218-RICR-20-00-2
218-RICR-20-00-2. Rhode Island Works Program Rules and Regulations (version Amendment, 12/21/2020 to 09/01/2021)
2.1 Purpose
and Administration
2.1.1 Legal Provisions
A. The Rhode Island Works Program (R.I.
Gen. Laws Chapter 40-5.2-1 et seq .) establishes the legal
basis for a welfare to work program to assist needy families to
prepare for, accept and retain employment with necessary supports, as
quickly as possible, and is the law through which the Federal
assistance program, Temporary Assistance for Needy Families, is
available to families in Rhode Island who meet program eligibility
criteria. The Department of Human Services is charged with the
responsibility of setting forth the eligibility requirements
established in law. All provisions of R.I. Gen. Laws Chapter 40-5.2
shall be effective and apply to all applicants and recipients on or
after July 1, 2008, except those described in Time Limit (see §
2.6 of this Part).
B. COVID-19 Virus and the National State of
Emergency
1. Prior to the implementation of any new
procedure under this regulation, the Director of the Department of
Human Services shall seek federal waivers or approval, when required,
from the Federal agencies that provide funding and oversight for the
programs the Department of Human Services administers. The Director
shall also consider any guidance by these Federal agencies, when
available, when implementing new procedures.
2. Upon withdrawal of the R.I. State of
Emergency, as it relates to COVID-19, these new procedures shall
lapse after three business days from the withdrawal of the State of
Emergency for Rhode Island.
C. Cash assistance issued under the program
is not transferable or assignable at law or in equity, and no
benefits paid or payable shall be subject to execution levy,
attachment, garnishment or other legal process, or to the operation
of any bankruptcy or insolvency law.
2.1.2 Purpose
A. The purpose of the Rhode Island Works
Program of the Department of Human Services (referred to as "the
Agency") is to provide financial and employment assistance to
eligible pregnant women and parents (or caregivers) with children and
to ensure children’s healthy growth and development by
providing access to necessary services.
B. The program is administered in a manner
consistent with the objectives of the Agency and respects the rights,
privacy, and personal dignity of the individual. All applicants and
recipients, without regard to race, color, national origin, English
proficiency, age, sex, disability, religious belief, political
belief, sexual orientation, gender identity or expression, have a
right to apply, to confidentiality, to equitable and courteous
treatment, to self-determination, to receive the proper form of
assistance, to receive, if eligible, an accurate unrestricted income
support and to an adjustment conference, and/or to a Fair Hearing.
C. An application completed by the
applicant and filed with the Agency, is used to apply for assistance
and initiates the application process. An interview with the
applicant to review these forms is required. The applicant is also
required to document the information so that the Agency can determine
the applicant's eligibility or ineligibility. That determination
encompasses all factors of eligibility, as set forth in the law and
policy of the Agency, and includes a full exploration and computation
of resources which can be made available to each person or family.
2.1.3 Scope of the Program for Families
A. The purpose of the Rhode Island Works
Program is to assist working families with children who have
insufficient income to meet their needs for food, shelter, clothing,
child care, and medical care and to provide families with parents who
are unemployed with both financial assistance and employment
assistance, so the adult member(s) of the family can enter or
re-enter the workplace, with necessary supports. This shall include
developing and implementing child support payment and enforcement,
case management that includes employment planning, employment
services, and necessary social and human services supports; cash
assistance, food assistance, child care subsidies and medical
assistance for eligible children and families in need.
B. Cash Assistance for Eligible Families
Families in which there is an eligible
child (see § 2.5 of this Part) and whose resources are within
program limits (see § 2.14 of this Part), whose countable income
is less than the cash payment amount are eligible for a cash
assistance payment.
C. Child Care Assistance Program
1. All families who are eligible for cash
assistance and who require child care in order to meet the work
requirements described in § 2.11 of this Part will be provided
child care; and
2. Other families within income and
resource limits and other requirements of the program detailed in the
Child Care Assistance Program Rules and Regulations, Part
4 of this Subchapter , are eligible for subsidized child care for
children under age thirteen (13), or for children between thirteen
(13) and nineteen (19) years old who have a documented physical or
mental disability which makes the child incapable of self-care.
D. Medicaid: pregnant women and families
with an eligible child or children may be eligible for Medical
Assistance if their income and resources are within program limits
(see Medicaid Code of Administrative Rules, Medicaid Application and
Renewal Processes, 210-RICR-30-00-3 ).
E. Supplemental Nutrition Assistance
Program (SNAP): families within program income and resource limits
are eligible for food assistance. SNAP is a federal program of the
U.S. Department of Agriculture and is administered in Rhode Island by
the Department of Human Services. A household that has been
determined eligible for SNAP receives benefits which augment the food
purchasing power of the family. See the Supplemental Nutrition
Assistance Program, Part
1 of this Subchapter .
2.2 Definitions
A. As used in this policy, the following
terms having the meanings set forth herein, unless the context in
which such terms are used clearly indicates to the contrary:
1. “Adult education” means
services or instruction below the postsecondary education level for
individuals who are not enrolled or required to be enrolled in
secondary school under State law and who lack sufficient mastery of
basic educational skills to enable individuals to function
effectively in society; or do not have a secondary school diploma or
its equivalent level of education; or are unable to speak, read, or
write the English language.
2. “Applicant” means a person
who has filed a written application for assistance for
herself/himself and her/his dependent child(ren). An applicant may be
a parent or non-parent caretaker relative.
3. “Assistance” means cash and
any other benefits provided pursuant to this chapter.
4. “Assistance unit” means the
assistance filing unit consisting of the group of persons, including
the dependent child(ren), living together in a single household who
must be included in the application for assistance and in the
assistance payment if eligibility is established. An assistance unit
may be the same as a family.
5. “Benefits” means assistance
received pursuant to this chapter.
6. “Community service programs”
means structured programs and activities in which cash assistance
recipients perform work for the direct benefit of the community under
the auspices of public or nonprofit organizations. Service programs
are designed to improve the employability of recipients not otherwise
able to obtain paid employment.
7. “Department” means the
Department of Human Services.
8. “Dependent child” means an
individual, other than an individual with respect to whom foster care
maintenance payments are made, who is under the age of eighteen (18),
or under the age of nineteen (19) and a full-time student in a
secondary school (or in the equivalent level of vocational or
educational training), if before he or she attains age nineteen (19),
he or she may reasonably be expected to complete the program of such
secondary school (or such training).
9. “Director” means the
Director of the Department of Human Services.
10. “Domestic violence” or
“individual with a history of domestic violence” means an
individual who has been subjected to:
a. Physical acts that resulted in, or
threatened to result in, physical injury to that individual;
b. Sexual abuse;
c. Sexual activity involving a dependent
child;
d. Being forced as the caretaker relative
of a dependent child to engage in nonconsensual sexual acts or
activities;
e. Threats of, or attempts at, physical or
sexual abuse;
f. Mental or emotional abuse; or
g. Neglect or deprivation of medical care.
11. “Earned income” means
income in cash or the equivalent received by a person through the
receipt of wages, salary, commissions, or profit from activities in
which the person is self-employed or as an employee and before any
deductions for taxes.
12. “Earned income tax credit”
means the credit against federal personal income tax liability under
the Internal Revenue Code of 1986, 26 U.S.C. § 32, or any
successor section, the advanced payment of the earned income tax
credit to an employee under the Internal Revenue Code, 26 U.S.C. §
3507, or any successor section and any refund received as a result of
the earned income tax credit, as well as any refundable state earned
income tax credit.
13. “Education directly related to
employment” means education, in the case of a participant who
has not received a high school diploma or a certificate of high
school equivalency, related to a specific occupation, job, or job
offer.
14. “Eligible businesses under
subsidized employment” means any for-profit, non-profit or
public sector entity of any size wherein employee(s) pay state income
tax, and wherein an employer may not create a subsidized job slot
when an individual (employee) is on layoff from the same or a
substantially equivalent job, and that an employer may not create a
subsidized job slot when an employer has terminated an individual
from employment or caused an involuntary reduction in its workforce
in order to fill the vacancy with a subsidized worker.
15. “Family” means:
a. a pregnant woman from and including the
seventh month of her pregnancy; or
b. a child and the following eligible
persons living in the same household as the child:
(1) each biological, adoptive or
stepparent of the child, or in the absence of a parent, any adult
relative who is responsible, in fact, for the care of such child, and
(2) the child's minor siblings (whether of
the whole or half-blood); provided, however, that the term “family”
shall not include any person receiving benefits under title XVI of
the Social Security Act, 42 U.S.C. § 1381 et seq . A
family may be the same as the assistance unit.
16. “Foster care” means 24-hour
substitute care for a child placed away from his/her parent(s) or
guardian(s) and for whom the State child welfare agency has placement
and care responsibility. This includes, but is not limited to,
placements in foster family homes, foster homes of relatives, group
homes, assessment and stabilization centers, residential facilities,
and pre-adoptive homes.
17. “Gross earnings” means
income in cash (self-employed) or the equivalent received by a person
through the receipt of wages, salary, commissions, or profit from
activities in which the person is self-employed or as an employee and
before any deductions for taxes. (See Earned Income)
18. “Homelessness” means an
Individual and/or family who meets one (1) of the four (4) categories
below is considered homeless, as described in Public Law 111-22
Helping Families Save Their Homes Act of 2009, Division B., Homeless
Emergency Assistance and Rapid Transition to Housing Act (HEARTH).
a. Lack a fixed, regular and adequate
nighttime residence. This includes an individual or family who:
(1) Resides in a shelter or place not meant
for human habitation, or
(2) Living in a halfway house or similar
institution which provides temporary residence for individuals who
would otherwise be institutionalized, or
(3) Living in a hotel/motel or in the
residence of another individual for not more than ninety days.
b. Will imminently lose their primary
nighttime residence as evidenced through the following:
(1) Subject to a court order to vacate,
(2) Lack the resources to continue staying
in a hotel or a motel, or
(3) Are no longer being allowed to stay by
the owner or renter of housing with whom the individual or family is
staying.
(4) In each of these cases, the individual
or family may be considered homeless up to fourteen (14) days before
they are to be displaced from their current housing.
c. Are an unaccompanied youth or homeless
families with children and youth who are defined as homeless under
other Federal statutes who do not otherwise qualify as homeless under
the definition, provided that they meet the following three
conditions:
(1) Have experienced a long-term period
without living independently in permanent housing (living for the
ninety-one (91) or more days immediately prior to applying for
homeless assistance without a lease or ownership interest in the
occupied property in the youth’s or head of household’s
name),
(2) Have experienced persistent instability
as measured by frequent moves over such period (three (3) or more
moves over the ninety (90) day period immediately prior to applying
for homeless assistance),
(3) Is expected to continue in such status
for an extended period of time due to a variety of factors, including
multiple barriers to employment. Multiple barriers to employment
includes: Lack of a high school degree or General Education
Development (GED), Illiteracy, Low English proficiency, History of
incarceration, or History of unstable employment.
d. Are fleeing, or attempting to flee,
domestic violence, dating violence, sexual assault, stalking, or
other dangerous or life threatening conditions that relate to
violence against the individual or a family member that has either
taken place within the individual’s or family’s primary
nighttime residence or has made the individual or family afraid to
return to their primary nighttime residence, and who has no other
residence and lacks the resources or support networks to obtain other
permanent housing. The victimized member of the household is not
required to be the owner or renter of the unit.
19. “Housing search” means a
family experiencing or at risk of homelessness using time spent
searching and applying for stable housing as an approved plan
activity.
20. “Individual employment plan”
means a written, individualized plan for employment or work
opportunities, developed jointly and signed by the applicant and
Agency staff that specifies the steps the participant shall take
toward long-term economic independence. A participant must comply
with the terms of the individual employment plan as a condition of
eligibility in accordance with the R.I. Gen. Laws §
40-5.2-10(e).
a. Due to the COVID-19 virus and the
national state of emergency, the Department of Human Services has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
21. “Job readiness” and/or “job
search” means the mandatory act of seeking or obtaining
employment by the participant, or the preparation to seek or obtain
employment.
a. Due to the COVID-19 virus and the
national state of emergency, the Department of Human Services has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
b. In accord with federal requirements, job
search activities must be supervised and reported to the Department
of Human Services in accordance with TANF work verification
requirements. DHS contract and State staff are responsible to adhere
to this federal requirement.
c. Except in the context of rehabilitation
employment plans, job search and job readiness activities are limited
to four (4) consecutive weeks and six (6) weeks total within a twelve
(12) month period; twelve (12) weeks within a twelve (12) month
period if the unemployment rate of the State is fifty (50) percent
greater than US total unemployment rate or the State meets the
definition of a needy state under the contingency fund provisions of
Federal law.
d. Preparation to seek employment, or job
readiness, may include, but may not be limited to, the participant
obtaining life skills training, homelessness services, domestic
violence services, special services for families provided by
Department of Children, Youth and Families, substance abuse
treatment, mental health treatment, or rehabilitation activities as
appropriate for those who are otherwise employable. Such services,
treatment or therapy must be determined to be necessary and certified
by a qualified medical or mental health professional.
22. “Job skills training directly
related to employment” means training or education for job
skills required by an employer to provide an individual with the
ability to obtain employment or to advance or adapt to the changing
demands of the workplace. Job skills training directly related to
employment must be supervised on an ongoing basis.
a. Due to the COVID-19 virus and the
national state of emergency, the Department of Human Services has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
23. “Legal permanent resident”
means those applicants/recipients who were lawfully admitted for
permanent residence (LPR) in the United States (holders of green
cards). This category also includes "Amerasian immigrants"
as defined under the Foreign Operations, Export Financing and Related
Programs Appropriations Act of 1988 § 584.
24. “Low-income families” means
members of low-income families with child(ren) below the age of
eighteen (18), or youth between the ages of 18-20 who are members of
low-income families or a pregnant woman in her third trimester, or a
non-custodial parent of a child for whom the custodial parent is
receiving public support, wherein family income is below two hundred
twenty-five percent (225%) of poverty.
25. “Minor parent” means a
parent under the age of eighteen (18), and under the age of twenty
(20) for the purpose of developing appropriate employment plan
activities. All unmarried parents with children, or women who are at
least six (6) months pregnant, who are under eighteen (18), are minor
parents, especially for the purposes of determining if a living
arrangement is appropriate. All such pregnant women and parents must
be referred to the Youth Home Visiting Program.
a. For the purposes of employment planning,
any married or unmarried parent under the age of twenty (20) who has
not obtained a high school diploma or GED certificate is a minor
parent, for whom the first employment plan goal must be completion of
high school or of a course of study leading to obtaining a general
equivalency diploma. This planning also includes a mandatory referral
to the Youth Home Visiting Program.
b. If a pregnant woman or parent has
completed high school or a GED program before or while age eighteen
(18), for employment plan purposes that participant is an adult for
employment planning and is eligible for all employment plan
activities available to adults. A referral to the Youth Home Visiting
Program is done to provide support, but compliance with the program
is voluntary.
c. A minor parent may be an applicant or
recipient with his or her dependent child(ren) in his/her own case or
a member of an assistance unit with his or her dependent child(ren)
in a case established by the minor parent’s parent.
26. “Net income” means the
total gross income of the assistance unit less allowable disregards
and deductions as described in R.I. Gen. Laws § 40-5.2-10.
27. “On-the-job-training” means
training in the public or private sector that is given to a paid
employee while he or she is engaged in productive work and that
provides knowledge and skills essential to the full and adequate
performance of the job. On-the-job training must be supervised by an
employer, work site sponsor, or other designee of the Department of
Human Services on an ongoing basis.
28. “Overpayment” means a cash
benefit issued to or for an assistance unit for a payment month in an
amount exceeding the amount for which that unit was eligible.
29. “Participant” means a
person who has been found eligible for assistance in accordance with
R.I. Gen. Laws Chapter 40-5.2 and who must comply with all
requirements of this RI Works Program, and has entered into an
individual employment plan. A participant may be a parent or
non-parent caretaker relative included in the cash assistance
payment.
30. “Recipient” means a person
who has been found eligible and receives cash assistance in
accordance with this regulation.
31. “Relative” means a parent,
stepparent, grandparent, great grandparent, great-great grandparent,
aunt, great aunt, great-great aunt, uncle, great-uncle, great-great
uncle, sister, brother, stepbrother, stepsister, half-brother,
half-sister, first cousin, first cousin once removed, niece, great
niece, great-great niece, nephew, great nephew, or great-great
nephew.
32. “Resident” means a person
who maintains residence by his or her continuous physical presence in
the state. There is no durational residence requirement and an
individual does not need to have a permanent address.
33. “Self-employment income”
means the total profit from a business enterprise, farming, etc.,
resulting from a comparison of the gross receipts with the business
expenses, i.e., expenses directly related to producing the goods or
services and without which the goods or services could not be
produced. However, items such as depreciation, personal business and
entertainment expenses, and personal transportation are not
considered business expenses for the purposes of determining
eligibility for cash assistance in accordance with this chapter.
34. “State” means the State of
Rhode Island and Providence Plantations.
35. “Subsidized employment”
means employment in the private or public sectors for which the
employer receives a subsidy from TANF or other public funds to offset
some or all of the wages and costs of employing a recipient. It
includes work in which all or a portion of the wages paid to the
recipient are provided to the employer either as a reimbursement for
the extra costs of training or as an incentive to hire the recipient,
including, but not limited to, grant diversion.
36. “Subsidized housing” means
housing for a family whose rent is restricted to a percentage of its
income.
37. “TANF emergency contingency fund”
or “TANF ECF” means benefits and services authorized by
the American Recovery and Reinvestment Act, and available through
September 2010, to RI Works participants and low-income families.
38. “Under payment” means:
a. a cash payment issued to or for an
assistance unit for a payment month in an amount less than the amount
for which the assistance unit was eligible; or
b. the failure to issue a payment for a
payment month to an assistance unit eligible for such payment.
39. “Unsubsidized employment”
means full or part-time employment in the public or private sector
that is not subsidized by TANF or any other public program.
40. “Vocational educational training”
means organized educational programs, not to exceed twelve (12)
months with respect to any participant, that are directly related to
the preparation of participants for employment in current or emerging
occupations requiring training other than a baccalaureate or advanced
degree. Vocational educational training must be supervised.
41. “Work activities and
opportunities" means the specific work requirements which must
be defined in the individual employment plan and complied with by the
participant as a condition of eligibility for the receipt of cash
assistance for single and two-parent families outlined in R.I. Gen.
Laws § 40-5.2-12.
a. Due to the COVID-19 virus and the
national state of emergency, the Department of Human Services has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
42. “Work experience” means a
paid or unpaid work activity that provides a participant with an
opportunity to acquire the general skills, training, knowledge, and
work habits necessary to obtain employment. The purpose of work
experience is to improve the employability of those who cannot find
unsubsidized employment. An employer, work site sponsor, and/or other
appropriate designee of the Department must supervise this activity.
43. “Work supplementation” or
“grant diversion” means the use of all or a portion of a
participant's cash assistance grant and food assistance grant as a
wage supplement to an employer. Such a supplement shall be limited to
a maximum period of twelve (12) months. An employer must agree to
continue the employment of the participant as part of the regular
work force, beyond the supplement period, if the participant
demonstrates satisfactory performance. The cash assistance case may
close without affecting the validity of the employer agreement.
2.3 Application Process
2.3.1 Screening
A. Due to the National State of Emergency
concerning the COVID-19 virus, the Department of Human Services has
temporarily suspended all in person transactions as well as all
face-to-face interviews for benefit screenings, applications, and
recertifications. Applicants for programs that require an interview
will receive a phone call from a department staff person to schedule
and conduct the interview by phone.
B. The following process for Telephonic
Interviews and Telephonic Applications will be followed for the RIW
program:
1.
Telephonic signatures are
not limited to telephonic applications and can be used to sign any
application regardless of the means by which the application is
completed (e.g. online, telephonically, paper).
2. Telephonic signatures shall allow a
household who inadvertently submits an unsigned application to
complete the application process without re-submitting the
application with a written or inked signature.
a. If a household member submits an
application without a signature and a worker is able to contact the
household member over the phone, the worker will write a case note
within the electronic case file application that verbal attestation
of the signature was given.
b. If DHS’ efforts to reach the
household member are unsuccessful, the application is considered to
be invalid and must be returned to the household with a letter and a
self-addressed return envelope explaining that the application must
be signed before the agency can establish a file date.
3. To constitute a valid telephonic
signature, the agency’s telephonic signature system must make
an audio recording of the household's verbal assent and a summary of
the information to which the household assents.
a. The recording shall clearly indicate
agreement or disagreement during the interview over the telephone.
b. The summary of the information to which
the household assents is a recording of a reiteration of the
household's details agreed to during the telephone conversation.
4. A telephonic signature system shall
provide linkage from the audio file of the recorded verbal assent to
the application so that the agency has ready access to the
household's case file.
5. The agency shall promptly provide to the
household member a printed copy of the “Statement of Facts”
which summarizes the information and the rights and responsibilities
that was attested to through the telephone signature process, along
with instructions for correcting any errors or omissions.
6. The date of the telephonic application
is considered to be the date on which the household member provides
verbal assent to all information provided and reviewed by both the
DHS worker and the applicant or recipient.
B. Anyone may request information about the
agency's assistance programs either by telephone, by mail, or in
person. Authorized agency staff must furnish information to the
inquiring person in accordance with the instructions in § 2.3 of
this Part. All paper application packets offered to the public must
include officially approved documents including application forms,
informational fact sheets, program requirements and participant
rights and responsibilities. A request for information may be
followed by an application for cash or another form of assistance.
C. Applications may be completed online or
via paper. The application date is the date a signed paper or
electronic application is received by the Department.
D. When a person expresses interest in
programs that can be applied without an interview, such as Child Care
Assistance, a complete mail-in application packet will be provided
either directly or will be mailed immediately upon request or the
person may be referred to the online application.
E. When a person expresses a desire to
apply for assistance from programs requiring a face-to-face
interview, a face-to-face screening interview is conducted at the
earliest possible time.
F. The purpose of the formal application
procedure ensures an individual's right to apply without delay for
assistance.
G. It affords the person an opportunity to
state her/his needs and to learn what the agency can do to help meet
them. It also affords the agency an opportunity to apprise the person
of her/his responsibilities in relation to the agency, both as an
applicant and, if eligibility is established, as a recipient.
H. An applicant may be assisted in the
application process, including completion of the application, by one
or more individuals of his/her choice and, when accompanied by such
individual(s), may be represented by him/her/them. However, the
agency requires a face-to-face interview with the applicant during
the application process.
2.3.2 Screening Interview
A. Due to the National State of Emergency
concerning the COVID-19 virus, the Department of Human Services has
temporarily suspended all in person transactions as well as all
face-to-face interviews for benefit screenings, applications, and
recertifications. Applicants for programs that require an interview
will receive a phone call from a department staff person to schedule
and conduct the interview by phone.
1. The Telephonic Interview process will be
utilized to assist in the completion of the screening interview. See
§ 2.3.1 of this Part for further instruction.
B. When a request for information about
assistance is received in the district office and the inquiring
person expresses a desire to apply for assistance, a face-to-face
screening interview is arranged.
C. The screening interview is one of the
ways that an applicant can begin the application process for
Supplemental Nutrition Assistance Program (SNAP), RI Works Cash
Assistance (RIW), Medical Assistance (Rite Care), Child Care
Assistance Program (CCAP), General Public Assistance (GPA) and other
programs, as appropriate. This interview is offered to applicants as
a service to assist them in their choice of programs and services for
which they may be eligible.
D. The screening interview begins the
processing of the application. The screening worker elicits the
presenting issue(s) and the non-citizen facts of the applicant's
situation which prompted the applicant to seek the agency's
assistance.
E. The screening worker determines whether
any crisis exists and works with the applicant to resolve it by
utilizing suitable DHS and community resources.
F. During this initial contact, the
Domestic Violence Notice (DHS WVR-1) is presented to each applicant.
Every applicant must be informed that s/he may be excused from
certain RI Works requirements under the Family Violence Option if
meeting these requirements puts the applicant or her or his children
at risk due to domestic violence and that s/he may also be excused
from cooperating with the child support requirement if cooperation
would cause risk. In addition, the applicant is informed that the
Family Violence Option program can provide safety planning and
support. The procedures following and applicant’s claiming of
the Family Violence Options is outlined in § 2.13 of this Part.
The DHS WVR-1 should be signed by the applicant acknowledging that
s/he understands the contents of the notice. After signing the notice
form, a copy is given to the applicant.
G. If there is disclosure of neglect, risk,
or abuse to children, immediate referral must be made to DCYF.
H. During this initial screening process,
pages 1-2 of the application, are completed, dated, and signed to
obtain the necessary identifying information. After the Application
for Assistance is completed, it is dated and signed by the applicant.
Pages 1-2 of the application are date-stamped to establish the
official date of receipt.
I. If the applicant wishes to apply for
food assistance, pages 1-2 of the application are used to screen for
SNAP expedited service. If this information indicates the applicant
may be eligible for expedited service, the application for assistance
must be completed in full. If eligibility exists, expedited service
must be afforded according to the processing standards located in
Supplemental Nutrition Assistance Program Code of Rules (§ 1.3.9
of this Subchapter).
J. A client applying for cash assistance
should also be screened for child care assistance; eligibility should
be determined simultaneously with determining cash assistance
eligibility, both as expediently as possible. The CCAP questions in
the application should be completed during the initial screening
process and the application date should be entered into the system
during the interview, in conjunction with requesting in the system
that a pending letter be issued that day. The client should be
provided with community resources such as the contact information for
the child care referral service contractor who will help identify
providers. If the parent, after good faith efforts, is unable to find
child care, the parent must discuss with their worker the barriers to
securing such care. DHS can assist clients at intake to ensure child
care is in place prior to the client's entering work activities which
is a requirement of the RI Works Program.
K. If the applicant is unfamiliar with the
DHS application for assistance, or is likely to require guidance in
their completion, the screening worker shows the applicant how to
complete them and indicates what documentation must be furnished. At
the same time, the applicant is advised that, if eligibility is found
to exist, financial assistance may begin from the date the prepared
and signed application is date-stamped in the DHS district office.
a. Due to the National State of Emergency
concerning the COVID-19 virus, the Department of Human Services has
temporarily suspended all in person transactions. Any assistance
needed in completing the application or in furnishing requested
documentation can be addressed by calling the Department.
L. When an applicant expresses a desire to
apply for the RI Works cash assistance program the screening worker
must inform the applicant that the goal of the RI Works program is to
help the parent(s) find employment so that they will not need to rely
on cash assistance, as well as to ensure the well-being of the
children and family stability, and explains:
1. RI Works is time-limited and that
assistance units can receive cash assistance under RI Works for a
lifetime total of forty-eight (48) months. A hardship extension may
be available as described in § 2.6.2 of this Part. Children may
receive cash assistance only while their parents receive cash
assistance, unless the parent(s) receive(s) SSI or the child is in a
loco parentis caretaker household and the non-parent caretaker is not
in the payment. Children in SSI or loco parentis households may
receive cash assistance until age eighteen (18) or until age nineteen
(19) under certain circumstances as described in § 2.5.2 of this
Part; and,
2. As a part of the application process and
a condition of RI Works eligibility the applicant must meet with an
agency representative to determine financial eligibility and complete
other requirements which may include further assessment, an
employment plan, or an amended employment plan. There are
opportunities for the parent to receive help preparing for or finding
a job and the referral process to the network of community partners.
a. Due to COVID-19 virus, the Department of
Human Services has temporarily suspended all in person transactions
as well as all face-to-face interviews for benefit screenings,
applications, and recertifications. Applicants for programs that
require an interview will receive a phone call from a department
staff person to schedule and conduct the interview by phone.
b. The Telephonic Interview process will be
utilized to assist in the completion of the interview. See §
2.3.1 of this Part for further instruction.
2.3.3 Initial Assessment and Planning
A. DHS will conduct an initial preliminary
assessment, taking into account the physical capacity, skills,
education, work experience, health, safety, family responsibilities
and place of residence of the individual; and the child care and
supportive services required by the applicant to avail himself or
herself of employment opportunities and/or work readiness programs.
Unless exempt, and on the basis of such assessment or a further
assessment, the Department in consultation with the applicant shall
develop an individual employment plan for the family. The individual
employment plan shall identify employment objectives, work
activity(ies) and supportive services to be provided by the
Department, taking into consideration factors identified from the
assessment as detailed in § 2.10.1 of this Part.
B. Unless exempt, the participant shall
attend and participate in one of the employment plan activities
described in § 2.11.2 of this Part (single parent family) or §
2.11.3 of this Part (two-parent family) that is appropriate to the
parent’s skills, education, work experience, physical and
mental capacity and which helps the parent move quickly toward
employment leading to economic self-sufficiency and long-term
attachment to the workforce.
1. Due to COVID-19 virus, the DHS has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
C. An applicant/recipient temporarily
exempted from the work requirements may choose to forego the
exemption and engage in an employment plan activity on a voluntary
basis. A parent who voluntarily participates in employment plan
activities is not sanctioned if s/he stops participating.
D. If the applicant indicates a medical
reason for not being able to participate in work readiness activities
or work, the screening worker gives the applicant a Medical
Evaluation for Employment Form, to be completed by a medical
professional. The applicant is instructed to return the medical form
to DHS within thirty (30) days completed by his/her medical
professional. The assigned worker may then refer the participant to
the Office of Rehabilitation Services for further assessment and
assistance with applying for SSI, based upon the information provided
in the medical evaluation and/or to another work participation
activity. The assigned worker and the applicant will revise the
employment plan, as necessary, to reflect the report given in the
medical form.
2.3.4 Appointment
A. If the applicant decides to apply for
the RI Works Program, the applicant is given either a prompt intake
appointment or, if indicated, an emergency intake appointment.
1. Prompt Appointment
All applicants must be scheduled for a
prompt appointment, and such appointment interviews must be conducted
within five (5) working days of the screening interview. For example,
if an applicant is screened on a Monday, the intake interview must be
scheduled as soon as possible but no later than the following Monday.
2. Emergency Appointments
a. If an applicant indicates that s/he:
(1) has no available income or resources,
and
(2) during the current calendar month of
application has not had and/or will not have income or resources in
excess of the monthly RI Works Standard of Assistance for the
appropriate family size, the intake appointment must be scheduled
within one (1) working day of the screening interview.
b. If the applicant is unable to keep an
appointment the following day, the intake appointment is scheduled
for the earliest available time acceptable to the applicant.
c. For the purposes of determining an
"emergency appointment", the screening worker considers the
family's income and resources including all of the applicant's income
and resources and the income and resources of those persons for whom
s/he is applying which would be counted in determining eligibility
for cash assistance. Deemed income must also be included. Income and
resources do not include the income and resources of
non-legally-liable relatives and friends. Income which is anticipated
in the month of application is counted only if it is reasonably
expected to be received, for example, the next regular paycheck or
receipt of a government benefit. If it is doubtful that income will
be received in the month of application, it should not be considered
for the purpose of scheduling an intake appointment.
d. An applicant who has been scheduled for
a prompt intake appointment may have a change in circumstances which
makes her/him eligible for an emergency intake appointment; s/he may
request to be rescheduled as an emergency intake. The screening
worker reschedules the appointment for the next business day.
2.3.5 Completion of Application for
Assistance
A. Due to the National State of Emergency
concerning the COVID-19 virus, the Department of Human Services has
temporarily suspended all in person transactions as well as all
face-to-face interviews for benefit screenings, applications, and
recertifications. Applicants for programs that require an interview
will receive a phone call from a department staff person to schedule
and conduct the interview by phone. The department will also
temporarily accept applications signed by the applicant prior to
submitting to the department for review. All employment plans will be
completed during the phone interview, printed by the worker in
duplicate, and mailed to the applicant/recipient. The
applicant/recipient will review and sign the plan and return one (1)
copy to the department for inclusion in the electronic case record.
1. The Telephonic Interview process will be
utilized to assist in the completion of the interview. See §
2.3.1 of this Part for further instruction.
B. The Application for Assistance is the
basic document used in the application process through which
eligibility or ineligibility for assistance is determined. The
Application for Assistance may be completed and submitted either
on-line or on paper and delivered to a DHS office by mail or in
person. The Application for Assistance, along with appropriate
supplementary forms constitutes the complete application for
assistance. The application also serves as both the SNAP application
and Medicaid application and provides the opportunity for the parent
to select the managed care plan.
C. The application must be completed and
signed under penalty of perjury by the parent or both parents or the
caretaker relative (acting in loco parentis) responsible for the
support and care of the child(ren) under eighteen (18), or between
eighteen (18) and nineteen (19) if enrolled full-time in and expected
to complete secondary school prior to the nineteenth birthday. At the
close of the interview and upon completion of the application, the
form must be dated and signed by the applicant(s) and the
signature(s) witnessed by the agency representative.
1. Due to the COVID-19 virus, the DHS will
temporarily accept applications signed by the applicant prior to
submitting to the department for review.
2. The Telephonic Interview process will be
utilized to assist in the completion of the interview. See §
2.3.1 of this Part for further instruction.
D. A new screening and new application must
be completed and signed if any reapplication for assistance is made
in a case that has been closed. Further, a new application including
all pertinent information for a second parent who joins the
household, must be completed, reviewed with the DHS worker, and
signed by both parents. In an active case when a newborn is added to
the assistance unit, a new application need not be completed.
However, the record must reflect through an entry in the electronic
case record and documentation of the birth date, application for
Social Security number, and absent parent information (if
applicable), for inclusion of the new member in the request for
assistance.
E. In the case of a one parent household
that requests that a second parent be added to the case, both parents
must have an assessment appointment at the earliest possible date to
assure that each parent has a completed and signed Employment Plan
and that one parent in the two-parent household is meeting the work
requirements of a two-parent household.
