has been recertified.
e. The
joint processing requirements in § 1.5.1 of this Part, for RIW and
GPA households continue to apply to applications for recertification.
2. If
an application for recertification is submitted after the household's
certification period has expired, that application is considered an
initial application and benefits for that month must be prorated.
a. Any
household that receives the notice of expiration at the time of
certification and is otherwise eligible must not have benefits for
the first month of the new certification period prorated if it files
an application by the filing deadline contained in the notice of
expiration.
3. If
the household submits an application for recertification prior to the
end of its current certification period but is found ineligible for
the first month following the end of the certification period, then
the first month of any subsequent participation is considered an
initial month.
a. The
agency must ensure that any eligible household that did not submit a
timely application for recertification is provided an opportunity to
participate within thirty (30) calendar days after the application is
filed.
b. If
the agency is unable to provide an eligible household with an
opportunity to participate within thirty (30) calendar days after the
date the application was filed due to the time period allowed for
submitting any missing verification, the agency must provide the
household an opportunity to participate within five (5) working days
after the date the household supplies the missing verification.
c. Households
that have filed an application by the 15th of the last month of their
certification period with receive either a notice of eligibility or a
notice of denial by the end of the current certification period.
B. Eligibility
at recertification must be determined based on circumstances
anticipated for the new certification period starting with the month
following the expiration of the current certification period. The
level of benefits at recertification must be based on the same
anticipated circumstances.
C. Notice
Requirements
1. A
household will receive a notice of expiration at the end of its
certification prior to the start of the last month of the household's
certification period.
2. RIW
and GPA households whose applications were jointly processed for SNAP
benefits and RIW or GPA benefits in need not receive a notice of
expiration if they are recertified for SNAP at the same time as their
RIW or GPA redetermination.
3. Households
comprised entirely of elderly and/or disabled members, will be sent a
Mid-Certification Reminder Letter on or about the 15th day of the
twelfth month of its certification. The letter reminds the household
of its responsibility to report any changes within ten (10) days.
D. Interview
and Verification Requirements
1. All
households must participate in an interview scheduled by the agency
on or after the date the recertification is timely filed in order to
retain its right to uninterrupted benefits.
a. The
agency must schedule the interview on or after the date the
application was timely filed if the interview has not been previously
scheduled, or the household failed to participate in an interview
scheduled prior to that time and has requested another interview. If
the household does not avail itself for any interview scheduled in
accordance with this Section, the agency need not initiate any
further action.
(1) A
household which fails to participate in an interview in accordance
with the requirements in this Subchapter or to submit any missing
verification loses its right to uninterrupted benefits as long as
such failures occur after the deadline for filing a timely
application for recertification.
(2) Households
which refuse to cooperate in providing required information must be
denied.
2. At
recertification, previously verified unearned income of households
need not be verified if the source has not changed and the amount has
not changed by more than fifty dollars ($50) or one hundred dollars
($100) for earned income.
a. Previously
verified actual utility expenses that have not changed by more than
twenty-five dollars ($25) also do not have to be verified.
3. A
household which submits a timely application for recertification but
is either interviewed and/or submits all verification in an untimely
manner (but before the end of its current certification period) need
not be provided uninterrupted benefits.
a. For
eligible households under these circumstances, the agency must, at a
minimum, provide the household an opportunity to participate within
thirty (30) calendar days after the date the application was filed.
b. If
the household takes the required action before the end of the
certification period, the agency must reopen the case and provide a
full month's benefits for the initial month of the new certification
period.
c. If
the household takes the required action after the end of the
certification period but within 30 days after the end of the
certification period, the agency shall reopen the case and provide
benefits retroactive to the date the household takes the required
action.
d. If
a household's application for recertification is delayed beyond the
first of the month of what would have been its new certification
period through the fault of the agency, the household's benefits for
the new certification period shall be prorated based on the date of
the new application, and the agency shall provide restored benefits
to the household back to the date the household's certification
period should have begun had the State agency not erred and the
household been able to apply timely.
E. Right
to Uninterrupted Benefits
1. The
agency must act to provide uninterrupted benefits to any household
determined eligible after the household has timely filed an
application, attended an interview in accordance with the
requirements in this Section, and submitted all necessary
verification.
2. The
agency must take action to provide uninterrupted benefits within the
following time standards even if, to meet these standards, the agency
must provide an opportunity to participate outside the normal
issuance cycle:
a. For
households that have met all the required application procedures, the
agency must approve or deny the application and notify the household
of its determination by the end of the current recertification
period.
b. For
households determined eligible, the agency must provide an
opportunity to participate by the household's normal issuance cycle
in the month following the end of its current certification period.
(1) Any
household not determined eligible in sufficient time to provide for
issuance in that timeframe due to a time period allowed for
submitting any missing verification must receive an opportunity to
participate, if eligible, within five (5) working days after the
household supplies the missing verification.
(2) A
household that has timely submitted an application for
recertification or Interim Report Form but, due to agency error, is
not determined eligible in sufficient time to provide for issuance by
the household's next normal issuance cycle must receive an immediate
opportunity to participate upon being determined eligible.
(3) Such
households are entitled to restoration of lost benefits if, as a
result of such error, the household was unable to participate for the
month following the expiration of the Interim Report timeframes or
certification period.
1.7.1
Recertification for SSI Households
A. The
agency must provide SSI households with a notice of expiration in
accordance with this Part except that such notification should inform
households consisting entirely of SSI recipients that they are
required to have an interview prior to being certified and may have
that interview in the office, face to face, or by telephone.
1. Pure
SSI households which have received a SNAP notice of expiration are
entitled to make a timely application for SNAP recertification at the
SSA office.
a. SSA
must accept the application of a pure SSI household and forward the
completed application, transmittal form and any available
verification to the SNAP office.
b. When
SSA accepts and refers the application in such a situation, the
household must not be required to appear at a second office
interview, although the agency representative may conduct an
out-of-office interview by telephone, or face-to- face, if/as
necessary.
c. In
cases where pure SSI households apply for SNAP recertification at the
SSA office, an application must be considered filed for normal
processing purposes when the signed application is received by SSA.
1.8 Certification Periods
A. Definite
periods of time are established which households are eligible to
receive benefits. At the expiration of each certification period
eligibility for food assistance is redetermined based upon a newly
completed application or recertification packet, an in-person or
phone interview and such verification as is required. Under no
circumstances are benefits continued beyond the end of a
certification period without a redetermination of eligibility.
1. Change
reporters are households consisting entirely of unemployable members
in which all members are elderly or disabled as defined in § 1.13.1
of this Part, and households with members who are migrant or seasonal
farmworkers. Change Reporters are assigned a twenty-four (24) month
certification period.
2. All
other households are considered Simplified Reporters and are assigned
a twelve (12) month certification period.
B. Certification
periods conform to calendar months. At initial application, the first
month in the certification period is generally the month of
application, even if the household's eligibility is not determined
until a subsequent month.
1.8.1
Certification Periods for Public Assistance (PA) Households
A. A
household in which all members are contained in a single PA grant
should have its SNAP recertification completed, to the extent
possible, at the same time it is redetermined for PA.
1. The
agency representative assigns such households a SNAP certification
period which expires at the same time as the household's PA
redetermination date. In no event must SNAP benefits be continued
beyond the end of a certification period.
2. If
a PA household has not had its PA redetermination, and the SNAP
recertification is due at the same time, the agency representative
must ensure that the SNAP recertification is timely completed.
1.9 Intentional Program Violations
A. The
Fraud Detection & Prevention Unit is responsible for
investigating any case of alleged intentional program violation and
ensuring that appropriate cases are acted upon, either through
administrative disqualification hearings or referral to a court of
appropriate jurisdiction, in accordance with the procedures outlined
in this Section.
1. Administrative
disqualification procedures or referral for prosecution action must
be initiated whenever there is sufficient documentary evidence to
substantiate that an individual has intentionally committed one or
more acts of intentional program violation as defined in § 1.8(A)(3)
of this Part.
a. If
the Fraud Detection & Prevention Unit does not initiate
administrative disqualification procedures or refer for prosecution a
case involving an overissuance caused by a suspected act of
intentional program violation, an inadvertent household error claim
is established against the household in accordance with the
procedures in § 1.17 of this Part.
2. The
household is informed, in writing, of the disqualification penalties
for committing intentional program violation each time it applies for
program benefits. The penalties are written in clear, prominent and
boldface lettering on the application form.
3. Disqualification
penalties shall be imposed as follows:
a. Any
member of a household that violates a SNAP rule can be barred from
the Supplemental Nutrition Assistance Program for one year to
permanently, fined up to $250,000, imprisoned up to twenty (20) years
or both.
b. S/he
may also be subject to prosecution under other applicable Federal and
State laws.
c. S/he
may also be barred from the SNAP for an additional eighteen (18)
months if court ordered. Individuals found to have committed an
intentional program violation, either through an administrative
disqualification hearing, or by a Federal, State, or local court, or
who have signed a waiver of right to an administrative
disqualification hearing shall be ineligible to participate in the
program:
d. For
a period of one (1) year for the first violation, with the exceptions
in numbers § 1.8(A)(3)(g), § 1.8(A)(3)(h), § 1.8(A)(3)(i), §
1.8(A)(3)(j) and§ 1.8(A)(3)(l) of this Part;
e. For
a period of two (2) years for the second violation, with the
exceptions in § 1.8(A)(3)(g), § 1.8(A)(3)(h), § 1.8(A)(3)(i), §
1.8(A)(3)(j) and§ 1.8(A)(3)(l) of this Part; and,
f. Permanently
for the third occasion of any intentional program violation.
g. Individuals
found by a Federal, State, or local court to have used or received
SNAP benefits in a transaction involving the sale of a controlled
substance (as defined in § 102 of the Controlled Substances Act)
shall be ineligible for SNAP benefits:
(1) For
a period of two (2) years for the first occasion of such violation;
and
(2) Permanently
upon the second occasion of such violation.
h. Individuals
found by a Federal, State, or local court to have used or received
SNAP benefits in a transaction involving the sale of firearms,
ammunition, or explosives shall be permanently disqualified from the
SNAP.
i. Individuals
convicted of trafficking SNAP benefits for an aggregate amount of
five hundred dollars ($500) or more shall be permanently disqualified
from the SNAP upon the first occasion of such violation. Trafficking
means:
(1) The
buying, selling, stealing, or otherwise effecting an exchange of SNAP
benefits issued and accessed via Electronic Benefit Transfer (EBT)
cards, card numbers and personal identification numbers (PINs), or by
manual voucher and signature, for cash or consideration other than
eligible food, either directly, indirectly, in complicity or
collusion with others, or acting alone;
(2) The
exchange of firearms, ammunition, explosives, or controlled
substances, as defined in § 802 of title 21, United States Code, for
SNAP benefits;
(3) Purchasing
a product with SNAP benefits that has a container requiring a return
deposit with the intent of obtaining cash by discarding the product
and returning the container for the deposit amount, intentionally
discarding the product, and intentionally returning the container for
the deposit amount;
(4) Purchasing
a product with SNAP benefits with the intent of obtaining cash or
consideration other than eligible food by reselling the product, and
subsequently intentionally reselling the product purchased with SNAP
benefits in exchange for cash or consideration other than eligible
food; or
(5) Intentionally
purchasing products originally purchased with SNAP benefits in
exchange for cash or consideration other than eligible food.
j. Individuals
found by the Department of having made, or convicted in a Federal or
State court of having made, a fraudulent statement or representation
with respect to their identity or place of residence in order to
receive multiple benefits simultaneously under the Supplemental
Nutrition Assistance Program shall be ineligible to participate in
the program for a ten (10) year period.
k. Individuals
disqualified from the Food Distribution Program on Indian
Reservations (FDPIR) for an intentional program violation as
described in this Section, have the same disqualification imposed on
the member of the household under SNAP.
(1) In
instances where the disqualification is a reciprocal action based on
disqualification from the Food Distribution Program on Indian
Reservations, the length of disqualification shall mirror the period
prescribed by the Food Distribution Program on Indian Reservations.
(2) Dual
participation in the Food Distribution Program on Indian Reservations
(FDPIR) and SNAP shall not be permitted.
l. Individuals
found guilty by a court of law for buying and selling illegal drugs
or certain prescription drugs in exchange for SNAP benefits will be
prohibited from participating in the SNAP for twenty-four (24) months
for the first offense and permanently for the second offense.
4. If
a court fails to impose a disqualification period for the intentional
program violation, the agency must impose the disqualification period
penalties specified in this Section unless it is contrary to the
court order. The agency must disqualify only the individual found to
have committed intentional program violation or who signed the waiver
of right to an administrative disqualification hearing, and not the
entire household.
a. Even
though only the individual is disqualified, the household is
responsible for making restitution for the amount of the
overissuance. All intentional program violation claims shall be
established and collected in accordance with § 1.17 of this Part.
1.10 Mini-Simplified SNAP
A. The
Department of Human Services has been granted a waiver from the Food
and Nutrition Service that allows for the implementation of a
mini-Simplified SNAP Program. A mini- simplified SNAP program allows
the agency to add the SNAP allotment to the RI Works (RIW) grant to
calculate the maximum number of hours a RIW parent can participate in
the unpaid work experience or community service.
1. The
mini-simplified SNAP will thereby allow the agency to count the value
of SNAP benefits and then deem any hours that fall short of the
parents required hours in order to meet the RIW work requirement.
1.11 Work Requirements
A. The
Food and Nutrition Act of 2008 requires certain unemployed adults who
are members of eligible households to register for work, and to
comply with all the employment and training requirements.
1. In
Rhode Island, for FFY 2011 forward, until policy is amended
otherwise, participation in an employment and training program is
voluntary.
2. Each
household member who is not exempt, must register for employment at
the time of application, and once every twelve (12) months after
initial registration, as a condition of eligibility.
a. The
registration form need not be completed by the member required to
register; it can be completed by a responsible household member or an
authorized representative.
3. Strikers
whose households are eligible under the criteria in § 1.2.10 of this
Part are subject to the work registration requirements unless exempt
under § 1.11.1 of this Part at the time of application.
1.11.1
Exemptions from Work Registration
A. The
following persons are exempt from the work registration requirement:
1. Persons
under 16 or 60 Years of Age or Older
a. If
a child has his/her 16th birthday within the certification period,
the child must fulfill the work registration requirement as part of
the next scheduled recertification process unless otherwise exempt.
b. Also
exempt is a person age 16 or 17 who is not a head of household or who
is attending school or is enrolled in an employment training program
on at least a half-time basis.
2. Persons
with Disabling Conditions
a. Persons
with disabling conditions incapable of gainful employment either
permanently or temporarily. Persons claiming a temporary incapacity
must be required to register once they become physically and mentally
able to work.
b. Eligibility
for and receipt of benefits from SSI is evidence of unemployability.
(1) In
the case of an SSI household containing an "essential person",
the individual situation must be examined to determine whether that
essential person must register.
c. Receipt
of disability payments under the Social Security Program (Retirement,
Survivors and Disability Insurance (RSDI)) is considered proof of
disability for purposes of this exemption.
d. Other
individuals claiming an exemption for a physical or mental disability
should furnish other verification which can substantiate such claim.
(1) Appropriate
verification may consist of receipt of temporary or permanent
disability benefits issued by governmental or private sources, or a
statement from a physician or licensed or certified psychologist. If
the individual cannot afford to pay a physician, the agency
representative should provide the address of the appropriate Rhode
Island Health Center.
e. Receipt
of Workers' Compensation may also indicate temporary disability.
3. Persons
Who Are Participants in the RIW Program
a. A
household member subject to and complying with any work registration
requirement under Title IV-A of the Social Security Act, including
the RIW Employment Plan, is exempt from the SNAP work requirement.
b. A
household member who is required to register for work under a Title
IV-A program and who fails to comply with a registration requirement
which is not comparable with the SNAP work registration requirement
must not be denied SNAP benefits solely for this failure. The member
loses his/her special exemption and must register for work with the
Supplemental Nutrition Assistance Program if not otherwise exempt.
4. Persons
Who Are Caretakers
a. A
parent or other household member who is responsible for the care of a
dependent child under six (6) or an incapacitated person.
(1) If
the child has his/her sixth birthday within a certification period,
the individual responsible for the care of the child must fulfill the
work registration requirement as part of the next scheduled
recertification process, unless that individual qualifies for another
exemption.
(2) If
a parent and another member of the household both claim to be
responsible for the care of the same dependent child or incapacitated
adult, the actual responsibility should be determined by discussion
with the applicant.
5. Recipients
of Unemployment Insurance (UI)
a. A
person who has applied for, but has not yet begun to receive UI is
also exempt, but only if that person was required to register for
work with the Department of Labor and Training (DLT) as part of the
UI application process. If the exemption claimed is questionable, the
agency representative is responsible to verify the exemption with the
Department of Labor and Training.
b. If
a person's UI expires or is suspended, s/he must register for work
unless otherwise exempt.
c. A
household member who is required to register for work under the UI
program and who fails to comply with a work registration requirement
which is not comparable with the SNAP work registration requirement
must not be denied SNAP benefits solely for this failure.
(1) Such
member loses his/her special exemption and must register for work
with the Supplemental Nutrition Assistance Program if not otherwise
exempt.
6. Persons
with Drug and Alcohol Dependency
a. A
regular participant in a drug addiction or alcoholic treatment and
rehabilitation program, either on a resident or nonresident basis.
(1) Regular
participation in the program may be verified through the organization
or institution operating the program.
7. Employed
Persons
a. A
person who is employed and working a minimum of thirty hours weekly
or receiving weekly earnings at least equal to the Federal minimum
wage multiplied by (30) hours is exempt.
(1) This
includes migrant and seasonal farmworkers who are under contract or
similar agreement with an employer or crew chief to begin employment
within 30 days (although this does not prevent individuals from
seeking additional services from the Department of Employment
Security).
b. If
a person claims to be exempt by reason of employment of at least 30
hours per week, verification of the amount of income received from
such employment, as is elsewhere required for certification, is
sufficient to establish the exemption, provided the amount of income
appears to be consistent with employment for thirty (30) hours a week
under the general conditions prevailing in the community.
(1) However,
if the individual does not meet this test, but still claims to be
employed, then, in cooperation with the agency representative, the
applicant is requested to supply documentary evidence of the
existence of an employee - employer relationship and that the number
of hours worked is equivalent to thirty (30) hours a week.
c. Persons
engaged in hobbies or volunteer work or any other activity which
cannot (because of the minimal amount of monies received from such
activity) be considered as gainful employment, must not be considered
exempt from work registration regardless of the amount of time spent
in such activity.
8. Self-employed
Persons
a. Persons
who are self-employed and working a minimum of thirty (30) hours
weekly or receiving weekly earnings equal to or greater than the
Federal minimum wage, multiplied by thirty (30) hours.
b. If
a person claims to be exempt by reason of self-employment,
verification of the amount of income received from self-employment is
sufficient to establish the exemption, provided the amount of income
appears to be consistent with a conclusion of full-time (30) hours a
week) employment.
(1) If
the income is not sufficient, but the person still claims to be
self-employed, such person must cooperate with the agency
representative in establishing that the income received from the
self-employment enterprise is at least sufficient to be considered
gainful employment and that the volume of work claimed justifies a
determination that the self-employment enterprise is a full-time job
for the purposes of this exemption.
9. Persons
Who Are Students
a. A
student is defined as an individual attending at least half-time in
any recognized school, training program or institution of higher
education.
b. A
student remains exempt during normal periods of class attendance,
vacation and recess, unless the student graduates, is suspended or
expelled, drops out or does not intend to register for the next
normal school term (excluding summer school.)
c. A
person who is not enrolled at least half-time or who experiences a
break in enrollment status due to graduation, expulsion, or
suspension, or who drops out or otherwise does not intend to return
to school, must not be considered a student for the purpose of
qualifying for this exemption.
d. Persons
enrolled in correspondence courses where physical attendance is not
regularly required are not exempt.
e. Students
under 18 years of age are granted an exemption for any income earned
through employment or self-employment, except those no longer under
the parental control of another household member.
f. The
income and resources of a student is treated in accordance with §
1.2.4 of this Part.
10. Joint
Applicants for SSI and SNAP
a. Household
members who are applying for SSI and SNAP benefits under SSI/SNAP
joint application processing have the requirement for work
registration waived until:
(1) they
are determined eligible for SSI and thereby become exempt from work
registration; or,
(2) they
are determined ineligible for SSI and, where applicable, a
determination of their work registration status is then made through
recertification procedures, in accordance with § 1.7 of this Part.
B. Determining
Exemptions to Work Registration
1. The
agency representative determines which household members meet the
exemption to the registration requirements at the time of initial
certification, recertification, change in employment status, or the
required twelve-month registration period.
2. In
general, work registration exemptions must be verified prior to
certification only if inconsistent with other information on the
application, previous applications, or other documented evidence
known to the agency.
C. Loss
of Exemption Status
1. Persons
losing exemption status due to any changes in circumstances which are
subject to the reporting requirements described in § 1.13.1 of this
Part (such as loss of employment that also results in a loss in
earned income of more than one hundred dollars ($100.00) a month, or
departure from the household of the sole dependent child for whom an
otherwise non-exempt household member was caring) must register for
employment when the change is reported.
a. If
the change is reported in person by the household member required to
register, the person should complete the work registration form at
the time the change is reported, unless this is not possible, in
which case the household member must return the form to the agency
representative within 10 days.
b. If
the change is reported in person by a household member other than the
member required to register, the person reporting the change may
complete the form at the time the change is being reported or deliver
the form to the member required to register.
c. If
the change is reported by phone, online or through the mail, the
agency representative is responsible for providing the participant
with a work registration form.
d. Participants
are responsible for returning the form to the agency representative
within 10 calendar days from either the date the form was handed to
the household member reporting the change in person, or the date the
agency representative mailed the form.
e. If
the participant fails to return this form, a notice of adverse action
must be issued stating that the participant or, if the individual is
the head of household, the household is being terminated and the
reason, but that the household can avoid termination by returning the
form.
2. Those
persons who lose their exemption due to a change in circumstances
that is not subject to the reporting requirements of § 1.13.1 of
this Part must register for employment at their households' next
recertification.
1.11.2 Work
Registrant Requirements
A. All
mandatory work registrants must:
1. Complete
a work registration form
2. Respond
to a request from the SNAP representative for supplemental
information regarding employment status or availability for work;
3. Report
to an employer when referred by the SNAP E&T Program if the
potential employment meets the suitability requirements in § 1.11.6
of this Part;
4. When
involved in a SNAP employment and training activity, accept a bona
fide offer of suitable employment at a wage not less than the higher
of either the applicable State or Federal minimum wage.
5. Not
voluntarily quit a job without good cause (see § 1.11.8 of this of
this Part)
1.11.3
Employment and Training Activities
A. Persons
required to register for work and those exempt from work registration
may voluntarily participate an Employment and Training Activity.
Except in those circumstances identified in § 1.11.5 of this Part,
such volunteers are not subject to disqualification for failure to
meet participation requirements.
1. Those
E&T activities that are available to volunteers may not include
all of the components listed in § 1.11.3(A)(2) of this Part, but may
vary based on the SNAP E&T State Plan and E&T contract.
2. Following
are the components that comprise the employment and training
activities in which SNAP recipients may participate:
a. Group
Job Search Component
(1) Group
Job Search is a service provided in a structured workshop setting
consisting of:
(AA) training
in networking as a job search technique;
(BB) instruction
in completing job applications and writing resumes;
(CC) developing
job interview skills; and
(DD) advice
on presentation for interviews.
(2) Participants
are expected to contact employers in accord with E&T contractor
guidance to enable monitoring of their progress.
(3) Individual
(or Independent) Job Search Component Individual (or Independent) Job
Search is a service provided to those work registrants, who during
the previous six (6) months, have either been employed or have
successfully completed or participated in Vocational Training, Job
Club, Group Job Search Workshop, or an approved educational course.
b. Vocational
Skills Training Component
(1) Opportunities
for vocational skills training are made available to E&T
participants who have some work experience but do not possess
occupationally-oriented skills. E&T participants could receive
on-the-job training (OJT) with private employers or classroom
training. Services are designed to enable participants to re-enter
the labor market.
c. Remedial
and Basic Education Component
(1) E&T
participants may be referred to educational activities in order to
improve their basic reading and math skills, and subsequently, to
improve their employment prospects. These activities are Literacy
Training, Basic and Remedial Education, Graduate Equivalency Diploma
(GED) Training and English as a Second Language (ESL).
(2) Assignment
to these educational activities is based on Assessments by the SNAP
E&T contractor and the service providers. All educational
activities to which work registrants are referred will meet the
minimum requirement of twelve (12) hours per month for two (2)
months.
1.11.4
Support Services
A. The
following support services are available to individuals participating
in the SNAP E&T program:
1. Transportation
Allowance
a. Upon
written documentation from the service provider, the SNAP E&T
contractor may authorize an expense payment of $3.00 per day for each
day the participant is involved in a component activity.
2. Dependent
Care Reimbursement
a. Reimbursement
for dependent care expenses is allowable up to $160 per month per
dependent expenses that are incurred while a participant is
fulfilling an E&T obligation.
(1) Reimbursement
is limited to dependent care expenses for children under age thirteen
(13) and incapacitated persons.
(2) No
reimbursement is made for payment to dependent care providers who
reside in the same household as the dependent child or incapacitated
person.
(3) If
an individual's dependent care costs exceed $160 per month per
dependent, s/he may be exempt from participation in an E&T
component in accordance with § 1.11.1 of this Part.
b. The
SNAP E&T contractor is responsible for oversight, documentation
and invoicing.
3. Work-Readiness
Fee
a. Allowances
for work-related expenses are approved, managed and invoiced by the
SNAP E&T contractor. The fee is authorized by the SNAP E&T
contractor for a participant who is actively engaged in an approved
E&T component.
b. In
the non-vocational education component, course registration fees and
such materials as may be needed to complete the course may qualify.
c. In
the vocational training component, program registration fees,
miscellaneous equipment (e.g., stethoscopes, special shoes, and
uniforms) required by a program under the vocational component may
also qualify for the use of this fee.
d. This
fee is excluded as income for SNAP purposes.
1.11.5
Failure to Comply With a Work Requirement
A. Certain
work requirements still apply to mandatory work registrants even
under a voluntary E&T program.
1. If
an individual who is required to register refuses or fails without
good cause to comply with the requirements imposed by § 1.11.2 of
this Part, that individual is ineligible to participate in the
Supplemental Nutrition Assistance Program and is treated as an
ineligible household member (See § 1.5.6 of this Part).
B. Disqualification
Periods
1. Disqualification
related to § 1.11.5(A)(1), § 1.11.5(A)(1) and § 1.11.8 of this
Part will be imposed as follows:
a. For
the first occurrence of noncompliance, the individual will be
disqualified until the later of:
(1) the
date the individual complies; or
(2) one
(1) month;
b. For
the second occurrence, the individual will be disqualified until the
later of:
(1) the
date the individual complies; or
(2) three
(3) months;
c. For
the third occurrence, the individual will be disqualified until the
later of:
(1) the
date the individual complies; or
(2) six
(6) months.
2. When
a noncompliant member joins another household, the individual is to
be ineligible for the relevant period and must be considered an
ineligible household member as provided in § 1.2.5 of this Part.
C.
Determining Good Cause for Failure to Comply with Work Requirements
1. The
agency is responsible for determining good cause in those instances
when a work registrant has failed to comply with the requirements set
forth in this Subchapter. The registrant is responsible for
submitting evidence in support of any claim of good cause.
2. The
agency representative must consider the facts and circumstances,
including information submitted by the household member involved, the
employer, or the E&T contractor.
3. Good
cause includes circumstances beyond the member's control, such as,
but not limited to:
a. Illness
or incapacity;
b. Illness
of another household member sufficiently serious to require the
presence of the registrant;
c. Unanticipated
household emergency;
d. Court-required
appearance;
e. Incarceration;
f. Breakdown
in transportation arrangements with no readily accessible means of
transportation;
g. Inclement
weather which prevented the registrant and other persons similarly
situated from traveling to, or accepting a bona fide offer of
employment;
h. Problems
caused by the inability of the registrant to speak, read or write
English;
i. Lack
of adequate child care for children who have reached age six (6) but
are under age twelve (12).
D. Notice
of Adverse Action and Fair Hearing
1. Within
five (5) days of noncompliance with the work requirements as listed
in § 1.11.2 of this Part, the agency must issue a Notice of Adverse
Action (NOAA).
a. The
work registrant has ten (10) days to respond and offer evidence of
good cause.
b. The
Notice of Adverse Action must state the particular act of
noncompliance committed, the proposed period of disqualification and
must specify that the individual or household may reapply at the end
of the disqualification period.
c. Information
is also included describing the action which can be taken to end or
avoid the sanction.
2. The
disqualification period begins with the first month following the
expiration of the adverse notice period, unless a fair hearing is
requested.
3. Each
individual or household has a right to a fair hearing to appeal a
denial, reduction, or termination of benefits due to a determination
of non-exempt status, or determination of failure to comply with the
work registration or employment and training requirements of this
Section.
a. Individuals
or households may appeal agency actions such as exemption status, the
type of requirement imposed, or agency refusal to make a finding of
good cause if the individual or household believes that a finding of
failure to comply has resulted from improper decisions on these
matters.
b. A
household must be allowed to examine its employment component case
file at a reasonable time before the date of the hearing, except for
confidential information (which may include test results) that the
agency determines should be protected from release.
c. Information
not released to a household may not be used by either party at the
hearing. The results of the hearing are binding on the agency.
1.11.6
Suitable Work
A. Any
employment is considered suitable if:
1. The
wage offered is at least the highest of:
a. the
applicable Federal minimum wage;
b. the
applicable State minimum wage; or,
c. eighty
percent (80%) of the Federal minimum wage, if neither the State or
Federal minimum wage is applicable.
2. The
employment offered is on a piece-rate basis, and the average hourly
yield the employee can reasonably expect to earn at least equals the
applicable hourly wages specified above.
3. The
registrant, in order to be hired or to continue working, is not
required to join, resign from, or refrain from joining any legitimate
labor organization.
4. The
work offered is not at a site subject to a strike or lockout at the
time of the offer unless the strike has been enjoined under § 208 of
the Labor-Management Relations Act (Taft- Hartley), or unless an
injunction has been issued under § 10 of the Railway Labor Act.
5. Employment
is considered suitable unless the registrant demonstrates, or the
agency representative determines, that:
a. The
risk to health and safety is unreasonable.
b. The
member is physically or mentally unable to perform the essential
functions of the job, as documented by medical evidence or by
reliable information from other sources.
c. The
employment offered within the first thirty (30) days of registration
is not in the registrant's major field of experience.
d. The
distance from the registrant's home to the place of employment is
unreasonable based on the expected wage and the time and cost of
commuting.
(1) Daily
commuting time should not exceed two hours per day, not including the
transportation of a child to and from a child-care facility.
(2) Neither
should employment be considered suitable if the distance to the place
of employment prohibits walking, and both public and private
transportation are unavailable to use in getting to the job site.
e. The
working hours or nature of the employment interferes with the
member's religious observances, convictions, or beliefs.
1.11.7
Ending a Disqualification
A. Following
the end of the disqualification period for failure to comply with
work requirements such as refusal to register for work, participation
may resume if the disqualified individual applies again and is
determined to be in compliance with the work requirements.
1. Eligibility
may also be reestablished within a disqualification period if the
member becomes exempt from the work requirement, or the member
complies as follows:
a. Refusal
to register--completes the work registration form.
b. Refusal
to respond to a request from an agency-- Representative requiring
supplemental information regarding employment status or availability
for work--compliance with the request.
c. Refusal
to report to a specific employer when referred by an agency
representative --reporting to this employer if work is still
available or to another employer to whom referred.
d. Refusal
to accept a bona fide offer of suitable employment when referred by
an agency representative--acceptance of this employment, if still
available to the participant, of any other employment with earnings
equivalent to the refused job, or any other employment of at least
thirty (30) hours per week with weekly earnings equal to the Federal
minimum wage multiplied by thirty (30) hours.
1.11.8
Voluntary Quit Provision
A. No
individual is eligible to participate in the SNAP as specified below
when the individual voluntarily and without good cause quits a job of
thirty (30) hours a week or more, or reduces his/her work effort
within the sixty (60) days prior to the date of application or at any
time thereafter.
1. The
reduction of work effort provision applies if, before the reduction,
the individual was employed 30 hours or more per week and the
reduction was voluntary and without good cause. If the individual
reduces his/her work hours to less than 30 hours/week, but continues
to early weekly wages that exceed the Federal minimum wage multiplied
by 30 hours, the individual remains exempt from program work
requirements and the reduction of work provision does not apply.
2. Persons
who are exempt from the work registration provisions are exempt from
the voluntary quit provision
B. Determination
of Voluntary Quit
1. When
a household files an application for participation, or when a
participating household reports the loss of a source of income, the
agency representative must determine whether any household member
voluntarily quit his/her job.
a. Benefits
are not delayed beyond the normal processing times outlined in § 1.3
of this Part pending the outcome of this determination.
2. This
provision applies only if:
a. the
employment involved thirty (30) hours or more per week or provided
weekly earnings at least equivalent to the Federal minimum wage
multiplied by thirty (30) hours;
b. the
quit occurred within sixty (60) days prior to the date of application
or anytime thereafter; and,
c. the
quit was without good cause.
3. If
an individual quits a job, secures new employment at comparable wages
or hours and is then laid off or, through no fault of his/her own
loses the new job, the earlier quit does not form the basis of a
disqualification.
4. An
employee of the Federal Government or of a State or local government
who participates in a strike against such government, and is
dismissed from his/her job because of participation in the strike,
must be considered to have voluntarily quit his/her job without good
cause.
5. Applicant
households
a. In
the case of an applicant household, the agency representative must
determine whether any currently unemployed (i.e., employed less than
thirty (30) hours per week or receiving less than weekly earnings
equivalent to the Federal minimum wage multiplied by thirty (30)
hours) household member who is required to register for work has
voluntarily quit his/her most recent job or reduced his/her work
effort within the last sixty (60) days.
b. If
the agency representative learns that a household has lost a source
of income after the date of application but before the household is
certified, the agency representative must determine whether a
voluntary quit occurred.
c. If
the voluntary quit was without good cause, the household's
application for participation is denied and sanction imposed
according to § 1.11.5(B) of this Part, starting from the date of the
quit.
(1) The
agency representative must provide the applicant household with a
notice of denial in accordance with § 1.3.6 of this Part.
d. The
notice must inform the household of the following:
(1) the
period of disqualification;
(2) the
right to reapply at the end of the disqualification period; and
(3) the
right to a fair hearing.
6. Participating
Households
a. In
the case of a participating household, the agency representative must
determine whether any household member voluntarily quit his/her job
or reduced his/her work effort while participating in the program, or
in the time between application and certification.
b. If
the agency representative determines that a member of the household
voluntarily quit his/her job while participating in the program or
later discovers a quit occurred within sixty days prior to
application or between application and certification, s/he provides
the household with a notice of adverse action as specified in § 1.14
of this Part, within ten days after the determination of a voluntary
quit is made. Such notification must contain:
(1) the
particular act of noncompliance which was committed;
(2) the
proposed period of disqualification;
(3) the
actions which may be taken to end or to avoid the disqualification:
and,
(4) specification
that the household may reapply at the end of the disqualification
period.
c. Except
as otherwise specified in this Section, the period of ineligibility
is determined according to § 1.11.5(B) of this Part beginning with
the first of the month after all normal procedures for taking adverse
action have been followed.
7. Each
household has a right to a fair hearing to appeal a reduction or
termination of benefits due to a determination that the head of
household voluntarily quit his/her job without good cause.
a. If
the participating household requests a fair hearing and the agency's
determination is upheld, the disqualification period begins with the
first of the month after the hearing decision is rendered.
8. Persons
who have been disqualified for quitting a job must carry their
sanction with them if they join a new household.