1. Due to the COVID-19 virus, the DHS has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
2.3.6 Intake Interview
A. Due to the National State of Emergency
concerning the COVID-19 virus, the Department of Human Services has
temporarily suspended all in person transactions as well as all
face-to-face interviews for benefit screenings, applications, and
recertifications. Applicants for programs that require an interview
will receive a phone call from a department staff person to schedule
and conduct the interview by phone. The department will also
temporarily accept applications signed by the applicant prior to
submitting to the department for review. All employment plans will be
completed during the phone interview, printed by the worker in
duplicate, and mailed to the applicant/recipient. The
applicant/recipient will review and sign the plan and return one (1)
copy to the department for inclusion in the electronic case record.
1. The Telephonic Interview process will be
utilized to assist in the completion of the interview. See §
2.3.1 of this Part for further instruction.
B. Necessary Materials and Information
1. The Intake interview is scheduled by
appointment. The application is reviewed with the applicant, and the
eligibility and need factors are verified through the appropriate
documents supplied by the applicant. If the applicant cannot obtain
the documents, DHS staff will assist in obtaining the document or
information. The applicant(s) is required to read, or have read to
him/her, the statements in the Rights and Responsibilities page and
the Declaration of Applicant/Recipient pages of the application, and
sign the form in the signature block. In addition, the application
supplement, Cash Assistance Received in Other States must be
completed and signed. The agency representative must witness the
signature of the applicant(s).
2. The applicant is advised that if s/he
received family cash assistance in another state that those months of
receipt will be counted as part of the RI Works cash assistance time
limit in Rhode Island.
3. The applicant is advised that pursuant
to R.I. Gen. Laws § 40-6-9, and without signing any document
other than the Application for Assistance, he or she has assigned any
and all rights that he or she may have for and on behalf of himself
or herself and for and on behalf of a child or children to the
Department of Human Services against any parent failing to provide
for support and maintenance of any minor child(ren) for whom
assistance is paid by DHS. Additionally, DHS through the Office of
Child Support Services is authorized to act to institute suit to
establish paternity and/or to collect support for said child(ren) who
receives or received assistance from DHS. As a condition of
eligibility for RIW, an applicant must cooperate, with establishing,
modification of and enforce of a child support order(s) for each
eligible child for which assistance is requested; unless good cause
for refusing to do so has been determined to exist.
a. Due to the COVID-19 virus, the DHS has
temporarily suspended the compliancy requirements of participation as
a condition of eligibility. The requirement of compliance may
continue based on the individual's ability to participate from home.
If participation is not possible, sanctions may not be imposed due to
the COVID-19 crisis.
4. The DHS worker reviews the Notice of
Requirement to Cooperate and the Right to Claim Good Cause for
Refusal to Cooperate in Child Support Enforcement, with each
applicant with children whose parent(s) is not in the home and
obtains the applicant's signature. The Information on the Family
Violence Option sheet is reviewed with the applicant. If the
applicant relates that s/he wishes to claim the option or discloses
abuse, the procedures the DHS worker must follow are outlined in §
2.13 of this Part.
5. At the time of application, an applicant
shall make a good faith effort regarding the non-custodial parent(s)
of each child for whom assistance is requested by providing all the
information s/he can reasonably obtain, or attest to the lack of
information, under penalty of perjury specific to:
a. Each non-custodial parent’s full
name and social security number; or
b. Each non-custodial parent’s full
name and at least two (2) of the following items:
(1) The non-custodial parent’s date
of birth;
(2) The non-custodial parent’s
address;
(3) The non-custodial parent’s
telephone number;
(4) The name and address of non-custodial
parent’s employer(s);
(5) The name and address of at least one of
the parents of the non-custodial parent; and
(6) The manufacturer, model and license
plate number (including state of issue) of the non-custodial parent.
c. Providing the husband’s full name
if the child’s birth certificate provides husband’s name
as unknown, and the parent was married at the time of birth. If the
child(ren) were born within the marriage, the husband or ex-husband
is the presumptive father of the child(ren), unless and until he is
specifically found NOT to be the father in a Divorce Decree.
6. The applicant is further advised that
s/he must present the agency with personal identification, such as a
driver's license, Social Security Number, birth certificate, or other
form of identification, as detailed in EOHHS “Medicaid and
Children’s Health Insurance Program (CHIP) Non-Financial
General Eligibility Requirements” 210-RICR-10-00-3 .
7. If any potential resource exists, or
further verification is needed, the applicant is advised of the
necessary steps s/he or the staff member must take to obtain the
information. S/He is advised that the agency uses, but is not limited
to, on an ongoing basis, public records, and other State agency
files, such as State wage records, Employment Security Benefits (ESB)
records, TDI records, State Income Tax records, Social Security
Administration records, IRS records, and bank clearances to document
the applicant's information.
8. However, the applicant is advised that
s/he is responsible also to inform the agency of any changes in
her/his situation such as address, income, employment, resources,
family composition, or other factors that affect her/his eligibility
and/or payment level within ten (10) days, or as otherwise directed.
9. If the application for cash assistance
is necessary by reason of accident, injury, or illness for which a
third party may be liable, such applicant is informed that s/he has
assigned any or all rights for amounts recoverable from a third party
equal to the amount of financial and medical assistance provided as a
result of accident, injury, or illness (see § 2.9 of this Part).
10. All applicants are informed of the
requirement of assignment and of their further responsibility to
report a pending settlement which may occur during the receipt of
assistance.
11. If such assignment is appropriate, the
applicant is advised that eligibility to receive medical services
shall continue to exist, although payment of medical bills shall be
suspended by the Department and is not the responsibility of such
applicant pending the settlement.
12. If outstanding verification exists and
collateral sources of information must be used to obtain such
documentation, the applicant is informed of why the information is
necessary and how it will be used by the agency. If the applicant is
unwilling to obtain further verification, or have the agency obtain
it, the applicant may choose to withdraw application.
13. If the applicant decides s/he does not
want assistance and does not complete the Application for Assistance,
the applicant is requested to sign the area on the Application for
Assistance confirming her/his withdrawal of the application.
B. Forms Needed at Intake Interview. The
forms and materials that may be needed at the Intake Interview are:
1. Application for Assistance. The
application should be completed prior to the interview if possible
with the exception of the signature on the last page. a. Due to the
COVID-19 crisis, the DHS will temporarily accept applications signed
by the applicant prior to submitting to the department for review.
2. Supplement for Counting time in Other
States
3. Request for Information on Months on
Cash Assistance
4. Notice Concerning Good Cause for Refusal
to Cooperate. The applicant must sign the form when a child's
parent(s) is absent. The original is filed in the case record and a
copy given to the applicant.
5. Domestic Violence Notice
2.3.7 Review of the Application for
Assistance
Eligibility for cash assistance is based
on both financial and non-financial criteria. In determining
eligibility, the application is reviewed and evaluated. In addition,
the applicant must be assessed for education and employment history
and must complete an individual employment plan before eligibility
can be established.
2.3.8 Completing Initial Eligibility
Determination
A. All items on the application which were
not verified at intake must be verified in the following contact
through a source document in accordance with policies relating to
resources (and income (§§ 2.14 and 2.15 of this Part).
B. The DHS worker gives the applicant the
opportunity to clear up any inconsistencies or to provide any
additional information needed to clarify or complete the information
on the application by whichever is the most appropriate method:
telephone, mail, or an office or field interview. If the applicant is
unable, either alone or with the help of the DHS worker, to clear up
any inconsistencies or to provide any additional information needed,
the worker advises the applicant that it will be necessary to use
collateral sources of information. If other sources must be used to
obtain such documentation, the applicant is informed of why the
information is necessary and how it will be used by the agency and
plans with the applicant how this is to be done.
C. Prior to authorizing eligibility for
cash benefits the DHS worker must also verify that the applicant,
unless exempt, has entered into an individual Employment Plan.
a. Due to the COVID-19 virus, the DHS has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
D. The applicant's failure to enter into
and comply with an employment plan, without good cause, at any point
during the thirty (30) day period during which the applicant
establishes eligibility for cash, will result in an immediate denial
of the application for cash assistance.
a. Due to the COVID-19 virus, the DHS has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
2.3.9 Decision on Application
A. Applications are acted upon promptly. A
decision on eligibility and payment or ineligibility must be made
within thirty (30) days from the filing date. This standard is not
used as a waiting period before granting assistance nor as a basis
for denial of an application.
B. The applicant must be informed of the
reason for any delay in a decision and her/his right to a hearing if
the delay exceeds thirty (30) days.
2.3.10 Notification of Eligibility
A. When the applicant is found to be
ineligible or makes the decision after signing the application that
s/he does not want assistance, the applicant is notified of the
denial and the reasons for denial through the eligibility system.
This notice informs the applicant at the same time of her/his right
to appeal the decision, and the method by which the applicant can
request a hearing.
B. When the applicant is found to be
eligible for RI Works cash assistance, the acceptance date is the
date that all factors of eligibility are met. However, it may be as
early as the date the application was filed, if the applicant was
eligible then, but cannot be prior to the date of application. If a
monthly deficit exists for the month in which the application was
filed, the initial payment is pro-rated according to the number of
days of eligibility from the date of application (see § 2.18.5
of this Part).
C. If the family's monthly deficit is less
than ten dollars ($10) per month, the case is considered eligible for
the RI Works program but no payment is issued (see § 2.18.5 of
this Part). Applicants must be informed that every month in which a
cash payment is made or supportive services are accessed counts as a
month towards the applicants’ time limit.
D. The eligibility system issues a notice
notifying the applicant of her/his eligibility.
2.3.11 Referral to DCYF
If there is reason to believe that a
child(ren) applying for or receiving assistance from the RI Works
program is being abused or neglected, a report must be made to the
DCYF Child Protective Services Hotline at 1-800-RI-CHILD.
2.4 The Assistance Unit
2.4.1 Persons Included in the Assistance
Unit
A. The assistance unit consists of the
group of persons living together in a single household who are
included in the application for assistance and in the assistance
payment if eligibility is established.
B. An application on behalf of a dependent
child must include as applicants, certain relatives living in the
same household as the dependent child. If otherwise eligible, the
individuals specified below must be included in the assistance filing
unit.
1. "Otherwise eligible" means
that an individual meets the non-financial requirements for cash
assistance such as age, residence, citizenship, enumeration, etc.,
and is not ineligible, for example, due to receipt of SSI or the
imposition of a sanction. When applied to the assistance unit,
"otherwise eligible" indicates that the unit is eligible by
virtue of meeting all requirements for cash assistance.
2. Parents. Any biological or adoptive
parent living in the same household as the dependent child must be
included in the assistance unit. In two-parent cases, both parents
must be included in the unit if otherwise eligible. If the biological
or adoptive parent is married, her/his spouse must also be included
in the assistance unit.
3. Siblings
a. Blood-related or adoptive brothers and
sisters living in the same household as the dependent child must also
be included in the assistance unit if they meet the age and
deprivation requirements. Brothers or sisters of half-blood must also
be included.
b. The children of a stepparent must also
be included in the unit.
4. Minor Parents. A minor parent may be in
the assistance unit which may also include all natural, step, or
adoptive parents of the minor parent and all minor blood- related,
step or adoptive brothers and sisters.
5. Custody. If the parents are not residing
together, a child shall be considered residing with the parent who
has legal custody and physical possession of the child the majority
of the time, as outlined in a court order. If legally established
that the child resides with the parents in their separate households,
equal time, the parent who applies for cash assistance for that
child, first in time, shall be the eligible parent.
2.4.2 Income and Resources
A. All of the income and resources of
individuals required to be included in the assistance filing unit and
of those whom the parent has opted to include must be considered in
determining eligibility and the amount of the assistance payment.
B. A child with Retirement, Survivors, and
Disability Insurance (RSDI) benefits, for example, may not be
excluded from the assistance unit merely by virtue of receipt of
those benefits. Moreover, if s/he is a member of the unit, the
benefits must be counted in the eligibility determination.
2.4.3 Persons Excluded from the
Assistance Unit
A. Parents and siblings must be included in
the assistance unit unless they are otherwise ineligible for cash
assistance.
B. Individuals excluded from the assistance
unit include the following categories.
1. SSI Recipients. The income and resources
of an SSI recipient, including the SSI itself, are not counted as the
income and resources of a cash assistance unit.
2. Non-citizens not meeting non-citizen
requirements
a. An applicant or participant must be a
United States citizen, or must meet the non-citizen requirements
established in Section 402 (b) of the Personal Responsibility and
Work Opportunity Reconciliation Act (PRWORA). United States citizen
is defined, and non-citizen requirements are described in detail, in
§ 2.5.6 of this Part.
b. Non-citizens considered ineligible
solely because they do not meet non-citizen requirements are
excluded. The income and resources of ineligible non-citizen family
members must be counted in determining the assistance unit's
eligibility and payment amount. The work expense and dependent care
disregards are applied to earned income and an amount is allocated to
meet the non-citizen's own needs by subtracting the cash assistance
standard for a plan size excluding the non-citizen from the standard
for a plan size including the non-citizen.
c. If the ineligible non-citizen who is a
parent has dependents also ineligible solely because they do not meet
non-citizen requirements, an amount is allocated to meet their needs,
as well, by using the methodology specified above. The net income is
then applied to the needs of the cash assistance unit. See §
2.17 of this Part for further discussion.
3. Non-citizens Ineligible Due to
Sponsorship
a. Non-citizens who are sponsored by an
individual are subject to income deeming. See § 2.17.4 of this
Part.
4. Parents
a. Parents and other assistance unit
members ineligible either because they are statutorily barred or
disqualified as a result of the imposition of a sanction for failure
to cooperate, e.g., with the child support enforcement program, are
excluded from receipt of income.
b. The income and resources of statutorily
barred parents are counted in determining the assistance unit's
eligibility and payment amount. Their income and resources are
counted as outlined in § 2.15.9 of this Part.
c. The income and resources of a
disqualified individual, parent, or child, shall be counted in
determining the assistance unit's eligibility and payment amount.
None of the earned income disregards is applied, and no amount is
allocated to meet the ineligible individual's own needs. See §
2.15.9 of this Part for further discussion.
d. Both statutorily barred and disqualified
individuals who are eligible to work are required to cooperate with
RI Works program work requirements. Parents who receive SSI and
undocumented non-citizen parents are not required to enter into an
employment plan, except that parents who are undocumented and apply
for an extension to cash assistance on the basis of hardship, are
required to have employment plans that address the conditions that
led to the hardship request as well as to determine whether there is
a pathway to legal status.
5. Parents and Siblings with Lump Sum
Income
a. Parents and other assistance unit
members previously eligible but currently ineligible for cash
assistance due to receipt of lump sum income are excluded. Some
members of the same household, not affected by the receipt of such
income, may be eligible for cash assistance. (See § 2.15.6 of
this Part for further discussion.) The income of those members of the
household ineligible due to receipt of lump sum income, insofar as
the income is already allocated to meet the needs of the ineligible
members, is not counted in determining the assistance unit's
eligibility and payment amount.
b. However, additional income of a parent
or other assistance unit member received during the period of
ineligibility and not factored into the determination of that period,
is counted in determining the eligibility and payment amount of a
newborn or other additional member of the household for whom cash
assistance is requested and for whom the parent has a support
obligation.
c. Further, the resources of a parent, even
though excluded from the assistance unit, are always considered
available to a dependent child in the same household; thus,
non-excluded resources of the parent in excess of one thousand
dollars ($1,000) render the child ineligible for cash assistance.
d. When an excluded individual becomes
eligible to receive cash assistance, e.g., a sanction is cured, s/he
must be included in the assistance unit. In order to end penalties
for failure to comply with his or her employment plan, the individual
must meet the requirements outlined in § 2.11.14 of this Part.
For child support enforcement sanction cures, the individual should
be included in the payment beginning on the date of compliance with
the child support agency.
2.4.4 Optional Inclusion in the
Assistance Unit
The parent(s) of an adopted child(ren) for
whom the parent receives adoption subsidy payments has the option to
include or exclude such child(ren) from the assistance filing unit
upon application for benefits. If the parent(s) includes the
child(ren) in the assistance unit, any and all income and/or
resources (including any adoption subsidy payments) of the adoptive
child must be used to calculate eligibility for, as well as, the
amount of, assistance to which the household may be entitled.
Exclusion of the adopted child (and the income/resources of the
adopted child) does not disqualify the parent from eligibility.
2.4.5 Ineligibility of Incomplete
Assistance Unit
A. Failure to include an individual
required to be in the assistance unit or to provide information
(e.g., failure of an ineligible non-citizen to provide income
information) necessary for determining eligibility and amount of cash
assistance results in ineligibility for the entire assistance unit.
In either situation, the agency has insufficient information to
determine the eligibility of the unit. The Department may assist the
participant in obtaining information if necessary.
B. Any payment made to an ineligible
assistance unit constitutes an overpayment and must be recovered.
2.4.6 Parent in home who is not
Providing Care
A. When the natural or adoptive parent is
in the home, the Department presumes that the parent is functioning
as the caretaker relative, i.e., the parent is providing day-to-day
care and control of her/his minor dependent child.
B. However, this presumption may be
rebutted by another adult living in the home.
C. DHS has the responsibility to make the
final determination as to which adult is actually functioning as the
caretaker relative.
D. If DHS determines that a parent is
unable to provide day-to-day care of the child and that another
relative is providing such care, the assistance unit consists of the
dependent child, the adult parent (if otherwise eligible), and the
relative of proper degree of relationship (see § 2.5.3 of this
Part) who is providing the day-to-day care of the child. The
non-parent caretaker relative is not required to be the legal
guardian of the dependent child.
E. An otherwise eligible parent must
continue to be included in the assistance unit even though s/he is
not functioning as the caretaker.
F. If otherwise eligible, the needs of all
three (3) persons in this situation would be included in the cash
assistance payment.
G. The following guidelines are offered to
assist DHS eligibility staff in making the factual determination of
whether or not the parent is providing for the day-to-day care of the
child. Such determinations involve two steps:
1. An applicant's statement that s/he is
actually caring for the child despite the presence of a parent in the
home; and
2. Documentation to support the contention
that the natural/adoptive parent is incapable of providing care.
Acceptable forms of documentation are:
a. Evidence of physical or mental inability
on the part of the parent to care for the child as supported by
receipt of RSDI, SSI, Veterans Administration benefits due to total
disability, Workers Compensation, or Medicaid, etc.; or
b. Evidence from another agency (e.g.,
DCYF, BHDDH, DOC, licensed mental health agency, licensed substance
abuse treatment facility) or evidence from a treating physician or
mental health professional, that the parent is not able to function
as the caretaker; or
c. Evidence that the non-parent caretaker
is providing day-to-day care such as school records or day care
records which list the caretaker as the contact person; medical or
dental records which indicate that the caretaker has scheduled
appointments for the child; or the presence in the home of a
homemaker or home health aide to care for the parent at any time
during the last six months; or
d. Payment to the caretaker relative of the
child's other income such as child support, RSDI, SSI, etc.; or
e. Appointment of the caretaker relative as
guardian, custodian, or conservator by a court of appropriate
jurisdiction; or
f. Any other evidence provided by the
applicant verifying that s/he is providing day-to-day care and
control of the dependent child.
2.5 Non-Financial Requirements
2.5.1 Non-Financial Eligibility Factors
A. In addition to meeting eligibility
factors pertaining to need, a RI Works Program applicant/recipient
must satisfy the following non-financial eligibility factors:
1. Age;
2. Relationship;
3. Establishment or re-establishment of the
home;
4. Citizenship or qualified non-citizen
status;
5. Residency;
6. Special circumstances;
7. Enumeration; and
8. Time limit.
B. Information on the application provides
the basis for the establishment of these factors. Agency
representatives assess the data on the application and supplies to
the applicant/recipient any supplementary forms that are needed.
2.5.2 Eligibility Factor of Age
A. To be eligible for cash assistance, a
parent (or other caretaker relative) must have a needy child:
1. Under the age of eighteen (18); or,
2. Between eighteen (18) and nineteen (19)
who meet the criteria established within this section.
B. In determining eligibility, the exact
date of birth must be verified for each child to assure termination
when the child no longer meets the age requirement. Cash assistance
may be made eligible for the entire month in which the child’s
eighteenth (18th) birthday occurs. A child between age eighteen (18)
and nineteen (19) years in school and completing his/her schooling or
training, as specified above, may receive a payment for the entire
month in which his/her schooling or training is completed or
discontinued.
C. Verification of Age
1. The birth certificate is the primary
source of verification to establish age. If this is not available or
obtainable, the following other documents are satisfactory
verification:
a. Baptismal Certificate
b. Marriage License
c. Confirmation Papers
d. Driver's License
e. Immigration Papers
f. Military Service Papers
g. Hospital Birth Records
h. Adoption Records
i. Passport
j. RSDI Award Letter if birth date of child
is included
k. Voter Registration Card
l. Family Bible
m. Affidavit of Third Party; including by
not limited to examples 1-5 below:
(1) State or Federal Census Record
(2) Life Insurance Policy
(3) School Records
(4) Physician's Records
(5) Acceptable if dated at least six (6)
months prior to date of application and provided it contains evidence
of age
2. The agency representative will assist
the family, if needed, in obtaining the verification.
D. School Training of Children 18-19
1. A child between the ages of eighteen
(18) and nineteen (19) is eligible only if s/he is a full-time
student in a secondary school or in the equivalent level of
vocational or technical training and reasonably expected to complete
the program before or in the month of her/his nineteenth (19th)
birthday. A student attending summer school full-time, as defined by
school authorities, is considered a full-time student for cash
assistance purposes.
2. A course of vocational or technical
training not beyond the level of high school can occur in a school or
training unit, or an organized training program under recognized
sponsorship with a specified vocational or technical training
objective.
3. Payments are made for months in which
the child is not attending school or training because of official
school vacation, illness, convalescence, or family emergency, and for
the month in which s/he completes or discontinues her/his school or
training before the nineteenth (19th) birthday.
E. Verification of Attendance
1. Verification is required to establish
the fact that a child between eighteen (18) and nineteen (19) is a
full-time student and is expected to complete high school or the
equivalent level of vocational or technical training before or in the
month of her/his nineteen (19th) birthday. A student attending summer
school full-time, as defined by school authorities, is considered a
full-time student for RI Works Program purposes.
2.5.3 Eligibility Factor of Relationship
A. To be eligible for the RI Works program,
a child must be living with a relative of acceptable degree of
relationship in a home maintained by such relative. When the relative
with whom the child lives is not the biological or adoptive parent,
the term in loco parentis (in place of the parent) is used. Spouses
of any of the persons in the listed groups meet the relationship
requirement and continue to meet it even after the marriage is
terminated by death or divorce. A child meets this eligibility factor
if his/her home is with any of the following relatives:
1. father, adoptive father, mother,
adoptive mother;
2. stepfather, stepmother (but not the
parent of either);
3. grandfather, great grandfather,
great-great grandfather;
4. grandmother, great grandmother,
great-great grandmother;
5. adoptive grandparent if the grandchild
is the natural child of a parent who was adoptive, or if;
6. the grandchild is the adopted child of a
parent who was the natural child of the grandparent;
7. brother, half-brother, adoptive brother,
stepbrother, sister, half-sister, adoptive sister, stepsister;
8. uncle, great uncle, great-great uncle,
aunt, great aunt, great-great aunt (including uncle or aunt of whole
or half-blood);
9. nephew, great nephew, great-great
nephew, niece, great niece, great-great niece (including nephew or
niece of whole or half-blood);
10. first cousin (including first cousin of
whole or half-blood), first cousin once removed.
B. Verification of Relationship
1. The degree of relationship between the
parent or caretaker relative and the child must be established. The
following sources of evidence serve to substantiate the parent's
statement of relationship.
2. For natural or adoptive parents,
relationship is determined by examination of the child's birth
certificate on which the parents' names are recorded. For other
relatives, a combination of vital records must be reviewed in order
to establish the required degree of relationship.
3. When vital records are unavailable for
review, applicable court documents, insurance policies, RSDI award
letters, or written statements by doctors, clergy, school
authorities, or others who have previous knowledge of the
relationship constitute acceptable evidence.
C. Unwed Father as Applicant
1. An "unwed natural father" is
defined as a child's biological father who was not married to the
child's mother at the time of the child's birth.
2. The primary sources of verification of
relationship for an unwed natural father are the child's birth
certificate on which the man's name is recorded, or an adjudication
of paternity by the R.I. Family Court or any court of competent
jurisdiction. When paternity has been established through
adjudication, a copy of the court order or decree must be retained as
part of the case record. If either of these sources of verification
is available, no further documentation of paternity is required.
3. When no primary source of verification
is available, the agency representative explains to the applicant
that the Department of Human Services, Office of Child Support
Service (DHS-OCSS) will assist him in completing a voluntary
acknowledgment of paternity.
4. If all other criteria are met, the case
is accepted on cash assistance when the alleged father signs an
affidavit voluntarily acknowledging paternity, which has been
appropriately filed with the Court.
5. Continued eligibility is contingent upon
the alleged father cooperating with the Department of Human Services,
Office of Child Support Services and/or the R.I. Department of
Health, Division of Vital Records, in establishing his paternity in
accordance with applicable law. In most cases, the alleged father
will be required to attend a Family Court hearing to adjudicate
paternity.
6. Procedures
a. The alleged (putative) father is
referred to the Office of Child Support Service, Office of Legal
Counsel.
b. The Office of Legal Counsel is
responsible to arrange an appointment for the client with the
Paternity Unit as soon as possible.
c. The application for cash assistance is
held in pending status until the agency representative is notified by
OCSS that an affidavit of voluntary acknowledgment of paternity has
been signed by the alleged father. Office of Legal Counsel staff
notifies the agency representative of the completed action via
electronic mail and forwards a copy of the signed affidavit to the
local assistance office. Upon verification that the voluntary
acknowledgment of paternity has been executed, the agency
representative determines eligibility for cash assistance as of the
filing date. An automatic referral of the absent parent is made to
OCSS, by entering the absent parent information in the electronic
case record and approval of eligibility. The OCSS will then act to
establish and enforce a child support order.
d. It is the responsibility of the
recipient to provide the agency with a copy of the child's amended
birth certificate or a copy of the R.I. Family Court decree or court
order when these documents become available. If a primary source of
verification of relationship (amended birth certificate or court
order/decree) remains unavailable by the time of the next scheduled
redetermination, the eligibility staff must review the status of the
OCSS case by contacting the Office of Legal Counsel.
e. In the event that the recipient has
failed to cooperate with the Office of Legal Counsel in establishing
his paternity, appropriate action to terminate the case is initiated.
The putative father and the child(ren) would be ineligible for
assistance because the child(ren) must be living with a relative of
the proper degree of relationship. In the event that the recipient is
cooperating but the legal process is incomplete, notation of this
status is made in the electronic case record of the eligibility
system and the cash assistance case remains active, if otherwise
eligible.
(1) Due to the COVID-19 crisis, the DHS
has temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
D. Relative of an Unwed Father as Applicant
1. When an application for cash assistance
is made by a paternal relative on behalf of a dependent child, it is
necessary to establish the relationship between the child and the
applicant.
2. If the alleged father is available and
participates in the process of voluntarily acknowledging paternity,
the dependent child is accepted on cash assistance, if otherwise
eligible. The relative with whom the child is living must satisfy the
relationship requirements. The alleged father is not required to
apply for assistance for himself, unless he is living in the child's
home and therefore is compelled to do so by the assistance unit
provisions.
3. When the alleged father is unavailable
or unwilling to sign an affidavit of voluntary acknowledgment of
paternity, a relative of the proper degree of relationship may
qualify as a loco parentis through the use of other records or
third-party affidavits.
4. The agency representative enters absent
parent information in the eligibility system for both the mother and
putative father. This results, after approval of eligibility, in an
automatic referral to OCSS for the purpose of establishing the
paternity of the child(ren) born out of wedlock and for establishing
and enforcing child support orders with respect to both absent
parents.
E. Verification by Means of an Affidavit
1. When verification of age and/or
relationship is unobtainable from any other source, a third-party
affidavit may be acceptable evidence, if the criteria set forth below
are met.
2. An affidavit is the signed and sworn
statement of a third person based upon the third person's personal
knowledge of the facts which would indicate the probable age and
relationship of the child. The facts to which attested must be
consistent with the information provided on the application and must
not contradict other records or evidence in the case record.
3. Preparation of the Affidavit - The
agency representative determines with the applicant who is the person
in the best position to attest to the facts, and the person who is
readily available should be first choice.
4. The affidavit from the third-party must
be notarized and must contain the following:
a. Name, address, occupation and length of
time the third-party has been at the address.
b. Relationship to the applicant (e.g.,
friend, cousin, doctor, employer, teacher).
c. How long s/he has known the applicant.
d. The approximate age, number and sex of
the child(ren).
e. Circumstances in establishing the
connection with the applicant.
f. This might include statements such as:
"I grew up with the applicant and his brothers and sisters. We
went to school together. I know that the child(ren), (name(s)), was
born on (date) and is his/her child(ren)."
5. Use of Affidavit in Establishing
Eligibility
a. An affidavit of a third person shall not
be the first source of verification. The applicant together with the
DHS worker must explore the availability of other sources to
establish age and relationship. S/He must demonstrate good faith
effort with attempts to obtain appropriate records.
b. An affidavit is acceptable verification
while awaiting replies from other sources, and it may be accepted if
no other record is obtainable. However, prior approval of the RIW
Administrator, assistant administrator or RIW supervisor must be
obtained before an affidavit can be accepted to establish
eligibility.
2.5.4 Establishment of Home
A. A home is the family setting maintained
or in the process of being established, as evidenced by assumption,
continuation, and exercise of responsibility for day-to-day care and
control of the child by the relative with whom the child is living,
regardless of who has legal custody. The agency representative is
responsible for confirming that the child is, in fact, meeting this
requirement.
B. When there is any doubt, the agency
representative may verify that a child is living with the parent
through school records showing the address of the child and
responsibility for the child. Other sources of verification which the
DHS worker might use are based on the individual situation.
C. These could include a landlord's
statement; contact with a public housing authority; a child support
order; a physician, clergyman's or neighbor's statement; records from
the juvenile court; child welfare agencies; Head Start; a child care
center; a church; and visual confirmation.
D. Temporary Absence from Home
1. A "home" exists while the
parent exercises responsibility for the child even though
circumstances may require the temporary absence of either the child
or caretaker from the customary family setting. Examples of allowable
temporary physical separations between parent and child, without
compromising eligibility for cash assistance, include but are not
limited to the following:
a. Hospitalization of the child or parent,
when the illness is such that a return to the family can be expected
and parental responsibility continues.
b. Attendance at school for the primary
purpose of obtaining an education or vocational training while the
parent retains full responsibility for the child.
c. The temporary removal of a child from
the household through the child welfare system. Children receiving
residential services (refer to the definition of foster care) through
the Department of Children, Youth and Families who are active with
the Reunification Support Program can be absent from the home for up
to one hundred- eighty (180) days (longer for purposes of TANF
maintenance of effort) so long as they maintain reunification as
their permanency planning goal and comply with the participation
requirements for one or two parent family requirements regarding work
activities.
d. Visiting or moving to another community
and similar situations in which the child or parent is away from home
for a temporary period of time.
2. Maximum Allowable temporary absences of
the child from the home are limited to ninety (90) days per episode,
with a second ninety (90) day renewal authorized through supervisory
approval. During allowable temporary absences, the family retains
cash assistance at the level received before the absence of one or
multiple children.
3. Circumstances relating to the temporary
absence must be noted in the electronic case record.
4. Whenever an adult family member(s)
becomes aware that a minor child in his or her household has been or
will be temporarily absent from the home, the adult family member(s)
is responsible to report such absence of a minor child from the home
by the end of the five (5) day period.
5. When circumstances vary substantially
from the examples given or whenever physical separation raises a
serious question of eligibility, the agency representative must refer
the case situation to the RIW Administrator, assistant administrator
or RIW supervisor for review and decision.
E. Separation as Bar to Eligibility
1. In determining whether a separation is
allowable, the RIW Administrator, assistant administrator or RIW
supervisor considers such factors as:
a. the extent to which the parent retains
custodial, legal, and/or financial responsibility for the child;
b. the degree to which the parent's
functioning as a provider of maintenance, physical care, or guidance
is interrupted or terminated;
c. whether the municipality in which the
parent resides pays tuition to the municipality where the child
attends school if the separation
d. results from the child's attendance away
at school; and
e. frequency of contact between parent and
child, when appropriate, as defined in family reunification plan with
DCYF.
2.5.5 Re-Establishment of Home
A. An initial payment may be made on behalf
of a child who goes to live with the natural or adoptive parent (or
other caretaker relative) within thirty (30) days of the receipt of
the first payment, provided payments are not made for a concurrent
period for the same child in the home of another relative or through
Foster Care.
B. A payment may be made for the entire
month in the course of which a child leaves the home of a specified
relative, provided cash assistance is not paid for a concurrent
period for the same child in the home of another relative or through
Foster Care.
C. Temporary Arrangement in Emergencies
1. A payment to continue cash assistance
may be made for a temporary period up to thirty (30) days to a
non-relative acting for the parent in emergency situations. An
emergency situation exists when the parent who was receiving the
payment on behalf of the child is unable to continue such care
because of sudden death, desertion, imprisonment, admission to a
hospital for the mentally ill, or an emergency admission to any
hospital. When the policy is used, referral is made immediately to
child welfare services and DHS works in collaboration with sister
state agencies and community partners to ensure child safety and
economic and family stability, as appropriate.
2. Such payments may be made only when:
a. there is no parent or relative to assume
immediate responsibility for the child; and
b. the temporary period is limited to the
time necessary to make and to carry out plans for the care and
support of the child. Such plans include the return and resumption of
care by the parent, planning for a relative to care for the child, or
during the period of transition of obtaining voluntary placement or
legal commitment through the Department of Children, Youth and
Families.