C. Good
Cause for Voluntary Quit
1. Good
cause for leaving employment includes the good cause provisions
specified in § 1.11.5 of this Part and resigning from a job that
does not meet the suitability criteria specified in § 1.11.8 of this
Part. Good cause for leaving employment must be substantive, not
solely an allegation, and includes:
a. discrimination
by an employer based on age, race, sex, color, handicap, religious
beliefs, national origin or political beliefs;
b. work
demands or conditions that render continued employment unreasonable,
such as working without being paid on schedule;
c. acceptance
by the primary wage earner of employment, or enrollment of at least
half-time in any recognized school, training program or institution
of higher education that requires the primary wage earner to leave
employment;
d. acceptance
by any other household member of employment or enrollment of at least
half-time in any recognized school, training program or institution
of higher education in another area which requires the household to
move and thereby requires the primary wage earner to leave
employment;
e. resignations
by persons under the age of sixty (60) which are recognized by the
employer as retirement;
f. employment
which becomes unsuitable by not meeting the criteria as specified in
§ 1.11.8 of this Part, after the acceptance of such employment;
g. acceptance
of a bona fide offer of employment of more than thirty (30) hours a
week or in which the weekly earnings are equivalent to the Federal
minimum wage multiplied by thirty (30) hours which, because of
circumstances beyond the control of the primary wage earner,
subsequently either does not materialize or results in employment of
less than thirty (30) hours a week or weekly earnings of less than
the Federal minimum wage multiplied by thirty (30) hours; and
h. leaving
a job in connection with patterns of employment in which workers
frequently move from one employer to another, such as migrant farm
labor or construction work. Even though work may not yet be available
at the new job site, the quitting of the previous employment is
considered as with good cause if it is part of the pattern of that
type of employment.
2. Verification
of Good Cause
a. Verification
of questionable information provided by the household is obtained as
specified in § 1.6.2 of this Part. The client is the primary source.
(1) If
it is difficult or impossible for the household to obtain documentary
evidence in a timely manner, the agency representative offers
assistance to obtain the needed verification.
b. Acceptable
sources of verification include, but are not limited to, the previous
employer, employee associations, union representatives, and grievance
committees or organizations.
c. Whenever
documentary evidence cannot be obtained, the agency representative
substitutes a collateral contact.
d. A
household member is eligible when the requested verification is
unattainable because the cause for the quit resulted from
circumstances which, for good reason, cannot be verified, such as a
resignation from employment due to discrimination practices,
unreasonable demands by an employer, or because the employer cannot
be located.
D. Ending
a Voluntary Quit Disqualification
1. Following
the end of the disqualification period, an individual may begin
participation in the program if he or she reapplies and is determined
eligible.
2. Eligibility
may be reestablished during a disqualification period and the
individual, if otherwise eligible, may be permitted to resume
participation if the individual becomes exempt from the work
requirements under § 1.11.1 of this Part.
E. Application
in the final month of disqualification:
1. If
an application for participation is filed in the final month of the
mandatory disqualification period, the agency must use the same
application for the denial of benefits in the remaining month of
disqualification and certification for any subsequent month(s) if all
other eligibility criteria are met.
1.11.9
Able-Bodied Adults without Dependents (ABAWDs)
A. Definition
1. An
Able Bodied Adult without Dependents (ABAWD) is limited to three (3)
months of SNAP eligibility in any three (3) year period while not
fulling the ABAWD work requirement or otherwise exempt. The ABAWD
work requirement applies to be people who are:
a.
Age eighteen (18) to forty-nine (49)
b. Fit
for employment
c. Do
not live in a SNAP household with a minor
d. Not
pregnant
e. Not
already exempt from the general work requirements in (See § 1.11.1
of this Part)
f. Not
residing in an exempt city/town
2. A
“countable month” is any month in which an ABAWD receives a full
month of benefits while not fulfilling the ABAWD work requirement or
otherwise exempt.
a. Countable
months also include those months received in other states.
3. Rhode
Island utilizes a “fixed statewide clock” to calculate the three
(3) year period. The clock begins on a given date and runs
continuously for three (3) years for all households.
C. Work
Requirements
1. Unless
exempt, an ABAWD is ineligible to participate in SNAP as a member of
any household if s/he has, in a thirty-six (36) month period,
received SNAP benefits for three (3) months (consecutive or
otherwise) during which s/he did not:
a. Work
twenty (20) or more hours per week, averaged monthly;
b. Participate
in and comply with the requirements of a work program for twenty (20)
or more hours per week;
c. Participate
in and comply with the requirements of an appropriate SNAP E&T
(unpaid) Work Experience program (if it is an available component
under the RI SNAP E&T plan);
d. Receive
benefits due to exemption from these work requirements; or
e. Receive
benefits due to regaining eligibility as discussed in § 1.11.9(H) of
this Part.
D. A
work program is defined as:
1. A
program under the Workforce Innovation and Opportunity Act (WIOA);
2. A
program under § 236 of the Trade Act of 1974 (known as the Trade
Readjustment Act or "Trade Program"); and
3. The
SNAP E&T Program other than a job search or job search training
program. Such a program may contain job search or job search training
as a subsidiary component as long as such component is less than half
the requirement.
E. Working
means:
1. Work
in exchange for money;
2. Work
in exchange for goods or services ("in-kind" work); or
3. Unpaid
work/workfare program
F. The
resources and income of an ineligible able bodied adult without
dependents are handled in accordance with § 1.5.6 of this Part.
G. Exemptions
from Time Limits
1. An
individual is exempt from the time limit set forth in § 1.11.9(C) of
this Part if s/he is:
a. Under
eighteen (18) or fifty (50) years of age or older (a person is
considered over age fifty (50) on her or his fiftieth (50th)
birthday);
b. Medically
certified as physically or mentally unable to work;
c. A
parent (natural, adoptive, or step) of a household member under age
18, even if the household member who is under age eighteen (18) is
not him/herself eligible for SNAP benefits;
d. Pregnant;
e. Is
a member of a SNAP household in which one of the members is under age
eighteen (18), even if the household member who is under age 18 is
not him/herself eligible for SNAP benefits;
f. Residing
in certain areas with a high unemployment rate as determined by the
agency with approval by the Food and Nutrition Service (FNS)
g. Otherwise
exempt pursuant to § 1.11.1 of this Part.
H. Provision
for Regaining Eligibility
1. ABAWD’s
who have exhausted their countable months can regain eligibility one
time during the thirty-six month period if during a consecutive
thirty (30) day period, the individual:
a. Works
eighty (80) or more hours;
b. Participates
in and complies with the requirements of a work program as defined in
§ 1.11.3 of this Part for eighty (80) or more hours; or
c. Participates
in and complies with the requirements of an appropriate SNAP
Employment and Training (unpaid) Work Experience program.
2. If
an individual loses this employment or ceases to participate in a
work or workfare program, participation can continue for up to three
(3) consecutive months (beginning from the date the agency
representative is notified that work has ended, after which the only
cure during the thirty-six (36) month period will be to comply with
the work requirement or become exempt.
a. An
individual shall not receive benefits under this paragraph more than
once in any three-year period.
3. An
individual who is subject to the ABAWD requirements and is not exempt
or eligible for an additional three-month period due to fulfilling
the work requirement, is ineligible for SNAP benefits in the month of
re-application.
4. A
countable month is any month in which an ABAWD receives SNAP benefits
for the full benefit month while not meeting or exempt from ABAWD
work requirements. Any month in which an ABAWD does not receive a
full month of benefits cannot be considered a countable month.
1.12 Quality Control Sanctions
A. A
household must be determined ineligible if it refuses to cooperate in
any subsequent review of its eligibility as a part of a quality
control (QC) review.
1. If
a household is terminated for refusal to cooperate with a QC reviewer
(in accordance with the QC procedures for notification to the
household of the penalties for refusal to cooperate), the household
may reapply but must not be determined eligible until it cooperates
with the QC reviewers.
2. If
the household, terminated for refusal to cooperate with a DHS QC
reviewer, reapplies after one hundred and twenty-five (125) days from
the end of the annual review period (which is the calendar year from
October 1 to September 30), the household shall not be determined
ineligible for its refusal to cooperate with a QC reviewer during the
completed review period, but must provide all required verification
prior to certification.
3. If
a household, terminated for refusal to cooperate with a Federal QC
reviewer, reapplies after nine (9) months from the end of the annual
review period, the household shall not be determined ineligible for
its refusal to cooperate with a Federal QC reviewer during the
completed review period, but must provide all necessary verification
prior to certification.
1.13 Ongoing Case Management
1.13.1
Changes
A. For
reporting changes during a SNAP household's certification period,
there are two (2) classifications:
1. Change
Reporters: A household that is designated as a "change
reporter" must report any change in circumstances, income,
resources, and expenses which occur during their certification period
within ten (10) days of the date the change becomes known to the
household.
a.
The following types of households are change reporters:
(1) Households
with no earned income and in which all members are elderly or
disabled; and
(2) Households
which include migrant and seasonal farmworkers.
b. The
ten (10) day reporting period begins with the date the change becomes
known to the household.
c. Changes
may be reported in person, by telephone, or by mail, or by using the
Change Report Form.
d. Change
reporters must report the following changes within ten (10) days:
(1) A
change in the source of income, including starting or stopping a job
or changing jobs, if the change in employment is accompanied by a
change in income;
(2) a
change in wage rate or salary, or change in full-time or part-time
employment status (as determined by the employer)
(3) Changes
in the amount of unearned income of more than one hundred dollars
($100), except for a change in RIW or GPA cash assistance;
(4) All
changes in household composition, such as the addition or loss of a
household member;
(5) Changes
in residence and the resulting change in shelter costs;
(6) Acquisition
of a licensed vehicle not excluded under § 1.5.5 of this Part;
(7) A
change in liquid resources, such as cash, stocks, bonds and bank
accounts that reach or exceed the resource limits as described in §
1.5.5(B)(1)(a) and § 1.5.5(B)(1)(b) of this Part, unless these
assets are excluded under § 1.5.5(D) and § 1.5.5(G) of this Part.
(AA) RIW/SNAP
change reporting households must report changes in assets when they
exceed the RIW resource limit of one thousand dollars ($1,000).
(8) Changes
in the legal obligation to pay child support.
e. For
households comprised entirely of elderly and/or disabled members, the
agency representative will send the household a Mid-Certification
Reminder Letter on or about the 15th day of the twelfth month of its
certification.
(1) The
letter reminds the household of its responsibility to report any
changes within ten (10) days.
2. Simplified
Reporters: All other households are simplified reporters.
a. With
the exception of the interim report, a simplified reporting
household's sole reporting requirement is to report changes in income
which bring the household's gross income in excess of the gross
income eligibility standard for that size household by the tenth day
of the month following the month in which the change occurred.
(1) If
a household has an increase in its income, it must determine its
total gross income at the end of the month. If the total gross income
exceeds the household's SNAP gross income eligibility standard, the
household must report the change no later than ten (10) days from the
end of the calendar month in which the change occurred, provided that
the household receives the payment with at least ten (10) days
remaining in the month.
(AA) If
there are not ten (10) days remaining in the month, the household
must report within ten (10) days from receipt of the payment.
(2) No
other change reporting is required during the certification period.
b. A
"simplified reporter" household must submit an Interim
Report Form in its sixth month of certification.
B. Public
Assistance (PA) Household Changes
1. Households
are not required to report changes in the assistance payment grant.
a. Since
the agency representative has prior knowledge of all changes in the
assistance payment grant, action must be taken on this information.
2. PA
households which report a change in circumstances to the PA worker
are considered to have reported the change for SNAP purposes.
3. A
household must be notified whenever its benefits are altered as a
result of changes in the PA benefits.
a. Adequate
time for the agency representative to send a notice of expiration and
for the household to timely reapply must be allowed.
b. If
the PA benefits are terminated but the household is still eligible
for SNAP benefits, members of the household must be advised of SNAP
work registration requirements, as appropriate.
4. Whenever
a change results in the reduction or termination of the household's
PA benefits within its SNAP certification period, and the agency
representative has sufficient information to determine how the change
affects the household's SNAP eligibility and benefit level, the
agency representative takes the following actions:
a. If
a change in household circumstances requires both a reduction or
termination in the PA payment and a reduction or termination in SNAP
benefits, the agency representative must issue a notice of adverse
action for both the PA and SNAP actions.
(1) If
the household requests a hearing within the period provided by the
notice of adverse action, the household's SNAP benefits should be
continued on the basis authorized immediately prior to sending the
notice.
(AA) If
the hearing is requested for both programs' benefits, the hearing is
conducted according to PA procedures and timeliness standards.
(BB) However,
the household must reapply for SNAP benefits if the SNAP
certification period expires before the hearing process is completed.
(CC) If
the household does not appeal, the change is made effective in
accordance with the procedures specified in this Section.
b. If
the household's SNAP benefits are increased as a result of the
reduction or termination of PA benefits, the agency representative
issues the PA notice of adverse action, but does not take any action
to increase the household's SNAP benefits until the household decides
whether it will appeal the adverse PA action.
(1) If
the household decides to appeal and its PA benefits are continued,
the household's SNAP benefits may continue at the previous basis.
(2) If
the household does not appeal, the agency representative makes the
change effective in accordance with the procedures specified in this
Part except that the time limits for the agency representative to act
on changes which increase a household's benefits are calculated from
the date the PA notice of adverse action period expires.
5. Whenever
a change results in the termination of a household's PA benefits
within its SNAP certification period, and the agency representative
does not have sufficient information to determine how the change
affects the household's SNAP eligibility and benefit level (such as
when a non-custodial parent returns to a household, rendering the
household ineligible for public assistance, and the agency
representative does not have any information on the income of the new
household member), the agency representative does not terminate the
household's SNAP benefits but instead takes the following action:
a. If
the situation requires a reduction or termination of PA benefits, the
agency must issue a request for documentation at the same time it
sends a PA notice of adverse action.
b. Before
taking further action, the agency must wait until the household's PA
notice of adverse action period expires or until the household
requests a fair hearing, whichever occurs first.
c. If
the household requests a fair hearing and elects to have its PA
benefits continued pending the appeal, the agency must continue the
household's SNAP benefits at the same level.
d. If
the household decides not to request a fair hearing and continuation
of its PA benefits, the agency must resume action on the changes.
e. If
the situation does not require a PA notice of adverse action, the
agency must issue a request for documentation.
(1) Depending
on the household's response to the request for documentation, the
agency must take appropriate action, if necessary, to close the
household's case or adjust the household's benefit amount.
6. When
a mass change to public assistance payments is made, corresponding
adjustments in households' SNAP benefits are handled as a mass
change.
a. When
there is at least thirty (30) days advance knowledge of the amount of
the public assistance adjustment, SNAP benefits must be recalculated
to be effective in the same month as the public assistance change.
b. If
there is not sufficient notice, the SNAP change must be effective not
later than the month following the month in which the public
assistance change was made.
c. A
notice of adverse action is not required when a household's SNAP
benefits are reduced or terminated as a result of a mass change in
the public assistance grant.
(1) However,
the agency sends individual notices to such households to inform them
of the change.
(2) If
a household requests a fair hearing, benefits are continued at the
former level only if the issue being appealed is that SNAP
eligibility or benefits were improperly computed.
C. Failure
to Report Changes
1. If
a household failed to report a required change and, as a result,
received benefits to which it was not entitled, the agency
representative refers a claim of overissuance against the household
in accordance with § 1.17 of this Part.
2. Individuals
are not terminated for failing to report a change, unless the
individual is disqualified in accordance with the intentional program
violation disqualification procedures specified in § 1.9 of this
Part.
D. Action
on Changes
1. The
agency is required to take prompt action on all changes of which it
becomes aware to determine if the change affects the household's
eligibility or allotment.
a. Exception:
during the certification period, the agency representative shall not
act on changes in the medical expenses of households eligible for the
medical expense deduction if the information comes from a source
other than the household and which, in order to take action, require
the worker to contact the household for verification.
b. The
agency shall act on those changes that it learns about from a source
other than the household if those changes are verified upon receipt
and do not necessitate contact with the household.
c. Restoration
of lost benefits is provided to any household if the agency
representative fails to take action on a change which increases
benefits within the specified time limits.
2. For
changes which result in an increase in a household's benefits, the
agency representative makes the changes effective no later than the
first allotment issued ten (10) days after the date the change was
reported.
a. However,
in no event must these changes take effect any later than the month
following the month in which the change is reported.
b. Therefore,
if the change is reported after the 20th of a month, and it is too
late for the agency representative to adjust the following month's
allotment, the agency representative must approve a supplement for
the household to obtain the increase in benefits by the 10th day of
the following month, or the household's normal issuance cycle in that
month, whichever is later.
c. For
changes which result in an increase in a household's benefits and do
not require the issuance of a supplementary allotment as required in
§ 1.18 of this Part, the agency representative makes the change
effective no later than with the first allotment issued ten (10) days
after the date the change was reported to the agency.
3. If
the household's benefit level decreases or the household becomes
ineligible as a result of the change, the agency must issue a notice
of adverse action within ten (10) days of the date the change was
reported unless one of the exemptions to the notice of adverse action
in § 1.14(C) of this Part applies.
a. When
a notice of adverse action is used, the decrease in the benefit level
must be made effective no later than the allotment for the month
following the month in which the notice of adverse action period has
expired, provided a fair hearing and continuation of benefits have
not been requested.
b. When
a notice of adverse action is not used because one of the exemptions
in § 1.14(C) of this Part applies, the decrease must be made
effective no later than the month following the change. Required
verification must be obtained prior to recertification.
4. When
there is an overall adjustment, to public assistance payments, RIW or
GPA, corresponding adjustments in the household's SNAP benefits are
handled as a mass change.
a. When
the agency has at least thirty (30) days advance knowledge of the
amount of the RIW and/or GPA adjustment, the agency makes the change
in benefits effective in the same month as the RIW and/or GPA change.
b. If
the agency does not have sufficient notice, the SNAP change is
effective no later than the month following the month the RIW and/or
GPA change was made.
c. A
notice of adverse action is not required when a household's SNAP
benefits are reduced or terminated as a result of a mass change in
the RIW and/or GPA grant.
(1) However,
an individual notice is sent to the household informing them of the
change.
(2) If
a household requests a hearing, benefits are continued at the former
level only if the issue being appealed is that SNAP eligibility or
benefits were improperly computed.
E. Unclear
Information
1. The
agency must pursue clarification and verification (if applicable) of
household circumstances from which the agency cannot readily
determine the effect on the household’s continued eligibility for
SNAP, or in certain cases, benefit amounts. The agency may receive
such unclear information from a third party.
a. Unclear
information is information that is not verified but the agency needs
additional information to act on the change such as electronic data
matches that are not considered to be verified upon receipt.
2. The
agency must purse clarification and verification (if applicable) of
household circumstances if unclear information is:
a. fewer
than sixty (60) days old relative to the current month of
participation; and would, if accurate, have been required to be
reported under § 1.13.1 of this Part based on the reporting system
to which the household has been assigned or
b. the
information appears to present significantly conflicting information
from that used by the agency at the time of certification.