2.5.6 Citizenship and Qualified
Non-Citizen Status
A. To be eligible for cash assistance, an
otherwise eligible applicant must be either a United States citizen
or meet the non-citizen requirements established in Section 402 (b)
of the Personal Responsibility and Work Opportunity Reconciliation
Act of 1996 (PRWORA). This requirement to comply with PRWORA will
remain in effect according to all applicable changes made to the
federal law, as that Act may hereafter be amended.
B. The Systematic Non-citizen Verification
for Entitlements (SAVE) Program is the Immigration and Naturalization
Service operated system for the verification of immigration status of
non-citizens applying for benefits from certain federally funded
entitlement programs. Applicants must declare in writing that they
are U.S. citizens or nationals or that they have "satisfactory
immigration status".
C. Those who are eligible include:
1. U.S. Citizen or National. This is
defined in the Immigration and Nationality Act as any person born in
any of the fifty (50) states, the District of Columbia, Puerto Rico,
Guam, or the United States Virgin Islands. Nationals from American
Samoa or Swain's Island are also regarded as U.S. Citizens, as are
those persons who are naturalized U.S. citizens;
2. A qualified non-citizen who entered the
U.S. prior to 8/22/96;
3. A qualified non-citizen who entered the
country on or after 8/22/96 and is exempt from the five (5) year ban;
or
4. After the five (5) year ban, a qualified
non-citizen who entered the U.S. on or after 8/22/96.
5. Qualified non-citizens who are exempt
from the five (5) year ban include:
a. Refugees, under Section 207 of the
Immigration and Nationality Act (INA);
b. Asylees, under Section 208 of the INA;
c. Amerasian entrants as defined under
Section 584 of the Foreign Operations, Export Financing and Related
Programs Appropriations Act of 1988;
d. Cuban or Haitian entrants under Section
501(e) of the Refugee Education Assistance Act of 1980;
e. Lawfully residing honorably-discharged
veterans (except one discharged for reasons of immigration status),
and the un-remarried widow or widower of the veteran;
f. Non-citizens on active duty in the U.S.
Armed Forces, their lawfully residing spouses and unmarried dependent
children;
g. Battered victims with a petition pending
under 204(a)(1)(A) or (B) or 244(a)(3) of the INA; or
h. Victims of human trafficking in
accordance with Section 107(b) of the Victims of Trafficking and
Violence Protection Act of 2000; or
i. Withholding of deportation/removal; or
j. Granted parole by the US Department of
Homeland Security for a period of at least one (1) year.
6. Qualified non-citizens who entered the
U.S. on/after August 22, 1996, who are subject to the five (5) year
ban include:
a. Lawful permanent residents (LPR);
b. Parolees for at least one (1) year under
212(d)(5) of the INA;
c. Conditional entrants under 203(a)(7) of
immigration law in effect before April 1, 1980; or Certain American
Indians born outside the U.S.
d. A person who is not a United States
citizen and does not meet the non-citizen requirements established in
PRWORA, as amended, is not eligible for cash assistance. Those
individuals who are ineligible include undocumented immigrants and
temporary visitors.
2.5.7 Residency
A. The RI Works program exists to meet the
needs of the residents of the state. Therefore, as a factor of
eligibility, an individual who is applying or reapplying for benefits
or services from Rhode Island must be a resident of the state.
B. See General Provisions, Part 10-00-1
of this Title for further discussion of residency.
2.5.8 Special Circumstances Related to
Eligibility
A. There are special factors involved in
the determination of eligibility for families with children receiving
SSI, families consisting of pregnant women, minor parents, and
individuals with a history of domestic violence. These factors and
their respective requirements are as follows:
1. Parent with Child Receiving SSI
a. The presence of an SSI child is taken
into account for purposes of qualifying a parent(s) or other
caretaker relative for cash assistance and there is no other child in
the home who can qualify the parent(s). In these situations, only the
needs of the eligible parent(s) or other caretaker relative are
included in the cash assistance payment based on their own income and
resources.
b. The income and resources of the child
are already counted in determining the SSI payment and therefore
cannot be included in determining the cash assistance payment. If any
income or resource of the parent is deemed to the SSI child, see §§
2.14 and 2.15 of this Part.
2. Eligibility of a Pregnant Woman
a. A pregnant woman with no other
child(ren) can qualify for cash assistance:
(1) When it is medically verified that the
child is expected to be born in the month the payment is made or
within the three (3) month period following such month of payment
(see Table in § 2.5.8(A)(2)(a)((3)) of this Part, below).
(2) Verification of the month of expected
date of delivery is required. Acceptable documentation includes a
signed statement from the woman's physician or a pregnancy test
report from a Hospital or other acceptable provider; and,
(3) If she would be eligible for the RI
Works program if the child had been born and was living with her in
the month of payment.
Expected Delivery Date
First Month Eligible
Expected Delivery Date
First Month Eligible
January
October
July
April
February
November
August
May
March
December
September
June
April
January
October
July
May
February
November
August
June
March
December
September
b. Payment for a pregnant woman (with no
other child) is computed as a plan size of one as the unborn is not
considered in the payment. In addition, when there is no eligible
child in the home (the unborn not being considered an eligible
child), the expectant father in the home is not eligible for
inclusion in the cash payment.
c. A pregnant woman can be eligible for
Medicaid from date of pregnancy if she meets other Medicaid criteria.
3. Minor Parents. In order to qualify for a
cash assistance payment, a pregnant minor or a minor parent (minor is
defined as under age eighteen (18) with a dependent child(ren) in
her/his care) must reside in the household of a parent, legal
guardian, or adult relative with certain exceptions. In the latter
situations, the minor must reside in a supervised supported living
arrangement to the extent such arrangement is available and
appropriate. See § 2.12 of this Part for further discussion.
4. Domestic Violence Situations
a. The Department will screen and identify
individuals with a history of domestic violence applying for or
receiving assistance while maintaining the confidentiality of such
individuals. The Department will refer such individuals to counseling
and appropriate services.
b. The Department will waive, pursuant to a
determination of good cause and for so long as necessary, cash
assistance program requirements relating to time limit for
individuals receiving assistance, residency requirements, child
support cooperation requirements, and work requirements in cases
where compliance with such requirements would make it more difficult
for individuals receiving assistance from the RI Works Program to
escape domestic violence or unfairly penalize such individuals who
are or have been at risk of further domestic violence.
c. See § 2.13 of this Part for
procedures relating to the domestic violence waiver process.
2.5.9 Enumeration
A. As a condition of eligibility for
assistance, applicants for and recipients of the cash assistance
program must furnish the Department with their social security
numbers and the social security number of each person for whom they
are requesting assistance. A Social Security number must be obtained
upon the birth of a child.
B. The applicant or recipient must be
notified that the furnishing of the SSN is a condition of eligibility
and that the number will be utilized only in the administration of
the RI Works program.
C. Inability to Furnish SSN
1. If the applicant or recipient is unable
to furnish a Social Security number because one has not been issued,
or is lost or not known, such person is required to apply for a
Social Security Number Card at the appropriate Social Security
Administration office.
2. Applicants or recipients who have
complied with the above and who are otherwise eligible are accepted
for a payment pending the issuance or verification of their Social
Security number. Refusal to comply with these requirements will
result in ineligibility of each person for whom the number is not
obtained.
D. Applicant Not Seeking Benefits for Self
1. An individual who is applying for
benefits for families members and is not seeking benefits for
him/herself is not required to provide or apply for a Social Security
Number if he/she does not have one and is not eligible to obtain one.
2.6 Time
Limit
A. Effective January 1, 2020, the Rhode
Island Works law (R.I. Gen. Laws Chapter 40-5.2) provides in part
that all applicants and/or recipients for cash assistance shall be
subject to a maximum lifetime limit of forty-eight (48) months of
cash receipt, since May 1, 1997.
B. Exemptions to the Time Limit and
Notices. R.I. Gen. Laws § 40-5.2-10 states that the Department
of Human Services may extend an assistance unit’s or family’s
cash assistance beyond the time limit by reason of hardship;
provided, however, that the number of such families to be exempted by
the Department under hardship shall not exceed twenty percent (20%)
of the average monthly number of families to which assistance is
provided in a fiscal year; provided, however, that to the extent
permitted by federal law, any waiver granted under R.I. Gen. Laws §
50-5.2-35, for domestic violence, shall not be counted in determining
the twenty percent (20%) maximum.
C. Notice of Time Limit. When a parent or
caretaker relative reaches his/her time limit, notice is issued
informing the individual of the action being taken in accordance with
§ 2.31 of this Part. The notice contains information about the
time limit, the number of months the recipient has remaining, the
hardship extension policy, the availability of a post-employment
closure bonus and any other information pertinent to an assistance
unit nearing the time limit. Recipients will start to receive notice
of time limit when they have six (6) months of cash assistance
remaining and each month thereafter until the forty-eight (48) month
limit has expired. For applicants who have less than six (6) months
remaining in the time limit because the family/assistance unit
previously received cash assistance in Rhode Island or any other
state, the Department shall notify the applicant of the number of
months remaining when the application is approved and shall begin the
monthly notice process as described above.
D. Counting Cash Assistance from Other
States
1. Family cash assistance issued in any
other state or territory of the United States of America shall
include family cash assistance funded on or after May 1, 1997, in
whole or in part by Temporary Assistance for Needy Families (TANF)
funds and/or family cash assistance provided under a program similar
to the Rhode Island Works program.
2. Cases in which an adult was sanctioned
shall be counted toward the adult's time limit. The Department shall
disregard any months during which the adult had previously received
cash benefits as a minor dependent child. A notice of adverse action
is mailed to the family to inform them of the change in the number of
months being counted toward the adult's time limit.
2.6.1 Exceptions to Time Limit
The time limit shall not apply in the
instances of (1) a minor child(ren) living with a single parent who
receives SSI benefits, or with two-parents who both receive SSI
benefits, and (2) a minor child(ren) living with a legally
responsible non-parent caretaker relative who is not in the cash
assistance payment.
2.6.2 Hardship Extension to Time Limit
A. Any individual approaching either time
limit, or who has met or exceeded the time limit, is notified that
s/he may request a reassessment to determine whether or not s/he may
meet the criteria for an extension beyond the time limit. Individuals
are required to complete an application for RI Works Program Hardship
Extension.
B. A parent who is either undocumented or
who does not meet the non-citizen requirements required for
eligibility for cash assistance under federal PRWORA, who has
received benefits for his/her citizen child(ren), may request a
hardship extension for the child(ren) at their time limit.
C. A client who has closed due to reaching
both the forty-eight (48) month lifetime time limit and the three (3)
month full family sanction, simultaneously, may request to be
evaluated, and may be eligible for an extension to the time limit.
2.6.3 Criteria for Hardship Extension
A. A hardship extension may be granted to
the parent(s) or caretaker relative if all other Rhode Island Works
eligibility requirements are met, including redeterminations, and one
of the following criteria applies:
1. Has a documented significant physical or
mental incapacity and can document a pending application for SSI or
SSDI and has submitted an application for or is active and in
compliance with his/her employment plan with the Office of
Rehabilitation Services; or.
2. Is caring for a significantly disabled
family member who resides in the home and requires full time care; or
3. Is homeless as defined in § 2.2 of
this Part; or
4. Is unable to pursue employment because
of a current, documented domestic violence situation; or
5. Is unable to work because of a critical
other condition or circumstance, other than citizenship or
non-citizen status, as approved by a DHS supervisor.
a. "Other Critical Condition or
Circumstance" includes the inability to participate due to the
COVID-19 crisis, as determined by the DHS and based on the
individual's ability to participate from home. If participation is
not possible, sanctions may not be imposed during this crisis.
B. The parent or caretaker relative will be
offered assistance to remove or ameliorate barriers preventing
her/him from obtaining and maintaining employment and reducing
dependence on income supports.
2.6.4 Hardship Extensions and Procedures
A. DHS provides an initial hardship
extension for six (6) months. Additional six (6) month hardships are
available. Parents and/or relative caretakers who receive a hardship
extension have the option to request early termination of benefits by
contacting their DHS worker.
B. Individuals within six (6) months of
applicable time limit are sent letters informing them of the time
remaining and that they may request a review of their pending
closure. When a request for a reassessment is received, whether by a
current recipient or a re-applicant, the DHS worker must promptly
determine whether or not the individual meets the criteria for an
extension to the time limit. The reassessment must also determine the
extent to which her or his ability to work is affected by the
applicable criteria.
C. Any hardship extension that is granted
requires an amended employment plan be signed containing steps to be
taken as appropriate in order to remove/ameliorate the condition that
warranted the extension. RIW workers may utilize alternate methods to
communicate with parents to review amendments and enter agreed upon
amendments to move forward with the extension in the electronic case
record.
D. If a requesting parent cannot have an
employment plan entered into the eligibility system due to a reason
for exclusion (e.g. non-citizen not meeting PRWORA requirements), a
written plan is required to be developed, and to be signed by the
parent stating that the parent will cooperate with services to
ameliorate the condition that led to the hardship. In addition,
because an undocumented non-citizen parent cannot legally work, the
parent is directed to determine whether or not there is a pathway to
legal status as a work activity.
E. Good cause for non-compliance with an
activity in the employment plan during a hardship extension is
allowed consistent with provisions established in Good Cause for
Failure to Comply, § 2.11.10 of this Part. If good cause is
found, the parent is allowed to continue or renew the request for
hardship and must demonstrate compliance with the plan consistent
with provisions established in Ending Work Penalties, § 2.11.13
of this Part.
2.6.5 Required Documentation to Support
Hardship Extension
A. Significant physical or mental
incapacity.
1. Some combination of the following must
occur for approval of an initial hardship request:
a. A significant physical or mental
incapacity must be documented on a current medical verification form.
(1) The inability to participate due to the
COVID-19 crisis, as determined by the DHS and based on the
individual's ability to participate from home. If participation is
not possible, sanctions may not be imposed during this crisis.
b. The individual must apply for or have a
pending application for SSI or SSDI.
c. The individual must have submitted an
application for or be active and in compliance with his/her
employment plan with the Office of Rehabilitation Services (ORS)
Vocational Rehabilitation.
d. Quarantine of the household due to the
COVID-19 virus.
e. Illness of the applicant or a family
member, due to the COVID-19 virus.
2. Subsequent incremental extensions
require some combination of the following:
a. Updated medical verification forms.
b. Documentation of the active status or
documentation of the appeal of a denial of the SSI/SSDI application.
c. Documentation of ongoing compliance in
the individual's rehabilitation employment plan as reported by ORS,
or documentation that the individual was found eligible for
vocational rehabilitation services but was placed on a wait list for
services under the order of selection.
d. Quarantine of the household due to the
COVID-19 virus.
e. Illness of the applicant or a family
member, due to the COVID-19 virus.
B. Care for a significantly disabled family
member who resides in the home and requires full time care
1. The following must occur for approval of
an initial hardship request:
a. Documentation through a descriptive
statement from a Doctor of Medicine (M.D.), Psychiatrist (M.D.),
Psychologist (PhD), or Doctor of Osteopathy (D.O.) that said level of
care is required.
b. In addition to the full-time care of the
family member, the individual's employment plan must include a
requirement that the individual develop a plan for transfer of care
(for the disabled family member) to enable a return to employment for
the individual or other plan for support in anticipation of the end
of cash assistance.
2. Subsequent incremental extensions
require the following:
a. An updated medical statement
b. An updated plan for transfer of care to
transition from cash assistance.
C. Homeless
1. The following must occur for approval of
an initial hardship request:
a. Documentation of homelessness either
from a shelter or evidence as described in § 2.18.11 of this
Part.
b. The family must be referred to the DHS
housing worker or be active and in compliance with his/her employment
plan addressing barriers to securing stability with housing. Work
activities for homelessness include keeping a detailed account of the
search and the outcome of all inquiries to demonstrate good faith
efforts with securing housing.
2. Requests for a subsequent incremental
extension must be accompanied by the submission of a letter of
support for the extension from a housing search specialist.
D. Domestic Violence
1. The following must occur for approval of
an initial hardship request:
a. Documentation by a Family Violence
Advocate.
b. An employment plan is developed that
articulates appropriate steps to reduce the threat of violence and
increase family security, including steps to prepare for employment
and economic independence.
2. Requests for a subsequent incremental
extension must be accompanied by the submission of a written letter
supporting the extension from a community partner and/or family
violence advocate who is involved with the individual.
E. Inability to work because of a critical
condition or circumstance, other than citizenship or non-citizen age
status, is documented as deemed appropriate by the supervisor who
approves the extension.
1. "Critical Condition or
Circumstance" includes the inability to participate due to the
COVID-19 crisis, as determined by the DHS and based on the
individual's ability to participate from home. If participation is
not possible, sanctions may not be imposed during this crisis.
2.7 Cooperation with the Office of
Child Support
2.7.1 Assignment of Support Rights
A. An applicant for or recipient of cash
assistance for and on behalf of herself or himself and for and on
behalf of a child(ren) or children, shall be deemed, without the
necessity of signing any document other than the Application for
Assistance, to have made an assignment to the Department of Human
Services pursuant to R.I. Gen. Laws § 40-6-9 against any parent
failing to or obligated to provide for the support and maintenance of
any minor child(ren) for the period of time that assistance is being
paid by the Department.
B. Additionally, the Department of Human
Services, Office of Child Support Services (DHS-OCSS), is authorized
to perform the act of instituting suit to establish paternity and/or
to collect support for said child(ren) who receives or received
assistance from DHS. However, the OCSS will not pursue a support
order against a non-custodial parent where a custodial parent or
her/his child would be put at risk of physical or emotional harm.
2.7.2 Referral to the Office of Child
Support
A. The DHS agency representative
automatically refers the applicant's case to DHS-OCSS electronically
after approval of eligibility. If a good cause for refusal has been
determined, the DHS agency representative correctly codes the
electronic case record.
B. In the case of a minor head of household
who is not living with her parents, a referral to the Office of Child
Support Services is required for both the teen parent and any other
child(ren) in the household.
2.7.3 Cooperation in Obtaining Support
A. An explanation must be given by the
agency representative that a parent or caretaker relative must assist
DHS and DHS-OCSS by providing all relevant information in seeking
support from a person who has a legal duty to support the child(ren)
and/or in establishing paternity and seeking support from the
putative father unless good cause for refusing to do so is determined
to exist. The Notice Concerning Good Cause for Refusal to Cooperate,
a copy of which is included in the intake package, is reviewed with
the applicant who is requested to sign a copy for the case record.
See Child Support Rules and Regulations (Part 30-00-1
of this Title) for further discussion on child support processing for
active RI Works families
B. An applicant or recipient must cooperate
with the agency for each child for whom assistance is applied or
received (unless good cause for refusing to do so has been determined
to exist) in:
1. Identifying and locating the parent of a
child for whom assistance is claimed;
2. Establishing the paternity of a child
born out of wedlock for whom assistance is claimed;
3. Obtaining support payments for the
applicant or recipient and for a child for whom assistance is
claimed; and
4. Obtaining any other payments or property
due the applicant or recipient or the child from an absent parent.
5. In the case of a minor head of
household, a referral to the Office of Child Support Services is
required for both the teen parent and any other child(ren) in the
household.
C. To cooperate in achieving the above
objectives, at the request of DHS or DHS-OCSS, the applicant or
recipient must:
1. Appear, as necessary, to provide verbal,
written, or documentary evidence, known to, possessed by, or
reasonably obtainable by her/him.
2. Appear as a witness at court or other
hearings or proceedings, as necessary.
3. Provide information, or attest to the
lack of information, under penalty of perjury.
4. Forward to the agency any support
payments received from the absent parent which are covered by the
assignment.
2.7.4 Good Cause for Refusing to
Cooperate
A. Every applicant or recipient is given an
opportunity to claim good cause for refusing to cooperate. A Notice
Concerning Good Cause for Refusal to Cooperate is read by the
applicant/recipient, explained by the DHS agency representative and
signed and dated, in duplicate, by each. The applicant/recipient
retains a copy. The second copy is filed in the case record.
B. Good cause applies only to cooperation.
The eligibility requirement regarding assignment is not affected by a
good cause determination. If good cause is claimed, the
applicant/recipient is advised that s/he must state the basis of the
claim and present corroborative evidence within twenty (20) days of
the claim; or, s/he must provide sufficient information to enable the
investigation of the existence of the circumstance; or, provide sworn
statements from individuals to support the claim as specified on the
Notice Concerning Good Cause for Refusal to Cooperate.
C. A determination of good cause is based
on the evidence supplied which establishes the claim; or, an
investigation by the agency of the circumstance which confirms the
claim; or, a combination of evidence and investigation; or, when the
claim is one of anticipated physical harm without evidence, the
investigation supports the credibility of the claimant. The
determination as to whether good cause does or does not exist should
be made within thirty (30) days of the good cause claim unless the
record documents that the agency needs additional time because the
information required to verify the claim cannot be obtained within
the time standard.
D. If the reason that the information is
not available is that the client did not present the corroborative
evidence within twenty (20) days of the claim, the record must
document that the agency determined that the applicant/recipient
required additional time to obtain the evidence, the amount of
additional time allowed, and that this decision had supervisory
approval. The final determination that good cause does or does not
exist, including the findings and basis for the decision, must be
included in the electronic case record.
E. The DHS representative will obtain
verification and/or conduct an investigation in order to make the
determination. If sufficient information to conduct an investigation
is provided, an otherwise eligible individual is provided assistance
(or assistance is continued) pending the final determination on the
good cause claim.
2.7.5 When Cooperation is not in Best
Interest
A. Cooperation is determined to be against
the best interest of the child, if:
1. The individual's cooperation is
reasonably anticipated to result in physical or emotional harm to the
child, mother, or other relative with whom the child is living.
(Physical or emotional harm must be determined to be of a genuine and
serious nature. The mere belief that cooperation would result in harm
is not sufficient basis for a finding of good cause. The emotional
harm to the mother must be of such a serious nature that the capacity
to care for the child adequately would be reduced.); or
2. It would be harmful to the child for
whom support would be sought because the child was conceived as a
result of incest or forcible rape; or
3. Legal proceedings for adoption of the
child are pending before a court of competent jurisdiction; or
4. The individual is currently being
assisted by a public or licensed private social agency to resolve the
issue of whether to maintain custody of the child or release her or
him for adoption and the discussions have not gone on for more than
three (3) months; or
5. There is anticipated physical harm to
the parent without corroborative evidence.
2.7.6 Corroborative Evidence for Good
Cause
A. Corroborative evidence upon which a
determination of good cause is based without further agency
investigation is limited to documents similar to the following which
must be presented within twenty (20) days of the claim:
1. Birth certificates, medical, or law
enforcement records which indicate that the child was conceived as a
result of incest or forcible rape.
2. Court documents or other records which
indicate that legal proceedings for adoption are pending before a
court of competent jurisdiction.
3. Court, medical, criminal, child
protective services, social services, psychological, or law
enforcement records which indicate that the putative father or absent
parent might inflict physical or emotional harm on the child or
caretaker relative.
4. Medical records which indicate emotional
health history and present emotional health status of the caretaker
relative (parent or loco parentis) or the child for whom support is
sought or, written statements from a mental health professional
indicating a diagnosis or prognosis concerning the emotional health
of the caretaker relative or the child for whom support is sought.
5. A written statement from a public or
licensed private social agency indicating that the individual is
being assisted by the agency to resolve the issue of whether to
maintain custody of the child or release him/her for adoption, and
the discussions have not gone on for more than three (3) months.
B. If the evidence is insufficient, the DHS
agency representative will promptly notify the applicant/recipient
that additional corroborative evidence is needed and specify the type
of document needed. The DHS representative will assist in obtaining
the needed evidence if requested to do so by the individual. This
assistance might be in the form of advising the individual how to go
about obtaining the documents, or, if requested, undertaking
reasonable efforts to obtain the evidence, if s/he is not reasonably
able to obtain it by him or herself.
C. When sufficient information to permit an
investigation is provided, or when the claim is one of anticipated
physical harm without corroborative evidence and the DHS
representative considers the claim credible and corroborative
evidence is not available, the DHS representative will conduct an
investigation. In conducting the investigation, the DHS
representative will not contact the absent parent or putative parent
unless such contact is determined to be necessary to establish the
claim. Prior to making any contact, the applicant or recipient will
be notified in order for him/her to present additional evidence or
information that the contact is unnecessary or he/she can withdraw
the application, or the good cause claim can be denied.
D. On the basis of the evidence or the
results of the investigation, the DHS agency representative makes a
decision on the applicant/recipient's good cause claim as described
in § 2.7.7 of this Part.
E. Emotional and Physical Harm Defined
1. Physical harm and emotional harm, as
defined, must be of a serious nature. It must be demonstrated to the
DHS agency representative that there exists an emotional impairment
that substantially affects the individual's functioning for a finding
of good cause for emotional harm to be made.
2. If a determination is based in whole or
in part upon the anticipation of emotional harm to the child, parent,
or other caretaker relative, consideration is given to the following:
a. the present emotional state of the
individual subject to emotional harm;
b. the emotional health history of the
individual;
c. intensity and probable duration of the
emotional upset;
d. degree of cooperation to be required;
and the extent of involvement of the child in paternity establishment
or support enforcement activity to be undertaken.
3. The DHS agency representative can find
good cause on the basis of anticipated physical harm without
corroborative evidence if the agency considers the claim credible
without corroborative evidence and if such corroborative evidence is
not available. For example, battered women are often too afraid or
ashamed to tell anyone of the beatings they have received and would
therefore be unable to corroborate a valid good cause claim.
4. In this case, the claimant has the
burden of establishing her credibility as well as explaining why no
evidence is available.
5. The agency is required to investigate
this type of claim and while it may not establish the good cause
circumstance, it should establish the credibility of the claimant.
2.7.7 Good Cause Decision
A. After the DHS representative has made a
determination that good cause exists, and the case has been referred
to DHS-OCSS, the OCSS representative evaluates the evidence and
information in the electronic case record. The OCSS representative
makes a determination whether support enforcement activity can be
conducted without risk of harm to the child or caretaker relative if
taken without the caretaker's cooperation.
B. Review of Good Cause Finding
1. A review of the good cause decision must
be made at each redetermination by the DHS agency representative. If
it is determined that circumstances have changed such that good cause
no longer exists, there must be enforcement of the cooperation
requirements.
2. The failure of a parent or caretaker
relative to comply with child support enforcement cooperation
requirements without good cause results in the imposition of a
sanction as outlined in § 2.7.8 of this Part. DHS-OCSS notifies
the DHS representative of any failure to cooperate with that agency
and the DHS representative must take the necessary action on the
case.
2.7.8 Consequences of Non-Cooperation
with OCSS
A. Due to the COVID-19 virus and the
national state of emergency, the Department of Human Services has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
B. The failure of a parent or caretaker
relative to cooperate with DHS-OCSS in establishing paternity or in
establishing, modifying, or enforcing a support order with respect to
a child and failure to qualify for good cause results in the
imposition of a financial sanction.
C. The financial sanction is equal to a
twenty-five percent (25%) reduction of the entire assistance unit's
standard of assistance before the application of any income
disregards. The sanction renders the noncompliant parent or caretaker
relative ineligible for cash assistance. However, the noncompliant
parent or caretaker relative will still be required to cooperate
with, and participate in, employment plan opportunities. Further,
after three months' sanction due to non-compliance with OCSS (or due
to similar non-compliance with employment plan opportunities), the
family unit will be subject to closure due to full-family sanction.
D. DHS-OCSS notifies the RI Works Program
representative of the failure to cooperate, and the RI Works Program
representative must take the necessary action on the case.
E. The reduction in assistance and
ineligibility of the sanctioned individual shall continue until the
parent/caretaker relative who refused to comply with child support
cooperation requirements consents to and cooperates with the agency
in satisfying those requirements, or until the three-month
full-family sanction begins. DHS-OCSS notifies the RI Works Program
staff of any compliance for appropriate follow-up by the RI Works
Program representative.
2.8 Communication between RIW and OCCS Staff
A. The RIW and the Child Support Services
staff will notify each other of information pertaining to the
custodial parent, the non-custodial parent, and the child support/RI
Works case. Contact will occur between the agents when:
1. The custodial parent fails to cooperate
with the Office of Child Support Services;
2. The custodial parent claims good cause;
3. The custodial parent is found to be
living at an address that is different from the address at which s/he
receives assistance;
4. Paternity is established;
5. Employment changes; and/or
6. The non-custodial parent is found to be
living with the applicant/recipient.
2.9 Third-Party Liability
A. A third party is a collateral source
which may be liable for an accident, injury, or illness of
applicants/recipients. When an applicant needs and accepts a cash
payment during the period in which a claim for payment from a
collateral source is pending, the applicant is advised that repayment
for funds financed by the state to the applicant is required by R.I.
Gen. Laws § 40-6-9, as amended, if the applicant is subsequently
found eligible for monies from the collateral source.
B. When the applicant signs the application
for assistance, s/he assigns all rights to the Department of Human
Services (DHS) for and on behalf of her- or himself and any person
for whom the individual may legally act for amounts recoverable from
a third party equal to the amount of financial assistance and medical
assistance provided as a result of the accident, illness, or injury.
2.9.1 Third-Party Payments
A. Potentially liable third parties include
but are not limited to insurance companies liable for Worker's
Compensation and/or other types of insurance. RSDI benefits are not
subject to reimbursement. Generally, these payments are retroactive
payments and cover a period of time cash assistance had to be paid
because the income from the collateral source was not available.
B. Funds subject to such assignment are all
cash assistance payments provided to such applicant and any family
members included in the applicant's cash assistance payment and all
Title XIX payments which are related to the accident, injury, or
illness for which the third party may be liable.
C. All pertinent information concerning a
potential third-party resource is contained in the application and
will be referred by the third-party liability unit or its equivalent.
2.10 RI Works Program Opportunities
A. Due to the COVID-19 virus and the
national state of emergency, the Department of Human Services has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
B. A nonexempt RI Works Program participant
who fails without good cause to participate in an assigned work
activity component or otherwise refuses without good cause to comply
with her/his employment plan or with any other work opportunity,
including but not limited to attendance at DHS or DLT appointments
such as initial interview, orientation and assessment, job readiness
and job search, is subject to sanction and possible closure as
described in § 2.11.9 of this Part. In the case of a hardship
extension, failure to comply with the employment plan without good
cause results in the case closure -- the three (3) month sanction
period does not apply.
C. A participant, including a parent or
non-parent caretaker relative included in the cash assistance
payment, shall not voluntarily quit a job or refuse a job, unless
there is good cause as defined in § 2.11.10 of this Part. A
participant who voluntarily quits or refuses a job without good cause
while receiving cash assistance shall be sanctioned, and potentially
terminated from the RI Works Program if the sanction continues for
three (3) months.
2.10.1 Assessment
A. The assessment of family circumstances
and employability for applicants and recipients is conducted by DHS
workers at screening.
B. At the beginning of the assessment
process, the Information on the Family Violence Option (Form WVR-1a)
is given to the applicant along with a brief summary to ensure an
understanding of its contents. Every recipient must be informed that
s/he may be excused from certain RI Works requirements under the
Family Violence Option if meeting these requirements puts the
recipient or her or his children at risk of domestic violence, and
that s/he may claim the Family Violence Option at any time. The
procedures to be followed after an applicant claims this option or
discloses abuse are specified in § 2.13 of this Part.
C. The assessment process begins with the
DHS screening worker using the Family Needs Assessment to collect
information about the participant's past educational, training, and
employment history as well as the health of the participant and
her/his family. These and other factors provide a client profile
which the agency representative evaluates, and from which s/he can
estimate the employment potential of the individual. Assessment
information is then entered into the eligibility system. This
collection of data is appraised to identify the individual's
strengths in relation to the individual's readiness for employment.
D. Assessment Requirements
1. The assessment interview must cover all
areas relating to the applicant's and the entire family's
circumstances, including, but not limited to the following:
a. Housing needs;
b. Utility payments;
c. Food security and nutrition;
d. Physical and emotional health (including
special issues affecting the well-being of the family such as an
incapacity of a family member, substance abuse and domestic
violence);
e. Transportation issues;
f. Child issues;
g. Education history;
h. Employment history;
i. Known or suspected disabilities,
including but not limited to learning disabilities;
j. Level of crisis; and
k. Academic testing.
2. Specific assessment information needed
includes:
a. the individual's ability to speak
English, or the individual's primary language;
b. marital status;
c. military veteran status;
d. employment status; and
e. last grade of school completed, as well
as each adult household member's school attended.
3. As appropriate, the following
information will also be collected:
a. current health problems;
b. names of educational facilities attended
by the participant(s);
c. program/course titles and completion
dates;
d. names and addresses of the participant's
previous employers, job titles, and hire and end dates.
4. The DHS worker must also assess the
financial conditions of the family and develop a financial plan. See
§ 2.10.2 of this Part pertaining to the financial plan.
5. As appropriate, the DHS worker discusses
the various special requirements for minor parents, pregnant minors,
and for adolescent parents who do not have their high school diploma
or its equivalent and who are not attending school, such as the
requirement for participation in an educational program leading to
such diploma, as well as other RI Works requirements. The initial
assessment interview of pregnant minors and minor teen parents is
conducted by the appropriate Youth Home Visiting Program.
6. For all adult parents, the RI Works
worker informs them of the work activity opportunities as well as the
time limit on the receipt of RI Works cash assistance.
7. The RI Works worker reviews the RI Works
Program information by outlining the sequence of the eligibility
process and other compliance matters, activity requirements and
opportunities, the participant's and the Department's
responsibilities, and the consequences if the individual fails to
comply with program requirements.
8. A summary of the assessment interview
with the participant and any appropriate information must be entered
in the electronic case record.
9. A full assessment includes three (3)
categories: Family Needs Assessment, Education and Employment
Assessment and Academic and Vocational Testing.
10. A full assessment is completed for all
RI Works Program applicants and as appropriate, recipients.