3. The
agency shall issue a written request for documentation that advised
the household of the verification it must provide or the actions it
must take to clarify its circumstances, which affords the household
at least ten (10) days to respond.
a. If
the household does not respond, or does respond but refuses to
provide sufficient information to clarify its circumstances, the
agency must issue a notice of adverse action as described in § 1.14
of this Part indicating that the case will close and the household
will need to submit a new application in order to continue
participating in the program.
b. If
the household responds to the request for documentation and provides
sufficient information, the agency must act on the new circumstances.
c. If
the unclear information does not meet the criteria in §
1.13.1(E)(1)(a) and § 1.13.1(E)(2)(a) of this Part, then the agency
shall not act on the information or require the household to provide
information until the household’s next certification action or
interim report form is due.
4. Unclear
information resulting from certain data matches:
a. If
the agency receives match information from an electronic data source,
that agency shall notify the household of the match results. The
notice shall explain what information is needed from the household
and the consequences for failing to respond to the notice.
b. For
households subject to change reporting, if the household fails to
respond to the notice of match results or does respond but refused to
supply sufficient information to clarify its circumstances, the
agency shall issue a notice of adverse action that closes the case.
c. For
households not subject to change reporting, if the household fails to
respond to the notice of match results or does not respond but
refused to provide sufficient information to clarify its
circumstances, the agency shall remove the subject individual and the
individual’s income from the household and adjust benefits
accordingly.
1.13.2
Interim Reporting
A. All
SNAP households are subject to Interim reporting requirements, with
the exception of the following households:
1. Households
with no earnings and in which all members are elderly or disabled;
and
2. Households
which include migrant and seasonal farmworkers.
B. Household
composition and financial circumstances at the time of application
will be the basis of the SNAP benefit amount for the first half of
the certification period unless the household reports a change during
the certification period before the Interim Report period.
1. The
household composition and financial circumstances reported on the
Interim Report will be the basis of the SNAP benefit amount for the
remainder of the certification period unless the household reports
additional changes following the filing of the Interim Report.
2. In
the fifth (5th) month of certification, households subject to interim
reporting will receive an Interim Report Form in the mail.
3. Households
must complete the form in its entirety and mail the form along with
the required verifications back to the agency by the fifth (5th) day
of the sixth (6th) month of certification.
a. A
household that submits an Interim Report by the fifth (5th) day of
the sixth month of the certification period is considered to have
made timely report.
b. Failure
to return the Interim Report Form will result in closure of SNAP
benefits.
c. An
application can be accepted in lieu of an Interim Report Form if it
is received in the month the Interim Report is due, or the following
month.
(1) If
an application in lieu of an Interim Report is used to reinstate
benefits, an interview is not required, and all verification rules
applicable to Interim Report processing instead of application
processing apply.
4. If
a household fails to return the Interim Report Form by the fifth
(5th) day of the sixth (6th) month of the certification period, the
agency must send a warning notice to the household.
a. The
household will have ten (10) days from the mail date to return the
Interim Report Form, along with all of the necessary verifications or
the case will close by the end of the sixth (6th) month of the
household's certification period.
5. An
Interim Report form is incomplete if:
a. The
case name, head of household, responsible household member or
authorized representative has not signed the form;
b. The
household fails to submit verification of changes in earned income,
changes in unearned income, or residency; or
c. The
household fails to provide information needed to determine
eligibility or benefit level.
6. If
an eligible household files a complete interim report after the case
has been closed, but before the end of the report month (month in
which the report is due), the agency shall reopen the case without
requiring the household to file an application and shall approve
benefits no later than ten (10) days after the household normally
receives benefits.
7. If
a household files a complete interim report after the end of the
report month but before the end of the month following the month in
which it was due, the agency shall reinstate assistance, and if
otherwise eligible, approve benefits within thirty (30) days from the
date the interim report is received.
8. In
order to determine eligibility for the second half of the household's
certification period, the household must supply the following
information:
a. Changes
of more than fifty dollars ($50) in unearned income (excluding
changes in public assistance or general assistance programs when
jointly processed with SNAP cases);
b. Changes
in the source of income;
c. Changes
in:
(1) The
wage rate, salary, or full-time or part-time employment status;
(2) a
change in the source of income, including starting or stopping a job
d. Changes
in household composition;
e. Changes
in residence and resulting changes in shelter costs;
f. Acquisition
of a non-excludable vehicle;
g. Resources
that reach or exceed $2,250 ($3,500 if a household includes a member
who is age 60 or over, or is disabled) unless the household is
categorically eligible as defined in § 1.5.1 of this Part; and
h. Changes
in legally obligated child support payments
9. If
verification of changes in earned or unearned income is not provided,
benefits shall be terminated.
a. If
the household fails to provide sufficient information or verification
regarding a deductible expense (dependent care, shelter, medical or
child support expenses) the following applies:
(1) A
notice requesting verification is issued and if the household does
not respond within the 10-day timeframe with required documentation
to support the change, the case continues to be processed.
(AA) If
this occurs, the household must be notified that a deduction or
deductions were not allowed since verification was not provided, and
that benefits will be redetermined if the verification is
subsequently provided.
(BB) If
there is an existing verified deduction in the case record for the
certification period under review, the agency uses such verified
deduction in the calculation of benefits for reported increases that
are not verified.
(CC) Reports
of a decrease in a deductible expense can be changed without
verification by the client
1.14 Notices
A. Notice
for Mass Changes
1. When
the agency makes a mass change in SNAP eligibility or benefits, it
must notify all households whose benefits are reduced or terminated.
a. The
agency must notify the household of the mass change on the date the
household is scheduled to receive the allotment which has been
changed.
b. The
agency must notify the household of the mass change as much before
the household's scheduled issuance date as reasonably possible,
although the notice need not be given any earlier than the time
required for advance notice of adverse action.
c. The
household is entitled to request a fair hearing when it is aggrieved
by the mass change.
(1) A
household which requests a fair hearing due to a mass change is
entitled to continued benefits at its previous level only if the
household meets three criteria:
(AA) The
household does not specifically waive its right to a continuation of
benefits;
(BB) The
household requests a fair hearing in accordance with § 1.21 of this
Part; and
(CC) The
household's fair hearing is based upon improper computation of SNAP
eligibility or benefits, or upon misapplication or misinterpretation
of Federal law or regulation.
B. Notice
of Adverse Action
1. Prior
to any action to reduce or terminate a household's benefits within
the certification period, the agency must, except as provided in §
1.14(C) of this Part, provide the household timely and adequate
advance notice before the adverse action is taken.
2. The
notice of adverse action is considered adequate if it explains in
easily understandable language:
a. the
proposed action;
b. the
reason for the proposed action;
c. the
household's right to request a fair hearing;
d. the
telephone number to contact for additional information;
e. the
availability of continued benefits;
f. the
liability of the household for any overissuances received while
awaiting a fair hearing decision if such decision is adverse to the
household; and,
g. the
availability of free legal representation.
3. The
notice of adverse action is considered timely if the advance notice
period conforms to the adequate notice period of the public
assistance caseload, provided that the period includes at least ten
(10) days from the date the notice is mailed to the date upon which
the action becomes effective.
a. If
the adverse notice period ends on a weekend or holiday, and a request
for a fair hearing and continuation of benefits is received the day
after the weekend or holiday, the request must be considered timely
received.
4. The
agency representative may notify a household that its benefits will
be reduced or terminated, no later than the date the household
receives, or would have received, its allotment, if the following
conditions are met:
a. The
household reports the information which results in the reduction or
termination;
b. The
reported information is in writing and signed by the household;
c. Based
solely upon the household's written information, the agency
representative can determine the household's allotment or
ineligibility;
d. The
household retains its right to a fair hearing.
e. The
household retains its right to continued benefits by requesting a
fair hearing within the time period provided by the notice of adverse
action.
(1) The
agency representative continues or reinstates the household's
previous benefit level, if required, within five (5) working days of
the household's request for a fair hearing.
C. Exemptions
from Notice Requirements
1. Individual
notices of adverse action are not provided in the following
situations:
a. Mass
Change
b. Notice
of Death: The agency representative determines, based on reliable
information that all members of a household have died.
c. Move
from Project Area: The agency representative determines, based on
reliable information that the household has moved from the state.
(1) The
agency shall inform the household of its termination no later than
its next scheduled issuance date.
(2) The
agency shall not delay terminating the household’s participation in
order to provide advanced notice.
d. Completion
of Restoration of Lost Benefits: The household has been receiving an
increased allotment to restore lost benefits, the restoration is
complete, and the household was previously notified, in writing, when
the increased allotment would terminate.
e. Anticipated
Changes in the Monthly Allotment: The household's allotment varies
from month to month within the certification period to take into
account changes which were anticipated at the time of certification,
and the household was so notified at the time of certification.
f. Benefit
Reduction Upon Approval of the Household's RIW/GPA Application: The
household jointly applied for RIW/GPA and SNAP benefits and has been
receiving SNAP benefits pending the approval of the RIW/GPA grant and
was notified at the time of certification that SNAP benefits would be
reduced upon approval of the RIW/GPA grant.
g. Disqualification
for Intentional Program Violation: A household member is
disqualified for intentional program violation, in accordance with §
1.9 of this Part or the benefits of the remaining household members
are reduced or terminated to reflect the disqualification of that
household member.
(1) A
notice must be sent to a currently participating household prior to a
reduction or termination of benefits if a household member is found
through a disqualified recipient match to be within the period of
disqualification for an intentional program violation penalty
determined in another state.
(2) The
notice requirements for individuals or households affected by
intentional program violation disqualifications are explained in §
1.9 of this Part.
h. Expedited
Service Approvals with Postponed Verification: The agency has
assigned a longer certification period to a household certified on an
expedited basis and the household has received written notice that
the receipt of benefits beyond the month of application is contingent
on its providing verification which was initially postponed and that
the agency may act on the verified information without further
notice.
i. Conversion
from Cash/SNAP Repayment to Benefit Reduction: Converting a
household from cash and/or SNAP repayment to benefit reduction as a
result of failure to make agreed-upon repayment, as discussed in §
1.17.1 of this Part.
j. Resident
of Drug/Alcoholic Treatment Center or Group Living Arrangement: The
agency is terminating the eligibility of a resident of a drug or
alcoholic treatment center or a group living arrangement if the
facility loses either its certification from the Department of
Behavioral Healthcare, Developmental Disabilities and Hospitals
(BHDDH) or has its status as an authorized representative suspended
due to disqualification as a retailer by FNS.
(1) However,
residents of group living arrangements applying on their own behalf
are still eligible to participate.
k. Household
Request: The household voluntarily requests, in writing or in the
presence of an agency representative, that its participation be
terminated.
(1) If
the household does not provide a written request, the agency must
send the household a letter confirming the voluntary withdrawal.
(2) Written
confirmation does not entail the same rights as a notice of adverse
action except that the household may request a fair hearing.
l. Previous
Notification Received Regarding Collection of a Claim: The agency
initiates recoupment of a claim against a household which has
previously received a notice of adverse action with respect to such
claim.
1.15 Determining
Household Eligibility and Benefit Levels
A. The
income considered is that received over the period of certification.
1. As
this is generally a future period, the income considered is usually
that anticipated by the household.
2. Households
that contain an elderly or disabled member must meet the net income
eligibility standards for the Supplemental Nutrition Assistance
Program.
3. Households
that do not contain an elderly or disabled member must meet both the
gross income eligibility standards and the net income eligibility
standards for the Supplemental Nutrition Assistance Program.
4. Households
that are categorically eligible because they are recipients of RIW
cash assistance and/or SSI do not have to meet either the gross or
net income eligibility standards.
5. The
gross and net income eligibility standards are based on the Federal
income poverty levels.
6. SNAP-only
categorically eligible households that are recipients of a
TANF-funded Service (the RI Department of Human Services TANF
Information Publication) must meet the 185% gross income standard
solely to determine eligibility for expanded categorical eligibility,
and must meet the net income standards in order to determine benefit
amount.
a. One
and two person households that are categorically eligible do not have
to meet the net income standard in order to be eligible for the
minimum monthly benefit of fifteen dollars ($15).
7. The
gross income eligibility standards for the Supplemental Nutrition
Assistance Program for the contiguous 48 states, the District of
Columbia, the Virgin Islands and Guam is one hundred thirty (130)
percent of the Federal income poverty level.
8. The
net income eligibility standards for the Supplemental Nutrition
Assistance Program for the contiguous 48 states, the District of
Columbia, the Virgin Islands and Guam is one hundred (100) percent of
the Federal income poverty level.
9. The
income eligibility limits are revised each October 1 to reflect the
annual adjustment to the Federal income poverty guidelines for the 48
states and the District of Columbia.
10. The
annual income poverty guidelines are divided by twelve (12) to
determine the monthly gross income standards, rounding the results
upward as necessary.
a. For
households greater than eight (8) persons, the increment in the
Federal income poverty guidelines is multiplied by appropriate
federal poverty level percentage, divided by twelve (12), and the
results rounded upward, if necessary.
B. Most
households have the eligibility determination based on circumstances
for the entire calendar month in which the household filed its
application.
1. A
household's eligibility is determined for the month of application by
considering the household's circumstances for the entire month of
application.
2. Applicant
households, consisting of residents of a public institution who apply
jointly for SSI and SNAP benefits prior to release from the public
institution, have their eligibility determined for the month in which
the applicant household is released from the institution.
C. Rounding
Technique for Calculating Income
1. In
calculating net monthly income, each income information entry is
rounded to a whole dollar amount by rounding down for each income
entry that ends in 1 through 49 cents and rounding up for each income
entry that ends in 50 through 99 cents.
2. Any
cents in gross weekly earnings are rounded to the nearest dollar
after converting the weekly figure to the monthly figure.
a. However,
shelter expenses and medical costs are not rounded until totaled.
D. Method
for Figuring Net Monthly Income
1. The
following seven (7) steps lead to the determination of a household's
SNAP monthly income:
a. Total
Gross Income
(1) Add
the total gross monthly earned income of all household members and
the total monthly unearned income of all household members, minus
income exclusions, to determine the household's total gross income.
(2) Net
losses from the self-employment of a farmer are offset in accordance
with § 1.5.4 of this Part.
b. Monthly
Net Adjusted Income
(1) Calculate
the earned income deduction as described in § 1.5.7 of this Part and
subtract that amount from the total gross earned income;
(2) Add
that to the total monthly unearned income, minus income exclusions.
c. Standard
Deduction
(1) Subtract
the standard deduction found in § 1.5.7 of this Part.
d. Excess
Medical Deduction
(1) If
the household is entitled to an excess medical deduction as provided
in 1.5.7 of this Part determine if total medical expenses exceed
thirty-five dollars ($35).
(2) If
so, deduct the standard medical deduction of one hundred and forty
one dollars ($141).
(3) If
the household has medical expenses that exceed one hundred and
seventy six dollars ($176) and it elects to verify actual expenses,
subtract that portion of medical expenses in excess of thirty five
dollars ($35).
e. Dependent
Care Deduction
(1) Subtract
monthly dependent care expenses, if any.
f. Determining
Any Excess Shelter Expense
(1) Add
allowable shelter expenses to determine total shelter costs.
(2) Subtract
from total shelter costs fifty percent (50%) of the adjusted income
(the household's monthly income after all the above deductions have
been subtracted).
(3) The
remaining amount, if any, is the excess shelter expense. If there is
no excess shelter expense, the net monthly income has been
determined.
(4) If
there is an excess shelter expense, go to the next step.
g. Applying
Any Excess Shelter Expense
(1) Subtract
the excess shelter expense up to the maximum amount allowed (unless
the household is entitled to the full amount of its excess shelter
expenses) from the household's monthly income after all other
deductions.
(2) For
households not subject to a shelter maximum, subtract the full amount
of shelter expenses exceeding fifty percent (50%) of net income.
(3) The
result is the household's net monthly income.
E. Gross
and Net Income Eligibility Standards
1. The
gross or net income eligibility standards for the household size are
used to determine the household's eligibility according to the
characteristics of the household.
a. Non-Categorically
Eligible Households (does not apply to households with elderly or
disabled members)
(1) Compare
the total gross monthly income of the household to the one hundred
thirty percent (130%) maximum gross monthly income limit for the
appropriate household size in Table I, below;
(2) Compare
the total net monthly income of the household (after appropriate
deductions) to the maximum net monthly income limit for the
appropriate household size in Table II, below.
b. Households
Categorically Eligible due to receipt of a TANF-funded Service
(1) If
the household's gross income is at or below one hundred and eighty
five percent (185%) of the gross income limit, Table IV, the
household meets the criteria for categorical eligibility and is not
subject to a resource test.
(2) The
agency calculates the household's total net monthly income and then
compares the total net monthly income of the household (after
appropriate deductions) to the maximum net monthly income limit for
the appropriate household size in Table II below to determine
eligibility for SNAP benefits.
c. Households
Containing a Member(s) Who Is Elderly or Disabled, or a Disabled
Veteran or Surviving Disabled Spouse/Child(ren) of a Veteran, Same
household status (An elderly or disabled person/spouse is considered
a household member)
(1) Compare
the adjusted net monthly SNAP income of the household, to the maximum
net monthly income limits for the appropriate household size in Table
II, below.
(2) Separate
household status (An elderly and disabled person/spouse is not
considered a household member)
(3) Compare
the gross monthly income of all other members in the household to the
one hundred sixty-five percent (165%) maximum gross monthly income
limit for the appropriate household size in Table III, below.
d. Elderly/Disabled
Not Categorically Eligible Due to Receipt of a TANF-Funded Service
(1) Compare
the total gross monthly income of the household to the two hundred
percent (200%) gross monthly income limit for the appropriate
household size in Table V, below.
(2) If
the household's gross income is over two hundred percent (200%) of
the gross income limit, Table V, the household does not meet the
criteria for categorical eligibility and is subject to a resource
test.
(3) The
agency then compares the total net monthly income of the household
(after appropriate deductions) to the maximum net monthly income
limit for the appropriate household size in Table II below to
determine eligibility for SNAP benefits.
e. Elderly/Disabled
Categorically Eligible Due to Receipt of a TANF-Funded Service
(1) If
the household's gross income is at or below two hundred percent of
the gross income limit, Table V, the household meets the criteria for
categorical eligibility and is not subject to a resource test.