Individuals must undergo academic and vocational testing for
employment planning and for specific activities (e.g., Adult
Education, Skills Training and Post-Secondary Education).
11. After the test results have been
returned, the results are discussed with the applicant and evaluated
in light of her/his previous education, training, and employment
history. The evaluation should determine if the employment goal or
activity should be modified. A summary of each contact with the
participant and any appropriate information is recorded in the
electronic case record of the eligibility system.
2.10.2 Financial Plan
A. The financial plan shall identify all
available sources of income and all benefits and services available
to the family from the state, local or federal government, as well as
social service agencies.
B. Sources of income may include: earnings
from employment, including self- employment, the earned income tax
credit, advance payment of the earned income tax credit, social
security, unemployment compensation, temporary disability insurance,
supplemental security income assistance, and payment of support
obligations by noncustodial parents.
C. Benefits may include: food assistance,
medical assistance, child care assistance, school lunch, housing
assistance, home heating assistance, as well as cash assistance under
the RI Works program.
D. The plan shall, upon the family's
request, include an annual and monthly cash family budget detailing
expenditures (required and possible in the view of these available
resources) for food, clothing, shelter, utilities, work expenses
(including child care and transportation), health care, personal
care, and household supplies.
2.10.3 Employment Plan as Condition of
Eligibility
A. Due to the COVID-19 virus and the
national state of emergency, the Department of Human Services has
temporarily suspended the compliancy requirements of plan
participation as a condition of eligibility. The requirement of
compliance may continue based on the individual's ability to
participate from home. If participation is not possible, sanctions
may not be imposed due to the COVID-19 crisis.
B. As a condition of eligibility for RI
Works cash assistance, the applicant/recipient must complete, sign
and, unless otherwise exempt from the work participation
opportunities as defined in § 2.11 of this Part, participate in
a preliminary RI Works employment plan to be followed by a revised,
competency test informed, employment plan within the first thirty
(30) days of program participation.
C. With the information gathered during the
assessment interview, the preliminary RI Works Employment Plan is
jointly developed by the applicant and the RI Works screening worker,
taking into account:
1. The physical capacity, skills,
education, work experience, health, safety and family
responsibilities and place of residence of the individual;
2. The child care and supportive services
required by the applicant to avail him/herself of employment
opportunities and/or work readiness programs.
D. In developing the employment plan, the
parent(s) shall be informed of their options, including attending
education and/or training as needed to improve their employability.
Parents must make decisions about the nature of the activities that
they will engage in based on assessment and their awareness of the
forty-eight (48) month time limit constraints of receipt of RI Works.
E. If during screening, the participant
reports that s/he has a medical impairment(s), the worker should
utilize a release of information for medical or non-medical to obtain
existing information important for employment planning. Information
provided is reviewed to determine if there are any medical
limitations to participation in employment activities. Limitations
are considered in selecting the goals and activities that may be
modified in the employment plan.
1. If the parent has a temporary condition
of thirty (30) days or less, the employment plan activities may be
set to begin after that date.
2. If the parent has a temporary disability
that prevents work for more than thirty (30) days but less than six
(6) months, the employment plan is written to support rehabilitation
in the shortest practicable time and the recipient’s activity
is compliance with treatment, monitored by the worker.
3. If the parent has a significant
impairment expected to last longer than six (6) months, then referral
to the Office of Rehabilitation Services (ORS) is indicated. Parent
is expected to apply for Supplemental Security Income (SSI) if the
impairment is significant and expected to last more than twelve (12)
months.
F. The participant also must be provided
with information regarding the availability of supportive services,
such as childcare assistance and/or transportation assistance. The
worker authorizes the DHS services needed to participate, provides
referral to community agencies that will assist the client, and
informs the participant that services must be arranged prior to
engagement in any plan activity. Refer to § 2.3.2 of this Part
for further information on this requirement. If the parent encounters
difficulty in arranging child care or transportation after good faith
effort, the parent must discuss the situation with the worker.
G. The parent is advised of her/his
responsibility to report within ten (10) days of any change in the
family's circumstances as outlined in § 2.21.2(B) of this Part.
The family must also report immediately (within five (5) days) when a
child leaves the household for any reason. Whenever an employment
plan contains an education or training component, the worker must
explain the attendance requirements to the parent and the concept of
"successful participation". Attendance of all the scheduled
hours is required. Successful participation in an education or
training activity means that the parent is meeting a consistent
standard of progress toward the completion of the education or
training activity. This standard must include a quantitative measure
of progress such as a grade point average, and a qualitative measure
such as a reasonable time limit for completion of an education or
training program (see § 2.11.10 of this Part).
H. The revised plan outlines a systematic
process to be followed by the individual in order to attain a
specific employment goal within the shortest practicable timeframe.
Applicants and participants of the RI Works Program shall agree to
comply with the terms of the individual employment plan, and shall
cooperate fully with the steps established in the individual
employment plan, including the work opportunities, within the time
frame agreed upon with the DHS worker.
I. In order for an employment activity to
be approved, the total scheduled hours of the component(s) must match
the required hours as described in §§ 2.11.2 and 2.11.3 of
this Part. A reduced hours plan is allowable if either supported by
medical evidence or necessitated by the Fair Labor Standards Act
(FLSA), as it applies to unpaid work experience or community service.
2.11 Work Policy and Procedures
Due to the COVID-19 virus and the national
state of emergency, the Department of Human Services has temporarily
suspended the compliancy requirements within this section (§
2.11 Work Policy and Procedures) of plan participation as a condition
of eligibility. The requirement of compliance may continue based on
the individual's ability to participate from home. If participation
is not possible, sanctions may not be imposed due to the COVID-19
crisis.
2.11.1 Required Participation in Work
Activities and Opportunities
All parents, and caretaker relatives
(including those who are acting in loco parentis, if they are
included in the cash assistance grant), who request and receive
assistance are required to enter into an employment plan and
participate, unless temporarily exempt (§ 2.11.2(E) of this
Part), in DHS-approved work-related activities and/or opportunities.
2.11.2 One Parent Family
A. Single parents shall participate for a
minimum of twenty (20) hours per week for parents whose youngest
child in the home is under the age of six (6), and for a minimum of
thirty (30) hours per week for parents whose youngest child in the
home is six (6) years of age or older, in one or more of the
following work activities (as defined in § 2.11.6 of this Part),
as appropriate, in order to help the parent obtain stable full-time
paid employment. For teen parents, the first activity must be
secondary education or completion of a GED program, if either
certificate has not yet been obtained.
B. Core Activities:
1. Unsubsidized employment;
2. Subsidized private sector employment;
3. Subsidized public sector employment;
4. Work experience. A parent participating
in a work experience or community service program for the maximum
number of hours per week allowable by the Fair Labor Standards Act
(FLSA) will be considered to have met their required twenty (20) core
hours if actual participation falls short of the required minimum
hours per week (RI has a mini-simplified Supplemental Nutrition
Assistance Program waiver).
a. For parents whose youngest child is six
(6) or more years old and whose required minimum hours per week are
thirty (30), any hours permissible by FLSA that are short of thirty
(30) hours must be satisfied in some other TANF work activity;
5. On-the-job training;
6. Job search and job readiness. Except in
the context of rehabilitation employment plans, job search and job
readiness activities are limited to no more than four (4) consecutive
weeks and six (6) weeks within a twelve-month period; or twelve (12)
weeks within a twelve (12) month period if unemployment rate is at
least fifty percent (50%) greater than US total unemployment rate or
the state is declared a “needy state”;
7. Community Service;
8. Vocational educational training(s),
participation in which may not exceed twelve (12) months if funded
with TANF funds. Participation in a two-year degree program, a
vocational certificate program, or a BA degree or advanced degree
program may count as vocational educational training. Those
participants who are in programs longer than twelve (12) months may
use this activity as counting toward participation in a non-core job
skills training, if they meet the requirement for a different core
activity for sufficient hours.
9. All supervised homework plus up to one
hour of unsupervised homework per each hour of class time may count
as meeting part of the total hours required for compliance with the
RI Works employment plan. However, total homework time cannot exceed
the hours required or advised in writing by the educational program;
10. Adult education in an intensive work
readiness program at thirty (30) hours per week, regardless of the
age of the youngest child, not to exceed six (6) months; and
11. Providing child care services to
another participant parent who is participating in an approved
community service program.
C. Non-core Activities:
1. Job skills training directly related to
employment (allowable in addition to participation for twenty (20)
hours per week in one of the above core activities);
2. Education directly related to employment
(allowable in addition to participation for twenty (20) hours per
week in one of the above core activities); and
3. Satisfactory attendance at a secondary
school or in a course of study leading to a certificate of general
equivalence (GED) if the participant is a teen parent under the age
of twenty (20), who is without a high school diploma or GED.
D. Other Required Work Activities:
1. Up to ten (10) hours of activities as
defined in a DCYF service plan may substitute for meeting an
equivalent number of hours toward the twenty (20) hour requirement
for parents with a child under age six (6), or for an equivalent
number of hours toward the thirty (30) hour requirement for parents
whose youngest child is age six (6) or older. The DCYF worker
provides the actual number of hours of participation per week
required in order for the parent to comply with their service plan.
The DHS worker then makes these hours part of the total hours
required for compliance with the employment plan.
E. Temporary Exemption for Single Parents
1. Work opportunities outlined above shall
not apply to a single parent if (and for so long as) the Department
finds that s/he is:
a. Caring for a child below the age of one,
provided that a parent may opt for deferral for a maximum of twelve
(12) months during their forty-eight (48) month period of eligibility
for cash assistance, but noting that a minor parent without a high
school diploma or the equivalent, shall not be exempt for more than
twelve (12) weeks from the birth of the child;
b. Caring for a child or family member with
a significant documented disability who resides in the home and
requires full-time care;
c. A recipient of SSI or RSDI/SSDI or other
disability benefit that has the same standards of disability as
defined by the Social Security Administration or is determined likely
to be eligible for SSI or SSDI benefits by a DHS approved provider or
DHS designated staff;
d. An individual receiving assistance who
is a victim of domestic violence; and
e. An applicant for assistance in her third
trimester of pregnancy or a pregnant woman in her third trimester who
is a recipient of assistance and who has medical documentation that
she cannot work.
2.11.3 Two-Parent Family Work Activities
and Opportunities
A. In families consisting of two-parents,
one or both parents are required and shall be engaged in work
activities as defined below, for an individual or combined total of
at least thirty-five (35) hours per week during the month, not fewer
than thirty (30) hours per week of which are attributable to one or
more of the following listed work activities. Two-parent work
opportunities shall be defined as follows:
1. Core Activities:
a. Unsubsidized employment;
b. Subsidized private sector employment;
c. Subsidized public sector employment;
d. Work experience;
e. On-the-job training;
f. Job search and job readiness. Except in
the context of rehabilitation employment plans, job search and job
readiness activities are limited to no more than for (4) consecutive
weeks and six (6) weeks within a twelve (12) month period; or twelve
weeks within a twelve (12) month period if unemployment rate is at
least fifty percent (50%) greater than US total unemployment rate or
the state is declared a “needy state” under the
contingency fund provisions of federal law;
g. Community service program;
h. Vocational educational training(s),
participation in which may not exceed twelve (12) months if funded
with TANF funds;
i. The provision of child care services to
a participant individual who is participating in a community service
program;
j. Adult education in an intensive work
readiness program.
B. Above thirty (30) hours per week, the
following three (3) activities, known as Non-Core Activities, may
also count for participation:
1. Job skills training directly related to
employment;
2. Education directly related to
employment; and
3. Satisfactory attendance at secondary
school or in a course of study leading to a certificate of general
equivalence. Satisfactory attendance in secondary school or in a GED
program is countable as a core activity in the case of a parent who
is married and is under twenty (20) years old.
C. Other Required Work Activities:
1. Up to ten (10) hours of activities as
defined in a DCYF service plan may substitute for meeting an
equivalent number of hours toward the thirty-five (35) hour
requirement. The DCYF worker provides the actual number of hours of
participation per week required in order for the parent to comply
with their service plan. The DHS worker then makes these hours part
of the total hours required for compliance with the RI Works
employment plan.
2. Housing search, if the family is
homeless (or about to become homeless), may be approved for the
second parent in a two-parent family, if the first parent is
participating in a core activity at least thirty (30) hours per week.
This activity may be approved for the first parent, if the second
parent receives SSI/RSDI/SSDI. Housing search is classified as job
readiness, which is a core activity.
D. In a two-parent family in which one (1)
parent is engaged for at least thirty-five (35) hours per week in the
work activities specified above, the other, second, parent may also
participate in and have an assessment completed. The second parent
must sign the employment plan.
E. A family with two-parents, whether or
not receiving child care, in which one or both parents participate in
a work experience or community service program for the maximum number
of hours per week allowable by the Fair Labor Standards Act (FLSA)
will be considered to have met their required thirty core hours if
actual participation falls short of the required minimum hours per
week (RI has a mini-simplified Supplemental Nutrition Assistance
Program waiver). For families that need additional hours beyond the
core activity requirement, these hours must be satisfied in some
other TANF work activity.
F. Except in the instance of a work
experience or community service program which must meet the
requirements of the FLSA as described above, if the family receives
child care assistance and an adult in the family is not a person with
a disability or caring for a child with a severe disability then the
work-eligible individuals must be participating in work activities
for an average of at least fifty-five (55) hours per week to count as
a two-parent family engaged in work for the month. At least fifty
(50) of the fifty-five (55) hours per week must come from
participation in the activities listed in the Core Activities above.
Above fifty (50) hours per week, the three (3) activities listed in
Non-Core Activities above may also count as participation.
2.11.4 Teen Two-Parent Family Activities
and Opportunities
In a two-parent household in which both
parents are under age twenty (20), the DHS worker should assess the
educational history of both parents. For either parent who has not
completed high school or obtained a GED, the screening worker should
approve an employment plan for that parent (or for both parents if
neither have the high school diploma or GED) that shows full time
attendance in secondary education (high school) or completion of a
GED program as the first activity. After this first activity,
reassessment of the employment plan is indicated, and all other RI
Works program opportunities will take effect for that parent. When
both have either reached the age of twenty (20) or completed the
first activity of education as described above, all two-parent family
rules will come into full force and effect.
2.11.5 Exemptions for Two-Parent
Families
A. The work activities and opportunities in
§ 2.11.3 of this Part shall not apply if (and for so long as)
the Department finds that:
1. both parents receive Supplemental
Security Income(SSI) or Social Security Disability Insurance (SSDI)
or Retirement, Survivors and Disability Insurance (RSDI) they are
likely to be eligible for SSI or SSDI benefits by a DHS approved
provider or DHS designated staff; or
2. one parent is caring for a child or
family member with a significant documented disability who resides in
the home, and who requires full time care and the other parent
receives SSI/RSDI/SSDI and is medically documented to be unable to
provide care for the family member with a disability.
3. a minor parent who meets the criteria
set in § 2.11.3 of this Part without a high school diploma or
the equivalent, who is not married, may claim an exemption of up to
twelve (12) weeks from the date of birth of the child.
2.11.6 Work Activities and Opportunities
A. Job Search and Intensive Employment
Services
1. Job search services consist of job
search guidance, workshops, job leads and monitoring conducted by
contract or State staff. Intensive employment services are delivered
in partnership with the Department of Labor and Training as needed.
Consisting primarily of job search, intensive employment services may
include educational and vocational assessment and testing, guidance
on employer expectations, resume writing, development of interviewing
skills, job retention and career counseling, job development and
related activities.
2. Individuals in job search or intensive
employment services are required to devote their full efforts for
their required and scheduled hours in identifying and pursuing
employment opportunities. Job search and intensive employment
services are limited to four (4) consecutive weeks. Individuals are
required to accept employment offers for which they are qualified and
which provide greater income to the family than public assistance.
Part-time employment is also approvable as part of an employment plan
in combination with at least one other approvable activity.
B. Employment
1. The employment plans of employed
applicants or recipients may contain, along with the employment
component, another approvable activity, as well as child care
services, as necessary. The same procedures are followed as for any
other employment plan. An applicant parent is referred for intensive
employment services for educational and vocational assessment and
career counseling to determine if additional hours are appropriate in
the same job or occupation, in an occupation for which the parent has
transferable skills, or if another short-term activity, in addition
to the employment, would enable the family to increase its income
sufficiently to end cash assistance.
2. Parents are advised of the advanced
earned income credit and any other credits and supplemental services
available to maximize the family's income.
C. On-the-Job-Training
1. On-the-job training (OJT) is considered
unsubsidized employment with explicit occupational skills training
incorporated. The individual is paid by the employer as any other new
employee would be.
2. Reimbursements are made to employers to
support the extra costs incurred in providing the training and
additional supervision to the participant. A contract is developed
with the employer and reimbursements are generally at the rate of
fifty percent (50%) of the trainee's wage. The expectation is that
the individual is retained in the position after training unless the
periodic evaluation of the employee's performance reveals that the
expected rate of skill acquisition, productivity, quality, or codes
of conduct are not being met, despite appropriate supports and
interventions. On-the-job training is also available to participants
through the local Workforce Investment Boards or the Office of
Rehabilitation Services.
D. Work Supplementation (WSUP)
1. Variation of OJT is Work
Supplementation. Work Supplementation Program (WSUP) is a form of
subsidized employment that provides a partial reimbursement of wages
to the employer. This program is administered by the Department of
Human Services even when WSUP contracts are negotiated and completed
by employees of the Department of Labor and Training or
subcontractors.
2. Such a supplement shall be limited to a
maximum period of six (6) months. An employer must agree to continue
the employment of the participant as part of the regular work force,
beyond the supplement period, if the participant demonstrates
satisfactory performance.
3. In a contract with the employer, the
duties, any training to be provided, wage, and duration of the
subsidized position is outlined, similar to an OJT contract. A
recipient receives his/her wages from the employer, however, the
subsidy to the employer derives from the diversion of part of or all
of the individual's cash assistance grant into a wage pool. Employers
are reimbursed for part of the costs of wages they pay to the
recipient. Upon completion of the subsidized employment, it is
anticipated that the parent will be retained by the employer as an
unsubsidized worker, unless periodic evaluation of the employee's
performance reveals that the expected rate of skill acquisition,
productivity, quality, or codes of conduct are not being met, despite
appropriate supports and interventions.
4. A participant in WSUP must agree to
receive the wages from the subsidized job, and a residual grant, if
appropriate, in lieu of the regular cash assistance grant. Child care
services may also be authorized. Any child support received directly
from an absent parent must continue to be sent to the Department,
Office of Child Support Services, while the recipient is
participating in WSUP. The wages received from the subsidized job are
considered earned income and earned income disregards are applied. If
a participant becomes ineligible for cash assistance for any reason
other than earnings from the subsidized job, the case is closed, but
s/he may continue in the subsidized job for the duration of the
placement.
E. Job Readiness
1. There are three distinct types of Job
Readiness activities.
2. Regardless of the type, the services are
available through a number of state and community service agencies to
which applicants and participants may be referred.
3. Job Readiness within the Context of
Another Work Activity.
a. The most frequently occurring type of
job readiness is that which is incidental to and provided in the
context of another employment-related service, such as job search.
b. When job readiness is incorporated into
other employment plan activities it is not a stand-alone activity
listed on the parent’s employment plan. It is focused on
helping a participant learn about the work world, practice for it,
and become ready to secure and retain employment. Many job search and
vocational education providers incorporate some degree of job
readiness instruction in their classrooms or workshops.
c. In certain instances, job readiness as
defined above may be an independent activity on an employment plan.
It is designed for persons who have no recent work history, or who
have a poor work history, no clearly defined vocational goals, or who
have limited experience with employer expectations regarding
appropriate work habits. When job readiness is a stand-alone
activity, it is limited to four (4) consecutive weeks or six (6)
weeks total per year.
F. Job Readiness as Housing Search
1. Individuals who are identified as
homeless, or about to become homeless, as defined in § 2.2 of
this Part, may include housing search as an approvable activity in
their employment plans.
2. Such individuals may be identified at
screening, or may present themselves as homeless at assessment or any
other time.
3. The individual must provide, with the
assistance of the Housing Services worker as necessary, appropriate
documentation of homelessness.
4. During the development or amendment of
the employment plan, the individual is informed that s/he may be
allowed up to ninety (90) days for the housing search activity. In a
two-parent family, one parent must comply with a thirty (30) hour per
week approved employment plan, and the second parent must sign an
employment plan and conduct the housing search, unless one parent
receives SSI. (See § 2.11.3 of this Part)
5. When the parent is conducting a
self-directed housing search, s/he provides the DHS worker or housing
worker with a log of her or his housing contacts during face-to-face
meetings that occur on at least a biweekly basis. An acceptable
number is a reasonable and agreed-upon number of such contacts per
week which is specified in the written employment plan. The log shall
include the date of the contact, the apartment address, contact name,
telephone number, and result of the contact.
6. The written employment plan details the
activities to be undertaken by the individual and any supportive
services provided by DHS. The housing search log and attendance
reports from providers of other services/activities are used to
monitor satisfactory progress of the housing search.
7. When a parent and her/his family are not
in a homeless shelter with a structured program, the individual must
still meet employment plan activity participation (as outlined in §§
2.11.2 or 2.11.3 of this Part).
8. When a parent(s) and her or his family
are in a homeless shelter with a structured program and formal set of
services, s/he will be required to participate fully with the
shelter's program services in order to have a job readiness activity
approved.
9. An intensive supervised housing search
is an essential component of these programs. Individuals in these
circumstances must meet RI Works employment plan activity
participation (as outlined in §§ 2.11.2 or 2.11.3 of this
Part) and are monitored by DHS vendors or the shelter. Such
individuals must meet the required hours of approved Plan activities,
including housing search as well as GED, ESL, Parenting Skills, Job
Search, and OJT, as appropriate.
G. Job Readiness within a Rehabilitation
employment plan
1. The third type of job readiness includes
rehabilitation-oriented activities such as substance abuse, physical
or mental health treatments, therapies, or other services designed to
lessen or remove barriers to employment. In most instances, a
referral to the Office of Rehabilitation Services (ORS) for job
readiness services is sufficient to create the RI Works employment
plan. In some instances, private practices or other agencies may be
approved for the job readiness service if they agree to DHS
requirements for supervision and biweekly reporting.
2. Rehabilitation-oriented interventions
shall be based upon recommendations of qualified personnel such as
those authorized to complete Medical Verification forms (Doctor of
Medicine (M.D.), Psychiatrist (M.D.), Psychologist (PhD), Doctor of
Osteopathy (D.O.), Licensed Clinical Social Worker (LICSW),
Physician's Assistant (PA), Certified Registered Nurse Practitioner
(RNP), or Vocational Rehabilitation Counselors employed by the DHS
Office of Rehabilitation Services or who are nationally certified
rehabilitation counselors. In the context of rehabilitation
employment plans, job readiness is not time-limited, but the parent
must be making steady progress in his/her plan, as determined by a
qualified vocational rehabilitation counselor or other qualified
professional who has agreed to provide close oversight and to provide
written documentation monthly to the department of the parent's
progress toward physical and/or mental health and vocational
readiness.
H. Work Experience
1. Federal guidance notes that Work
Experience (WEXP) "means a work activity, performed in return
for welfare that provides an individual with an opportunity to
acquire the general skills, training, knowledge, and work habits
necessary to obtain employment. The purpose of WEXP is to improve the
employability of those who cannot find unsubsidized employment. This
activity must be supervised by an employer, work site sponsor, or
other responsible party daily."
2. While a participant is engaged in WEXP,
s/he continues to receive cash benefits and supportive services.
3. Participants in WEXP may work in either
for-profit or not-for-profit sites, but they are not paid by those
entities. They are assumed to meet the definition of an "employee"
under the Fair Labor Standards Act, and therefore, an individual
cannot participate for more hours in a month than are derived by
adding the family's monthly cash benefits to the monthly SNAP
benefits and then dividing the sum by the State's minimum wage. Under
the federal Temporary Assistance for Needy Families (TANF) program,
assistance and benefits substitute for wages but they are not
considered wages for purposes of Social Security, taxation, or the
Earned Income Tax Credit (EITC).
4. Whenever a recipient is engaged in
unpaid WEXP, a site agreement must be developed and completed with
the employer or host agency. As with an OJT or Work Supplementation
contract, the individual's duties, the training and supervision to be
provided, and the duration of the WEXP is outlined.
5. Candidates for unpaid WEXP are those for
whom an active job search has not resulted in competitive employment
or those who have no prior work experience or who may have an
employment barrier, such as very low literacy or no English language
proficiency. A WEXP of three (3) to six (6) months may provide a
sufficient foundation for the individual to succeed in the
competitive labor market. Job search may be undertaken in the last
months of a successful WEXP as an incidental or supplemental
activity.
6. Work Study as a Variation of Work
Experience
a. The Federal Work-Study Program provides
funds that are earned through part-time employment to assist students
in financing the costs of post-secondary education. Federal
Work-Study (FWS) allocations are made to eligible institutions for
the purpose of providing part-time employment to needy undergraduate
and graduate students who attend participating institutions. Hourly
wages must not be less than the federal minimum wage.
b. A recipient may be engaged in work
study, as a variation of a WEXP program. This program is administered
under Higher Education Act Title IV funding, almost exclusively, and
any income earned under this program is not countable for the RI
Works cash assistance program, the Medicaid program, or the Child
Care Assistance program, but is countable for the Supplemental
Nutrition Assistance program.
c. As a variation of work experience, the
participant may be allowed to undertake work study associated with
Vocational Educational Training/post-secondary, as described in
policy § 2.11 of this Part. Pay stubs or statements of earnings,
verifying hours and wages, suffice to document attendance.
I. Subsidized Employment. Subsidized
employment, whether funded under the TANF Emergency Contingency Fund
or TANF Block grant, is a time-limited reimbursement of one hundred
percent (100%) of wages paid by the businesses or agencies that hire
RI Works or eligible low-income families. The program may be
administered through a collaboration among the Department of Human
Services, Labor and Training, Administration and the local Workforce
Boards or through the TANF contract process.
J. Community Service
1. Federal guidance describes Community
Service programs as "structured programs in which recipients
perform work for the direct benefit of the community under the
auspices of public or nonprofit organizations." Community
service programs are limited to "projects that serve a useful
community purpose" and "must be designed to improve the
employability of recipients not otherwise able to obtain employment."
2. Community service differs from unpaid
work experience only in regard to the kind of work that is done, the
possible location, and the benefit that must accrue to the community.
It does not differ with regard to the benefits that should accrue to
the individual, the Fair Labor Standards Act rules, the necessity for
a site agreement, or the assessment of potential candidates for
community service. Community service programs and placements must be
overseen by an intermediary, usually a state-contracted service
provider.
K. Vocational Education Training
1. Vocational education training means any
training that directly prepares an individual for an occupation.
2. Vocational education training is
approvable and countable for up to twelve months during the
forty-eight (48) months of an individual's lifetime limit of cash
assistance in Rhode Island. It may also be approved if, the team
assesses a parent as being more likely to succeed in competitive
employment if first provided a short-term intensive intervention. In
such instances, the training may or may not be combined with another
approvable activity but it would have to be concluded in a six (6)
month period or less and be deemed to be highly likely to result in
full-time employment at or above one hundred fifty percent (150%) of
Rhode Island's minimum wage.
L. Child Care for Individual Participation
in Community Services. Federal guidance permits caring for the
children of another TANF recipient who is engaged in a community
service program to be approvable and countable as a core activity for
the duration of the community service performed by the other parent.
This is the only situation in which the provision of child care to
another TANF recipient is considered an approvable core activity. It
is expected to happen rarely for a variety of reasons, including the
fact that it is an unpaid activity and that as an unpaid activity, it
should serve as a training opportunity, constituting one step in the
individual's employment plan wherein the goal is paid employment in
the child care field. The individual undertaking this activity must
also start and continue to be engaged in the procedures to become a
licensed childcare provider.
M. Job Skills Training Related to
Employment
1. Federal guidance describes job skills
training directly related to employment as "training and
education for job skills required by an employer to provide an
individual with the ability to obtain employment or advance or adapt
to the changing demands of the workplace." It can include
customized training at the worksite or general training away from the
worksite when focused on occupational skill development.
2. Jobs skills training is approvable and
countable if the individual is first and simultaneously engaged for a
minimum average of twenty (20) hours per week (regardless of the age
of the recipient's youngest child), in some other core activity,
principally paid employment, unpaid work experience or community
service.
N. Education Directly Related to Employment
1. Federal guidance describes education
directly related to employment as "education related to a
specific occupation, job or job offer", but it can include adult
basic education (ABE), literacy, general educational development
(GED) preparation, or English as a second language (ESL), sometimes
referred to as English for speakers of other languages (ESOL), when
jobs require any of these credentials or competencies.
2. Education directly related to employment
is approvable and countable if the individual is first and
simultaneously engaged for a minimum average of twenty (20) hours per
week (regardless of the age of the recipient's youngest child), in
some other core activity, principally paid employment, unpaid work
experience or community service, or in some circumstances, vocational
education.
O. Education Attendance for Parent Under
Age twenty (20). Federal guidance notes that satisfactory attendance
at a secondary school or in a GED program for parents under the age
of twenty (20) "means regular attendance, in accordance with the
requirements of the secondary school or course of study at a
secondary school, or in a course of study leading to a certificate of
general equivalence", and additionally means "good or
satisfactory progress." The determination of "good or
satisfactory progress" includes qualitative and quantitative
measures as defined by the institution or program, such as grade
point average or educational functioning level (EFL) over the course
of a defined period, such as a trimester.
P. Adult Education for Intensive Work
Readiness
1. Adult education, in the context of an
intensive work readiness program, is also unlimited as a stand-alone,
full-time activity. It is a thirty (30) hour program with multiple
components combined (literacy, numeracy, job skills, work or work
experience or community service) with wrap-around support services.
2. Individuals with reading test scores
below the third grade or below the sixth grade who also have very
limited or no prior work experience, and individuals with very
limited or no English language skills, in particular, are eligible
for this type of service. The client may be referred to programs
approved by DHS and the Office of Adult Education.
Q. The following comprise the activities
which may be recorded in the component listing of an individual's
employment plan in the eligibility system:
1. Basic Literacy Education;
2. English as a Second Language (ESL);
3. Basic Education Programs;
4. High School/High School Equivalency
(GED) Programs;
5. Vocational Educational/Post-Secondary
Degree Programs;
6. Skills Training;
7. Group and Individual Job Search;
8. Job Readiness;
9. Work Experience
10. Work Supplementation Program; and
11. Employment (includes subsidized
employment, unsubsidized employment and On-the-Job Training).
R. The component provider screens of the
eligibility system employment activity schedule contain the
provider's name and address, the activity type, the beginning and
projected completion dates of the selected activity/program, and the
weekly scheduled hours of the activity. The Employment Activity
Referral and Response system (EARR) provides the route by which to
verify the date of enrollment, to report attendance and progress, and
to communicate other information such as entered employment.
2.11.7 Supportive Services
A. A recipient may receive, as appropriate,
allowances for transportation and/or child care services to enable
the individual to participate in her or his employment plan; the
service(s) is specified in the plan's supportive services section.
1. Transportation
a. RIW recipients receive monthly bus
passes providing unlimited access to public transportation, in
conjunction with the hours of operation of RIPTA bus services, for
adults and children. In addition, the Department will provide an
allowance for transportation costs necessary to comply with the
employment plan, provided, however, that the amount of such
reimbursement shall not exceed the sum of five dollars ($5.00) per
day.
b. The participant must incur actual
out-of-pocket expenses and must not be receiving a transportation
stipend or allowance in excess of five dollars ($5.00) per day from
any other source.
c. The transportation allowance of no more
than five dollars ($5.00) per day from any source or combination of
sources is paid directly to an individual as a reimbursement for each
authorized day in which the person actually attended an approved
activity.
d. If transportation costs are reimbursed
in whole or in part by the RI Works program, the allowance is
authorized by the appropriate agency representative and issued
through the eligibility system.
e. Monthly attendance reports must be
submitted by the participant or the component provider to the
Business Office. After the report is data-entered, a check is
remitted to the individual.
f. Reimbursement of transportation costs is
contingent upon the availability of funding.
g. The transportation allowance is
considered a reimbursement for training and employment readiness and
is excluded as income and resources for both the RI Works and
Supplemental Nutrition Assistance programs.
2. Child Care Services. Child care services
are provided to individuals with approved employment plans who are
participating in approved training or employment programs.
Individuals are eligible for this supportive service subject to the
policies outlined in the Child Care Assistance Program Rules and
Regulations ( Part
4 of this Subchapter ).
2.11.8 Progress and Attendance
Requirements
A. Once the individual has begun to
participate in an activity included in her/his employment plan, s/he
must meet certain criteria in both progress (referred to also as
successful participation) and attendance to remain in compliance with
the RI Works Program.
B. Definition of Successful Participation
1. "Successfully participating"
in an education or training component means that the participant in
any training activity is meeting, on a periodically measured basis of
less than a year, a consistent standard of progress toward completion
of the education or training activity. This standard must include a
qualitative measure of progress, such as a grade point average, and a
quantitative measure, such as a reasonable time limit by which a
student is expected to complete his/her education or training
program.
2. With the exception of providers of
postsecondary component activities, the agency representative will
use the standard of the individual institution operating the
education or training activity as its standard. Standards for
participants in postsecondary activities are outlined in §
2.11.6 of this part. The appropriate standard for each participant
will be defined as part of her/his employment plan when it is
developed.
3. The agency representative monitors
attendance and successful participation through attendance reports
which are delivered biweekly by the component provider through the
EARR system. Each report details the days and hours attended,
indicates satisfactory or unsatisfactory progress, and, if the
individual has stopped attending the program, indicates the
termination or completion date. A written report for the
transportation reimbursement is also completed, noting days of
attendance, and is signed and dated by both the provider and the
participant, and is returned to the Business Office.
4. When a DHS representative's EARR Report
contains a message indicating Unsatisfactory Progress, the
representative enters a sanction into the eligibility system which is
approved by the DHS worker and which triggers an adverse action
notice that gives the parent ten (10) days to provide a good cause
for the lack of progress. If the parent provides good cause, within
that time frame, the DHS representative will lift the sanction
immediately. If no good cause is provided within that time frame, the
sanction will remain in effect.
C. Attendance Requirements. An individual
is considered to be successfully participating relative to attendance
if s/he attends the approved employment plan component activity for
all scheduled hours, considering excused absence and good cause
documentation.
D. Activity Closure
1. When an activity is about to end or the
agency representative learns that a participant has completed or
terminated an activity, the eligibility system automatically sends a
notice which notifies the participant of the closed activity and of
the closure of supportive services (with the exception of child care
services). Each closure notice contains the effective date of the
closure and the participant's appeal rights.
2. Similarly, if appropriate, a separate
notice must be sent discontinuing child care to the individual
containing the reason for discontinuance, the effective date, and the
participant's appeal rights. A notice informing the provider of the
termination of DHS payment for child care services is also generated.
2.11.9 Failure to Comply with Work
Activities and Opportunities
A. The cash assistance to which an
otherwise eligible family/assistance unit is entitled under this
chapter, shall be reduced for each month, whether or not consecutive,
the first three (3) times any participant, without good cause, quit
or refused employment or failed to:
1. Enter into or follow an individual
employment plan;
2. Attend a required appointment; or
3. Comply with any other requirements for
the receipt of cash assistance.
B. If the family's benefit has been
reduced, benefits shall be restored to the full amount beginning with
the initial payment made on the first of the month following the
month in which the parent:
1. Enters into an individual employment
plan or rehabilitation plan and demonstrates compliance with the
terms thereof; or
2. Demonstrates compliance with the terms
of his or her existing individual employment plan or rehabilitation
plan, as such plan may be amended by agreement of the parent and the
Department.
C. In the case where appropriate child care
has been made available, a participant's failure, without good cause,
to accept a bona fide offer of work, including full-time, part-time
and/or temporary employment, or unpaid work experience or community
service, shall be deemed a failure to comply with the work plan and
shall result in reduction or termination of cash assistance.
D. If the family/assistance unit's benefit
has been reduced for a total of three (3) months, whether or not
consecutive due to the failure by one or more parents to enter into
an individual employment plan or failure to comply with the terms of
his or her individual employment plan, or the failure to comply with
the requirements of RI Works, cash assistance to the entire family
shall end. The family/assistance unit may reapply for benefits, and
the benefits shall be restored to the family/assistance unit in the
full amount the family/assistance unit is otherwise eligible for,
beginning on the first of the month following the month in which all
parents in the family/assistance unit who are subject to the
employment or rehabilitation plan:
1. Enter into an individual employment or
rehabilitation plan as applicable, and demonstrate compliance with
the terms thereof, or
2. Demonstrate compliance with the terms of
the parent's individual employment or rehabilitation employment plan
in effect at the time of termination of benefits, as such plan may be
amended by agreement of the parent and the Department.
E. Up to ten (10) days following a notice
of adverse action to reduce or terminate benefits under this
subsection, the client may request the opportunity to meet with a DHS
worker to identify the reasons for non-compliance, establish good
cause and seek to resolve any issues that have prevented the parent
from complying with the employment plan.
F. The Domestic Violence Notice must be
reviewed with the participant so that s/he is informed about claiming
the Family Violence Option as part of the discussion process. The
procedures following an applicant's claiming of this option or
disclosure of abuse are outlined in § 2.13 of this Part.
G. Participants whose cases had closed in
sanction status pursuant to Rhode Island's prior Temporary Assistance
for Needy Families Program, (federal TANF described in Title IV-A of
the federal Social Security Act, 42 U.S.C. § 601 et seq .),
The Rhode Island Works Program, more specifically, R.I. Gen. Laws §
40-5.2-12(k), due to failure to comply with the cash assistance
program requirements, but who had received less than forty-eight (48)
months of cash assistance at the time of closure, and who reapply for
cash assistance under the RI Works Program, must demonstrate full
compliance, as defined by the Department in its rules and
regulations, before they shall be eligible for cash assistance.
2.11.10 Good Cause for Failure to Comply
A. Good Cause for failing to meet any
program requirements including leaving employment, failure to fulfill
documentation requirements, or for any refusal to participate
requires documentation of the circumstance.
B. Any failure to engage, whether in an
employment plan activity or other program requirement, or a report of
unsatisfactory progress, must trigger a notice of adverse action to
which the parent has ten (10) days to supply good cause
documentation. Circumstances leading to determinations of good cause
for failure to participate are usually short-term in duration and
result from events beyond the participant's control.
C. Although the individual's reason for
refusing a particular assignment may appear valid, s/he shall be
required to continue to participate in the component/activity, until
s/he establishes good cause or is sanctioned for providing none.
D. Documentation of good cause must be
included in either the Department's or a subcontractor's case file.
The electronic case record must include the reasoning used by the
supervisor in the determination of good cause in the limited
circumstances when documentation cannot be secured, e.g., very
short-term illness not requiring a doctor's visit.
E. The following reasons, when
substantiated, constitute good cause for a participant’s
failure or refusal to comply with her/his employment plan.
1. Child care is necessary for the
parent(s) to participate in employment plan activity and the agency
representative determines that such child care is unavailable. When a
participant refuses without good cause to seek or accept suitable
child care, precluding participation in the activity, there is a de
facto refusal to comply;
2. Acceptance of a bona fide offer of
employment of more than twenty (20) hours a week or in which the
weekly earnings are equivalent to the State minimum wage multiplied
by twenty (20) 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 twenty (20) hours a
week or weekly earnings of less than the Federal minimum wage
multiplied by twenty (20) hours. (If such circumstance arises, the
DHS representative must review the employment plan to include other
approvable activities to meet the minimum required hours);
3. Temporary illness of the participant;
4. Temporary illness of another family
member sufficiently serious to require the presence of the
participant;
5. The individual is experiencing a family
or household crisis or change in family circumstances such as the
death of a spouse, parent, or child, or a housing crisis;
6. Unusual weather conditions which
prevented the participant and other persons similarly situated from
attending the prescribed activity;
7. Court-required appearance;
8. Incarceration; or
9. Breakdown in transportation arrangements
with no readily accessible means of transportation. On the other
hand, when a participant refuses without good cause to accept other
available means of transportation, thereby precluding participation
in work or training, there is a de facto refusal to comply.
F. The preceding list of reasons is not
all-inclusive. If the participant claims some other grounds for
her/his noncompliance, a conference with the supervisor is held to
determine the validity of the reason, and if, in fact, it constitutes
good cause. A complete record of the circumstances and the substance
of the individual's refusal must be kept in the file and/or the
electronic case record. A description of the supervisor's decision
and the reasons for that determination must also be provided.
2.11.11 Penalties for Non-Compliance
with Work Activities and Opportunities
A. First Three (3) Months of Non-Compliance
1. The amount of cash assistance to which
an otherwise eligible recipient family is entitled shall be reduced
by the portion of the family's benefit attributable to any parent
who, without good cause, has failed to enter into an individual
employment plan or has failed to comply with his or her individual
employment plan, as required under §§ 2.11.2, 2.11.3 and
2.6.4 of this Part, or other program requirements; provided that the
reduction shall be applied during the first three (3) months, whether
or not consecutive, of such failure or non-compliance by the parent.
2. For a family size of two (2), the
benefit reduction due to noncompliance with the employment plan shall
be computed utilizing a family size of three (3), in which the
parent's portion equals one hundred five dollars ($105).
3. When a second parent enters or returns
to the household, the employment plan for the parent(s) must be
revised to reflect the two-parent work plan and activities. If no
employment plan exists, one must be developed unless both parents are
exempt from participation, within thirty (30) days of the change in
household composition. Failure of the parents to comply with the
revision or development of the employment plan will result in the
family being ineligible for Cash Assistance in accordance with §
2.3.8 of this Part requiring an employment plan as a condition of
eligibility.
B. In Excess of Three (3) Months of
Non-Compliance
1. The Department shall terminate cash
assistance to a family if any parent in the family has failed,
without good cause, to enter into an individual employment plan, or
to comply with his or her individual employment plan and has been
penalized for three (3) months, whether or not consecutive.
2. The penalty becomes effective on the
next payroll date after the adverse action period. The participant is
notified of the penalty by an auto-generated notice through the
eligibility system.
3. When a parent who has been sanctioned
for three (3) months moves from one household to another, a sanction
is imposed on the new household.
4. No hearing is held when a decision has
already been rendered by a Hearing Officer that the recipient has,
without good cause, refused to participate in an employment plan
activity, to accept employment, or otherwise failed to comply with
her/his plan or other program requirements.
5. However, the participant may contest the
amount of the payment as it has been adversely affected by the
refusal to participate, in which case the sanction period begins the
next effective date if an adverse decision is rendered.
6. When an individual is penalized and
subsequently becomes exempt from participation in her/his employment
plan component activity, the documented exemption will result in the
benefits being restored to the full amount beginning with the initial
payment made on the first of the month following the date that the
documentation of the exemption is received by the Department.
2.11.12 Fair Hearing Requests
A. If an individual believes that the
intended action is incorrect, s/he may request a hearing before the
DHS Hearing Officer within thirty (30) days of the mailing of the
notice of adverse action. The individual may request that benefits be
continued pending the outcome of the hearing if the request is made
within ten (10) days of the mailing of the notice.
B. The request is made in writing by the
individual or his/her authorized representative in accordance with
the policy in General Provisions, Part
10-00-1 of this Title .
C. Individuals in hardship extension who
receive notice that their case will be closed for failure to comply
with the employment plan without good cause may request a fair
hearing within thirty (30) days of the mailing of the notice. The
individual may request that benefits be continued pending the outcome
of the hearing if the request is made within ten (10) days of the
mailing of the notice.
2.11.13 Ending Work Penalties
A. A penalty for failure or refusal to
comply with the employment plan or other program requirement can be
ended if the individual complies as follows:
1. Refusal to report to an employer when
referred by the agency representative -- reporting to this employer
if work is still available or to another employer to whom the parent
is referred during a job search;
2. Refusal to accept a bona fide offer of
employment when referred by the agency representative -- acceptance
of this employment, if still available to the individual, 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 higher of the state or Federal minimum wage
multiplied by thirty (30) hours;
3. Refusal to comply with a RI Works
employment plan or other program requirement -- compliance with the
activity, assignment or an alternate assignment by the agency
representative. In order to demonstrate that her/his failure to
comply has ceased, an individual must participate in the previously
assigned activity or an alternate assignment by the agency
representative for two (2) consecutive weeks (and continue to
participate thereafter). If the individual successfully participates
during that probationary time period, the sanction will be considered
to have ended as of the day s/he began to participate two (2) weeks
earlier. If no such activity is available within thirty (30) days,
the sanction will end on the day s/he agrees to participate.
B. If the family's benefit has been reduced
in accordance with § 2.11.11(A)(1) of this Part for less than
three (3) months, whether or not consecutive, due to the parent's
failure to enter into or comply with an individual employment plan or
failure to comply with other program requirements, benefits shall be
restored to the full amount beginning with the initial payment made
on the first of the month following the month in which the parent (1)
enters into an individual employment plan and demonstrates compliance
with the terms thereof, or (2) demonstrates compliance with the terms
of his or her existing individual employment plan, as such plan may
be amended by agreement of the parent and the Department, or other
program requirements.
C. If the family's benefit has been
terminated in accordance with § 2.11.11(A)(3) of this Part due
to the failure by one or more parents to enter into an individual
employment plan or failure to comply with the terms of his or her
individual employment plan, the family may re-apply for benefits and
benefits shall be restored to the family in the full amount the
family is otherwise entitled to under this chapter beginning on the
first of the month following the month in which all parents in the
family who are subject to the employment plan enter into an
individual employment plan and demonstrate compliance with the terms
thereof, or demonstrate compliance with the terms of his or her
existing individual employment plan, as such plan may be amended by
agreement of the parent and the Department, or other program
requirements.
2.11.14 Work Closure
When a case closes, DHS will notify the
household and will evaluate their continued or new eligibility for
the Child Care Assistance Program (CCAP).
2.12 Special Program Requirements
2.12.1 Minor Parent and Pregnant Minor
Requirements
A. The Personal Responsibility and Work
Opportunity Reconciliation Act of 1996, Pub. Law No. 104-193 and R.I.
Gen. Laws § 40-5.2-10 (k), the Family Independence Act, The
Rhode Island Works Program Act, require that a pregnant minor or a
minor parent with a dependent child(ren) in her/his care to reside in
the household of a parent, legal guardian, or adult relative with
certain exceptions. In those situations, the minor must reside in an
adult-supervised supported living arrangement to the extent such
arrangement is available and appropriate.
B. Goal. The goal of this policy is to
provide supervision and parenting skills to parents below the age of
eighteen (18), while assisting, encouraging, requiring them to
complete their high school education, and to provide strong support
to help the minor parent meet the goals of her/his employment plan.
C. Eligibility Criterion
1. A relative for purposes of this section
is defined in § 2.5.3 of this Part. Such assistance will be
provided to the parent, legal guardian, or adult relative on behalf
of such individual unless otherwise determined by the agency
representative.
2. The following shall be eligible for cash
assistance only if such family resides in the home of a parent, legal
guardian, or other adult relative.
a. A family consisting of a parent who:
(1) is under the age of eighteen (18)
(minor parent); and
(2) has never been married; and
(3) has a child; or
b. A family consisting of a woman under the
age of eighteen (18) who is at least six (6) months pregnant
D. Exceptions
1. The above requirement shall not apply if
such minor parent or pregnant minor:
a. Has no parent, legal guardian, or other
adult relative who is living or whose whereabouts are unknown; or
b. Whose physical or emotional health or
safety (or of her/his child) is determined by the Department of
Children, Youth and Families to be jeopardized if s/he was required
to live in the same residence as her/his parent, legal guardian, or
other adult relative. Refusal of a parent, legal guardian, or other
adult relative to allow the minor parent and her/his child, or a
pregnant minor, to live in her/his home shall constitute a rebuttable
presumption that the minor parent's health or safety would be so
jeopardized; or
c. Has lived apart from her/his own parent
or legal guardian for a period of at least one (1) year before either
the birth of any such minor parent's child or beginning of the
pregnant minor's pregnancy; or
d. Has good cause as outlined in §
2.12.1(E) of this Part, AND
e. Resides in an approved adult-supervised
supportive living arrangement to the extent available. An
adult-supervised supportive living arrangement is defined in §
2.12.1(E) of this Part.
E. Adult-Supervised Living Arrangement
1. An adult-supervised supportive living
arrangement is defined as an arrangement with an available adult who
provides supervision on a routine basis as approved by a DHS agency
representative. This arrangement will be found approvable or not
approvable after a home study conducted by the Youth Home Visiting
Program, which is provided to DHS staff and is filed in the minor
parent’s service record. Should the minor parent move after
assessment is completed by the Youth Home Visiting Program, another
referral for another home study must be made.
2. "Available adult" must not be
the biological parent of the minor parent's child.
3. Such arrangement must require the minor
parent:
a. To enroll and make satisfactory progress
in a program leading to a high school diploma or a general education
development certificate; and
b. To participate in an adolescent
parenting program as established in R.I. Gen. Laws Chapter 40-19; and
c. To undergo routine adult supervision as
defined in § 2.12.1(E)(4) of this Part.
4. Routine Adult Supervision
a. Routine adult supervision is defined as
monitoring through home visitation and reporting on the ongoing
situation in which the minor parent and her/his child are living to
ensure that the family of the minor parent has:
(1) Adequate and nutritional food;
(2) Shelter that is safe, clean, and
provides adequate comfort and privacy;
(3) Preventive and primary health care for
both the parent and the child; and
(4) A safe home environment and positive
relationships between and among household members.
b. Such adult supervision can be provided
by the adolescent pregnancy and parenting program or by another
alternative program approved by the State Coordinator of the Youth
Home Visiting Program.
c. Supervision shall occur through frequent
home visits scheduled according to mutually agreed-upon rules.
d. The purpose of adult supervision is to
evaluate and meet the developmental and support needs of the family.
Routine adult supervision should provide support and guidance in the
areas of education, vocational training, and parenting skills in
order to meet the goals of the parent's employment plan. Such
supervision also provides guidance and information on life skills
needed for self-sufficiency, including but not limited to infant
care, grocery shopping, food preparation, money management, and
decision-making skills.
e. If the adult supervisor becomes aware
that the living arrangement puts the physical or mental health of the
minor parent and/or her child in jeopardy, s/he must immediately
report the situation to the Department for Children, Youth and
Families (DCYF). The Youth Home Visiting Program in cooperation with
DCYF will assist the minor parent in locating and moving to an
appropriate adult-supervised living arrangement or in making the
current arrangement safe and healthy.
f. If the Youth Home Visiting Program
representative learns that the physical or mental health of the minor
parent and/or her child is in jeopardy due to domestic violence,
after the mandatory report to DCYF, s/he may opt to conduct the
Family Violence Option Assessment alone, refer the parent to the
domestic violence advocate for that assessment, or collaborate with
the domestic violence advocate in the assessment process as needed,
following the procedures outlined in § 2.13 of this Part.
g. If the pregnant minor or minor parent
and her child leave the current adult-supervised living arrangement
and further adult supervision becomes impossible, the adult
supervisor must make an immediate referral to DCYF as well as
notifying DHS.
h. If the pregnant minor/minor parent fails
or refuses to cooperate with the adult supervisor and makes regular
adult supervision impossible, the adult supervisor must report the
non-cooperation to DHS.
F. Approvable Living Arrangements
1. Examples of allowable adult-supervised
supported living include, but are not limited to:
a. Maternity homes;
b. DCYF-licensed foster homes;
c. Independent Living with full-time adult
supervision; and
d. Other DCYF-certified arrangements.
2.13 Domestic Violence Waiver Process
A. If an applicant/recipient discloses a
Domestic Violence situation to DHS staff, the agency representative
refers the applicant/recipient to the domestic violence advocate who
is on-call. The domestic violence advocate conducts the Family
Violence Option Assessment as soon as is practicable.
B. If the applicant/recipient involved is a
minor parent/pregnant minor, an immediate report at the time of
disclosure must be made to DCYF by calling the Child Protective
Services Hotline at 1-800-RI-CHILD as well as referral made to the
domestic violence advocate. If such disclosure is made by a minor
parent/pregnant minor to the Youth Home Visiting Program worker, s/he
may elect to conduct the Family Violence Option Assessment alone,
refer the parent to the domestic violence advocate for assessment, or
collaborate with the domestic violence advocate in the assessment
process as necessary.
C. If the applicant/recipient refuses
referral to the domestic violence advocate, eligibility for RI Works
is not affected. However, if the individual requests domestic
violence waivers, they cannot be granted unless the Family Violence
Option Assessment is completed by the domestic violence advocate (or
Youth Home Visiting Program representative, as appropriate) with
those waivers recommended and approved.
D. From the Family Violence Option
Assessment, the domestic violence advocate determines any findings on
waivers: whether the individual should be waived from the residency
requirements, and/or child support cooperation requirements, and/or
RI Works work plan and opportunities and forwards the Findings on the
Recommended Waivers portion of the Assessment (Form WVR-2) regarding
which waivers, if any, the applicant/recipient should be granted to
the appropriate RI Works eligibility supervisor if it involves
residency and/or child support cooperation, as well as a copy to the
appropriate RI Works service supervisor if it involves RI Works work
opportunities.
E. The appropriate supervisor reviews all
such recommendations and makes the final determination of any such
waiver(s). The Chief Supervisor and/or RIW Administrator, assistant
administrator or RIW supervisor are available for consultation in
these situations as needed. The agency representative then processes
the waiver(s) as appropriate and notifies the applicant/recipient.
F. In the case of an adolescent
parent/pregnant adolescent, if a Youth Home Visiting Program worker
did not conduct or collaborate in the Family Violence Option
Assessment, a copy of the final Findings document is forwarded to the
appropriate Youth Home Visiting Program.
G. For adolescent parents/pregnant
adolescents, after the Family Violence Option Assessment, the Youth
Home Visiting Program case manager must ensure that safety planning,
crisis counseling, appropriate referrals, and follow- up services are
provided. The Youth Home Visiting Program representative may choose
to do this her or himself or collaborate with the domestic violence
advocate, as necessary.
H. For all other individuals who disclose
domestic violence, the domestic violence advocate is responsible for
safety planning, resource information, and follow-up for the
applicant/recipient.
I. The domestic violence advocate must
review the suitability of any or all waivers at the end of the
specified waiver period(s), or earlier if the recipient's
circumstances change. The maximum time period for the granting of a
waiver is six (6) months. After notification from DHS that the waiver
period is about to expire, the Domestic Violence advocate (for teen
parents, and/or Youth Home Visiting Program representative) completes
a Family Violence Option Re-Assessment (Form WVR-2a) of the
individual's circumstances and notifies the appropriate RI Works
supervisor(s) of the recommendation for extension or discontinuance
of any waiver(s) and/or change(s) in status through a new Findings
document. The agency representative then follows up on the
recommendation(s) as appropriate and notifies the recipient.
2.14 Resources
2.14.1 Non-Exempt Resources
A. No family shall be eligible for cash
assistance if the combined value of its available resources (reduced
by any obligations or debts with respect to such resources) exceed
one thousand dollars ($1,000). Eligibility is denied or terminated if
the value of available non-exempt resources exceeds the one thousand
dollar ($1,000) limit.
B. Resources are considered available both
when actually available and when the applicant/recipient has a legal
interest in a liquidated sum and has the legal ability to make such
sum available for support and maintenance.
1. However, in the event of joint ownership
of an asset, there is an opportunity to rebut the presumption of
ownership of the resource. (Refer to 210-RICR-40-00-3 ).
The RIW Administrator, assistant administrator or RIW supervisor is
consulted when there is a question of ownership of resources that
cannot be otherwise resolved.
C. The applicant's resources include those
of the spouse in the home (with the exception of persons applying in
loco parentis and not applying for assistance for his/her own needs).
A child's resources include his/her own and those of the eligible or
ineligible parent(s) and stepparent with whom s/he is living.
D. The sponsored non-citizen's resources
include the deemed resources of the sponsor and sponsor's spouse (see
§ 2.17.2 of this Part). However, in a joint RI Works program/SSI
household, the resources which are solely the SSI recipient's are not
counted for RI Works purposes.
E. The information the individual supplies
on the Application for Assistance, both at application and
redetermination about his/her current or terminated resources, is
documented through bank books, property records, and other similar
documentary sources.
F. The agency representative must advise
the recipient to inform the agency of any changes in his/her
resources that may affect his/her eligibility. Such changes are noted
in the electronic case record.
G. Trusts
1. Any funds in a trust, and the income
produced by that trust to the extent it is not available to the
assistance unit, shall be considered inaccessible to the assistance
unit if all of the conditions listed below are met by the trust
arrangement.
a. No assistance unit member has the power
to revoke the trust arrangement or change the name of the
beneficiary.
b. The trustee administering the trust is
either
(1) a court or an institution, corporation,
or organization that is not under the direction or ownership of any
assistance unit member; or
(2) an individual appointed by the court
who has court imposed limitations placed on his or her use of the
funds; or
(3) an individual whose responsibilities
are governed by the terms of the irrevocable trust, and who is
furthermore not under the direction or control of any assistance unit
member(s) in any way.
c. 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 an assistance unit
member.
d. The Department may request that the
trustee execute a statement that s/he/it is not under the direction
or control of any member(s) of the assistance unit.
2.14.2 Excluded Resources
A. The amount of real and personal property
that can be retained by each assistance unit may not be in excess of
one thousand ($1,000) dollars equity value excluding the resources
detailed in § 2.14.2 of this Part.
B. Real Property that is the Home
1. Real property that is excluded includes:
a. the home owned and occupied by a child,
parent, relative or other individual. The home exclusion applies to
any land that appertains to the home and any other buildings located
on such land, for example, a barn or a shed. To appertain to the
home, the real property must adjoin the plot on which the home is
located and not be separated from it by intervening real property
owned by others.
b. property owned by a husband and wife if
the deed indicates the property is held by them as tenants by the
entirety and if the property is not the home of the assistance unit
(as defined above) and if the spouse of the applicant/recipient
refuses to sell his/her interest in the property. To ascertain if
these conditions are met, the DHS worker must verify, by examination
of the deed, that the parties own the property as tenants by the
entirety and determine if the parties are still married because a
divorce (but not a legal separation) automatically dissolves a
tenancy by the entirety. If the three conditions specified above
appear to be met, the agency representative must refer the case,
through the RIW Administrator, assistant administrator or RIW
supervisor, to the Department's Office of Legal Services for a
determination of the property's excludability. The referral should
include copies of the deed to the property and any other relevant
documents.
C. Real Property other than the Home
1. In addition to the exclusion of the home
in which the assistance unit is living, and property that is
excludable as specified in § 2.14.2 of this Part, real property
that is excludable is subject to the following provisions:
a. The family must make a good faith effort
to sell the property, generally by listing it with a licensed
realtor. The realtor must indicate in a signed statement that the
asking price is consistent with the property's current Fair Market
Value (FMV). If the family chooses to sell the property
independently, they must demonstrate a good faith effort, for
example, by adequate newspaper advertising of the property for sale.
Any method of disposal other than listing with a realtor is subject
to review and approval by the RIW Administrator, assistant
administrator or RIW supervisor before it can be excluded.
(1) The status of said property and the
family's good faith effort to sell it must be reviewed on a quarterly
basis.
b. Any aid payable to the family for any
such period shall be conditioned upon such disposal within six (6)
months of the date of application and any payments of such aid for
that period shall be considered overpayments to the extent that they
would not have occurred at the beginning of the period for which such
payments were made. All overpayments are debts subject to recovery in
accordance with § 2.19.1 of this Part. Any month for which there
is no net payment will not count toward the time limit.
c. The family must notify the agency upon
executing a purchase and sale agreement, a copy of which is submitted
to the DHS worker. Further, within five (5) days of the closing, the
family must provide the DHS worker with a copy of the closing or
settlement sheet.
d. The amount of assistance to be repaid
cannot exceed the net proceeds from the sale. After ascertaining the
amount of cash and medical assistance expended and the net proceeds
from the sale, the DHS worker, in consultation with the supervisor
and, as needed, the RIW Administrator, assistant administrator or RIW
supervisor determines the amount of the overpayment, if any, to be
repaid and whether continuing eligibility exists.
e. If repayment is necessary, guidance for
transmission will be found in a DHS procedural transmittal.
f. If the net proceeds from the sale of the
property, together with all other resources at the beginning of the
disposal period, are within the allowable resource limit, no
repayment is warranted.
D. Other Income-Producing Property
1. Income-producing property other than
real estate is excluded.
2. Examples include but are not limited to
equipment such as farm tools, carpenter's tools, and vehicles used in
the production of goods and services necessary for the family to earn
a living.
3. If the property has been used by the
applicant/recipient to generate income and the reasonable expectation
exists that it will be used for that purpose in the foreseeable
future, the property is not subject to the one thousand dollars
($1,000) resource limitation.
E. Factors Determining Exclusion
1. In making the determination that
income-producing property is excluded, the agency representative
evaluates such factors as:
a. the client's present or future capacity
to utilize the property to become self-supporting;
b. the suitability of the property to serve
as one of the means to this goal; and
c. the length of time expected to elapse
before the property might be put to use in the individual's
employment plan.
2. The RIW Administrator, assistant
administrator or RIW supervisor is consulted when there is a question
of whether such property should be excluded.
F. Income-Producing and Other Vehicles
1. The following shall not be counted as
resources of the family:
a. One vehicle for each adult household
member but not to exceed two (2) vehicles per household, and
b. The value of vehicles used primarily for
income-producing purposes is excluded. Such vehicles include but are
not limited to:
(1) a taxi, truck, or fishing boat;
(2) a vehicle which annually produces
income consistent with its fair market value, even if only used on a
seasonal basis;
(3) a vehicle necessary to transport a
family member with a physical disability where the vehicle is
specially equipped to meet the specific needs of the person with a
disability or if the vehicle is a special type of vehicle that makes
it possible to transport the person with a disability; and
(4) a vehicle used as a family's home.
G. Exclusion of Household Furnishings
1. Household furnishings and appliances,
clothing, personal effects, and keepsakes of limited value are
excluded.
H. Exclusion of Burial Plot
1. One (1) burial plot or space for each
member of the assistance unit is excluded. A burial space is any
conventional gravesite, crypt, mausoleum, urn, or other repository
customarily used for the remains of a deceased person.
I. Exclusion of Funeral Agreement
1. A bona fide funeral agreement, not to
exceed one thousand dollars ($1,000) of equity value for each member
of the assistance unit, is excluded. A bona fide or good faith
funeral agreement is a cash resource reserved authentically and
solely to meet the funeral expenses of the beneficiary. It must not
constitute a mere shelter for funds that would otherwise count toward
the one thousand dollars ($1,000) resource limit.
2. Evidence that funds in a purported
funeral agreement are being tapped for other than their avowed
purpose is a contraindication that the agreement is bona fide. Every
funeral agreement must be submitted to and, if appropriate, approved
by the RIW Administrator, assistant administrator or RIW supervisor
before it can be excluded as a resource. Further, at each
recertification, the DHS worker must review each excluded funeral
agreement. Any new, significant information bearing on the agreement
is submitted to the RIW Administrator, assistant administrator or RIW
supervisor for evaluation and determination of its continued
excludability.
J. Resources Excluded by Law
1. Resources excluded by law in determining
need and the amount of assistance include:
a. For twelve (12) months from the date of
the receipt of the refund:
(1) any portion of the refund of federal
income taxes, made to the family by reason of 26 U.S.C. § 32 of
the Internal Revenue Code relating to the earned income tax credit,
and any advance payment of such earned income credit made to such
family by an employer;
(2) The total amount of a refund received
after December 31, 2009, consistent with provisions of the
Unemployment Insurance Reauthorization and Job Creation Act of 2010,
Pub. Law No. 111-312, regardless of whether the refund is the result
of a refundable credit, over-withholding, or both. This provision
established in the Unemployment Insurance Reauthorization and Job
Creation Act of 2010, Pub. Law No. 111-312 shall not apply to any
amount received after December 31, 2012.
b. The resources of any family member
receiving SSI;
c. Funds awarded under 20 C.F.R. §
416.1234 to the Red Lake Bank of Chippewa Indians.
d. Funds awarded under 20 C.F.R. §
416.1234 to the Assiniboine Tribe of the Fort Belknap Indian
Community, and the Assiniboine Tribe of the Fort Belknap Indian
Reservation.
2.14.3 Determination of Resources
A. The resource limit per assistance unit
is one thousand dollars ($1,000) for all non-excluded resources.
Resources which count toward the one thousand dollars ($1,000)
resource limit include, but are not limited to:
1. real property; and
2. personal property which includes liquid
resources, such as cash, stocks, bank accounts, automobiles and
non-essential items.
B. When the non-excluded resources exceed
the resource limit, the applicant is ineligible or assistance is
discontinued.
C. Resources are considered available both
when actually available and when the applicant/recipient has a legal
interest in a liquidated sum and has the ability to make such sum
available for support and maintenance. However, in the event of joint
ownership of bank accounts, there is an opportunity to rebut the
presumption of ownership of the joint bank account. See § 2.14.3
of this Part for further discussion of cooperation with regard to
pursuit of resources.
D. Real Property
1. Real property is land and includes
houses or objects permanently attached to the land. The equity value
of any non-excluded real property owned by the assistance unit must
be counted toward the one thousand dollar ($1,000) resource limit.
2. In determining the value of the
resource, equity value is defined as the current Fair Market Value
(FMV) minus encumbrances. (If the value of the real property, when
added to that of the unit's other resources, raises their total value
above the one thousand dollars ($1,000) limit, see § 2.14.2 of
this Part for conditions under which the property may be excluded.)
3. Evidence of ownership includes any of
the following: the deed, current mortgage statement, assessment
notice, the recent tax bill, or a report of title search. If not
available, the DHS worker must obtain the information from the
Recorder of Deeds, by telephone or other means.
4. The supervisor must consult the RIW
Administrator, assistant administrator or RIW supervisor in assessing
the value of property if the value is questionable in relation to the
one thousand dollar ($1,000) resource limit.
E. Personal Property
1. Personal property includes liquid
resources, such as cash, stocks, bonds, mutual funds, money market
accounts, certificates of deposit (C.D.s), bank and credit union
accounts, IRAs, Keough plans, vehicles, and non-essential items.
2. Liquid Resources
a. Liquid resources are those properties in
the form of cash or other financial instruments which are convertible
to cash and include bank and credit union savings and checking
accounts, stocks, bonds, mutual funds, time deposit shares, money
market accounts, promissory notes, mortgages, and similar holdings.
b. The value of any liquid resources must
be counted toward the one thousand dollar ($1,000) resource limit. If
liquid resources exceed the one thousand dollar ($1,000) resource
limit, alone or in combination with other resources, the applicant is
ineligible or assistance is discontinued.
3. Medical Insurance
a. If a family has any medical insurance,
such as Blue Cross/Blue Shield, Neighborhood Health Plan of RI,
United Health Plan of NE, Tufts, Federal Medicare (Part A, Part B),
Delta Dental or any other medical insurance, this is identified as a
resource for medical payment, but is not considered an eligibility
factor in the determination of eligibility.
b. The medical resource must be noted on
the Application for Assistance.
4. Valuation of Vehicles
a. Vehicle means a passenger car or other
motor vehicle used to provide transportation of persons or goods.
b. Each vehicle owned by the household is
handled as follows:
(1) First, determine if the motor vehicle
is excluded under § 2.14.2 of this Part. If the vehicle(s) is
excluded, no further action is required.