(2) The
agency then compares the total net monthly income of the household
(after appropriate deductions) to the maximum net monthly income
limit for the appropriate household size in Table II below in order
to determine eligibility for SNAP benefits.
TABLE
I - 130% LIMIT - GROSS MONTHLY INCOME LIMIT
HOUSEHOLD
SIZE
MAXIMUM
GROSS MONTHLY INCOME
HOUSEHOLD
SIZE
MAXIMUM
GROSS MONTHLY INCOME
1
$1,307
9
$4,930
2
$1,760
10
$5,383
3
$2,213
11
$5,836
4
$2,665
12
$6,289
5
$3,118
13
$6,742
6
$3,571
14
$7,195
7
$4,024
15
$7,648
8
$4,477
16
$8,101
+For
each additional member over 16, add $453.00
TABLE
II - 100% LIMIT - NET MONTHLY INCOME LIMIT
HOUSEHOLD
SIZE
MAXIMUM
NET MONTHLY INCOME
HOUSEHOLD
SIZE
MAXIMUM
NET MONTHLY INCOME
1
$1,005
9
$3,793
2
$1,354
10
$4,142
3
$1,702
11
$4,491
4
$2,050
12
$4,840
5
$2,399
13
$5,189
6
$2,747
14
$5,538
7
$3,095
15
$5,887
8
$3,444
16
$6,236
+For
each additional member over 16, add $349.00
TABLE
III - 165% LIMIT - GROSS MONTHLY INCOME LIMIT
HOUSEHOLD
SIZE
MAXIMUM
GROSS MONTHLY INCOME
HOUSEHOLD
SIZE
MAXIMUM
GROSS MONTHLY INCOME
1
$1,659
9
$6,257
2
$2,233
10
$6,832
3
$2,808
11
$7,407
4
$3,383
12
$7,982
5
$3,958
13
$8,557
6
$4,532
14
$9,132
7
$5,107
15
$9,707
8
$5,682
16
$10,282
+For
each additional member over 16, add $575.00
TABLE
IV - 185% LIMIT - GROSS MONTHLY INCOME LIMIT
HOUSEHOLD
SIZE
MAXIMUM
GROSS MONTHLY INCOME
HOUSEHOLD
SIZE
MAXIMUM
GROSS MONTHLY INCOME
1
$1,859
9
$7,017
2
$2,505
10
$7,663
3
$3,149
11
$8,308
4
$3,793
12
$8,954
5
$4,438
13
$9,600
6
$5,082
14
$10,245
7
$5,726
15
$10,890
8
$6,371
16
$11,537
+For
each additional member over 16, add $645.00
TABLE
V - 200% LIMIT - GROSS MONTHLY INCOME LIMIT
HOUSEHOLD
SIZE
MAXIMUM
GROSS MONTHLY INCOME
HOUSEHOLD
SIZE
MAXIMUM
GROSS MONTHLY INCOME
1
$2,010
9
$7,586
2
$2,708
10
$8,284
3
$3,404
11
$8,982
4
$4,100
12
$9,680
5
$4,798
13
$10,378
6
$5,494
14
$11,076
7
$6,190
15
$11,774
8
$6,888
16
$12,472
+For
each additional member over 16, add $698.00
2. When
a household's circumstances change and it becomes entitled to a
different income eligibility standard, the agency representative
applies the different standard at the next recertification or when
there is a change in the household's eligibility, benefit level or
certification period, whichever occurs first.
1.15.1
Benefit Calculation and Allotments
A. Initial
Month's Benefit Level
1. A
household's benefit level for the initial month of certification is
based on the day of the month it applies for benefits.
a. A
household applying for benefits on or before the fifteenth (15th) of
the month receives benefits prorated from the day of application to
the end of the month.
b. A
household applying after the fifteenth (15th) of the month receives
benefits prorated from the application date to the end of the month
plus benefits for the first full month of participation in a combined
allotment.
c. The
term "initial month" means:
(1) the
first month for which an allotment is issued to a household,
(2) the
first month for which an allotment is issued to a household following
any period in which such household was not participating in the SNAP
after the expiration of a certification period or after termination
of the certification of a household during its certification period,
when the household became ineligible after notice and opportunity for
hearing, and
(3) in
the case of a migrant or seasonal farmworker household, the first
month for which such a household is certified for participation in
the SNAP following any period of more than thirty (30) days during
which the household was not certified for participation.
(4) Allotments
are based on a standard thirty-day calendar month.
(AA) Therefore,
a household applying on the thirty-first (31st) of a month is treated
as though it applied on the thirtieth (30th) day of the month.
2. For
a household applying for SSI and SNAP benefits prior to release from
a public institution, the benefit level for the initial month of
certification is based on the date of the month the household is
released from the institution.
a. The
household receives benefits prorated from the date of release from
the institution to the end of the month, if the date of release is on
or before the fifteenth (15th) of the month.
b. If
the release date is after the fifteenth (15th), a combined allotment
of the prorated initial month's and first full month's benefits are
issued.
B. Anticipated
Changes
1. Because
of anticipated changes, a household may be eligible for the month of
application, but ineligible in the subsequent month.
a. The
household is entitled to benefits for the month of application even
if the processing of its application results in the benefits being
issued in the subsequent month.
b. Similarly,
a household may be ineligible for the month of application, but
eligible in the subsequent month due to anticipated changes in
circumstances.
(1) Even
though denied for the month of application, the household does not
have to reapply in the subsequent month.
(2) The
same application shall be used for the denial for the month of
application and the determination of eligibility for subsequent
months, within the timeliness standards in § 1.3.8 of this Part.
c. As
a result of anticipating changes, the household's allotment for the
month of application may differ from its allotment in subsequent
months.
(1) The
agency representative establishes a certification period for the
longest possible period over which changes in the household's
circumstances can be reasonably anticipated.
(2) The
household's allotment varies from month-to-month at the time of
certification, unless the household elects the averaging techniques
in § 1.6.8 of this Part.
C. Prorating
Allotments for the Initial Month
1. The
amount of SNAP benefits which a household receives monthly is
determined by subtracting thirty percent (30%) of the household's net
monthly income from the Maximum SNAP Benefit Allotment amount for the
appropriate household size, or by using the Basis of Issuance Tables.
a. Normally,
the household receives that full monthly allotment throughout its
certification period.
b. However,
during the initial month, the household may only be entitled to a
partial allotment.
c. SNAP
benefits are reduced in proportion to the number of days from the
date of application until the end of the month.
d. In
the case of migrant and seasonal farmworker households, the term
“initial month” means the first month for which the household is
certified for participation in the SNAP following any period of more
than one (1) month during which the household was not certified for
participation.
e. For
a household that has not previously participated in the Supplemental
Nutrition Assistance Program the first month for which benefits are
issued is the initial month.
f. For
a household that has participated in the Supplemental Nutrition
Assistance Program, the initial month is the first month for which an
allotment is issued following a period during which the household was
not certified for participation, provided that the household did not
have an application pending.
g. Whether
the household receives the full monthly allotment or a prorated
amount, its eligibility and allotment are still determined in the
usual way by considering all the income and resources available to
the household for the month.
2. Standard
Thirty (30) Day Month
a. Rhode
Island has elected to average months with twenty-eight (28),
twenty-nine (29), and thirty-one (31) days and consider that each
calendar or fiscal month has a standard thirty (30) days.
3. Using
the standard 30-day calendar or fiscal month, the initial month
benefits can also be prorated by using the following formula, keeping
in mind that the date of application for someone applying on the 31st
of the month is the 30th:
a. full
month's benefits x (31 minus date of application) = prorated 30
allotment
b. The
sequence for calculation of the formula is:
(1) subtract
the date of application from 31;
(2) multiply
the result of the subtraction by the full monthly allotment;
(3) divide
the product of the multiplication by 30; and fourth, round down, if
necessary.
c. If
a household's monthly allotment is more than $900, the highest number
shown in the tables, calculate the prorated amount by multiplying the
full monthly allotment by the factor (shown below) appropriate to the
application date, and round the product down to the nearest whole
dollar if the allotment ends in 1 through 99 cents.
(1) If
the computation results in an allotment of less than $10, round down
to $0. The multiplication factors are:
DATE
OF
APPLICATION
MULTIPLICATION
FACTOR
DATE
OF
APPLICATION
MULTIPLICATION
FACTOR
1
1.0000
16
.5000
2
.9667
17
.4667
3
.9334
18
.4334
4
.9000
19
.4000
5
.8667
20
.3667
6
.8334
21
.3334
7
.8000
22
.3000
8
.7667
23
.2667
9
.7334
24
.2334
10
.7000
25
.2000
11
.6667
26
.1667
12
.6334
27
.1334
13
.6000
28
.1000
14
.5667
29
.0667
15
.5334
30
.0334
(2) When
using the above formula for determining the prorated allotment, round
the product down to the nearest lower whole dollar if it ends in 1
through 99 cents.
(3) If
the computation results in an allotment of less than $10, round it
down to $0 and no issuance is made for the initial month.
D. Calculating
SNAP Allotments
1. The
Maximum SNAP Allotments are based on the Thrifty Food Plan as
developed by the U.S. Department of Agriculture and are uniform by
household size.
2. Except
for eligible households whose benefits are prorated for the initial
month, a household's monthly allotment is equal to the Maximum SNAP
Allotment for the household's size reduced by 30% of the household's
net monthly income.
3. After
multiplying the net income by thirty percent (30%), the product is
rounded up to the next whole dollar prior to subtracting that amount
from the Maximum SNAP Allotment.
4. If
the calculation of benefits for an initial month would yield an
allotment of less than $10 for the household, no benefits shall be
issued to the household for the initial month.
a. For
an eligible household, with three (3) or more members that is
entitled to no benefits in months other than the initial month, the
agency representative denies the household's application on the
grounds that its net income exceeds the level at which benefits are
issued.
(1) For
an eligible household with three or more members which is entitled to
no benefits (except because of the proration requirements and the
provision precluding issuances of less than $10 in an initial month
of this Section), the agency shall deny the household's application
on the grounds that its net income exceeds the level at which
benefits are issued.
(2) All
eligible households with three or more members which are entitled to
$1, $3, and $5 allotments shall receive allotments, of $2, $4, and
$6, respectively.
b. For
an eligible household that is entitled to no benefits in the initial
month of application but is entitled to benefits in subsequent
months, the agency representative certifies the household beginning
with the month of application.
c. Except
during an initial month, all eligible one- and two-person households
shall receive minimum monthly allotments equal to the minimum benefit
of fifteen dollars ($15).
d. The
benefit level may be determined from the basis of issuance table that
follows:
Household
Size
Maximum
SNAP Allotment
Household
Size
Maximum
SNAP Allotment
1
$192
9
$1,297
2
$352
10
$1,441
3
$504
11
$1,585
4
$640
12
$1,729
5
$760
13
$1,873
6
$913
14
$2,017
7
$1,009
15
$2,161
8
$1,153
16
$2,305
For
each additional member over 16, add $144.00.
1.16 Electronic Benefit Transfer (EBT)
A. Electronic
Benefit Transfer (EBT) is an electronic system which allows
recipients to authorize transfer of their SNAP benefits from an EBT
account to a retailer account to pay for food products.
1. Eligible
SNAP households access their EBT SNAP benefits by using a plastic RI
EBT card along with a personal identification number (PIN) at point
of sale (POS) terminals that display the QUEST logo.
a. In
order to use an RI EBT card, the cardholder must also use a secret
four (4) digit number known as a personal identification number or
PIN.
(1) The
cardholder selects a PIN by calling the Rhode Island Customer Service
Line at 1-888-979-9939.
(2) When
using an RI EBT card, the cardholder is allowed four (4) attempts to
enter the correct PIN.
(AA) On
the fifth try, the cardholder is locked out of the EBT system until
the next day.
(BB) However,
the card is not confiscated. Cardholders must call the Rhode Island
Customer Service Line at 1-888-979-9939 for assistance.
b. Electronically,
the processor verifies the PIN and the account balance and sends an
authorization or denial back to the retailer.
c. If
approved, the recipient's account is then debited for the amount of
the purchase.
d. No
fee is charged when SNAP benefits are accessed at POS terminals and
no limit is placed on the number of POS transactions in a month.
2. Recipients
who receive both RI Works (RIW) cash benefits and SNAP benefits
receive one (1) RI EBT card to access both benefits.
a. However,
the benefits are maintained in separate EBT accounts.
3. In
two-parent families, a card is issued to one parent and another card
may be issued to the other parent as an authorized representative.
4. RI
EBT cards are issued in all DHS offices.
5. Benefits
are issued on the first of each month and are accessible beginning at
5:00 a.m. on that date with no weekend or holiday delays.
6. The
amount of SNAP benefits for which a household is eligible is
calculated pursuant to policies set forth in in this manual.
a. Disputes
regarding the amount of SNAP benefits for which a household is
eligible are handled pursuant to policies in DHS General Provisions
Manual.
b. Disputes
regarding recipients' EBT SNAP account balances are handled by the
Rhode Island Customer Service Line at 1-888-979-9939.
(1) The
Help Line is open twenty-four (24) hours a day, seven (7) days a week
and cardholders can view their SNAP benefit balance and prior
transactions online at www.ebtedge.com.
5. SNAP
EBT benefits which are accessed through the use of a RI EBT card and
personal identification number (PIN) are not replaced.
a. It
is the responsibility of the recipient or authorized representative
to keep the RI EBT card and PIN safe from unauthorized use and to
immediately report lost or stolen cards to the Rhode Island Customer
Service Line at 1- 888-979-9939.
b. The
customer service representative changes the status of the card from
"valid" to "lost" or "stolen" thereby
protecting any unused benefits.
B. Conversion
of EBT SNAP Benefits
1. The
Department has received a waiver from the Food and Nutrition Service
to convert EBT SNAP benefits to cash when a recipient moves out of
Rhode Island to a state which has not implemented an EBT system or to
an EBT state where the RI EBT card is not valid.
2. EBT
SNAP benefits are accessible in all states in the United States.
3. Conversion
to a cash authorization is performed through the eligibility system
link with the E-FUNDS EDGE EBT system and is completed within three
(3) days of the request.
C. Lost,
Stolen, or Damaged EBT Cards
1. Cardholders
must report lost, stolen, or damaged RI EBT cards to the Rhode Island
Customer Service Line at 1-888-979-9939.
a. The
Customer Service Representative invalidates the card thereby
protecting the unused benefit amounts. If someone uses the card
before its status has been changed, the benefits cannot be replaced.
b. No
fee is charged for the replacement of any lost, stolen, or damaged RI
EBT card.
2. Cardholders
may request a new card by completing request for replacement form or
contacting a DHS field office.
a. Arrival
of the card should be within three to five business days.
b. In
certain circumstances, an EBT card may be provided at the local SNAP
office.
(1) The
DHS agency representative is responsible for determining the
instances when it is necessary to provide an EBT card at the office.
(2) Circumstances
that are beyond a household member's control and necessitate an
in-office issuance of an EBT card include:
(AA) a
catastrophe caused by fire, flood, or a severe weather condition.
(BB) lost
or stolen mail confirmed by the Postal Service;
(CC) unanticipated
household emergency or theft;
(DD) domestic
violence situation
(EE) homelessness
c. Cardholders
who request four (4) or more replacement EBT cards within a twelve
(12) month period may be referred to the Fraud Detection &
Prevention Unit for investigation of misuse or abuse of the EBT card.
(1) Documented
violations may result in one or more of the following actions:
(AA) Disqualification
from the program;
(BB) Recovery
through recoupment/restitution (See § 1.17 and § 1.17.1 of this
Part for policy relating to establishing and collecting claims
against households); and/or
(CC) Referral
for criminal prosecution
(2) In
all cases, the agency shall act to protect households containing
homeless persons, elderly or disabled members, victims of crimes, and
other vulnerable persons who may lose electronic benefits transfer
cards but are not committing fraud.
D. EBT
Cards for Authorized Representatives
1. An
authorized representative is a person given permission by the
recipient to conduct SNAP transactions on behalf of the SNAP
household.
2. In
households with an authorized representative, the recipient receives
an EBT card and the authorized representative is issued a separate
EBT card and personal identification number (PIN).
3. If
the same individual is acting as both an authorized payee for the
family's RIW cash benefits and as an authorized representative for
the household's SNAP benefits, only one (1) EBT card is issued.
4. Recipients
may cancel their authorized representative/authorized payee at any
time by calling the Rhode Island Customer Service Line at
1-888-979-9939.
a. Customer
Service immediately cancels the authorized representative's/
authorized payee's access to the household's benefits. However,
recipients retain uninterrupted access to their benefits.
E. Inactive
EBT SNAP Benefit Accounts
1. When
EBT SNAP benefits have not been accessed for one (1) year the EBT
SNAP benefits are permanently purged from the EBT system.
2. Prior
notice is provided the household of an intended action to permanently
purge EBT SNAP benefits.
F. EBT
Adjustments
1. The
agency may make adjustments to benefits posted to household accounts
after the posting process is complete but prior to the availability
date for household access in the event benefits are erroneously
posted.
2. Adjustments
Due to a System Error
a. The
agency shall make adjustments to an account to correct an auditable,
out-of-balance settlement condition that occurs during the redemption
process as a result of a system error.
(1) A
system error is defined as an error resulting from a malfunction at
any point in the redemption process: from the system host computer,
to the switch, to the third-party processors, to a store's host
computer or POS device.
(2) These
adjustments may occur after the availability date and may result in
either a debit or credit to the household.
3. Customer-Initiated
Adjustments
a. The
agency must act on all requests for adjustments made by client
households within ninety (90) calendar days of the error transaction.
b. The
agency has ten (10) business days from the date the household
notifies it of the error to investigate and reach a decision on an
adjustment and move funds into the client account.
(1) This
timeframe also applies if the agency or entity other than the
household discovers a system error that requires a credit adjustment
to the household. Business days are defined as calendar days other
than Saturdays, Sundays, and Federal holidays.
4. Retailer-Initiated
Adjustments
a. The
agency must act upon all adjustments to debit a household's account
no later than ten (10) business days from the date the error
occurred, by placing a hold on the adjustment balance in the
household's account.
b. If
there are insufficient benefits to cover the entire adjustment, a
hold shall be placed on any remaining balance that exists, with the
difference being subject to availability only in the next future
month.