(2) If the vehicle is not excluded, count
the vehicle's equity value (which is fair market value less
encumbrances) towards the household's resource limit of one thousand
dollars ($1,000).
5. Nonessential Items
a. Usually accepted household items are
exempted. However, when there is evidence that the applicant
possesses household or personal items of unusual or exceptional
value, there should be verification of this resource by establishing
the fair market price and equity value for it. Items of unusual value
are those not normally used to maintain an adequate standard of
comfort and convenience for the household.
b. The value of recreational boats, art
objects, or valuable collections are luxury items of unusual value
represent resources that must be added to all other total resources
to determine whether the resources are within the one thousand dollar
($1,000) limit. It is the current fair market value of the item
rather than the item itself that determines the unusual value.
c. The statement on the Application for
Assistance (indicating the applicant does not own items of unusual
value) referring to other resources owned by the applicant/recipient
will be accepted without further development unless there is evidence
to the contrary (e.g., information from other sources, or answers to
other questions on the application that cast doubt on the validity of
the response).
d. If the applicant/recipient owns a
valuable resource, then the current FMV must be determined. Any
reliable and reasonable method may be used to establish and verify
the current FMV, e.g., sales slips, insurance, prior appraisals, or
contacts with local merchants.
e. If the total equity value is under the
one thousand dollar ($1,000) limit, this amount must be added to all
other countable resources to determine whether the total resources
are within the one thousand dollar ($1,000) limit. If the value of
the assistant unit's items exceeds the one thousand dollar ($1,000)
resource limit, the applicant/recipient is ineligible.
6. Resources of Ineligible Household
Members
a. All the non-excluded resources of a
disqualified individual, parent, or child, are counted in determining
the assistance unit's eligibility and payment amount.
2.14.4 Transfer of Resources
A. Initial eligibility is not affected
unless an applicant sold or transferred property in the month of
application.
B. Resources Transferred in Application
Month
1. Receipt of monies from resources
disposed of by an applicant in the month of application is treated as
a resource. The proceeds are verified and a determination made as to
whether the proceeds are within the eligibility limit for that
particular resource.
2. If it exceeds the limit, eligibility
does not exist in that month.
3. Eligibility can be reestablished in a
later month when resources are brought within the resource limit.
2.14.5 Assets Acquired After Receipt of
RIW
If a recipient inherits real property
which is being used, or is to be used by the recipient as a home,
there is no bar to continuing eligibility. The equity value of any
other real property must be considered, together with all other
countable resources, in determining whether the household's resources
are within the one thousand dollar ($1,000) resource limit.
2.14.6 Recovery of Resources After Death
A. Assistance provided to a recipient is
not subject by policy to recovery after the death of a recipient.
However, in certain situations, the law provides for recovery by the
Department.
B. These situations must be referred to the
RIW Administrator, assistant administrator or RIW supervisor and
forwarded to the Third Party Liability Unit for a decision on action.
Refer to § 2.17.4(I) of this Part for further information.
2.15 Income
2.15.1 Definition of Income
A. In determining need, it is necessary to
know the amount and value of both actual and potential income. The
income of a family includes all of the money, goods, or services
received or actually available to any member of the family. Income is
considered available both when actually available or when the
applicant/recipient has a legal interest in a liquidated sum and has
the legal ability to make such sum available for support and
maintenance. It must be under the control of the individual during
the period for which need is being determined or can be available, if
action is taken by the individual to obtain it.
B. All income is taken into consideration
in determining eligibility and need.
C. However, there are some types of income
which are excluded and others that have modifications of the amount
which is applied to the assistance plan.
D. Child's Income
1. A child's income includes the income of
an ineligible parent(s) and stepparent with whom s/he is living. The
applicant's/recipient's income includes that of her/his ineligible
spouse in the home. A sponsored non-citizen's income includes the
income deemed from the sponsor (and sponsor's spouse).
2. However, in a joint cash assistance/SSI
household, the income of the SSI child or parent is not counted since
it is already counted for SSI.
E. Documentation
1. The information the client supplies on
the Application for Assistance and/or the Interim Report about income
must be verified. Sources of verification include business records,
wage stubs, income tax returns, award letters, other documents, as
well as reports from Social Security, the Veterans' Administration,
and other agencies. In some instances, when the individual is unable
to obtain the information, the DHS representative may help to obtain
the verification requested. The DHS representative may assist the
individual in applying for other potential sources of income. The
individual is advised that s/he must inform the agency of the
results.
2. The agency uses computer matching by
social security number on a regular basis with other public agency
files (such as State employee payrolls, ESB and TDI records, State
income tax files), and information obtained from the Social Security
Administration and the Internal Revenue Service through the Income
and Eligibility Verification System (IEVS) to document recipient
information.
2.15.2 Determining Eligibility
A. In determining both initial and
continuing eligibility, the following procedures are followed:
1. Exclude any income identified in §
2.15.3 of this Part.
2. Determine the gross earned income of all
persons in the assistance unit (except the earnings of a dependent
child).
3. Apply the earned income disregard to the
earned income, if any.
4. Determine the unearned income of all
persons in the assistance unit.
5. Total the earned income after disregards
and unearned income; compare with the appropriate assistance standard
for the unit.
2.15.3 Excluded Income
A. COVID-19 Crisis and the National
Emergency
1. The Coronavirus Aid, Relief, and
Economic Security (CARES) Act (P.L. 116-136) will provide emergency
financial relief in response to the Coronavirus Disease 2019
(COVID-19) and the National Emergency, in the form of Economic Impact
Payments for most individuals. These payments will be in the form of
automatic advance tax credits (or rebate) that will be disbursed by
the Treasury Department.
2. The Economic Impact Payment is not
subject to federal income tax. As with any tax refund under current
law, this rebate is not treated as income, or as a resource for a
twelve (12) month period, when determining an individual’s
eligibility or assistance amount under any federally funded public
program.
B. In determining need and the amount of
benefits for cash assistance the following types of income are
excluded:
1. income received by any family member who
is receiving Supplemental Security Income (SSI) assistance under
Title XVI of the Social Security Act;
2. value of assistance provided by state or
federal government or private agencies to meet nutritional needs
including: value of USDA donated foods; value of supplemental food
assistance received under the Child Nutrition Act of 1966, as
amended; the special food service program for children under Title
VII; Nutrition program for the Elderly of the Older Americans Act of
1965 (42 U.S.C. § 3058), as amended; and the value of food
assistance benefits;
3. the value of certain assistance provided
to undergraduate students including: any grant or loan for an
undergraduate student for educational purposes made or insured under
any loan program administered by the U.S. Commissioner of Education
(or the Rhode Island board of governors for higher education or the
Rhode Island higher educational assistance authority);
4. foster care adoption and guardianship
assistance payments are excluded when the adopted child is not
included in the RI Works household;
5. home energy assistance funded by state
or federal government or by a nonprofit organization;
6. payments for supportive services or
reimbursement of out-of-pocket expenses made to foster grandparents,
senior health aides or senior companions, and to persons serving in
SCORE and ACE and any other program under Title II and Title III of
the Domestic Volunteer Service Act of 1973 (42 U.S.C. § 4951 et
seq .);
7. payments to volunteers under VISTA
(payments to volunteers under AmeriCorps are NOT excluded);
8. certain payments to native Americans;
payments distributed per capita to, or held in trust for, members of
any Indian tribe under 20 C.F.R. § 416.1234; receipts
distributed to members of certain Indian tribes which are referred to
in 25 U.S.C. § 459e
that became effective October 17, 1975;
9. any portion of the refund of federal
income taxes, made to the family by reason of Internal Revenue Code
26 U.S.C. § 32 relating to the earned income tax credit (EITC)
and any advance payment of such earned income credit made to such
family by an employer;
10. value of any state, local, or federal
government rent or housing subsidy, provided that this exclusion
shall not limit the reduction in benefits provided for in § 2.18
of this Part.
B. Assistance from other agencies and
organizations is disregarded in determining need and the amount of
the payment.
C. Also, in determining what is income to
meet need, the following are also excluded as income:
1. The value of home produce of an
applicant/recipient utilized by him/her and his/her household for
their own consumption.
2. Bona fide loans, educational assistance
loans and grants, such as scholarships, obtained and used under
conditions that preclude their use for current living costs.
3. Income equal to expenses attributable to
the earnings of the income of a self-employed individual.
D. Exclusion of First Fifty Dollars ($50)
of Child Support
1. The first fifty dollars ($50) of the
child support payment paid in any month by a non-custodial parent of
a child, or the actual amount of the child support payment if the
payment is less than fifty dollars ($50), shall be paid to the family
in which the child resides, and is excluded from the family's income.
If more than one non-custodial parent makes a child support payment
to children living in the same family, there shall be only one (1)
payment not to exceed fifty dollars ($50) paid to the family from the
total child support collected.
2. The exclusion shall be applied in the
initial month of eligibility. Support payments received in subsequent
months are covered by the assignment as described in § 2.15.7(B)
of this Part.
3. The exclusion may also be applied to
payments for child support owed and collected that are in excess of
the RI Works grant and are issued to the family. See § 2.15.7(C)
of this Part for more information.
2.15.4 Earned Income
A. Earned income is income, in cash or
in-kind, earned by an individual through the receipt of wages,
salary, commissions, or profit from activities in which s/he is
engaged as a self-employed individual or as an employee. It is
counted as income only when it is received (or would have been
received except for the decision of the recipient to postpone
receipt) rather than when earned. It includes earnings over a period
of time for which settlement is made at one given time. With respect
to the degree of activity, income which the individual produces as a
result of the performance of service, including managerial
responsibilities, is classified as earned income. (Examples are
income from a lodger or boarder and rental income.)
B. Earned Income from Wages
1. When earned income is from wages, the
agency representative must determine the gross amount of wages.
2. Any legal attachment on wages is
considered unavailable and is not counted in the determination of
eligibility for and amount of RI Works. Under current law, the first
fifty dollars ($50) of any pay is exempt from attachment, and no
attachment can be placed on the wages of a current or former cash
assistance recipient for one (1) year following the termination of
assistance. If an attachment exists, the recipient is referred to
Rhode Island Legal Services.
3. That portion of wages which represents
the advance payment of the Earned Income Tax Credit (EITC) is also
disregarded as earned income.
C. Earned Income from Self-Employment. The
income considered from self-employment is the difference between the
amount of gross receipts and the amount of allowable operating
expenses incurred in producing the income.
1. When a business is carried on at home,
no part of the overhead is considered a business expense, except as
specified in § 2.15.4(C)(5) of this Part. Those self-employed
work expenses directly related to producing the goods or services and
without which the goods or services could not be produced shall be
excluded.
2. However, items such as depreciation,
personal business and entertainment expenses, personal
transportation, purchase of capital equipment, and payments on the
principal of loans for capital assets or durable goods are not
allowable expenses.
3. The RIW Administrator, assistant
administrator or RIW supervisor is available to assist staff in
determining income from self-employment. In a memorandum directed to
the RIW Administrator, assistant administrator or RIW supervisor, the
agency representative must identify the type of assistance needed
along with the necessary information on the business (for example,
last year's income tax return, current bookkeeping records, and check
books).
4. If, at the end of sixty (60) days, the
business is not providing the recipient with enough income to attain
economic self-sufficiency, the case must be submitted to the RIW
Administrator, assistant administrator or RIW supervisor for review
of continued eligibility.
5. Child Care Service Providers
a. Income received by a cash assistance
applicant or recipient who provides child care services is considered
earned income from self-employment. The income must be verified from
information provided by the applicant/recipient.
b. For purposes of this section, child care
services are defined as any care of a child or incapacitated adult
for which the provider is remunerated whether by a public or private
agency or a private party. The provider need not be a licensed Child
Care provider.
c. Casual baby-sitting, for which the
babysitter is paid, qualifies as "child care services."
d. Expenses of Providing Child Care
(1) The documented expenses incurred in
earning such income are deductible. Such expenses include household
items, wear and tear on household furnishings, and the increased cost
of utilities if the service is provided in the provider's home.
(2) Special equipment needed for the
individual in care and furnished by the provider is also deductible
regardless of where the service is provided. The average total
expense of providing child care is thirty-two dollars ($32.00) per
week per child. (If the household can document cost in excess of the
applicable average amount, the actual cost can be considered.)
(3) When the expense incurred in providing
child care exceeds the amount paid by DHS or other payor to the child
care provider, there is no income to be considered in determining
eligibility and the amount of cash assistance payment. Conversely,
the appropriate earned income disregard is applied toward any net
income after expenses.
6. Income from Roomer or Boarder
a. When an applicant/recipient receives
income from a roomer or boarder, the amount considered as income is
computed by subtracting the following cost of maintaining such lodger
or boarder.
b. Monthly Cost of Maintenance
(1) Roomer: $ 25.00
(2) Boarder: $ 124.00
c. However, if the household can document
cost in excess of the amount indicated, the actual cost can be
considered.
d. Board payments for a foster child paid
by the Department for Children, Youth and Families to a cash
assistance parent are excluded as income.
7. Rental Income
a. Countable rental income or net income
from real property is subject to the appropriate earned income
disregards.
b. When the applicant/recipient lives in
the rental property, the tenant's share of the following property
expenses is deducted from gross rental income to determine the amount
of money to be applied as net income of the client:
(1) The interest portion of mortgage,
taxes, insurance, water, sewer charges, and special monthly
assessments for sewer installation; and
(2) The cost of the tenant's heat, gas, and
electric if provided in the rent by the homeowner.
c. To determine the net income of a
property owner-client living in a two-family dwelling, one-half (1/2)
of the expenses in § 2.15.4(C)(7)(a) of this Part plus the
expenses in § 2.15.4(C)(7)(b) of this Part are deducted from the
gross rental; in a three-family dwelling, two-thirds (2/3) of the
expenses in § 2.15.4(C)(7)(a) of this Part plus the expenses in
§ 2.15.4(C)(7)(b) of this Part are deducted; in a four-family
dwelling, three-fourths (3/4) of the expenses in §
2.15.4(C)(7)(a) of this Part plus the expenses in §
2.15.4(C)(7)(b) of this Part are deducted.
d. When the client does not live in the
rental property which is within the one thousand dollar ($1,000)
Resource Limit, the income is determined by subtracting from the
gross rental income, the expenses of maintaining the property as
outlined above.
2.15.5 Income Disregards
A. For applicants and recipients, net
adjusted income equals the total of any unearned income plus any
amount remaining from earned income after deducting the earned income
disregards and any allowable dependent care disregards.
B. This amount must be less than the
appropriate cash assistance standard in order for financial
eligibility to exist. The disregards are allowed in the order
specified below.
1. Exclusion of Earnings of a Dependent
Child
a. Disregard all the monthly earned income
of each dependent child from the assistance unit's income.
b. Disregard one hundred seventy dollars
($170) plus one half (1/2) of the earned income not already
disregarded (applied to net income after the disregards described
above). This disregard is allowed for each individual who has
otherwise been found eligible to receive cash assistance.
2. Dependent Care Disregard
a. Disregard the actual amount of the
expense paid in a calendar month, within the limitations specified
below, for each dependent child or incapacitated adult living in the
home and receiving cash assistance.
b. This disregard may not exceed one
hundred seventy-five dollars ($175) per month per child age two (2)
and older or an incapacitated adult. For a child under the age of
two, this disregard may not exceed two hundred dollars ($200) per
month.
c. Payments actually made for dependent
care must be verified.
d. Consideration of the dependent care
expense is only given when the care is provided by a person not
living in the child's or incapacitated adult's household. If the care
provider lives in the same building as the dependent child or adult
requiring care, verification that separate households are maintained
is required.
2.15.6 Other Sources of Income
A. Income may come from many sources beyond
employment. Unearned income includes other types of income, such as
returns from capital investment with respect to which the individual
is not himself/herself actively engaged, such as dividends and
interest; it also includes benefits such as individual pensions,
Retirement, Survivors, and Disability Insurance (RSDI), Unemployment
Insurance (UI), Temporary Disability Insurance (TDI), or Veterans'
Benefits.
B. The agency representative needs to be
aware of and identify other potential sources of income or resources
for which the applicant/recipient may qualify.
C. Federal and State Insurance-UI &
TDI. An applicant or recipient of cash assistance who has worked in
the past fifty-two (52) weeks is required to file a claim for either
Unemployment Insurance if unemployed but able to work or Temporary
Disability Insurance (TDI) if unemployed but unable to work.
D. Retirement, Survivors, and Disability
Insurance (RSDI) Income
1. The total amount of benefits received
from Retirement, Survivors, and Disability Insurance (RSDI) by a
member of the assistance unit is considered as income.
2. When a child receives RSDI, the
caretaker relative does not have the option of excluding that child
from the cash assistance unit even when such benefits are sufficient
to meet the child's needs according to the consolidated standard.
Once the child is included in the assistance unit, the RSDI benefits
of the child are considered income to the family.
3. Identifying Potential Beneficiaries
a. Retirement Benefits can be paid to:
(1) The insured wage earner or
self-employed person who is eligible or can elect to receive
actually-reduced benefits at age sixty-two (62). Although the Social
Security Act makes this provision elective (receipt of benefits age
sixty-two (62)), eligibility for cash assistance is dependent upon
acceptance of this source of income at age sixty-two (62).
(2) The spouse of a retired or disabled
worker who:
(AA) is age sixty-two (62) or over; or
(BB) has in her/his care a child under age
sixteen (16) or over age sixteen (16) and disabled who is entitled to
benefits on the worker's Social Security record.
(3) A spouse is eligible, if the marriage
has been in effect for one (1) year and in some instances, less than
a year.
(AA) Spouses of defective ceremonial
marriages entered into in good faith are also eligible.
(BB) The divorced spouse of a retired or
disabled worker if age sixty-two (62) or over and married to the
worker for at least ten (10) years.
(CC) The divorced spouse of a fully insured
worker who has not yet filed a claim for benefits if both are age
sixty-two (62) or over and have been finally divorced for at least
two (2) continuous years.
(DD) The dependent, unmarried child of a
retired or disabled worker entitled to benefits, if the child is:
(i) Under age eighteen (18); or
(ii) Age eighteen (18) or over but under a
disability which began before age twenty-two (22).
(iii) This includes children born of
natural parents, adopted children, step-children or children born out
of wedlock.
b. Relatives of a deceased insured wage
earner or self-employed person who may be eligible to receive monthly
benefits include:
(1) The surviving spouse, (including a
surviving divorced spouse) if the widow(er) is age sixty (60) or
over.
(2) The surviving spouse with a disability,
(including a surviving divorced spouse in some cases) if the
widow(er) is age fifty (50) to fifty-nine (59) and becomes disabled
not later than seven (7) years after the worker's death, or in case
of a widow(er), within seven (7) years after s/he stops getting
checks as a widow(er) caring for a worker's children.
(3) The surviving spouse, or surviving
divorced spouse if caring for an entitled child (under age sixteen
(16) or disabled) of the deceased.
(4) The dependent, unmarried child of a
deceased insured worker if the child is:
(AA) Under age eighteen (18); or
(BB) Age eighteen (18) or over but under a
disability which began before age twenty-two (22).
(CC) The dependent parents of a deceased
worker at age sixty-two (62) or over.
E. Disability Benefits
1. A worker who becomes severely disabled
before age sixty-five (65) may qualify for disability checks. The
disability must be a severe physical or mental condition which
prevents employment and is expected to last (or has lasted) for at
least twelve (12) months, or is expected to result in death. Benefits
may begin as early as the sixth (6th) full month of disability and
continue as long as the disability exists. If a person is severely
disabled, benefits can be paid even though the person can do some
work.
2. Dependent's benefits may be paid to
certain members of a disabled worker's family as in the case of a
retired worker.
F. Veterans Administration Benefits
1. All applicants and recipients who have
been other than dishonorably discharged from any branch of the armed
services should apply for VA benefits and/or services. An individual
may be eligible as a veteran who served during wartime or specific
periods of qualifying peacetime, who is disabled or non-disabled, or
has a disability that is service-connected or not.
2. Dependents and survivors of the veteran
may also be eligible.
3. Stepchildren, if living with the
stepparent, may receive an allowance based on the stepparent's
benefits.
4. Potentially eligible individuals may be
referred directly to the Veterans Administration Regional Office.
5. An agency form is used to verify
benefits for the veteran and/or for the dependent.
G. Worker's Compensation. Under the
Workers' Compensation Act, benefits are payable if an employee
sustains a personal injury arising out of or in the course of
employment or develops an occupational disease. The possibility of
this resource should be discussed with the injured client and
follow-up made if this is a potential source of income. Based on
probable third-party liability, Workers' Compensation benefits are
subject to the assignment and reimbursement provisions described in
§§ 2.3 and 2.7 of this Part.
H. Insurance Settlement. Money received
from an insurance settlement is considered as lump sum income except
when the insurance settlement results from a fire, flood, lightning
or severe wind, and if it is used to repair or replace the property
lost because of the fire, flood, lightning or severe wind. For
treatment of lump sum income, see § 2.15.6(Q) of this Part.
I. Money or Goods from Other Agencies. When
another agency provides money or goods to an applicant or recipient
on an irregular basis, it is not considered as income to be applied
to the assistance plan.
J. Non-Legally Liable Relative
Contribution. Regular and/or substantial contributions by non-legally
liable relatives or friends living with or apart from the assistance
unit are considered as income in determining need. Gifts and
contributions of small value and occurring infrequently for special
occasions or as expressions of affection are not related to support
and are not considered income provided they do not exceed thirty
dollars ($30) per recipient in any quarter.
K. Income-In-Kind
1. Regular income in kind for shelter
expenses made directly to, for example, the landlord or bank by
non-legally liable or legally liable relatives or friends on behalf
of a client is considered as income. The table below, by plan size,
is used to determine the amount of income to be considered, unless
the in-kind shelter payment is less than the amount indicated. In
that instance, the actual amount of the payment is considered.
2. This policy does not apply in a
situation where a client is living in the home of another, whether or
not s/he is paying toward the rent, or where the client is sharing
rent with another.
Plan Size
Shelter
Plan Size
Shelter
1
$ 27.95
6
$ 115.02
2
90.89
7
115.48
3
105.20
8
113.55
4
109.18
9
109.44
5
113.07
10 (and over)
119.11
L. Interest and/or Dividends. When a
recipient who is allowed to retain resources, in accordance with §
2.14.3 of this Part, receives interest or dividends, the amount
received is considered as income.
M. Income from Legally Liable Relatives
1. When an absent parent pays support
directly to the applicant, recipient or child, this income must be
forwarded to the Office of Child Support Services in accordance with
the policy and procedures in §§ 2.10 and 2.15.7 of this
Part.
2. Also see § 2.16 of this Part for
the treatment of the income of a legally liable relative.
3. For the treatment of the income of a
parent of a minor unwed parent, see § 2.16 of this Part.
N. Income of Joint RI Works/SSI Household
1. The income of an SSI recipient
(including the SSI benefit) is not considered in determining need and
the amount of the cash assistance payment.
2. When an application for cash assistance
is made by a family in which a child, a spouse, or a parent
(including a stepparent or a relative acting in loco parentis) is
receiving an SSI payment, the SSI person is excluded from the count
of eligible members constituting the unit.
3. The SSI recipient's own income and
resources are not considered, but any other income or resource that
belongs to the cash assistance applicant member, including any that
was "deemed" to the SSI recipient, is considered.
4. When a cash assistance recipient
receives SSI, the agency representative must remove the SSI person
from the plan size and remove the SSI recipient's own income (and
resources). When a cash assistance member applies for SSI, no change
is made in the cash assistance payment until the SSI benefits are
granted.
5. Individuals eligible for both cash
assistance and SSI have the right to elect which program they wish to
receive. There is no authority to mandate placement in one program or
the other.
O. When considered for RI Works cash
assistance, AmeriCorps and AmeriCorps/VISTA involvement are two
separate programs, and the income is treated in different ways.
1. If the income letter or paystub only
reports "AmeriCorps," without referencing VISTA in any way,
the income is counted for cash assistance.
2. If the income letter or paystub cites
"AmeriCorps/VISTA," the income is excluded from
consideration for the cash assistance program.
P. Treatment of Lump Sum Income
1. Lump sum income is considered income in
the month of receipt, but becomes considered as a resource upon the
first moment of the following month. Lump sum may make a case
ineligible due to excess income (using the income-counting rules) in
the month of receipt. If this is found to be the case, the DHS worker
should consider the case for reinstatement of cash assistance the
following month, with the amount received as income then considered
as a resource.
2. Countable resources are determined as of
the First Moment of the Month (FOM). The determination is based on
the resources the individuals own, their value, and whether or not
they are excluded as of the first moment of the month. The FOM rule
establishes a point in time at which to value resources; what a
person owns in countable resources can change during a month but the
change is always effective with the following month's resource
determination. The kinds of changes that can occur are:
a. Changes in Value of Existing Resources.
The value of an existing resource may increase or decrease. For
example, the value of a share of stock may decrease by thirty dollars
($30) or increase by twenty dollars ($20).
b. Disposition or Acquisition of Resources.
An individual may dispose of an existing resource (e.g., close a
savings account and purchase an item) or may acquire a new resource
(e.g., an inheritance which is subject to the income- counting rules
in the month of receipt).
c. Change in Exclusion Status of Existing
Resources. An individual may replace an excluded resource with one
that is not excluded (e.g., sell an excluded automobile for
non-excluded cash) or vice versa (use non-excluded cash to purchase
an excluded automobile). Similarly, a time-limited exclusion may
expire.
3. If countable resources exceed the limit
as of the first moment of a month, the recipient is not eligible for
that month, unless the resources are reduced by expenditure on
certain allowable expenses.
Q. Reduction of Lump Sum Income/Resource
1. An applicant whose countable resources
exceed the basic resource limitation may establish eligibility on the
basis of resources if:
a. S/he incurs (or has incurred)
outstanding allowable household maintenance bills or other allowable
expenses that equal or exceed his/her excess resources; and,
b. S/he reduces the excess resources to the
appropriate resource limit by actually paying the allowable expenses
or fees, and submitting verification thereof within thirty days of
the date of the rejection or closing notice. Both the expenditure of
the resource and submission of verification of the expenditure and
the reduced resource must occur within the thirty-day time period.
2. The bills used to establish eligibility
cannot be incurred earlier than the first day of the third month
prior to the date of an application that is eventually approved.
3. The agency representative must see the
bills that have been actually paid in order to verify that resources
have been properly reduced.
4. An individual who reduces resources and
is otherwise eligible will be eligible as of the date the incurred
allowable expenses equaled or exceeded the amount of his or her
excess assets, subject to verification that the excess resource was
actually expended on the allowable expense. In no event shall the
first day of eligibility be earlier than the first day of the month
of application.
5. The applicant will be required to verify
that:
a. S/he incurred the necessary amount of
expenses; and,
b. His or her excess resources were reduced
to the allowable resource limit by expenditure of the excess resource
on the allowed expense.
2.15.7 Child Support Income
A. For purposes of this section, child
support is defined as financial support, voluntary or court ordered,
paid by an absent parent on behalf of his/her natural or adopted
child(ren).
B. Direct Support
1. The applicant or recipient is advised
that the assistance payment does not reflect any support money as
income except in the initial month of eligibility or when an
uncooperative sanctioned recipient retains direct support in
violation of the assignment.
2. The amount of support is ultimately
established by court order.
3. When an applicant or recipient informs
the DHS worker at the time of initial determination of eligibility or
at any time during the receipt of assistance that child support is
being received by the family on behalf of an applicant child, the
agency representative must take the actions described below.
4. Treat Direct Payments as Income
a. Except for the first fifty dollars ($50)
in child support received in the application month from each
noncustodial parent of a child, the agency representative must
consider the support payments as income for determining eligibility.
If the family is eligible for assistance, any child support (over and
above the amount of the excluded support as outlined in § 2.15.3
of this Part) received in the month of application, or until the end
of the month in which the payment is authorized, must be budgeted as
income.
b. The purpose of treating direct payments
as income in this initial determination period is to provide
sufficient time for the referral of the case to the Department of
Human Services, Office of Child Support Services, before child
support payments are directed there. In subsequent months, direct
support payments that are covered by the assignment and paid to the
Department of Human Services, Office of Child Support Services, as
required, are not considered as income in computing the amount of the
assistance payment for which the recipient is eligible (see §
2.15.7 of this Part concerning the child support pass through).
5. Inform the Applicant/Recipient. In any
case in which there is absence of a parent, the RI Works cash
assistance applicant/recipient must be informed that support payments
received from an absent parent after cash assistance is authorized
must be forwarded directly to:
Rhode Island Family Court
One Dorrance Plaza
C/O Bookkeeping Unit
Providence, RI 02903
6. Recipients of direct support must also
be advised:
a. not to send cash through the mail;
b. to enter their case I.D. in the lower
left-hand corner of the face of the check or money order and, if the
absent parent's name is not on it, to add that as well;
c. to endorse all checks and money orders
by writing the words "Payable to the Department of Human
Services, Office of Child Support Services," and then signing
their name;
d. not to give support payments to DHS
employees to be forwarded to Rhode Island Family Court; and
e. to notify the Department of Human
Services, Office of Child Support Services, in writing when there is
a lapse in direct support payments.
7. It is especially important to convey the
above information when an applicant is receiving direct support
payments around the time of application.
8. Applicants/recipients must also be
informed that failure to forward direct support payments to Rhode
Island Family Court may result in the sanction of the uncooperative
recipient in accordance with § 2.7.8 of this Part.
C. Support Paid through Family Court
1. When support is paid through the
Department of Human Services, Office of Child Support Services
(DHS-OCSS), or its agents, a check is issued up to the fifty dollar
($50) pass through amount to which the recipient is entitled. Any
amount collected during the month which represents payment on the
required support obligation for that month, and is in excess of the
pass through, shall be retained by the State to reimburse, in whole
or in part, the assistance payment for the month in which the support
was collected, for unreimbursed assistance for prior months, if child
support arrears exist, or for future support. If the monthly amount
owed and collected is greater than the assistance payment for the
month, DHS authorizes payment to the family an amount equal to the
difference between the assistance payment for the month and the court
ordered amount for that month. Any such checks issued to recipients
in excess of the pass through payments and cash assistance
reimbursements must be counted as child support income for RI Works
cash assistance purposes.
2. The recipient need not report the
receipt of OCSS-issued child support to the DHS local office.
However, DHS-OCSS notices advise recipients that the amounts received
are being recorded in the eligibility system.
3. When the agency representative learns of
the payment of excess of grant monies, s/he reviews the eligibility
system which displays both the pass through and child support income
paid.
4. The agency representative must reconcile
any discrepancies by contacting the recipient, checking the
electronic case through the OCSS Interface and, if necessary,
contacting DHS-OCSS for clarification.
D. Payment of Child Support Pass Through
1. For any month in which a noncustodial
parent makes a child support payment in the month when due and the
support is collected by DHS-OCSS for a child or children receiving RI
Works cash assistance, the first fifty dollars ($50) of the child
support payment, or the actual amount of the child support payment if
the payment is less than fifty dollars ($50), shall be paid to the
family in which the child resides. If more than one noncustodial
parent makes a child support payment to children living in the same
family, there shall be only one (1) payment of fifty dollars ($50)
paid to the family from the child support collected. This payment,
known as the "pass through" payment, shall be sent to the
family within two (2) business days of the determination of the
amount that is due and owing and no later than within two (2)
business days of the end of the month in which the support was
collected.
2. The pass through payment is excluded
from income in calculating the family's RI Works cash assistance
amount in accordance with § 2.15.3 of this Part. However, the
fifty dollars ($50) pass through is counted as income in the
Supplemental Nutrition Assistance Program.
E. Distribution of Child Support of SSI
Child
1. When one of the children in a family in
receipt of benefits from the RI Works Program receives Supplemental
Security Income (SSI), DHS-OCSS shall distribute to the custodial
parent all child support collected on behalf of the minor SSI child.
2. Distribution of support must occur
within thirty (30) days of receipt by DHS-OCSS according to the
requirements outlined below.
a. If the SSI child is the only person
covered by the child support order, one hundred percent (100%) of the
support collected shall be paid to the custodial parent.
b. If the SSI child is not the only person
covered by the child support order, a pro rata portion of the amount
collected shall be paid to the custodial parent, unless otherwise
specified in the Family Court order. Child support distributed to a
custodial parent on behalf of an SSI child is not considered income
for purposes of determining cash assistance eligibility or payment
level for members of the cash assistance family. However, child
support distributed to a custodial parent on behalf of an SSI child
is considered unearned income for the Supplemental Nutrition
Assistance Program.
3. The Department of Human Services, Office
of Child Support Services, must provide to the custodial parent of an
SSI child a semi-annual statement which discloses the amount of child
support collected and distributed during the preceding two calendar
quarters on behalf of the child. The statement includes notification
of the custodial parent's right to a hearing with regard to disputes
involving the collection and distribution of child support.
2.15.8 Student's Income
A. RSDI benefits received by eighteen (18)
to nineteen (19) year old recipients due to their in-school status
are countable as income in the determination of need and the amount
of cash assistance.
B. In addition, the Veterans Administration
sponsors several different educational assistance programs. One does
not have to be a veteran to qualify for assistance under some of the
programs. Anyone receiving VA educational assistance receives an
award letter indicating the amount to be received and the period of
time for which it will be received.
C. In determining need and amount of
assistance, that part of the payment which is intended for the
individual dependents who are in the assistance unit is counted as
available income. The verified amount from the student's portion that
is used for tuition, books, fees, equipment, special clothing needs,
and transportation for education-related purposes is not considered
as income in the determination of need and amount of the assistance
payment.
D. The total amount of the allowable
educational expenses is deducted up to the amount of the individual's
benefit. Only the balance, if any, is entered as income.
E. Federally or Non-Federally Supported
Sources
1. Individuals may receive scholarships,
grants and awards from federally supported sources such as the Bureau
of Indian Affairs (BIA); state sources; civic, fraternal, and
alumni/alumnae organizations; from relatives; or because of verified
needs, achievements or a combination of such reasons.
2. That portion of the scholarship, grant
or award which is used for tuition, books, fees, equipment or
transportation for school purposes is disregarded as income in the
determination of need and amount of the assistance payment. (See also
§ 2.12.3(A)(3) of this Part, Excluded Income.)
2.15.9 Deemed Income
A. In certain instances, income must be
deemed to the members of the assistance unit and counted in the
determination of eligibility for and the amount of cash assistance.
Deemed income means income that is counted as available and received,
even if it is not in fact received by the assistance unit.
B. There are three (3) groups of
individuals whose income must be deemed available to the assistance
unit. These are:
1. Parent(s) of a minor parent or pregnant
minor when s/he is living in the same household:
a. The income of the parent(s) of a minor
parent or pregnant minor (under age eighteen (18)) who applies for or
receives cash assistance is deemed available to the minor parent's
assistance unit when:
(1) The minor parent lives with his/her own
parent(s); and
(2) The parent(s) is (are) not receiving
assistance themselves.
b. The income of such parents, less
appropriate disregards, is counted in the determination of
eligibility for and the amount of cash assistance for the minor
parent and his/her dependent child(ren). The policy and the method
for calculating the amount of deemed parental income are found in §
2.16 of this Part.
2. Sponsors of non-citizens:
a. The income of the sponsor and sponsor's
spouse of a non-citizen applying for or receiving cash assistance is
deemed available to the assistance unit unless the non-citizen is
exempt from the sponsorship deeming provisions.
b. A sponsor is anyone who executed an
affidavit of support or similar agreement on behalf of a non-citizen
as a condition of the non-citizen’s entry into the United
States. This provision does not apply to non-citizens who were
sponsored by private or public organizations. The policy and the
method for calculating deemed non-citizen sponsorship income (and
resources) is found in § 2.17 of this Part.
3. Parent(s) of a child(ren) who is (are)
ineligible to receive cash assistance themselves.
a. Ineligible Parent of Children
In most cases, the parent of a child is
required to be included in the assistance unit, refer to § 2.4
of this Part for a complete discussion of the Assistance Unit rules.
In certain instances, a parent cannot be included in the cash
payment. This occurs when the parent is either statutorily barred
from cash assistance eligibility or disqualified from the cash
assistance program. However, all parents, even if not included in the
receipt of benefits, are required to cooperate with RI Works work
plan and opportunities unless exempted specifically from the work
requirements.
(1) Income of Statutorily Barred Parent
(AA) A ninety dollar ($90) disregard and
any applicable dependent care disregard is applied to the earned
income of a statutorily barred parent. In addition, an amount is
allocated to meet the parent's own needs. This is done by subtracting
the cash assistance standard for a plan size excluding the parent
from the cash assistance standard for a plan size including the
parent.
(BB) If the ineligible parent has
dependents also ineligible solely because they do not meet program
requirements but are not sanctioned individuals, an amount is
allocated to meet their needs by using the method specified above.
The net income of the ineligible parent is then counted as unearned
income to determine eligibility for and the amount of cash
assistance.
(CC) Examples of a parent statutorily
barred from receipt of cash assistance include a parent who is an
ineligible non-citizen because of sponsor-to-non-citizen deeming, or
because of the receipt of lump sum income.
(2) Income of Disqualified Parent
(AA) When the parent is disqualified from
cash assistance and has income of her/his own, this income must be
considered available to the assistance unit. In determining the
amount of income available to the assistance unit, no amount is
allocated to meet the needs of the sanctioned parent. Moreover, no
earned income disregards are applied to the earned income of the
sanctioned parent.
(BB) Examples of a parent disqualified from
receipt of cash assistance include a parent sanctioned because of
refusal or failure to cooperate with the Office of Child Support
Services.
b. Income of the Spouse of a Loco Parentis
(L.P.) Caretaker
(1) The income and resources of the spouse
of a Loco Parentis caretaker applying for or receiving cash
assistance is deemed available to the assistance unit. The income of
a spouse of an L.P. caretaker includes both his/her earned and
unearned income. (However, the income of an SSI spouse is not
deemed.)
(2) Prior to the spouse's income being
applied to the needs of the L.P. caretaker's assistance unit, certain
disregards are allowed. These disregards are verified and applied, as
appropriate, in the following order:
(AA) Earned Income. From the spouse's
monthly gross earned income, disregard the first ninety dollars
($90).
(BB) Net Earned and Unearned Income. An
amount is disregarded for the support of the spouse and any other
individuals who are living in the home, but whose needs are not taken
into account in the determination for cash assistance or SSI and who
are claimed or could be claimed by the spouse as dependents for
purposes of determining his/her federal personal income tax
liability.
(CC) The amount disregarded must equal the
cash assistance spouse's standard for a plan size of the same
composition as the spouse's family group but excluding any person
included in the L.P. caretaker's family.
(DD) Amounts actually paid by the spouse to
individuals not living in the home but who are claimed or could be
claimed by him/her as dependents for purposes of determining federal
personal income tax liability are disregarded.
(EE) Amounts actually paid by the spouse as
alimony and/or child support to individuals not living in the
household are disregarded.
(FF) The spouse's net income, after the
appropriate disregards are allowed, is assumed available to meet the
needs of the L.P. caretaker's assistance unit.
(GG) If this income renders the assistance
unit ineligible for cash assistance, the L.P. caretaker has the
option to apply for cash assistance for the child(ren) in his/her
care only, without requesting for him/herself. In this situation, no
income or resource from either adult (the L.P. caretaker or the
spouse) would count towards the child's or children's eligibility.
2.16 Support of Dependent Children
A. DHS requires spouses to contribute to
the support of each other and also requires that parents, either
singly or jointly, support their children under eighteen (18) years
of age (or nineteen (19), if eligible for cash assistance). The
parent(s) and stepparent of a dependent child for whom assistance is
sought or received must be included in the assistance unit if they
live in the same household as the child. The parent(s) and stepparent
of a minor unwed parent in need of assistance and living in the same
household in most cases need not be included in the assistance unit.
B. However, the income of a parent(s) and
stepparent of a minor unwed parent living in the household is subject
to the deeming provisions specified in § 2.16.2 of this Part.
2.16.1 Support of Unwed Minor Parent
A. By federal court order, unwed parents
under eighteen (18) years of age are eligible to apply for assistance
and to receive cash assistance, if otherwise eligible. Therefore, age
by itself is not a barrier to eligibility for cash assistance from
the RI Works Program. For additional eligibility requirements for
minor parents and pregnant minors, see § 2.12 of this Part.
B. In the determination of eligibility of
an assistance unit headed by an unwed minor parent or pregnant minor,
it is necessary to deem to said minor parent and to her/his dependent
child(ren) the available income of her/his parent(s) and/or
stepparent living in the same household. If income is deemed from a
parent and/or stepparent to an assistance unit headed by a minor, the
deeming procedure specified in § 2.16.2 of this Part is
followed. Thus, an amount, based upon assistance payment standards,
is disregarded to meet the parent's own needs.
C. Eligibility is denied the assistance
unit if the parent(s) living in the home fail(s) to provide
sufficient information to establish eligibility for cash assistance.
2.16.2 Minor Parent Living in Parental
Home
A. When an unwed minor parent is living in
the home of her/his parent(s) and/or stepparent, the income of the
parent(s) and/or stepparent must be determined first. This
determination is made by following the procedures set forth in §
2.16.2 of this Part.
B. When it is determined by this procedure
that the parent(s) and/or stepparent has/have the ability to support,
in whole or in part, the minor unwed parent and her/his dependent(s),
the parent's (parents') and/or stepparent's net income, after
appropriate disregards are allowed, is deemed as unearned income in
determining eligibility for and the amount of cash assistance for the
minor parent and her/his dependent(s).
2.16.3 Deeming of Grandparent's Income
A. When determining financial eligibility
for cash assistance of a minor parent living in the home of her/his
parent(s) and/or stepparent, it is necessary to consider the
resources and income of the parent(s) and/or stepparent.
B. The income of a parent(s) and/or
stepparent of a minor parent includes both his/her/their earned and
unearned income. However, the income of an SSI parent(s) and/or
stepparent is not deemed. Prior to the parent(s) and/or stepparent's
income being applied to the needs of the minor parent's assistance
unit, certain disregards are allowed. These disregards are verified
and applied, as appropriate, in the following order:
1. Earned Income. From the parent(s) and/or
stepparent's monthly gross earned income, disregard the first ninety
dollars ($90).
2. Net Earned and Unearned Income. An
amount is disregarded for the support of the parent(s) and/or
stepparent and any other individuals who are living in the home, but
whose needs are not taken into account in the determination for cash
assistance or SSI and who are claimed or could be claimed by the
parent(s) and/or stepparent as dependents for purposes of determining
his/her/their federal personal income tax liability. The amount
disregarded must equal the cash assistance parent(s) and/or
stepparent's standard for a plan size of the same composition as the
parent(s) and/or stepparent's family group but excluding any person
included in the minor parent's family.
3. Amounts actually paid by the parent(s)
and/or stepparent to individuals not living in the home but who are
claimed or could be claimed by him/her/them as dependents for
purposes of determining federal personal income tax liability are
disregarded.
4. Amounts actually paid by the parent(s)
and/or stepparent as alimony and/or child support to individuals not
living in the household are disregarded.
5. The parent(s) and/or stepparent's net
income, after the appropriate disregards are allowed, is assumed
available to meet the needs of the minor parent's assistance unit.
2.17 Income of Non-Citizen with
Liable Sponsors
A. When determining financial eligibility
for cash assistance, it is necessary to consider the resources and
income of a sponsor of a legally admitted non-citizen. Those
resources and income of a sponsor which are deemed (taken for granted
as available) as the resources and unearned income of a non-citizen
are used in making the determination of eligibility for and amount of
cash assistance.
B. Those non-citizens who meet the date of
entry criteria and are not exempt as outlined in § 2.17.1 of
this Part must cooperate in obtaining and documenting their sponsor's
income and resources in order to determine their sponsor's liability.
If such information and documentation are not provided, the agency
representative is unable to determine eligibility for cash
assistance.
C. The applicability of sponsorship deeming
affects all applications for assistance made by the legal
non-citizen.
2.17.1 Non-Citizens Exempted from
Sponsor Liability
A. The policy of sponsorship liability does
not apply to non-citizens who are exempted because they are:
1. Dependent children of the sponsor or of
the sponsor's spouse;
2. Admitted as a conditional entrant
refugee to the United States as a result of the application, prior to
4/1/80, of the provisions of Comprehensive Environmental Response,
Compensation, and Liability Act, 42 U.S.C. § 9601;
3. Admitted as refugees to the United
States as a result of the application, after 3/31/81, of the
provisions of 8 U.S.C. § 1157;
4. Paroled into the United States as a
refugee under 8 U.S.C. § 1182;
5. Granted political asylum by the Attorney
General under 8 U.S.C. § 1158;
6. Cuban or Haitian entrants, as defined in
Refugee Education Assistance Act of 1980, Pub. Law No. 100-200;
7. Amerasians admitted to the United States
under the provisions of the Amerasian Homecoming Act, Pub. Law No.
100-200.
2.17.2 Sponsor Definition and
Responsibility
A. A sponsor is, for the purpose of
applying this policy, any person, agency, or organization that
executed an affidavit of support or a similar agreement on behalf of
a non-citizen as a condition of the non-citizen's entry into the
United States.
B. The income and resources of a sponsor
and the sponsor's spouse, which are deemed as unearned income and
resources to the non-citizen, must be considered available to the
non-citizen.
C. The spouse's income and resources must
be counted even if the sponsor and spouse have married since the
signing of the agreement.
D. The income and resources of a sponsor
who signed a support agreement for a non-citizen are still considered
in the determination of the non-citizen's eligibility for assistance
even if the sponsor claims to have given up sponsorship
responsibility.
2.17.3 Considerations Relating to
Sponsoring Agency
A. The responsibilities of a sponsoring
agency or organization are the same as those of an individual
sponsor. It is the obligation of the sponsoring agency to support the
non-citizen, if necessary to prevent the non-citizen from becoming a
public charge.
B. The obligation to support is considered
to have ceased if the agency:
1. no longer exists, or
2. has become unable to meet the
non-citizen's needs.
C. If the non-citizen contends that either
condition prevails, s/he must provide evidence to substantiate the
claim. When the demise of the sponsoring agency or organization is
common knowledge, documentation may not be required. But when such is
not the case, the non-citizen must obtain verification from the
Office of the Secretary of State or other appropriate government body
in the state where the agency was chartered.
D. If the sponsoring agency or organization
continues to exist but maintains it has become unable to meet the
non-citizen's needs, the non-citizen must furnish an affidavit to
this effect from the sponsoring agency to support the claim.
2.17.4 Responsibility of Non-Citizen
A. A non-citizen must provide information
and documentation of her/his sponsor and the sponsor's income and
resources. Moreover, the non-citizen is responsible in obtaining the
cooperation of the sponsor for the purpose of determining what income
and resources can be deemed to the non-citizen.
B. Non-citizens who do not obtain this
cooperation or supply this information are not eligible to receive
cash assistance.
C. From the documents supplied, the agency
determines if the non-citizen has a sponsor and if that sponsor
signed an agreement to support.
D. If the non-citizen is unable to supply a
copy of the Non-Citizen Sponsorship Affidavit, or further
verification or information is needed from the United States
Citizenship and Immigration Services (USCIS), the agency
representative may assist the applicant in obtaining such
information. USCIS form G-639, Freedom of Information/Privacy Act
Request, is used for this purpose.
E. The instructions for completing the form
are on the reverse side of the G-639. In order to expedite the return
of the form from USCIS, in Section 2, the name of the agency with an
attention to the worker, and the office address and telephone number
may be entered. The form may be mailed to:
Dept. of Homeland Security
10 Fountain Plaza
Buffalo, NY 14202
F. Calculation of Income Deemed to
Non-citizen. The monthly income of the sponsor (and of the sponsor's
spouse) deemed available to the non-citizen is computed in the
following way (it should be noted that income from a sponsor
receiving SSI, GPA, or cash assistance from the RI Works Program is
not considered available to the non-citizen):
1. The sponsor's total monthly earned
income is reduced by twenty percent (20%) (not to exceed one hundred
seventy-five dollars ($175) monthly). Earned income is wages, salary,
or gross earnings from self-employment minus the full amount of any
costs incurred in producing self-employment income in the month.
2. The sponsor's total monthly unearned
income is then added to the net amount of earned income calculated.
3. The remaining monthly amount is deemed
as unearned income to the non-citizen who is applying for cash
assistance.
G. Calculation of Resources Deemed to
Non-citizen
1. The resources of the sponsor (and of the
sponsor's spouse, if living together) deemed available to the
non-citizen are determined as described below. It should be noted
that resources of a sponsor receiving SSI, GPA, or cash assistance
from the RI Works Program are not considered available to the
non-citizen.
2. In determining the resources of a
sponsor to be deemed to the non-citizen, the resource exclusions in §
2.14.2 of this Part shall be applied and the value in excess of one
thousand five hundred dollars ($1,500) shall be considered available
to the non-citizen.
H. Prorating Income and Resources of
Sponsor
1. In a case where a person is the sponsor
of two or more non-citizen individuals, the deemed income and
resources of the sponsor and of the sponsor's spouse are divided
equally among the non-citizens.
2. In a case where a person is the sponsor
of two or more non-citizen families, the deemed income and resources
of the sponsor (and of the sponsor's spouse, if living together) are
divided equally among the non-citizens applying for or receiving
assistance.
3. Income and resources deemed to a
sponsored non-citizen are not considered in determining the needs of
other unsponsored members of the non-citizen's household. An
exception occurs when the deemed income and resources are actually
available to members of the non-citizen's family such as the
non-citizen's spouse and/or children.
I. Overpayments. When overpayments are made
to a non-citizen because a sponsor failed to provide correct
information, both the sponsor and non-citizen are held responsible.
Refer to policy on overpayments in § 2.31 of this Part for
procedures.
2.18 Standards of Assistance
2.18.1 RI Works Standards of Assistance
A. To utilize the table below, select the
appropriate amount from the cash assistance monthly standard column
according to the number of eligible persons in the assistance plan.
B. Payment to eligible families is made
semi-monthly. The conversion of monthly dollar amounts to
semi-monthly payment amounts is done automatically by the eligibility
system.
Plan Size
Cash Assistance
Monthly Standard
Cash Assistance
Semi-Monthly Amount
1
$ 327.00
$ 163.50
2
449.00
224.50
3
554.00
277.00
4
634.00
317.00
5
714.00
357.00
6
794.00
397.00
7
874.00
437.00
8
954.00
477.00
9
1,034.00
517.00
10
1,114.00
557.00
11
1,194.00
597.00
12
1,274.00
637.00
13
1,354.00
677.00
14
1,434.00
717.00
15
1,514.00
757.00
Add for each person over 15
$ 80.00
$ 40.00
2.18.2 Subsidized Housing Adjustment
The payment standard is reduced by fifty
dollars ($50) for any family residing in subsidized housing.
2.18.3 Determination of Assistance Plan
Size
A. The unit of eligible family members
consists of and includes the persons listed below when they are
required to be included in the assistance unit (as specified in §
2.4 of this Part) and are otherwise eligible or when a request for
their support is made, they are in need, and are otherwise eligible.
1. Eligible Child(ren)
a. An eligible child who meets the
eligibility factor of age as defined in § 2.5.2 of this Part,
and who is living with a relative, as defined in § 2.5.3 of this
Part is included in the assistance unit.
b. Also included is an eligible child
between the ages of eighteen (18) and nineteen (19) years if s/he is
a full-time student in a secondary school (or at the equivalent level
of vocational or technical training) and reasonably expected to
complete the program before or in the month of her of his nineteenth
(19th) birthday.
2. Eligible Relative(s). The natural or
adoptive parent (or needy relative of acceptable relationship) who is
providing continuous care or support to the eligible child(ren),
including such parent whose eligibility is established by the
presence of an SSI child in the home who meets the eligibility
requirements, is included. The natural or adoptive custodial parent,
(re)married and living with the spouse, must be included in the unit
along with her/his spouse.
3. Unwed Natural Father. For an unwed
natural father (or one of his relatives) to qualify as an eligible
relative, his paternity must have been established under applicable
state law (see § 2.5.3 of this Part).
4. Pregnant Woman. A needy pregnant woman
is included; if the unborn child had been born and was living with
her in the month of the payment, she is eligible for cash assistance
for a plan size of one (1), but only when she reaches the sixth month
of pregnancy (see Table in § 2.5.8 of this Part) and when the
pregnancy is verified.
5. Non-Needy Relative. If the eligible
children are residing in the home of a non-needy relative not
required to be included in the assistance unit, the cash assistance
standard corresponding to the plan size for the number of eligible
children (minus any available income) is the basis of the cash
assistance grant.
6. Parent or Child Receives SSI. Whenever
the parent (or loco parentis) or a child receives an SSI payment,
such a person is excluded from the count of eligible members.
7. Persons Not Married. When there are two
or more dependent children living in the same household with two (2)
other persons not married to each other, and each of such persons is
a relative who has responsibility for the support or care of one or
more of the dependent children, the household may comprise two (2)
separate cash assistance cases and payments, provided the two persons
do not have a child in common (or the members of the household are
not otherwise required to compose a single assistance unit). If the
caretakers have a common eligible child, all members of the conjoint
family must be consolidated into a single unit receiving one payment.
B. Whenever there are two (2) cash
assistance units in the same household, the standard level of payment
applicable to the size of each assistance unit serves as the basis of
need upon which separate cash assistance grants are established for
each assistance unit.
2.18.4 Children in Custody of DCYF
A. DCYF is responsible for children
committed by the Family Court to its care or who are under that
Department's voluntary or legal supervision or guardianship.
Financial support is given through the Foster Care program when DCYF
places the child with foster parents, a relative, or in a specialized
group setting.
B. Children in Placement with Relatives. In
situations where DCYF places a child with a relative other than a
parent, the relative, if s/he meets the eligibility requirement of
relationship, has a choice of applying for cash assistance for
support of the child or receiving a Foster Care payment. The relative
is advised by the DCYF worker of the amount of payment for which s/he
would be eligible for the child and for himself/herself, including
Medical Assistance, if eligible, compared to the amount of foster
payment and Medical Assistance s/he would receive for the child only.
A boarding payment is never made to the parent by DCYF.
2.18.5 Minimum Monthly Payment
A. Pursuant to R.I. Gen. Laws §
40-5.2-16, no payment of cash assistance shall be made for any month
if the amount of such payment would be less than ten dollars ($10).
B. Monthly Deficit Less Than Ten Dollars
($10)
1. If the monthly deficit in a cash
assistance grant is less than ten dollars ($10) after eligibility is
determined and appropriate income applied, no cash payment can be
made for that month.
2. Families denied payment solely because
of this limitation are considered recipients of cash assistance for
all other purposes.
3. An adverse notice must be mailed at
least ten (10) days prior to the effective date, informing the
recipient that no cash payment can be made because the deficit is
less than ten dollars ($10) per month but that eligibility for cash
assistance continues.
4. In all other respects, except for a cash
payment, this case remains an active case. This also includes those
situations where payment is reduced to zero due to rounding, e.g.,
ninety-nine (99) cents rounded down to zero.
C. During the initial month, the family may
only receive a partial payment of the appropriate standard. The
payment amount is reduced in proportion to the number of days from
the filing date until the end of the month. For proration purposes, a
thirty (30) day standard is used as the number of days in each month.
D. Monthly Deficit Ten Dollars ($10) or
More. If the monthly deficit is ten dollars ($10) or more, the
payment is issued regardless of the amount. If the monthly deficit is
less than ten dollars ($10) per month, no payment is issued as per
regulations set forth above.
E. Changes in Family Composition or Income.
Any changes in family composition, income, or resources must be acted
upon by the agency representative within ten (10) days by updating
the electronic eligibility system file. All pertinent eligibility and
cooperation requirements must continue to be met.
2.18.6 Post-Closure Employment Incentive
Bonus
A. The family/assistance unit may be
eligible for an incentive bonus,
1. if cash assistance closes,
2. the participant is working at least
thirty (30) hours per week for a single-parent family or at least
thirty-five (35) hours per week for a two-parent family at the time
of closure, and
3. the participant remains employed at the
standards listed in § 2.18.6(A)(2) of this Part.
4. This bonus is not to be issued in excess
of a period of twelve (12) months.
B. Monthly reporting of income will be used
to determine ongoing eligibility for this bonus.
C. It is especially noted that assignment
of support rights, as described § 2.7.8 of this Part, will be
terminated at closure and not reinstated during the period of receipt
of a post-closure employment incentive bonus.
2.18.7 Clothing Allowance
The clothing allowance is a one-time
payment issued separately from the regular payroll for children of
cash assistance families. The amount of the clothing allowance shall
be determined subject to the amount appropriated for that purpose.
2.18.8 Payment of Burial Expenses
A. When a member of a family active on cash
assistance dies and the family requests payment to meet funeral and
burial expenses, the agency representative determines from
information in the case record whether any income or resources of the
deceased or of legally liable relatives are available to meet burial
expenses.
B. The agency representative records the
pertinent information on a referral form and transmits it, attached
to a copy of the most recent Application for Assistance, to the GPA
Unit for determination of eligibility for payment to meet burial
expenses. If eligibility exists, the GPA worker authorizes a payment
through GPA funds pursuant to policy in § 3.24
of this Subchapter.
2.18.9 Emergency Assistance
To the extent that the Department has
allocated resources for this purpose, DHS may provide assistance to
individuals in families who are RI Works recipients to meet certain
emergency needs as defined within this section which cannot be met
with the cash resources available to the family. The emergency
assistance will be limited to the lesser of actual cost or the amount
of two hundred dollars ($200), and the expense will only be
reimbursable if the Department has pre-approved the expenditure.
2.18.10 Catastrophic Assistance
A. In the event of a catastrophe caused by
fire, flood, lightning, severe wind, or other act of nature, DHS may
authorize catastrophic assistance funds not subject to the
two-hundred dollar ($200) limit specified in § 2.18.9 of this
Part.
B. Compensable fire damage is further
restricted to that caused by flame, smoke, and subsequent secondary
water damage where there is damage to the dwelling. Furthermore, the
incident must be reported immediately to the fire department. Other
specific exclusions under any circumstances are destruction for which
a landlord can be held responsible, willful destruction or willful
neglect by the recipient or a member of her/his family, damage
covered by insurance policies, and isolated mechanical or electrical
failures where there is no secondary damage.
C. Emergency funds may be authorized for
clothing for RI Works recipients or repair or replacement of
essential household equipment and furnishings in the event of such
catastrophe.
D. Whenever reasonable, repair of soot-,
smoke-, and/or water-damaged items or of partially destroyed items of
household goods or furnishings must be considered before replacement
can be authorized.
E. Criteria for Catastrophic Assistance
1. Funds for clothing and/or essential
household equipment and furnishings, if necessary, are provided in
the event of a catastrophe, only if all of the following conditions
are met:
a. To be considered, the incident must be
reported immediately by the recipient to the agency at the district
office.
b. The incident must be a catastrophe
caused by fire, flood, lightning, severe wind, or other act of
nature.
c. The catastrophe or disaster must have
occurred at the address recorded in the case record. However, if it
occurred at a different address, the recipient must demonstrate that
s/he had moved and was living there prior to notifying the agency.
Acceptable evidence of residence may include, for example, a moving
bill or statement from a utility company attesting to the recipient's
responsibility for service on the date and at the address in
question. When the catastrophe occurred at an address other than the
address of record, the facts of the situation along with verification
of residence are presented to the RIW Administrator, assistant
administrator or RIW supervisor for a decision on whether this
condition for emergency assistance has been met.
d. Coverage is limited to possessions of
the recipient or those of other member(s) of the RI Works assistance
unit.
e. Whenever possible, community resources
must first be explored and utilized.
f. Whenever reasonable, a partially
destroyed item of household goods or furnishings must be repaired
rather than replaced. If replacement is required, the purchase of
used items must be considered before funds for new items can be
authorized.
g. Any repairs to the basic structure of a
recipient-owned dwelling, such as roof, stairs, septic systems,
plumbing, wiring, siding, etc., are specifically not covered
regardless of the reason for the repair.
h. Thefts of clothing and household
furnishings and equipment are specifically not covered.
i. If repeated emergencies occur for one
case, or the circumstances are questionable, payment may be denied.
2. Agency Responsibilities
a. The recipient must report the
catastrophe immediately. A representative of the Housing Services
Unit (HSU) must visit the site as soon as possible to begin to help
the recipient and to authorize initial clothing and/or essential
household equipment and furnishings, if necessary, as outlined below.
b. The HSU is responsible for determining
at once the need for immediate replacement of clothing which is
provided through RI Works funds. If an individual recipient's
clothing has been destroyed, funds for immediate replacement of
clothing can be authorized up to the maximum of one hundred
twenty-three dollars ($123) per person.
c. The DHS worker is responsible for
authorizing payments for replacement clothing through the eligibility
system.
d. The housing worker is responsible for
verifying and documenting the need for repair or replacement of
essential household items.
e. A home visit to the site must be made
within two (2) working days of the recipient's notification of the
catastrophe to document the facts related to § 2.18.10 of this
Part, if repair or replacement of essential household items is
requested.
f. A written report must be prepared by the
housing worker for review by the RIW Administrator, assistant
administrator or RIW supervisor as the final approving authority for
authorization of payment for such items. The contents of the report
must follow the sequence of conditions or requirements listed in §
2.18.10(E) of this Part. It must contain firsthand information and
documentation required to support and verify the recipient's request
for repair or replacement.
g. A police or fire department official and
any appropriate collateral source is contacted and a written report
requested to accompany the report to the RIW Administrator, assistant
administrator or RIW supervisor. If a written report cannot be
obtained, an oral report will suffice, provided that the official's
name, title, telephone number, and all relevant facts are recorded in
a memorandum. Unless there is a delay in obtaining a police or fire
report, the housing worker must submit her/his report within five (5)
working days of the recipient's notification.
h. The report must also contain a statement
signed by the recipient attesting to the circumstances of the
catastrophe and the extent of the damage. Also required is a detailed
list of damaged or destroyed major items of household equipment and
furnishings by room, including an indication as to whether each item
is to be obtained from a non-agency community resource, repaired,
replaced with a used item, or replaced with a new item. If repair or
replacement is indicated, only items contained in "Household
Furniture and Furnishings Emergency Replacement List", a copy of
which is in the possession of each RIW Administrator, assistant
administrator or RIW supervisor, can be replaced at agency expense.
Items not on the list, such as a television or other entertainment
equipment, are not replaced.
i. The maximum amount of catastrophic
assistance which can be authorized for clothing per recipient is one
hundred twenty-three dollars ($123). The housing worker may recommend
that the Eligibility Technician authorize up to this amount, as
necessary, less any amount previously authorized, if the individual
recipient's clothing was destroyed.
j. The report should also include a brief
narrative describing the immediate action taken (such as use of
emergency shelter, the extent of any personal injury, whether
hospitalization was required, etc.) and any other data needed to
allow the RIW Administrator, assistant administrator or RIW
supervisor to further evaluate the situation and to better assist the
recipient.
k. The RIW Administrator, assistant
administrator or RIW supervisor reviews the report and discusses it,
if necessary, with the housing worker and determines the final amount
of the payment.
l. Throughout the process, the Case
Chronology in the eligibility system must be annotated by both the
HSU representative and the Eligibility Technician in the electronic
case record, as appropriate with the chronology of contacts and
information relating to the catastrophe.
3. Denial of Catastrophic Assistance. If
payment for catastrophic expenses is denied, the housing worker
enters the denial in the electronic case record, including the reason
for the denial.
2.18.11 Moving Expenses
A. Emergency assistance for moving expenses
is limited to payment of in-state moving expenses for families who
are forced to move their place of residence. Acceptable instances of
"forced to move" are situations which threaten the health
and well-being of families, including but not limited to:
1. Fire/Natural disaster;
2. Uninhabitable housing;
3. Unsafe (substandard) housing;
4. Unsafe living conditions which include a
situation where one's safety is threatened, (e.g., by a neighbor, and
it can be documented by something such as a police report);
5. Lead hazard problems causing the housing
to be unsafe;
6. Domestic violence;
7. Foreclosure (self-owned home);
8. Evictions;
9. Situations where the tenant has been
asked to vacate;
10. Homelessness; or
11. Other situations/circumstances not
otherwise delineated which: create an immediate threat to the
family's safety and well-being, or can reasonably be expected to
result in eviction within sixty (60) days.
B. Verification Criteria for Payment of
Move
1. RI Works recipients must provide
documentation of their need for emergency assistance for moving as
follows:
a. Fire/natural disaster: a written report
from a police or fire department official and/or any appropriate
collateral source, such as the Red Cross;
b. Uninhabitable housing: a notice from the
local code enforcement authority vested with the authority to issue
such notice of a finding that the residence is unfit for
inhabitation;
c. Unsafe (substandard) housing: memorandum
from local code enforcement or DHS worker detailing such conditions.
The memo must be approved by the Housing Unit Supervisor;
d. Unsafe living conditions: police report;
e. Lead hazard: Inspector's Report from the
RI Department of Health;
f. Domestic violence:
(1) through an assessment by the domestic
violence advocate and/or DHS worker and one of the following: a No
Contact Order, a District Court Restraining Order, a Family Court
Restraining Order; an Order of Protection or a Restraining Order from
another state related to domestic violence; police report related to
domestic violence; court records related to domestic violence; or
medical records related to domestic violence; or
(2) recommendation from a domestic
violence advocate. Referral of the individual to the domestic
violence advocate should be made in accordance with § 2.13 of
this Part if the individual has not already been referred.
g. Foreclosure: letter of foreclosure from
the mortgagor;
h. Eviction: notice and demand to vacate
property, or court pleading initiating an eviction, or court order of
eviction;
i. Situations where the tenant has been
asked to vacate: letter from landlord demanding termination of
tenancy;
j. Homelessness: letter from shelter or
previously verified by DHS AND bill or receipt from storage
site/facility; and
k. Other situations/circumstances: the DHS
worker within housing services unit (HSU) must document the
circumstances and reasons in a memorandum, including any available
appropriate supporting documentation to the RIW Administrator,
assistant administrator or RIW Supervisor.
C. Authorization of Moves:
1. The Department reimburses the recipient
for the incurred expense for an approved move up to a maximum of two
hundred dollars ($200). It is the responsibility of the recipient to
pay a vendor. The Department has no further responsibility to meet
the moving expense.
2. The Department makes no provision to
meet the cost of out-of-state moves. This prohibition may be waived
by the RIW Administrator, assistant administrator or RIW supervisor
in unusual or exceptional circumstances.
3. A payment for a move will be issued only
once in a twelve (12) month period unless:
a. the need for a move results from a fire
or natural disaster, or
b. a waiver is granted by the RIW
Administrator, assistant administrator or RIW supervisor for unusual
or exceptional circumstances based on a report by the HSU.
4. When a request for payment of a move is
received by the DHS worker, s/he advises the client to contact the
housing worker.
2.18.12 Protective Payments
A. Protective payments are payments made to
an individual on behalf of a parent or caretaker relative to meet the
needs of eligible children or families.
B. Minor Parents and Pregnant Minors. Cash
assistance for eligible minor parents and their child(ren) and
pregnant minors will be paid to the parent, legal guardian, or other
adult relative on behalf of the minor parent, unless otherwise
determined by the agency representative. Under the latter
circumstance, when the minor resides in an adult-supervised
supportive living arrangement, the payment may be made to the minor
parent or pregnant minor.
C. Authorizing a Protective Payee
1. When it is established that a protective
payment must be made, the agency representative refers the case to
the appropriate agency representative to review the situation with
the recipient and, with her/his consent and participation, if
possible, select some appropriate and responsible person (other than
the parent) to act as the payee on behalf of the parent and to pay
the expenses of the family.