5. Notice
of EBT Adjustment/Right to a Hearing
a. The
household shall be given, at a minimum, adequate notice.
b. The
notice must be sent at the time the initial hold is attempted on the
household's current month's remaining balance, clearly state the full
adjustment amount, and advise the household that any amount still
owed is subject to collection from the household's next future
month's benefits.
c. The
household shall have ninety (90) days from the date of the notice to
request a fair hearing.
(1) Should
the household dispute the adjustment and request a hearing within ten
(10) days of the notice, a provisional credit must be made to the
household's account by releasing the hold on the adjustment balance
within forty-eight (48) hours of the request by the household,
pending resolution of the fair hearing.
(2) If
no request for a hearing is made within ten (10) days of the notice,
the hold is released on the adjustment balance, and this amount is
credited to the retailer's account.
(3) If
there are insufficient funds available in the current month to cover
the full adjustment amount, the hold may be maintained and settled at
one time after the next month's benefits become available.
1.17 Benefit Overissuances and Claims
A. A
recipient claim is an amount owed because of:
1. Benefits
that are overpaid, or
2. Benefits
that are trafficked.
a. Trafficking
is defined as buying or selling of benefit instruments such as EBT
cards for cash or consideration other than eligible food.
b. This
claim is a Federal debt subject to rules governing Federal debts.
B. Establishing
Claims against Households
1. A
claim referral is the identification of a potential overissuance that
needs to be investigated and established as a claim by the CCR Unit.
2. There
are three (3) types of claims:
a. Intentional
Program Violation
(1) Any
claim for an overissuance or trafficking resulting from an individual
committing an intentional program violation (IPV) as defined in §
1.9 when:
(AA) An
administrative disqualification hearing official or a court of
appropriate jurisdiction has determined that a household member
committed an IPV; or
(BB) An
individual is disqualified as a result of signing a waiver of her/his
disqualification hearing as discussed in § 1.21 of this Part; or
(CC) An
individual is disqualified as a result of signing a disqualification
consent agreement in a case referred for prosecution as discussed in
§ 1.21 of this Part.
(2) Claims
arising from trafficking-related offenses will be the value of the
trafficked benefits as determined by:
(AA) The
individual's admission;
(BB) Adjudication;
or
(CC) The
documentation that forms the basis for the trafficking determination.
(3) Prior
to the determination of an intentional program violation or the
signing of either a waiver of right to a disqualification hearing or
a disqualification consent agreement in cases of deferred
adjudication, the claim against the household is handled as an
inadvertent household error claim.
b. Inadvertent
Household Error
(1) An
inadvertent household error is any claim for an overissuance
resulting from a misunderstanding or unintended error on the part of
the household.
(AA) Claims
include only those months of overissuance that have occurred within
at least twelve (12) months prior to the date the agency becomes
aware of the overissuance.
(2) Instances
of inadvertent household error which may result in a claim include,
but are not limited to, the following:
(AA) The
household unintentionally failed to provide the agency with correct
or complete information;
(BB) The
household unintentionally failed to report to the agency changes in
its household circumstances; or
(CC) The
household unintentionally received benefits, or more benefits than it
was entitled to receive, pending a fair hearing decision because the
household requested a continuation of benefits based on the mistaken
belief that it was entitled to such benefits.
c. Agency
Error
(1) An
agency error is any claim that for an overissuance caused by the
agency's action or failure to take action.
(2) Instances
of agency error which may result in a claim include, but are not
limited to, the following:
(AA) The
agency failed to take prompt action on a change reported by the
household;
(BB) The
agency incorrectly computed the household's income or deductions, or
otherwise assigned an incorrect allotment;
(CC) The
agency continued to provide a household SNAP allotments after its
certification period had expired without benefit of a reapplication
determination; or
(DD) The
agency failed to provide a household a reduced level of SNAP benefits
because its cash assistance amount changed.
(3) The
actual steps for calculating an agency error claim are:
(AA) Determine
the correct amount of benefits for each month that a household
received an overissuance.
(BB) Subtract
the correct amount of benefits from the benefits actually received.
(CC) The
result is the amount of the overissuance.
(DD) Reduce
the overissuance amount by any EBT benefits expunged from the
household's EBT benefit account.
(EE) The
difference is the amount of the claim.
3. The
following individuals are responsible for paying a claim:
a. Each
person who was an adult member of the household when the overissuance
or trafficking occurred;
b. A
sponsor of a non-citizen household member if the sponsor was at
fault; or
c. A
person connected to the household, such as an authorized
representative, who actually traffics or otherwise causes an
overissuance or trafficking.
C. When
a Claim Cannot be Established
1. Neither
an inadvertent household error claim nor an agency error claim is
established if the overissuance occurred as a direct result of the
agency's failure to ensure that a household fulfilled the procedural
requirements of signing the application form or completing a current
work registration form.
D. Determining
Initial Month of Overissuance
1. In
all cases involving inadvertent household error or agency error
claims, the first month of overissuance is the month the change would
have been effective had it been reported in a timely manner with
allowance for the advance notice period.
2. In
no instance, however, is the first month of overissuance any later
than two (2) months from the month in which the change in household
circumstances occurred.
3. The
agency representative determines the initial month of overissuance as
follows:
a. Households
Subject to Change Reporting Requirements
(1) Failure
to Report Change Within Ten (10) Days: If, due to a misunderstanding
on the part of the household, the household failed to report a change
in its circumstances within ten (10) days of the date the change
became known to the household, the first month affected by the
household's failure to report is the first month the change would
have been effective had it been reported in a timely manner.
(2) Change
Reported Timely: When a household reports the change on time, but
the agency representative does not act on the change in a timely
manner, the first claim month is still the first month the change
would have been effective.
(3) If
the Notice of Action was required but not sent, the agency
representative assumes, for the purpose of calculating the claim,
that the maximum advance notice period would have expired without the
household requesting a hearing.
(4) Benefits
Issued Pending Hearing Decision
(AA) If
a household requests the continuation of benefits pending a fair
hearing decision, and receives an overissuance because its position
is not sustained by the hearing decision, the first month of
overissuance is the month that the change would have been effective
had the household not asked for the continuation of benefits.
b. Households
Subject to Simplified Reporting Requirements
(1) If
the household is a simplified reporting household and the change
which resulted in an overissuance of SNAP benefits occurred during
the certification period and was not required to be reported,
according to the simplified reporting requirements, the overissuance
shall be calculated from the date of recertification, which is the
time the household was required to report the change.
1.17.1
Collection of Claims
A. The
agency must initiate collection action against the household on all
inadvertent household or agency error claim referrals unless the
claim is collected through offset, or one of the following conditions
applies:
1. The
amount of the claim referral is less than one hundred twenty-five
dollars ($125), and the claim cannot be recovered by reducing the
household's allotment.
a. This
threshold does NOT apply for overissuances discovered through the
quality control system.
2. The
agency has documentation which shows that the household cannot be
located.
3. The
agency may postpone collection action on inadvertent household error
claims in cases where an overissuance is being referred for possible
prosecution or for administrative disqualification, and the agency
determines that collection action may prejudice the case.
B. A
written demand letter entitled, "Demand Letter for Overpayment"
is mailed or provided to the household.
1. The
claim is considered established as of the date of the initial demand
letter or written notification.
2. Repayment
Agreement
a. The
repayment agreement for any claim must contain due dates or time
frames for the periodic submission of payments.
b. The
agreement must specify that the household will be subject to
involuntary collection action(s) if payment is not received by the
due date and the claim becomes delinquent.
c. For
all types of claims: agency error, inadvertent household error, and
intentional program violation, the household must also be informed:
(1) if
the household is participating in the program, that it must repay the
entire amount of the claim in cash, check, money order, or funds from
an EBT benefit account within ten (10) days of the notice.
(2) if
the household does not repay the entire balance, its benefits shall
be reduced by the appropriate reduction formula listed in § 1.17 of
this Part.
(3) If
the household is not participating in the program, it may elect to
repay the entire amount of the claim in cash, check, or money order
all at once, repay part of the claim, and then repay the rest in
weekly or monthly installments.
d. If
the household fails to submit a payment in accordance with its
repayment agreement, the claim becomes delinquent and is subject to
additional collection actions.
3. Any
household against which the agency has initiated collection action
must be informed of its right to request renegotiation of any
repayment schedule to which the household has agreed should the
household's economic circumstances change.
4. If
the household pays the claim, payment is accepted and submitted to
FNS.
C. Households
That Fail to Respond
1. If
a household against which collection action for repayment of a claim
has been initiated is currently participating in the program does not
repay the entire overissuance within ten (10) days of the date the
notice was mailed, the agency representative initiates action to
notify the household of a reduction in its household SNAP allotment
by automatic allotment reduction.
2. For
a non-participating household which does not respond to the demand
letter, additional demand letters are sent on a regular basis.
a. Furthermore,
billing notices are sent monthly.
(1) These
letters are sent until the household has responded by paying, or
agreeing to pay the claim; until the criteria for suspending
collection action, have been met; or until the agency initiates other
collection actions.
3. The
agency may also pursue other collection actions, as appropriate, to
obtain restitution of a claim against any household which fails to
respond to a written demand letter for repayment.
a. If
the agency chooses to pursue other collection actions, and the
household pays the claim, payments are submitted to the Food and
Nutrition Service (FNS).
b. The
agency's retention is based on the actual amount collected from the
household through such collection actions.
D. Change
in Household Composition
1. The
agency must initiate collection action against any or all of the
adult members of a household at the time an overissuance occurred.
a. Therefore,
if a change in household composition occurs, the agency may pursue
collection action against any household which has a member who was an
adult member of the household that received the overissuance.
b. The
agency may also offset the amount of the claim against restored
benefits owed to any household which contains a member who was an
adult member of the original household at the time the overissuance
occurred.
2. Under
no circumstances may the agency collect more that the amount of the
claim.
E. Methods
of Collecting Claims
1. The
agency may collect payment for claims using one of the following
methods.
a. Reducing
benefits prior to issuance, including allotment reduction and offsets
to restored benefits;
(1) SNAP
benefits from an EBT account are accepted as partial or full payment
of a claim if the household prefers to use this method of repayment.
(2) CCR
will automatically collect payments for any claim by reducing the
amount of monthly benefits that a household receives.
(3) For
an IPV claim, the amount reduced is limited to the greater of twenty
dollars ($20) or twenty percent (20%) of the household's monthly
allotment or entitlement.
(4) For
an Inadvertent Household Error or Agency Error claim, the amount
reduced is limited to the greater of ten dollars ($10) or ten percent
(10%) of the household's monthly allotment.
(5) The
agency shall not reduce the initial allotment when the household is
first certified.
(6) The
agency will not use additional collection methods against individuals
in a household that is already having its allotment reduced unless
the household voluntarily makes additional payments.
b. Reducing
benefits after issuance from electronic benefit transfer (EBT)
accounts;
(1) A
household is allowed to pay its claim using benefits from its EBT
account.
(2) However,
the following requirements must be met:
(AA) For
collecting from active or reactivated EBT accounts, written
permission must be obtained in advance.
(BB) For
collecting from stale EBT benefits, written notification must be
mailed or otherwise delivered that CCR intends to apply the benefits
to the outstanding claim.
(CC) The
household must be given at least ten (10) days to notify the agency
that it doesn't want to use these benefits to pay the claim.
(DD) For
making an adjustment with expunged EBT benefits, the claim must be
adjusted by subtracting any expunged amount from the EBT benefit
account of which the agency becomes aware.
(EE) A
collection from an EBT account must be non-settling against the
benefit drawdown account.
c. Accepting
cash or any of its generally accepted equivalents, including checks,
money orders, and credit or debit cards;
(1) Any
payment for a claim is accepted whether it represents full or partial
payment.
(2) For
non-participating households, the agency accepts installment payments
made for a claim as part of a negotiated repayment agreement.
d. Participation
in the Treasury Offset Programs (TOP)
(1) §
3701 of the Debt Collection Act, as amended by the Debt Improvement
Act of 1996, Federal P.L. 104-134, authorizes the U.S. Treasury to
collect delinquent claims through what is called Treasury's Offset
Programs (TOP).
(2) DHS
through the Claims, Collections and Recoveries (CCR) Unit will
certify claims to Food and Nutrition Service for the purpose of
referring delinquent claims for collection by Treasury.
(AA) In
order for this method of collection to be utilized, the CCR Unit must
determine that the claim is past due and legally enforceable.
(BB) A
claim is considered legally enforceable through the process of the
establishment of the claim.
(CC) After
reasonable but unsuccessful efforts have been made to collect the
claim, it is considered past due.
(3) In
order to meet the requirement for Treasury Offset, the claim must be:
(AA) an
agency error, inadvertent household error, or intentional program
violation;
(BB) at
least twenty-five dollars ($25) (may be a cumulative amount);
(CC) delinquent
for no longer than ten (10) years and no less than one hundred and
twenty (120) days unless a debt has been reduced to a final judgment
entered by a court ordering the debtor to pay the debt - such debts
are not subject to the ten (10) year limit;
(DD) submitted
in the name of one individual or must be reduced by any amount
submitted as a separate claim for other individuals who are jointly
or severally liable for the claim; and
(EE) Not
involved in a bankruptcy stay or discharged in bankruptcy.
(FF) In
addition, the agency must notify the individual of the intended
action prior to offset and of her or his appeal rights.
(4) The
CCR Unit will notify the individual of its intent to refer a claim to
Treasury Offset Programs (TOP) and give the individual ninety (90)
days to appeal the intended referral by presenting evidence that all
or part of the claim is not past due or legally enforceable.
(5) The
individual is entitled to appeal the intended referral for offset.
(AA) The
appeal request must be in writing and must be received by CCR Unit
not later than ninety (90) days after the date of the pre-offset
notice.
(BB) The
written request for an appeal must include evidence or documentation
that the claim is not past due or legally enforceable.
(CC) An
appeal is not considered received until the individual provides such
evidence or documentation.
(DD) The
individual must present her/his social security number as
identification with the appeal.
(EE) If
the determination is made that the claim does not meet the
requirements for offset, in addition to notifying the individual,
appropriate corrective action must be taken.
(FF) If
DHS decides that the claim meets the requirements for offset, the
notice of the review determination of the appeal must state that the
agency intends to refer the claim for offset.
(6) After
FNS review, if a determination is made that the debt is past due and
legally enforceable, the individual will be notified and advised by
FNS that s/he has the right to pursue other appeals through the
courts.
(AA) If
FNS determines that the claim is not past due and legally
enforceable, FNS will request that CCR Unit take any appropriate
corrective action.
(BB) The
CCR Unit will take any necessary corrective action and will notify
the individual of its action.
(7) The
agency retains the value of funds collected for inadvertent household
error, intentional program violation, or agency error claims.
(AA) This
amount includes the total value of allotment reductions to collect
claims, but does not include the value of benefits not issued as a
result of a household member being disqualified.
(BB) The
State's letter of credit will be amended on a quarterly basis to
reflect the State's retention of twenty percent (20%) of the value of
inadvertent household error claims collected and thirty-five percent
(35%) of the value of intentional program violation claims collected,
as well as full retention by FNS of all agency error overissuance
recoveries.
F. IPV
Claims
1. If
a household member is found to have committed an intentional program
violation (by an administrative disqualification hearing official or
a court of appropriate jurisdiction), or has signed either a waiver
of hearing, or a consent agreement, the agency must initiate
collection action against the individual's household.
2. The
agency must initiate such collection unless the household has already
repaid the overissuance, the agency has documentation which shows the
household cannot be located, or the agency determines that collection
action may prejudice the case against a household member referred for
prosecution.
3. The
agency initiates collection action for an unpaid or partially paid
claim even if collection action was previously initiated against the
household while the claim was being handled as an inadvertent
household error claim.
4. In
cases where a household member was found guilty of misrepresentation
of fraud by a court, or signed a disqualification consent agreement
in cases referred for prosecution, the agency requests that the
matter of restitution be brought before the court or addressed in the
agreement reached between the prosecutor and the accused individual.
G. Overpayment
of a Claim
1. If
a household has overpaid a claim, the agency must pay the household
any amounts overpaid as soon as possible after the overpayment
becomes known.
2. The
household is paid by whatever method the agency deems appropriate,
considering the household's circumstances.
H. Claims
Discharged through Bankruptcy
1. The
agency acts on behalf of, and as, FNS in any bankruptcy proceeding
against bankrupt households owing SNAP claims.
2. The
agency possesses any rights, priorities, interests, liens or
privileges, and participates in any distribution of assets, to the
same extent as FNS.
3. Acting
as FNS, the agency has the power and authority to file objections to
discharge, proofs of claims, exceptions to discharge, petitions for
revocation of discharge and any other documents, motions or
objections which FNS might have filed.
I. Interstate
Claims Collection
1. When
a household moves out of the area under the agency's jurisdiction,
the agency should initiate or continue collection action against the
household for any overissuance to the household which occurred while
it was under the agency's jurisdiction.
2. The
agency which overpaid benefits to the household has the first
opportunity to collect any overissuance.
a. However,
if the agency which overpaid benefits to the household does not take
prompt action to collect, then the agency which administers the area
into which the household moves should initiate action to collect the
overissuance.
b. Prior
to initiating action to collect such overissuance, the agency which
administers the area into which the household moves must contact the
agency which overpaid benefits to ascertain that it does not intend
to pursue prompt collection.
1.17.2
Delinquent Claims
A. A
claim must be considered delinquent if:
1. The
claim has not been paid by the due date and a satisfactory payment
arrangement has not been made: or
a. The
date of delinquency in this instance is the due date on the initial
written notification or demand letter.
b. The
claim remains delinquent until payment is received in full, a
satisfactory payment agreement is negotiated, or allotment reduction
is imposed; or
2. A
payment arrangement has been established and a scheduled payment has
not been made by the due date.
a.
In this instance, the date of delinquency is the due date of the
missed installment payment.
b. The
claim remains delinquent until payment is received in full, allotment
reduction is imposed, or if the CCR Unit decides to either to resume
or re-negotiate the repayment schedule.
3. A
claim is not considered delinquent if another claim for the same
household is currently being paid either through installment
agreement or allotment reduction and the CCR Unit expects to begin
collection on the claim once the prior claim(s) is settled.
4. A
claim awaiting a hearing decision is not considered delinquent.
a. If
the hearing officer determines that a claim does in fact exist
against the household, the household must be re-notified of the
claim.
b. Demand
for payment may be combined with hearing decision letter.
c. Delinquency
must be based on the due date of this subsequent notice and not the
initial pre-hearing demand letter sent to the household.
d. If
the hearing officer determines that a claim does not exist, the claim
is disposed of in accordance with § 1.17.4 of this Part.
1.17.3
Compromising Claims
A. The
CCR Unit may compromise a claim or any portion of a claim that if it
can be reasonably determined that a household economic circumstances
dictate that the claim will not be paid in three (3) years.
1. The
full amount of the claim (including any amount compromised) may be
used to offset benefits owed to the household in accordance with §
1.17.5 of this Part.
2. Any
compromised portion of a claim may be reinstated if the claim becomes
delinquent.
1.17.4
Terminating and Writing-Off Claims
A. A
terminated claim is a claim in which all collection action has
ceased. A written-off claim is no longer a receivable subject to
Federal and state agency collection and reporting requirements.
1. If
a claim is determined to be invalid, the claim must be discharged and
reflected as a balance adjustment rather than a termination unless it
is appropriate to pursue the overissuance as a different type of
claim (e.g., as an Inadvertent Household Error (IHE) rather than an
Intentional Program Violation claim).
B. Claims
must be terminated and written off, when:
1. All
adult household members are deceased;
2. The
claim balance is twenty-five dollars ($25) or less and the claim has
been delinquent for ninety (90) days or more unless other claims
exist against this household resulting in an aggregate claim total of
greater than twenty-five dollars ($25);
3. It
is not cost effective to pursue the claim any further;
4. The
claim is delinquent for three (3) years or more, unless it is planned
to pursue the claim through Treasury's Offset Program; or
5. The
household cannot be located.
C. A
terminated and written-off claim may be reinstated if a new
collection method or a specific event (such as winning the lottery)
substantially increases the likelihood of further collection.
1.17.5
Offsetting Claim Prior to Restoring Benefits
A. When
calculating the amount of the claim, any amount of underissuance not
yet restored in accordance with § 1.18 of this Part, must be offset
against the claim. The agency then institutes collection action for
the remaining balance.
1. When
there is any restoration of lost benefits which is used to offset an
established claim, the balance of the claim is reduced by the amount
of the offset.
B. For
each month that a household received an overissuance due to an act of
intentional program violation, the agency must determine the correct
amount of SNAP benefits, if any, the household was entitled to
receive.
1. The
amount of an intentional program violation claim is calculated back
to the month the act of intentional program violation occurred,
regardless of the length of time that elapsed until the determination
of intentional program violation was made.
a. However,
the agency must not include in its calculation any amount of the
overissuance which occurred in a month more than six (6) years from
the date the overissuance was discovered.
2. If
the household received a larger allotment than it was entitled to
receive, the agency representative must establish a claim against the
household equal to the difference between the allotment the household
received and the allotment the household should have received.
a. When
determining the amount of benefits the household should have
received, the agency representative must not apply the twenty percent
(20%) earned income deduction to earned income which the household
failed to report in a timely manner in accordance with the
household’s change reporting requirements.
3. If
the household member is determined to have committed an intentional
program violation by failing to report a change in the household's
circumstances, the first month affected by the household's failure to
report is the first month in which the change would have been
effective had it been reported.
a. In
no instance, however, is the first month of overissuance any later
than two (2) months from the month in which the change in household
circumstances occurred.
1.18 Benefit Underpayments
A. If
the agency representative determines that a loss of benefits has
occurred, and a household is entitled to restoration of these
benefits, action to restore the benefits must automatically be taken.
1. However,
benefits are not restored if the benefits were lost more than twelve
(12) months prior to the month the loss was discovered by the agency
in the normal course of business, or were lost more than twelve (12)
months prior to the month the agency representative was notified in
writing, or orally, of a possible loss to a specific household.
2. Benefits
are restored to a household whenever:
a. the
loss was caused by an agency error; and/or,
b. there
is a statement elsewhere in the regulations specifically stating that
the household is entitled to restoration of lost benefits; and/or,
c. there
is an administrative disqualification for intentional program
violation which was subsequently reversed.
3. The
household is notified of its entitlement, the amount of benefits to
be restored, any off-setting that was done, the method of
restoration, and the right to appeal through the hearing process if
the household disagrees with any aspect of the restoration of lost
benefits.
4. If
the household was eligible, but received an incorrect allotment, the
amount to be restored is the difference between the actual and the
correct allotment.
5. The
loss of benefits is calculated only for those months the household
participated.
6. The
agency must restore to a household benefits which were found by any
judicial action to have been wrongfully withheld.
a. If
the judicial action is the first action the recipient has taken to
obtain restoration of lost benefits, then benefits must be restored
for a period of not more than twelve (12) months from the date the
court action was initiated.
b. When
the judicial action is a review of the agency action, the benefits
must be restored for a period of not more than twelve (12) months
from the first of the following dates:
(1) The
date the agency receives a request for restoration;
(2) if
no request for restoration is received, the date the fair hearing
action was initiated;
(3) but,
never more than one (1) year from when the agency is notified of, or
discovers, the loss.
7. Benefits
must be restored even if a household is currently ineligible.
B. If
the loss was caused by an incorrect delay, denial, or termination of
benefits, the months affected by the loss must determined as follows:
1. If
an eligible household's application was delayed, the months for which
benefits were lost are determined in accordance with procedures in §
1.3.8 of this Part for determining whether the delay was caused by
the household or the agency representative.
2. If
an eligible household's application was erroneously denied, the month
the loss initially occurred is the month of application, or for an
eligible household filing a timely reapplication, the month following
the expiration of its certification period.
3, If
a household's benefits were erroneously terminated, the month the
loss initially occurred is the first month benefits were not received
as a result of the erroneous action.
4. After
determining the date the loss initially occurred, the loss is
calculated for each month subsequent to that date until either the
first month the error is corrected or the first month the household
is found ineligible.
C. For
each month affected by the loss, the agency representative must
determine if the household was actually eligible.
1. In
cases which have no information in the household's case file to
document that the household was actually eligible, the agency
representative advises the household of what information must be
provided to determine eligibility for those months.
2. For
each month the household cannot provide the necessary information to
demonstrate its eligibility, the household is ineligible.
3. For
the months the household was eligible, the agency representative
calculates the allotment the household should have received.
a. If
the household received a smaller allotment than it was eligible to
receive, the difference between the actual and correct allotments
equals the amount to be restored.
D. Benefits
are not restored if a household is otherwise at fault.
1. Examples
of errors for which benefits are not restored:
a. A
household does not report a change which increases benefits;
b. A
household fails to provide verification without good cause; or,
c. A
household provides incorrect information caused by household error,
which results in loss of benefits.
E. If
it is determined that a household is entitled to restoration of lost
benefits, but the household does not agree with the amount to be
restored as calculated by the agency representative or any other
action taken by the agency representative to restore lost benefits,
the household may request a hearing within 90 days of the date the
household is notified of its entitlement.
1. If
a hearing is requested prior to or during the time benefits are being
restored, the household receives the lost benefits as determined by
the agency representative pending the results of the hearing.
2. If
the hearing decision is favorable to the household, the agency
representative restores the lost benefits in accordance with that
decision.
F. Offsetting
Claims
1. If
a claim against a household is unpaid or held in suspense as provided
in § 1.18, the amount to be restored must be offset against the
amount due on the claim before the balance, if any, is restored to
the household.
2. At
the point in time when the household is certified and receives an
initial allotment, the initial allotment must not be reduced to
offset prior claims, even if the initial allotment is paid
retroactively.
G. IPV
Restoration
1. An
individual disqualified for an intentional program violation is
entitled to restoration of any benefits lost during the months that
s/he was disqualified, not to exceed twelve (12) months prior to the
date of agency notification, only if the decision which resulted in
disqualification is subsequently reversed.
2. For
each month the individual was disqualified, not to exceed twelve (12)
months prior to agency notification, the amount restored, if any, is
determined by comparing the allotment the household received with the
allotment the household would have received had the disqualified
member been allowed to participate.
a. If
the household received a smaller allotment than it should have
received, the difference equals the amount to be restored.
3. Participation
in an administrative disqualification hearing in which the household
contests the agency assertion of intentional program violation is
considered notification that the household is requesting restored
benefits.
H. Method
of Restoration
1. Regardless
of whether a household is currently eligible or ineligible, the
agency representative must restore lost benefits to a household by
issuing an allotment equal to the amount of benefits that were lost.
2. This
allotment is added to the current EBT account. This amount is in
addition to the benefit a currently eligible household is entitled to
receive.
I. Changes
in Household Composition
1. Whenever
lost benefits are due a household in which the household's membership
has changed, the agency representative restores the lost benefits to
the household containing a majority of the individuals who were
household members at the time the loss occurred.
2. If
the agency representative cannot locate or determine the household
that contains a majority of household members, the agency
representative restores the lost benefits to the household containing
the head of the household at the time the loss occurred.
1.19 SNAP Assistance in Disasters (D-SNAP)
A. The
Robert T. Stafford Disaster Relief and Emergency Assistance Act and
the Food and Nutrition Act of 2008 as amended provides the authority
to establish temporary emergency standards of eligibility for
households who are survivors of a disaster that disrupts commercial
channels of food distribution after those channels have been
restored.
1. During
a Presidential or an FNS declared disaster where a quick response is
needed to meet sudden heavy demand at the SNAP offices and the
on-going program cannot meet the food needs of afflicted households,
the approach to be used is emergency SNAP issuance.
2. The
Department of Human Services (DHS) will seek approval for
authorization to implement Disaster SNAP (D-SNAP) procedures if,
after consultation with officials in the disaster area, it is
determined that it is necessary.
3. Households
affected by the disaster are certified by the procedures outlined in
this Section.
4. FNS
will specify the period of authorization which cannot be more than
one month.
a. If
necessary, the State may apply for extension of the one-month period.
B. Certification
Points
1. Normally,
certification is handled in the DHS offices but, if necessary, to the
extent possible, certification locations convenient to disaster
victims should be established.
2. In
the event of a Presidential-declared disaster, there will be
cooperation with FEMA in establishing certification points in
Disaster Assistance Centers.
C. Eligibility
and Certification
1. D-SNAP
provides a full month’s allotment to households who may not
normally qualify for or participate in SNAP.
a. The
allotment for a household is equal to the maximum monthly allotment
for the household size provided under regular SNAP.
b. D-SNAP
allotments are updated yearly and available on the FNS website at
https://www.fns.usda.gov/disaster/disaster-snap-guidance
2. As
part of a D-SNAP, DHS may also automatically or individually
supplement the regular SNAP benefits of ongoing households affected
by the disaster to bring them up to the maximum allotment or replace
benefits for food that was lost during the disaster.
3. To
be eligible for D-SNAP, a household must live in the identified
disaster area, have been affected by the disaster, and meet the
following D-SNAP eligibility criteria:
a. Household
Composition
(1) Household
composition is established as of the date the disaster struck.
(2) A
household includes those people living together, purchasing and
preparing food together at the time of a disaster.
(3) A
D-SNAP household does not include those people with whom applicants
are temporarily staying due to the disaster.
b. Residency
(1) The
household must have lived or worked in the disaster area at the time
of the disaster.
c. Purchase
Food
(1) The
household must plan on purchasing food during the disaster benefit
period or have purchased food during that time if the benefit period
has passed.
d. Adverse
Effects
(1) The
household must have experienced at least one of the following adverse
effects in order to be eligible:
(AA) Lost
or inaccessible income, which includes reduction or termination of
income, or a delay in receipt of income during the benefit period due
to the disaster.
(BB) Inaccessible
liquid resources (e.g., banks are closed due to the disaster) during
the benefit period.
(CC) Deductible
disaster-related expenses: Out of pocket disaster-related expenses
paid (not only incurred) by the household that are not expected to be
reimbursed during the 30-day benefit period, including damage to or
destruction of the household's home or self-employment business.
4.
A household is not eligible for D-SNAP if it is already being served
by the disaster household distribution of USDA Foods, which is
separately authorized under disaster regulations.
a. This
disaster household distribution program is distinct from the normally
operating Food Distribution on Indian Reservations (FDPIR) and The
Emergency Food Assistance Program (TEFAP).
5. Disaster
Gross Income Limit
a. D-SNAP
groups income and resources together under one test.
b. The
household's take-home income received (or expected to be received)
during the benefit period plus its accessible liquid resources minus
disaster-related expenses (unreimbursed disaster related expenses
paid or anticipated to be paid out of pocket during the disaster
benefit period) shall not exceed the Disaster Gross Income Limit
(DGIL).
c. Resources
are determined on the first day of the benefit period; anything
received during the remainder of the benefit period would be counted
as income.
6. Interview
Requirement
a. All
D-SNAP applicants must have a face-to-face interview.
b. All
interviews must be conducted at the D-SNAP site, except in
extraordinary circumstances.
c. As
in the regular program, households unable to apply in person may
choose to designate an authorized representative to apply on their
behalf.
7. If
the household fails to meet the above eligibility requirements,
eligibility for SNAP assistance is determined in accordance with
ongoing program requirements.
D. Application
Processing
1. The
agency may accept applications for D-SNAP benefits from new
households and requests for supplements from ongoing households only
during the application period which is approved by FNS.
2. Verification
rules are eased during a disaster t.
a. Verification
requirements in D-SNAP are three-tiered:
(1) Identity
must be verified;
(2) residency
and household composition should be verified where possible, and
(3) loss/inaccessibility
of income or liquid resources and food loss can be verified if
questionable.
E. Benefit
Period and Issuance
1. The
benefit period approved by FNS for each D-SNAP is 30 days, except in
extraordinary circumstances.
2. The
benefit period begins on the date of the disaster or the date of any
mandatory evacuation preceding the disaster.
a. This
date is generally the first day of the “Incident Period” provided
by the Presidential Disaster Declaration.
3. SNAP
benefits may be issued to the head of the household, the spouse, or
an authorized representative.
a. D-SNAP
benefits will be issued on an Electronic Benefits Transfer (EBT) card
and will be made available as soon as possible and no later than
three (3) calendar days (except in questionable cases in which
issuance may be delayed up to seven (7) days) from the date the
application was filed.
F. Quality
Control Provisions
1. Quality
Control is an administrative system for documenting the extent of and
reasons for errors in the eligibility and basis of issuance of
participating households receiving federally funded SNAP benefits.
a. Based
on this documentation, action must be taken to reduce the incidence
of these errors below pre-established tolerance limits.
b. Cases
which are receiving federally funded SNAP benefits continue to be
subject to review under normal quality control procedures to
determine the accuracy of the federal SNAP.
1.20 Replacement of Food Caused by Disaster or Household
Misfortune
A. In
cases in which food purchased with SNAP benefits is destroyed in a
disaster or household misfortune affecting a participating household,
that household may be eligible for replacement of the actual value of
loss, not to exceed one month's SNAP allotment, if the loss is
reported within ten (10) days and the household's disaster is
verified.
1. This
provision applies in cases of an individual household disaster or
misfortune, as well as in natural disasters affecting more than one
household.
2. Examples
of household misfortune include:
a. Extended
power outage of 4 hours or more
b. A
flood
c. An
equipment failure (refrigerator/freezer)
d. Loss
of electricity due to failure to pay a utility bill
3. The
household must provide verification of the food loss.
a. Prior
to issuing a replacement, the agency shall obtain a signed statement
from a member of the household attesting to the household's loss.
b. If
the statement is not received by the agency within 10 days of the
date of report, no replacement shall be made.
(1) If
the 10th day falls on a weekend or holiday, and the statement is
received the day after the weekend or holiday, the agency shall
consider the statement timely received.
(2) It
shall attest to the destruction of food purchased with the original
issuance and the reason for the replacement.
c. This
shall be verified through a collateral contact, documentation from a
community agency including, but not limited to, the fire department
or the Red Cross, a note from a landlord or the power company
attesting to an outage or other event.
4. A
household may not make more than one request for replacement benefits
for the same incident of loss.
a. However,
there is no limit to the amount of replacement requests a household
can make for separate incidents of household misfortune or disaster.
5. In
cases where FNS has issued a disaster declaration and the household
is otherwise eligible for emergency SNAP benefits in accordance with
§ 1.19, the household must not receive both the disaster allotment
and a replacement allotment.
B. Mass
Replacements
1. When
there is a wide-spread storm or power outage, the agency may apply
for and receive a waiver from the Food and Nutrition Service (FNS)
allowing for an automated mass replacement of a percentage of SNAP
benefits for households in designated cities and towns.
a. These
designated cities/towns will receive an automatic replacement of a
percentage of their SNAP benefits.
b. They
are not required to submit a statement of food loss, nor are they
required to verify their food loss.
c. Replacement
benefits will automatically be issued and applied to the household’s
EBT account.
d. If
a household submits a food replacement request after receiving a mass
replacement and requests an amount greater than the replacement
benefit amount received, the household is entitled to receive the
difference between the requested amount and the amount previously
replaced (up to the total monthly SNAP benefit allotment for that
month).
1.21 Fair Hearings
A. A
hearing is provided to any household aggrieved by any action of the
agency which affects the participation of the household in the SNAP.
1. At
the time of application, each household is informed in writing of its
right to a hearing, of the method by which a hearing may be
requested, and that its case may be presented by a household member
or a representative, such as a legal counsel, a relative, a friend or
other spokesperson.
a. In
addition, at any time the household expresses to the agency that it
disagrees with an agency action, it is reminded of the right to
request a hearing.
2. The
household is also informed of the availability of free legal service
through Rhode Island Legal Services.
a. Hearing
procedures are published and made available to any interested party.
B. Agency
Conference
1. The
household is informed of the following optional agency provisions for
hearing its complaint:
a. A
discussion of the disputed issue(s) can be arranged between the
household and an agency representative.
b. If
the household prefers, an "Adjustment Conference" may be
arranged with an agency representative.
(1) This
is an informal hearing in which a household has an opportunity to
state its dissatisfaction with the agency action.
(2) The
agency representative presents the facts upon which the action was
based.
(3) The
designated agency representative determines whether or not the staff
decision was made in accordance with appropriate policy.
2. An
agency conference for a household contesting a denial of expedited
service must be scheduled within two (2) working days, unless the
household requests that it be scheduled later or states that it does
not wish to have an agency conference.
C. Consolidated
Hearings
1. The
agency, at its discretion, may respond to a series of individual
requests for hearings by conducting a single group hearing.
a. Only
cases where related issues of State and/or Federal law, regulation,
or policy are the issues being raised are heard as consolidated
hearings.
b. In
all group hearings, the policies governing individual hearings are
followed.
c. Each
individual household is permitted to present its own case or have the
case presented by a representative.
D. Timeframes
for Hearings
1. A
household is allowed to request a hearing on any action by the agency
or loss of benefits which occurred in the prior ninety (90) days.
a. Action
by the agency includes a denial of a request for restoration of any
benefits lost more than 90 days but less than a year prior to the
request.
2. At
any time within the certification period, a household may request a
hearing to dispute its current level of benefits.
3. Within
sixty (60) days of receipt of a request for a hearing, the appeals
officer conducts the hearing, makes a decision, and notifies the
household and agency representative of the decision.
4. A
decision which results in an increase in household's benefits is
implemented within ten (10) days of the receipt of the hearing
decision even if the agency representative must approve a
supplemental benefit.
5. Decisions
which result in a decrease in household benefits are implemented at
the next issuance subsequent to the receipt of the hearing decision.
E. Household
Request for Postponement
1. The
household may request, and is entitled to receive, a postponement of
the scheduled hearing.
2. The
postponement should not exceed thirty (30) days and the time limit
for action on the decision may be extended for as many days as the
hearing is postponed.
F. Expedited
Hearings
1. The
agency expedites hearing requests from households, such as migrant
farmworkers, which plan to move from the jurisdiction of the appeals
officer before the hearing decision would normally be reached.
a. Hearing
requests from these households are processed faster than others, if
necessary, to enable them to receive a decision and a restoration of
benefits before they leave the area.
G. Denial/Dismissal
of Request for Hearing
1. The
agency must not deny or dismiss a request for a hearing unless:
a. the
request is not received within the allowable time period;
b. the
request is withdrawn by the household or its representative; or
c. the
household or its representative fails, without good cause, to appear
at the scheduled hearing.
H. Continuation
of Benefits
1. If
a household requests a hearing and continuation of benefits within
the advance adverse notice period, and its certification period has
not expired, the household's participation in the program is
continued on the basis authorized immediately prior to the notice of
adverse action, unless the household specifically waives continuation
of benefits.
a. If
a hearing request is not made within the period provided by notice of
adverse action, benefits are reduced or terminated as provided in the
notice.
b. However,
if the household establishes that its failure to make the request
within the advance notice period was for good cause, the agency
representative provides for reinstatement of benefits on the prior
basis.
2. When
benefits are reduced or terminated due to mass change, participation
on the prior basis is reinstated only if the issue being contested is
that SNAP eligibility or benefits were improperly computed, or that a
federal law or regulation is being misapplied or misinterpreted by
the agency representative.
3. Once
continued or reinstated, benefits are not reduced or terminated prior
to the receipt of the official hearing decision unless:
a. the
certification period expires.
(1) The
household may reapply and may be determined eligible for a new
certification period with a benefit amount as determined by the
agency representative pending the hearing official's decision on the
disputed action;
b. the
hearing official makes a preliminary determination, in writing and at
the hearing, that the sole issue is one of federal law or regulation
and that the household's claim that the agency improperly computed
the benefits or misinterpreted or misapplied such law or regulation
is invalid;
c. a
change affecting the household's eligibility or basis of issuance
occurs while the hearing decision is pending and the household fails
to request a hearing after the subsequent notice of adverse action;
or
d. a
mass change affecting the household's eligibility or basis of
issuance occurs while the hearing decision is pending.
4. The
agency promptly informs the household, in writing, if benefits are
reduced or terminated pending the hearing decision.
5. If
the agency action is upheld by the hearing decision, a claim against
the household must be established for any overissuance (see § 1.17
of this Part)
I. Hearing
Process
1. Official
notice of the hearing is sent to all parties involved at least ten
(10) days before the scheduled hearing date unless the household
requests less advance notice to expedite the scheduling of the
hearing.
2. If
an individual chooses to have legal representation at the hearing,
e.g., be represented by an attorney, paralegal, or legal assistant,
the representative must file a written Entry of Appearance with the
Hearing Office at or before the hearing.
a. The
Entry of Appearance acts as a release of confidential information,
allowing the legal representative access to the agency case record.
3. The
hearing must be attended by a representative of the agency which
initiated the action being contested and by the household and/or its
representative.
a. The
hearing may also be attended by friends and relatives of the
household if the household so chooses.
b. However,
the appeals officer has the authority to limit the number of persons
in attendance at the hearing if it is determined that space
limitations exist.
4. The
household or its representative must be given adequate opportunity to
examine all documents and records to be used at the hearing at a
reasonable time before the date of the hearing as well as during the
hearing.
a. The
contents of the case file including the application form and
documents of verification used by the agency representative to
establish the household's ineligibility or eligibility and allotment
must be made available, provided that confidential information, such
as the names of individuals who have disclosed information about the
household without its knowledge or the nature or status of pending
criminal prosecutions, is protected from release.
b. If
requested by the household or its representative, the agency
representative must provide free copies of the relevant portions of
the case file.
c. Confidential
information which is protected from release and other documents or
records which the household does not otherwise have an opportunity to
contest or challenge must not be presented at the hearing or affect
the appeals officer's decision.
5. The
household also has the opportunity to:
a. Examine
the Department's past hearing decisions.
b. Present
the case itself or have it presented by another person (if it is
represented by legal counsel, e.g., be represented by an attorney,
paralegal, or legal assistant);
c. Bring
witnesses;
d. Advance
arguments without undue interference;
e. Question
or refute any testimony or evidence, including an opportunity to
confront and cross-examine adverse witnesses; and,
f. Submit
evidence to establish all pertinent facts and circumstances in the
case.
6. The
appeal record must be retained for three (3) years and be available,
for inspection and copying, to the household or its representative at
any reasonable time.
7. The
household is notified that it has the right to pursue judicial review
of an adverse hearing decision.
8. The
household and the agency representative are notified in writing of:
a. the
decision;
b. the
reasons for the decision in accordance with;
c. the
available appeal rights; and,
d. that
the household's benefits will be issued or terminated as decided by
the appeals officer.
e. The
notice advises that an appeal request may result in a reversal of the
decision.
J. Implementation
of Final Agency Decisions
1. The
agency is responsible for ensuring that all final hearing decisions
are implemented within the time limits specified in § 1.21(D) of
this Part.
2. When
the appeals officer determines that a household has been improperly
denied program benefits or has been issued a lesser allotment than
was due, lost benefits are provided to the household in accordance
with § 1.18 of this Part.
3. Benefits
to households which are leaving the project area are restored before
the departure, whenever possible.
4. When
the appeals officer upholds the agency's action, a claim against the
household for any overissuance is prepared in accordance with § 1.17
of this Part.
K. Administrative
Disqualification Hearings (ADH)
1. An
administrative disqualification hearing (ADH) is initiated by the
Claims, Collections, and Recoveries Unit (CCRU) whenever there is
sufficient documentary evidence to substantiate that an individual
has committed one or more intentional program violations as defined
in § 1.9 of this Part.
a. Such
cases include alleged intentional program violation claims in
discretionary amounts not feasible for prosecution plus those in
which the agency believes the facts of the individual case do not
warrant civil or criminal prosecution through the appropriate court
system.
b. Other
cases may be those previously referred for prosecution, but for which
prosecution was declined by the appropriate legal authority.
2. The
agency may initiate an administrative disqualification hearing
regardless of the current eligibility of the individual.
a. If
the individual is not eligible for the program at the time the
disqualification period is to begin, the disqualification penalty
shall be imposed as if the individual were eligible to participate at
the time of the penalty imposition.
4. The
administrative disqualification hearing may be conducted regardless
of whether other legal action is planned against the household
member.
5. Administrative
disqualification hearings are held by the Administrative
Disqualification Hearing Officer.
a. No
person who has participated in the issue under review is eligible to
serve as a Hearing Officer.
6. The
agency publishes clearly written rules of procedure for
disqualification hearings which are made available to any interested
party.
7. The
agency provides written notice to the household member suspected of
intentional program violation at least thirty (30) days in advance of
the date a disqualification hearing initiated by the State has been
scheduled.
a. If
the notice is sent first class mail to the individual's address of
record being maintained by the Department and is returned as
undeliverable, the hearing may still be held.
b. In
instances in which the individual claims good cause for failure to
appear based on a showing of non-receipt of the hearing notice, the
individual has thirty (30) days after the date of the written notice
of the hearing decision to claim good cause.
8. For
all administrative disqualification hearings, ten (10) business days
prior to the hearing date, the recipient and the agency must exchange
a list of any expert witnesses and exchange expert reports to be
presented at the hearing.
a. An
expert witness is defined as a witness who possesses a special
knowledge in a subject of a scientific, mechanical, professional, or
technical nature; an expert report is a writing of an expert witness.
b. If
the recipient does not intend to utilize an expert witness or expert
report at the hearing, s/he does not need to exchange such expert
witnesses' names and/or reports.
c. Failure
to include such a witness or document prevents that party from
presenting that witness or document at the hearing, unless the
hearing officer finds that good cause exists for the failure to
produce.
(1) If
good cause is found to exist, the other party may request a
continuance to consider and review the previously undisclosed
evidence.
(2) If
the agency representative receives a request to review the evidence
and/or case file before the hearing, a review should be planned by
contacting the CCR Unit.
9. The
household, or its representative, must be given adequate opportunity
to examine all documents and records to be used at the hearing, at a
reasonable time before the date of the hearing, as well as during the
hearing.
a. The
contents of the case file, including the application form and
documents of verification used by the agency representative to
establish the household's ineligibility, or eligibility and
allotment, must be made available, provided that confidential
information, such as the names of individuals who have disclosed
information about the household without its knowledge, or the nature
or status of pending criminal prosecutions, is protected from
release.
b. If
requested by the household or its representative, the agency
representative must provide the relevant portions of the case file.
All pertinent evidence and documents pertaining to the
disqualification hearing will be available for inspection at the
Office of the ADH Officer.
c. Confidential
information that is protected from release, and other documents or
records which the household will not otherwise have an opportunity to
contest or challenge, must not be presented at the hearing to affect
the Hearing Officer's decision.
10. At
the disqualification hearing, the Hearing Officer must advise the
household member, or representative, that they may refuse to answer
questions during the hearing.
a. This
refusal must, in no way prejudice the Hearing Officer's decision on
the issues.
11. The
household must also have the opportunity to:
a. Present
the case itself, or have it presented by a legal counsel or other
person;
b. Bring
witnesses;
c. Advance
arguments without undue interference;
d. Question
or refute any testimony or evidence, including an opportunity to
confront and cross-examine adverse witnesses; and,
e. Submit
evidence to establish all pertinent facts and circumstances in the
case.
12. The
hearing is attended by the representative(s) of the agency which
initiated the action being contested and by the household and/or its
representative.
a. The
hearing may also be attended by friends and relatives of the
household if the household so chooses.
b. However,
the Hearing Officer has the authority to limit the number of persons
in attendance at the hearing if it is determined that space
limitations exist.
13. The
hearing decision record must be retained for three (3) years and must
also be available to the household or its representative for
inspection and copying at any reasonable time.
a. A
decision by the Administrative Disqualification Hearing Officer is
binding on the agency and must summarize the facts of the case,
specify the reasons for the decision, and identify the supporting
evidence and the pertinent regulations or policy.
b. The
household is notified that it has the right to pursue judicial review
of an adverse hearing decision.
c. The
household and the agency representative are notified in writing of:
(1) the
decision;
(2) the
reasons for the decision; and
(3) the
available appeal rights.
14. If
the household member, or its representative, cannot be located or
fails to appear at the hearing without good cause, the hearing is
conducted without the household member represented.
a. If
the household member is found to have committed an intentional
program violation, but the Hearing Officer later determines that the
household member, or representative, had good cause for not
appearing, the previous decision must no longer remain valid and the
agency must conduct a new hearing.
(1) The
hearing official who originally ruled on the case may conduct the new
hearing.
b. In
instances in which the individual claims good cause for failure to
appear based upon a showing of non-receipt of the hearing notice, the
individual has thirty (30) days after the date of the written notice
of the hearing decision to claim good cause.
(1) In
all other instances, the household member has ten (10) days from the
date of the scheduled hearing to present reasons indicating good
cause for failure to appear.
(2) The
individual shall provide evidence of the non-receipt of the hearing
notice to the Administrative Disqualification Hearing Officer for
consideration.
15. A
pending disqualification hearing must not affect the individual's or
the household's right to be certified and to participate in the
program.
a. Since
the agency cannot disqualify a household member for intentional
program violation until the hearing official finds that the
individual has committed intentional program violation, the agency
representative must determine the eligibility and benefit level of
the household in the same manner as it would be determined for any
other household.
b. However,
the household's benefits must be discontinued if the certification
period has expired and the household, after receiving its notice of
expiration, fails to reapply.
c. The
agency representative should also reduce or terminate the household's
benefits if the agency has documentation which substantiates that the
household is eligible, or ineligible, for fewer benefits (even if
these facts led to the suspicion of intentional program violation and
the resulting disqualification hearing) and the household fails to
request a fair hearing and continuation of benefits pending the
hearing.
16. If
the hearing authority rules that the household member has committed
an intentional program violation, the household member must be
disqualified in accordance with the disqualification penalties
specified in § 1.9, beginning with the first month which follows the
date the household receives written notification of the hearing
decision.
a. However,
if the act of intentional program violation which led to the
disqualification occurred prior to notification of the
disqualification penalties specified in § 1.9, the household member
must be disqualified in accordance with the disqualification
penalties in effect at the time of the offense.
b. The
same act of intentional program violation repeated over a period of
time must not be separated so that separate penalties can be imposed.
c. The
determination of intentional program violation made by a
disqualification hearing official cannot be reversed by a subsequent
fair hearing decision.
(1) The
household member, however, is entitled to seek relief in a court
having appropriate jurisdiction.
(2) The
period of disqualification may be subject to stay by a court of
appropriate jurisdiction or other injunctive remedy.
d. Even
if the individual is not eligible for the program at the time the
disqualification penalty is to begin, the disqualification penalty
shall be imposed as if the individual were eligible to participate at
the time of the penalty imposition.
e. Once
a disqualification penalty has been imposed against a currently
participating household member, the period of disqualification
continues uninterrupted until completed, regardless of the
eligibility of the disqualified member's household.
(1) However,
the disqualified member's household continues to be responsible for
repayment of the overissuance which resulted from the disqualified
member's intentional program violation, regardless of its eligibility
for program benefits.
17. If
the hearing official finds that the household member did not commit
an intentional program violation, the agency must provide a written
notice informing the household member of the decision.
18. If
the hearing official finds that the household member committed an
intentional program violation, the agency must provide written notice
to the household member prior to disqualification.
a. The
notice informs the household member of the decision and the reason
for the decision.
b. In
addition, the notice informs the household member of date
disqualification will take effect.
(1) If
the individual is no longer participating, the notice must inform the
individual that the period of disqualification will be deferred until
such time as the individual again applies for, and is determined
eligible, for program benefits.
c. The
agency must also provide written notice to the remaining household
member(s), if any, of either the allotment they will receive during
the period of disqualification or that they must reapply because the
certification period has expired.
19. The
agency must allow accused individuals to waive their rights to an
administrative disqualification hearing.
a. This
is only done when the Claims, Collections, and Recoveries Unit (CCR
Unit) has determined that evidence exists which warrants the
scheduling of an Administrative Disqualification Hearing.
b. After
such a determination has been made, the CCR Unit mails the Waiver of
Right to Administrative Disqualification Hearing to the household
member which notifies the individual of a scheduled appointment at
which the individual is offered an opportunity to review all the
evidence and any other material relating to the claim.
(1) The
written notification, conforming to FNS regulations, informs the
household member of the possibility of waiving an administrative
disqualification hearing
(2) If
the household member suspected of intentional program violation keeps
the appointment and/or signs and returns the waiver of right to an
administrative hearing within the time frames specified by the
agency, the household member must be notified and disqualified in
accordance with the disqualification penalties and procedures
specified in § 1.9.
(3) If
the household member does not sign the waiver within the time frame
indicated on the letter, the claim is forwarded to the Administrative
Disqualification Hearing Office.
20. The
agency refers for prosecution those cases of alleged intentional
program violation which meet the criteria established by the CCR
Unit.
a. The
agency also encourages state prosecutors to recommend to the court
that a disqualification penalty, as provided in § 1.9, be imposed,
in addition to any other civil or criminal penalties for such
violations.
b. The
agency must disqualify an individual found guilty of intentional
program violation for the length of time specified by the court.
(1) If
the court fails to impose a disqualification period, the agency must
impose a disqualification period in accordance with the provisions in
§ 1.9 unless contrary to the court order.
(2) If
disqualification is ordered, but a date for initiating the
disqualification period is not specified, the agency should initiate
the disqualification period for currently eligible individuals within
forty-five (45) days of the date the disqualification was ordered.
(3) Any
other court-imposed disqualification must begin within forty-five
(45) days of the date the court found a currently eligible individual
guilty of civil or criminal misrepresentation or fraud.
c. If
the individual is not eligible for the program at the time the
disqualification period is to begin, the disqualification penalty
shall be imposed as if the individual were eligible to participate at
the time of the penalty imposition.
d. Once
a disqualification penalty has been imposed against a currently
participating household member, the period of disqualification
continues uninterrupted until completed, regardless of the
eligibility of the disqualified member's household.
(1) However,
the disqualified member's household continues to be responsible for
repayment of the overissuance which resulted from the disqualified
member's intentional program violation, regardless of its eligibility
for program benefits.
e. If
the court finds that the household member committed intentional
program violation, the agency must provide written notice to the
household member.
(1) The
notice must be provided prior to disqualification, whenever possible.
(2) The
notice must inform the household member of the disqualification and
the date disqualification will take effect.
(3) The
agency must also provide written notice to the remaining household
member(s), if any, of the allotment they will receive during the
period of disqualification, or that they may reapply because the
certification period has expired.
f. The
agency allows accused individuals to sign disqualification consent
agreements for cases of deferred adjudication.
(1) This
option is used for those cases in which a determination of guilt is
not obtained from a court due to the accused individual having met
the terms of a court order, or which are not prosecuted due to the
accused individual having met the terms of an agreement with the
prosecutor.
g. In
cases where the determination of intentional program violation is
reversed by a court of appropriate jurisdiction, the agency must
reinstate the individual in the program if the household is eligible.
(1) The
agency must restore benefits that were lost as a result of the
disqualification, in accordance with the procedures specified in §
1.18 of this Part.