2. If after making all reasonable efforts,
the agency is unable to locate an appropriate individual to whom
protective payments can be made, the agency may continue to make
payments on behalf of the remaining members of the assistance unit to
the sanctioned caretaker relative.
D. The protective payee must update and
co-sign the current Application for Assistance in the case file, and
a notation added to the electronic case record. Only the pertinent
information on the form relating to the eligible person(s) is to be
completed.
E. Notification. A parent or caretaker
relative is notified of the change to a protective payee as well as
of her/his right to a hearing, if s/he is dissatisfied with the
decision. If the recipient requests a hearing on the issue within the
ten (10) days, the payment is continued to her/him until the hearing
decision.
2.19 Electronic Benefit Transfer (EBT)
2.19.1 Electronic Benefit Transfer (EBT)
Cards
A. Eligible RI Works Program families
access their EBT cash benefits by using a RI EBT card along with a
personal identification number (PIN). Recipients who receive both
cash benefits and Supplemental Nutrition Assistance (SNAP) benefits
receive one (1) RI EBT card to access both benefits. However, the
benefits are maintained in separate EBT accounts.
B. EBT Card Issuance
1. An EBT card is issued to the applicant
in the RI Works/SNAP case. In two- parent families, a card is issued
to one parent and another card may be issued to the other parent as
an authorized payee.
2. RI EBT cards are issued in all RI Works
district offices and Supplemental Nutrition Assistance Program
offices using special card embossing and PIN selection machines.
C. Personal Identification Number (PIN)
1. 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. The cardholder selects a PIN
in the local office via special PIN encoding machines. For
replacement RI EBT cards, the recipient may use the same PIN or
select a new number.
2. Authorized payees must have their own RI
EBT card and their own PIN. (See § 2.19.6 of this Part, EBT
Cards for Authorized Payees.)
3. When using an RI EBT card, the
cardholder is allowed four (4) attempts to enter the correct PIN. On
the fifth try, the cardholder is locked out of the EBT system until
the next day. However, the card is not confiscated by the ATM.
Cardholders must call the Customer Service Help Line at
1-888-979-9939 for assistance.
D. Payment of EBT Cash Assistance
1. Payment of RI Works Program cash
benefits through an electronic benefit transfer (EBT) system is
authorized by R.I. Gen. Laws § 40-5.2-31. Cash benefits are
credited to an EBT account in the recipient’s name by 5:00 a.m.
on the first and sixteenth of the month including weekends and
holidays.
E. Accessing EBT Cash Benefits
1. Recipients and authorized payees' access
EBT cash benefits by using a plastic Rhode Island EBT card and their
personal identification number (PIN). The RI EBT system provides
access to cash benefits at bank, credit union, and retail store
automated teller machines (ATMs) which display the NYCE logo.
2. Some retail establishments also provide
access to cash accounts at point-of-sale (POS) terminals which
display the QUEST logo. This service is called a cash back
transaction and policies on its availability and limits on the amount
of cash dispensed are set by the individual store. No fee is charged
when cash benefits are accessed at POS terminals.
3. Each month, recipients can make a total
of two (2) free cash withdrawals from ATMs. For each additional ATM
cash withdrawal in the month, a fee of forty-five (45) cents is
charged. The fee is automatically deducted from the recipient's cash
benefit account.
4. Disputes regarding recipients’ EBT
cash account balances are handled by the EBT Customer Service Help
Line at 1-888-979-9939.
2.19.2 Restrictions on Use of EBT Cash
Benefits
A. Pursuant to 45 C.F.R. § 264, it is
prohibited for a TANF recipient to use their TANF cash assistance
benefits received under RI Works, R.I. Gen. Laws Chapter 40-5.2, in
any electronic benefit transfer transaction (EBT) in:
1. any liquor store; or
2. any casino, gambling casino, or gaming
establishment; or
3. any retail establishment which provides
adult-oriented entertainment in which performers disrobe or perform
in an unclothed state for entertainment.
B. The Department is working with the EBT
contractor to block the use of the EBT card in these restricted
establishments.
C. Definitions – (For purposes of
above.)
1. “Liquor Store” means any
retail establishment which sells exclusively or primarily
intoxicating liquor. Such term does not include a grocery store which
sells both intoxicating liquor and groceries including staple foods
(within the meaning of section 3(r) of the Food and Nutrition Act of
2008 (7 U.S.C. § 2012(r)).
2. “Casino, Gambling Casino, or
Gaming Establishment” - the terms ‘casino’,
‘gambling casino’, and ‘gaming establishment’
do not include:
a. a grocery store which sells groceries
including such staple foods and which also offers, or is located
within the same building or complex as, casino, gambling, or gaming
activities; or
b. any other establishment that offers
casino, gambling, or gaming activities incidental to the principal
purpose of the business.
3. “Adult-Oriented Entertainment”
refers to any retail establishment which provides adult-oriented
entertainment in which performers disrobe or perform in an unclothed
state for entertainment, also known as “strip clubs.”
Further clarification of these retail establishments includes venues
that prohibit the entrance of minors under the age specified by state
law.
4. “Electronic Benefit Transfer
Transaction” means the use of a credit or debit card service,
automated teller machine, point-of-sale terminal, or access to an
online system for the withdrawal of funds or the processing of a
payment for merchandise or a service.
2.19.3 Penalties for Using EBT at
Restricted Locations
A. Any person receiving cash assistance
through the RI Works Program who knowingly uses an EBT card in
violation in § 2.19 of this Part in an establishment that has
not blocked the restricted transaction, shall be subject to the
following penalties:
1. For the first violation, the household
will be sent a warning that a prohibited transaction occurred;
2. For the second violation, the household
will be charged a penalty in the amount of the EBT transaction that
occurred at the prohibited location;
3. For the third and all subsequent
violations, the household will be charged a penalty in the amount of
the EBT transaction that occurred at the prohibited location AND for
the month following the month of infraction, the amount of cash
assistance to which an otherwise eligible recipient family is
entitled shall be reduced by the portion of the family's benefit
attributable to any parent who utilized the EBT card in a restricted
location. For a family size of two (2), the benefit reduction due to
noncompliance with use of EBT at a restricted location shall be
computed utilizing a family size of three (3), in which the parent's
portion equals one hundred five dollars ($105).
B. All actions pertaining to the collection
of penalties/outstanding claims described in this section are handled
by the Collections, Claims and Recoveries Unit (CCRU) of the
Department of Human Services (refer to www.DHS.ri.gov
for contact information).
2.19.4 Fair Hearing Request
A. If an individual believes that the
intended action regarding usage of EBT cash at restricted locations
is incorrect, s/he may request a hearing before the Executive Office
of Human Services Hearing Officer within thirty (30) days of the
mailing of the notice of adverse action. The individual may request
that benefits be continued pending the outcome of the hearing if the
request is made within ten (10) days of the mailing of the notice.
B. The request is made in writing by the
individual or his/her authorized representative in accordance with
Part 10-00-1
of this Title.
2.19.5 Replacement of EBT Cash Benefits
A. EBT cash benefits which are accessed
through the use of an RI EBT card and personal identification number
(PIN) are not replaced.
B. It is the responsibility of the
recipient or authorized payee to keep the RI EBT card and PIN safe
from unauthorized use and to immediately report lost or stolen cards
to the EBT Customer Service Help Line. Their customer service
representative changes the status of the card from "valid"
to "lost" or "stolen" thereby protecting any
unused benefits.
2.19.6 Lost, Stolen, or Damaged EBT
Cards
A. Cardholders must report lost, stolen, or
damaged RI EBT cards to the EBT Customer Service Help Line. A
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. Cardholders may request a
new card by contacting the local DHS office. Replacement RI EBT cards
are mailed by noon the next business day after the authorization file
has been successfully transmitted. Arrival of the card should be
within three to five (5) business days.
C. In certain circumstances, an EBT card
may be provided at the local DHS office. The DHS worker is
responsible for determining the instances when it is necessary to
provide an emergency EBT card at the office.
D. Emergency circumstances that are beyond
a household member's control and necessitate an emergency in-office
issuance of an EBT card include, but are not limited to:
1. a catastrophe caused by fire, flood, or
a severe weather condition;
2. lost or stolen mail confirmed by the
Postal Service;
3. unanticipated household emergency;
4. domestic violence situation; or,
5. homelessness
E. Cardholders who request four (4) or more
replacement EBT cards within a twelve (12) month period will be
referred to the Office of Internal Audits investigation of misuse or
abuse of the EBT card. Documented violations will result in the
following:
1. Recovery through recoupment/restitution
(See § 2.24.4 of this Part for policy relating to establishing
and collecting claims against households); and/or
2. Referral for criminal prosecution.
2.19.7 EBT Cards for Authorized Payees
A. An authorized payee is a person given
permission by the recipient to act on his/her behalf in withdrawing
or debiting RI Works cash benefits from the EBT cash account.
B. If the same individual is acting as both
an authorized payee for the family's RI Works cash benefits and as an
authorized representative for the household's Supplemental Nutrition
Assistance benefits, only one (1) EBT card is issued.
C. Recipients may cancel their authorized
payee/authorized representative at any time by calling the Customer
Service Help Line at 1-888-979-9939. Customer Service immediately
cancels the authorized payee's/authorized representative's access to
the family's benefits. However, recipients retain uninterrupted
access to their benefits.
2.19.8 Stale EBT Cash Accounts
A. Cash benefits which have not been
accessed for a period of ninety (90) days or more will be purged from
the EBT account. Access to the account is specific to withdrawal
activity. Inquiring against an outstanding benefit does not
constitute access to the account.
B. Written notification of an intended
action to purge cash benefits from a family's EBT account must be
provided at least ten (10) days prior to the date of the action.
2.20 Budget Methodology
2.20.1 Prospective Budgeting
A. In the process of determining
eligibility for and the amount of RI Works cash assistance,
prospective budgeting is used. Eligibility is established based on
the knowledge and reasonable expectation of what income and
circumstances will exist in the month for which a payment is
authorized. The agency representative must determine all factors of
eligibility prospectively for all payment months.
B. Two separate actions must always take
place in determining eligibility:
1. a current determination of all factors
of eligibility is made.
2. if the case is found eligible, the
amount of the grant for the payment month is calculated using the
prospective method.
C. The prospective budgeting method is used
to determine the income which will exist during the period of
eligibility for cash assistance under the RI Works Program. This
means that weekly income for these cases is converted to a monthly
amount using the 4.3333 weeks per month conversion method.
D. The projected estimate of income is
valid for the following periods:
1. between the initial determination of
eligibility and redetermination;
2. between redeterminations;
3. following a change in income or
circumstances which is
a. reported by the recipient or
b. discovered by the Department.
2.20.2 Authorizing Assistance
Benefits are issued on the first (1st) and
the sixteenth (16th) of each month. The agency representative updates
appropriate data in the electronic eligibility system and approves
new versions of eligibility in order to effect changes for the next
effective date.
2.21 Changes to Household
2.21.1 Reporting Changes
A. New Household Member. A new household
member joining a household may qualify for assistance from the RI
Works program. The date the agency is notified of the addition of the
family member constitutes the official application date for that
member.
B. An Application for Assistance need not
be completed for a new member being added to the unit, but the
electronic case record must be updated to reflect the request for
assistance for the member and the date it was made. The DHS worker
adds or revises the electronic case record with the new member's
information and approves any retroactive and current versions of
eligibility.
C. Change in Financial Need. Financial need
is subject to change whenever there is a change in the family
composition, income, or resources. Other changes can affect
eligibility, some of which the agency may be aware in advance and
others which are unexpected and the agency can learn about only when
the recipient or another source makes the information known.
D. When it is known, or presumed, that
income, resources, family size, or other circumstances will change at
a specific time, the agency representative must review the situation
promptly and take appropriate action in a timely manner.
2.21.2 Reporting Requirements
A. In the initial contact with the DHS, and
generally in any subsequent contacts, the adult family members are
made aware of her/his responsibility to report any changes in income,
resources, family composition, or other factors which can affect
eligibility or payment level, within ten (10) days of the change in
circumstances with the following exception:
1. Whenever an adult family member(s)
becomes aware that a minor child in his or her household has been or
will be temporarily absent from the home, the adult family member(s)
is responsible to report such absence of a minor child from the home
by the end of the five (5) day period that begins with the date that
the adult family member(s) becomes aware that the minor child has
been or will be absent from the home for a period of thirty (30) or
more consecutive days.
B. Ten (10) Day Reporting Requirement. The
following changes must be reported by the household within ten (10)
days of the change occurring:
1. changes in sources of income, including
starting or stopping a job or changing jobs, if the change in
employment is accompanied by a change in income;
2. changes in the amount of gross monthly
earned income of more than one hundred dollars ($100) from the amount
last used to calculate the household's allotment;
3. changes in the amount of unearned income
of more than fifty dollars ($50), except for a change in TANF or GPA
cash assistance;
4. all changes in household composition,
such as the addition or loss of a household member;
5. changes in residence;
6. acquisition of a licensed vehicle not
excluded under § 2.14 of this Part; and
7. when cash on hand, stocks, bonds, and
money in a bank account or savings institution reach or exceed a
total of one thousand dollars ($1,000).
C. Furthermore, families receiving cash
assistance as a supplement to earned income must report such earned
income in the sixth (6th) month of each certification period.
2.21.3 Change Reporters
A. Each assistance unit is advised that it
is considered a change reporter and must adhere to the change
reporting requirements set in § 2.21.2 of this Part
B. The assistance unit should be in
possession of a Change Report Form at all times. The agency provides
a Change Report Form to each assistance unit as follows:
1. at the certification interview;
2. at the redetermination interview, if the
assistance unit needs a new form; and
3. whenever a Change Report Form is
received in the mail, a new form is mailed to the assistance unit.
C. Although assistance units are encouraged
to complete and return the Change Report Form when a change is being
reported, changes reported over the telephone or in person by the
assistance unit are acted on in the same manner as those reported on
the Change Report Form.
D. All circumstances and income received or
anticipated to be received are used to determine eligibility for and
to calculate the amount of the TANF benefit. Data from applications
and other documents are entered into the electronic eligibility
system. Following initial approval, the payment for each month
thereafter is calculated based on the projected circumstances until a
change is reported or discovered. When a change occurs, appropriate
data in the electronic eligibility system is updated by the agency
representative, eligibility approved, and notices issued as
appropriate.
2.21.4 Action on Changes
A. Due to the COVID-19 Crisis and the
National Emergency, the DHS may experience a decrease in staff. If
this occurs, action on changes reported to the Department may be
delayed. The DHS will act on all reported changes as soon as
possible.
B. The agency is required to take prompt
action (within ten (10) days of the reported change) on all changes
to determine whether the change affects the family's eligibility or
benefit amount. This includes, but is not limited to, updating
appropriate data in the electronic eligibility system, approval of
changes to eligibility, and the automatic issuance of notices through
the eligibility system based on the reported change.
B. If there is no change in the payment,
the agency representative documents the reported change in the
electronic case record.
C. If the reported change affects the
family's eligibility or benefit amount, the family is notified of the
adjustment. The agency representative also advises the client of any
additional verification requirements that are needed.
D. If the change results in an increase to
benefits but the agency representative fails to take action within
ten (10) days of the date of the reported change, the benefits lost
due to the failure of the agency to act timely are restored and
provided to the household.
2.21.5 Increases and Decreases in TANF
Benefit
A. Due to the COVID-19 Crisis and the
National Emergency, the DHS may experience a decrease in staff. If
this occurs, action on changes reported to the Department may be
delayed. The DHS will act on all reported changes as soon as
possible.
B. Increases to the TANF Benefit
1. Changes which result in an increase in a
family's benefits due to, for example, the addition of a new family
member or a decrease in the family's income, the agency makes the
changes effective no later than the first payment issued ten (10)
days after the date the change is reported. However, in no event must
these changes take effect any later than the second payroll following
the date the change is reported.
2. If the change is reported too late for
the agency representative to adjust the following benefit issuance,
s/he must issue a supplementary payment to the family.
C. Decreases to the TANF Benefit
1. If the household's benefit level
decreases or the family becomes ineligible as a result of a change,
the agency must issue a notice of adverse action (See § 2.31.1
of this Part) within ten (10) days of the date the change was
reported.
2. When a notice of adverse action is used,
the decrease in the payment must be made no later than the next
payroll following the date in which the notice of adverse action
period has expired, provided a hearing and continuation of benefits
have not been requested.
2.21.6 Failure to Report Changes
A. No supplementary benefits shall be
authorized when a client fails to report in a timely manner any
change which increases benefits.
B. If the agency representative discovers
that the family failed to report a change as required and, as a
result, received benefits to which it was not entitled, the agency
representative determines the overpayment and refers the case to the
CCRU in accordance with § 2.24.4 of this Part.
2.21.7 Acknowledgment of Client
Understanding
When the client notifies the agency
directly, either by phone or in person, of a change in circumstances,
the agency representative must discuss with the client the effect
that this change will cause and request an acknowledgment, in
writing, that the client understands that this will result in the
discontinuance or reduction of the assistance.
2.22 Interim Reporting
A. All RIW households are subject to
Interim Reporting requirements.
B. Household composition and financial
circumstances at the time of application will be the basis of the RIW
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. The household composition and financial
circumstances reported on the Interim Report will be the basis of the
RIW benefit amount for the remainder of the certification period
unless the household reports additional changes following the filing
of the Interim Report.
2.22.1 Household Responsibilities
A. In the fifth month of certification,
households subject to Interim Reporting will receive an Interim
Report form in the mail. Households must complete the form in its
entirety and mail the form along with the required verifications back
to the agency by the fifth day of the sixth month of certification.
B. Any responsible household member or
authorized representative may complete the Interim Report. At the
household's request, the agency can provide assistance to the
household in completing the report. A household that submits an
Interim Report by the fifth day of the sixth month of the
certification period is considered to have made timely report.
Failure to return the Interim Report form will result in closure of
RIW benefits.
2.22.2 Agency Responsibilities
A. Upon receipt of an Interim Report, the
worker shall review the report; determine if any additional
information is needed; contact the household as needed to obtain
further information or verification (giving the household at least
ten (10) days to provide information), and determine eligibility and
benefits for the remainder of the certification period.
B. If a household fails to return the
Interim Report form by the fifth day of the sixth month of the
certification period, the agency must send a warning notice to the
household. The household will have ten (10) days from the date of
mailing to return the Interim Report form, along with all the
necessary verifications, or the case will auto-close by the end of
the sixth month of the household's certification period.
C. The agency must assess the returned
Interim Report form for completeness (including the necessary
verifications). If the Interim Report is incomplete or lacks required
verifications of reported changes, the agency must send a request for
any missing verifications, or return the original Interim Report form
back to the household if it is not complete. The household will have
ten (10) days to supply the missing information, verification, or to
complete the form.
2.22.3 Interim Report Verification
Requirements
A. If a household marks "no change"
on the Interim Report form, the report is considered complete.
B. In order to determine eligibility for
the second half of the household's certification period, the
household must provide the following verification:
1. changes of more than $50 in unearned
income (excluding changes in public assistance or general assistance
programs);
2. changes in the source of income;
3. changes in either:
a. The wage rate, salary, or full-time or
part-time employment status; or
b. The monthly earned income (including but
not limited to rental income, room and board income, daycare income,
and business income) if the difference is greater than one hundred
dollars ($100) from the amount used to calculate benefits;
4. changes in household composition;
5. changes in residence and resulting
changes in shelter costs, including changes in subsidized housing;
6. changes in legally obligated child
support payments;
7. acquisition of a non-excludable vehicle;
and
8. resources that reach one thousand
dollars ($1,000) for RIW (two thousand dollars ($2,000) for SNAP or
three thousand dollars ($3,000) if the SNAP household includes a
member who is age sixty (60) or over, or is disabled).
C. If verification of changes in earned or
unearned income is not provided, benefits shall be terminated.
D. If the household fails to provide
sufficient information or verification regarding a deductible expense
(dependent care for a child, an elderly or disabled adult, or
reported expenses for the household) the following applies:
1. a request for the missing documentation
is sent to the household;
2. if the household does not respond within
the ten (10) day timeframe with the required documentation to support
the change, the case continues to be processed using the existing
verified deductions in the case record, for the certification period
under review, to calculate benefits.
E. Reports of a decrease in a deduction are
changed without required verification.
2.22.4 Incomplete Interim Report Form
A. An Interim Report form is incomplete if:
1. the head of household, responsible
household member or Authorized Representative has not signed the
form;
2. the household fails to submit
verification of changes in earned income, changes in unearned income,
or residency; or
3. the household fails to provide
information needed to determine eligibility or benefit level.
B. If a household fails to provide
verification of a deductible expense, there is no need to request
verification because the household is not required to receive a
deduction.
C. If a household fails to return the
Interim Report form or the required verifications within the
appropriate timeframe, the case will auto-close by the end of the
sixth month of the household's certification period.
2.22.5 Reinstatement of Benefits
A. 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.
B. 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.
Benefits for the month shall not be prorated and the household shall
not be required to file a new application.
2.23 Redeterminations
2.23.1 Purpose
In addition to the change reporting
requirements outlined in § 2.21.2 of this Part for all
recipients, a redetermination of eligibility is completed whenever a
significant change is expected to occur that may affect a family's
eligibility and at least once every twelve (12) months to ensure that
eligibility for assistance continues and that the payment is correct.
2.23.2 Process
A. The eligibility system stores the next
redetermination date for each active case. One month before the month
in which the case is due to be reviewed. a redetermination report is
distributed to the field.
B. The agency sends out the Redetermination
(REDT) packet which consists of the following:
1. Redetermination Appointment Letter,
2. Application for Assistance, and
3. Other informational material, as
appropriate.
2.23.3 Required Appointment
A. Due to the National State of Emergency
concerning the COVID-19 virus, the Department of Human Services has
temporarily suspended all in person transactions as well as all
face-to-face interviews for benefit screenings, applications, and
recertifications. Applicants for programs that require an interview
will receive a phone call from a department staff person to schedule
and conduct the interview by phone.
1. The Telephonic Interview process will be
utilized to assist in the completion of the interview. See §
2.3.1 of this Part for further instruction.
B. The agency representative responds to
any request from the recipient for assistance in completing the
redetermination of eligibility. This help may be given by telephone
or may be completed during the scheduled office or home visit,
whichever is most appropriate. The redetermination should be
completed by the recipient except for the signature which must be
witnessed by the DHS worker at the redetermination interview. The
Redetermination Appointment Letter indicates the time and location of
the appointment along with the name of the agency representative. The
letter refers the recipient to the application for a list of
documents that should be brought to the appointment.
C. A face-to-face interview is required
with each client filing the application in order to review it with
him/her and to determine continuing eligibility for assistance.
D. The same process for reviewing the
original application and determining initial eligibility is followed
in any application(s) or redetermination.
E. The information on the Family Violence
Option sheet should be reviewed with the recipient so that s/he is
re-informed that s/he may be excused from certain RI Works
requirements under this option if meeting these requirements puts the
applicant or her/his children at risk of domestic violence.
F. Information on the original application
which was previously documented and not subject to change, such as
birth certificates, marriage and divorce documents, should not be
re - documented unless there is a discrepancy noted between the
redetermination application being reviewed and the original
application(s) previously filed.
G. Bankbooks, wage stubs, verification of
residence, and all other information subject to change must be
verified again through documents at each redetermination, and the
source of verification entered in the shaded area of the application
next to the item.
2.23.4 Required Appointment Not Kept
A. If the recipient does not keep the
redetermination appointment or call to reschedule, s/he is notified
that the payment will be discontinued. A notice of discontinuance is
issued through the eligibility system stating:
1. that the assistance payment is being
discontinued because of failure to keep the redetermination interview
appointment;
2. that the filing of the application is
necessary in order to determine continued eligibility; and
3. the effective date of discontinuance.
B. A copy of the notice is stored in the
eligibility system. The action is noted in the electronic case
record.
2.23.5 Completion of Redetermination
A. The DHS worker updates appropriate
information into the recipient's case in the eligibility system. S/he
approves any subsequent versions of eligibility. The eligibility
system issues an adequate and timely notice to the recipient, as
appropriate. Any changes in circumstances or anticipated changes are
noted in the electronic case record.
B. If a potential resource is expected in
the future, the DHS worker sets up a reminder of the anticipated
change so that proper activity about the resource can be initiated
and completed on time.
C. A RI Works program cash payment must be
discontinued whenever it is determined that need no longer exists. A
notice of discontinuance is issued through the eligibility system at
least ten (10) days prior to the effective date of discontinuance.
2.24 Error Cases
2.24.1 Types of Error Cases
A. Agency Error. An agency error is any
overpayment caused by the agency's action or failure to take action.
Overpayments caused by agency error are considered non-fraud.
Instances of agency error which may result in a claim include, but
are not limited to, the following:
1. the agency failed to take prompt action
on a change reported by the household;
2. the agency incorrectly computed the
household's income or deductions, or otherwise assigned an incorrect
allotment resulting in an incorrect benefit; or
3. the agency continued to provide a
household benefits after its certification period had expired without
benefit of a reapplication determination.
B. Client Error. Overpayments caused by,
but not limited to, the following household errors are considered
non-fraud (inadvertent):
1. a payment was issued pending a fair
hearing decision adverse to the recipient;
2. a payment was issued solely due to ten
(10) day notice requirements even though the recipient was ineligible
for the assistance; or
3. an overpayment resulting from a
misunderstanding or unintended error on the part of the household.
2.24.2 Establishing Claims Against
Households
A. Instances of errors which may result in
a collection include, but are not limited to, the following:
1. the household unintentionally failed to
provide the agency with correct or complete information;
2. the household unintentionally failed to
report to the agency changes in its household circumstances; or
3. 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.
B. The following individuals are
responsible for paying a claim:
1. Each person who was an adult member of
the household when the overpayment occurred.
2. 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;
C. DHS may also offset the amount of the
claim against restored benefits owed to any household which contains:
1. a member who was an adult member of the
original household at the time the overissuance occurred;
2. a sponsor of a non-citizen household
member if the sponsor was at fault; or
3. a person connected to the household,
such as an authorized representative, who actually caused the
overpayment.
2.24.3 Underpayments
A. Correction of Underpayment. The
appropriate agency representative corrects the underpayment as soon
as possible, but not later than thirty (30) days after discovery of
the underpayment, to a current recipient or one who would be a
current recipient had the error causing the underpayment not
occurred.
B. Underpayments Discovered After Case
Closure
1. Past RIW recipient currently active in
another DHS program will receive a supplement through a DHS worker.
2. Past recipients closed to DHS will
receive a letter from DHS addressed to the head of household known to
DHS at the time the underpayment occurred requesting response to
correct the underpayment.
C. Retroactive Corrective Payment. A
retroactive corrective payment is not considered income, nor is it
considered a resource in the month received or in the following
month.
D. Current Recipients. The correction of
underpayment errors to current recipients is required regardless of
when the underpayment occurred. There is no time limit for correcting
an underpayment.
E. Underpayment and Overpayment in Same
Month. In cases involving an underpayment and an overpayment in the
same month, the agency representative must factor in both in
determining what the correct payment should have been. If an
underpayment still exists, it is promptly corrected.
F. Method of Payment. An underpayment is
corrected by first entering the correct information in the electronic
case record to reflect the actual income, resources, or household
circumstances during the period of the underpayment. The agency
representative then approves the deficit payment through the
eligibility system.
2.24.4 Overpayments
A. Recovery of Overpayments
1. Recovery of overpayments from current or
former recipients is required regardless of when the overpayment
occurred.
2. An overpayment may result from either an
agency or a client error. To determine the net overpayment amount,
the gross overpayment must be reduced by the amount of any child
support collected and retained by the Office of Child Support
Services, over and above the payment the recipient should have
received (see § 2.15 of this Part).
B. DHS must initiate collection action
against the household on all client 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 thirty-five dollars ($35), and the claim cannot be recovered by
reducing the household’s allotment. This threshold does not
apply for overpayments discovered through Quality Control.
2. The agency has documentation which shows
that the household cannot be located.
2.24.5 Underpayment and Overpayment in
Same Month
A. In cases involving an underpayment which
has not yet been restored and an overpayment in the same month, the
agency representative must factor in both in determining what the
correct payment should have been. If an underpayment still exists, it
is promptly corrected.
1. The amount of the underissuance must be
used to offset the claim.
2. If an overpayment still exists, the
referral is made to the Collections, Claims and Recoveries Unit
(CCRU) to institute collection for the remaining balance.
3. 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 through the
eligibility system.
4. CCRU will initiate underissuance
payments identified while researching a claim for overpayment.
5. All actions pertaining to the collection
of outstanding claims in the TANF Program are handled by the
Collections, Claims and Recoveries (CCRU) Unit of the Department of
Human Services.
2.24.6 Determining Initial Month of
Over-Issuance
A. In all 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 adverse action timeframes. In no
instance, however, is the first month of over issuance any later than
two (2) months from the month in which the change in household
circumstances occurred.
B. Determining Initial Month
1. Failure to Report Change Within Ten (10)
Days. If 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
a. 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.
b. 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.
3. Benefits Issued Pending Hearing
Decision. 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.
2.24.7 Calculation of the Claim Referral
A. The field representative determines the
correct amount of benefits the household should have received for
those months the household participated while the overissuance was in
effect.
B. The agency representative determines
that amount for active cases as follows:
1. The correct information is entered in
the appropriate months in the electronic case record to reflect the
actual income, resources, or household circumstances during the
period of the overpayment;
2. The retroactive eligibility is approved
for the month(s) affected; and
3. The circumstances pertaining to the
overissuance is recorded in the electronic case record.
2.24.8 Reasonable Effort to Pursue
Recovery
A. If the amount of the overpayment is more
than thirty-five dollars ($35) and owed by a former recipient (§
2.24.1 of this Part) in a non-fraud case, the Collections, Claims and
Recoveries (CCRU) Unit determines by a reasonable effort if it is
cost effective to pursue recovery efforts.
1. "Reasonable effort" requires
minimally that a repayment request be sent to the former recipient.
2. If s/he fails to respond, CCRU must
consider if the cost of collecting the overpayment is likely to equal
or exceed the amount of the overpayment, and what degree of effort is
within the bounds of cost effectiveness.
3. If a former recipient subsequently
becomes active within three (3) years, recovery is initiated
regardless of the overpayment amount.
B. Every effort must be made to recover any
overpayment amount in cases of court-determined fraud. The agency
must take all reasonable steps necessary to promptly correct any
overpayment.
C. Prompt recovery of an overpayment means
the agency representative must initiate action by the end of the
quarter following the quarter in which the overpayment is first
identified to recover the overpayment from an active recipient.
D. In closed cases, the CCRU must initiate
action to locate a former recipient and/or recover the overpayment
from him/her.
E. Mandatory recovery of overpayments
includes an overpayment resulting from assistance paid pending a
hearing decision where the recipient receives an adverse hearing
decision. Only the portion of cash assistance paid relating to the
disputed issue is recoverable.
F. Any recovery of an overpayment to a
current assistance unit must be made through repayment (in part or in
full) by the following:
1. through the individual recipient
responsible for the overpayment;
2. by reducing the benefit amount of
assistance payable to the assistance unit of which s/he is a member;
or both.
G. If recovery is not possible from the
individual responsible, the CCRU representative determines whether to
recover from:
1. Any assistance unit which has a member
who was an adult member of the assistance unit that received the
overpayment (was age eighteen (18) or older - excluding minor heads
of households); or
2. Any individual members of the overpaid
assistance unit, who were adults at the time the unit received the
overpayment, whether or not current recipients.
2.25 Overpayments to Non-Citizens
2.25.1 Sponsor Responsibility
A. Any individual who sponsors a
non-citizen and the non-citizen who was an adult at the time of the
overpayment are jointly and severally liable for any net overpayment
of aid made to the non-citizen after the individual’s entry
into the United States, if the overpayment resulted from the
sponsor's failure to provide correct information during the
determination of non-citizen sponsorship liability.
B. A sponsor is a person who signs an
affidavit or other statement accepted by the U.S. Department of
Homeland Security, U.S. Citizenship and Immigration Services as an
agreement to support an individual as a condition of that
individual's admission for permanent residence in the United States.
C. The agency representative refers the
case to the CCRU to initiate recovery against the sponsor when it is
determined that the sponsor is responsible for the overpayment.
2.25.2 Good Cause
A. When a sponsor is found to have good
cause for not providing information to the agency, the sponsor is not
held liable for the overpayment and recovery is not to be made from
the sponsor.
B. The non-citizen is still liable for the
repayment and is not exempted when the sponsor has good cause.
C. Good cause exists when:
1. Correct information on income or
resources was given by the sponsor to the non-citizen and was
misrepresented to the agency representative by the applicant.
2. Correct information on income or
resources was given by the sponsor and was incorrectly calculated by
the agency representative.
3. Information supplied to the sponsor by a
third party is incorrect, e.g., the sponsor's spouse reports
incorrect information on his/her resources.
D. Liability for Repayment. Overpayments
for which the sponsor and the non-citizen are liable shall be repaid
in accordance with procedures outlined in this section. If repayment
cannot be accomplished through the methods specified, future TANF
program benefits to which the non-citizen and/or the sponsor may be
entitled are subject to recovery.
2.25.3 Recovery's Effect on Eligibility
A. If through recovery the amount payable
to the assistance unit is reduced to zero (0), members of the
assistance unit are still considered recipients of the TANF program.
B. Whenever a payment is reduced below the
minimum ten dollar ($10) payment level due to recovery of an
overpayment, the amount still due the recipient must be issued.
C. In situations where there is an
outstanding overpayment in a case and no regular monthly payments
have been made because the amount is under the ten dollar ($10)
minimum payment, the amount not paid cannot be used to offset the
overpayment. There must be a monthly cash payment to recover an
overpayment.
2.25.4 Methods of Recovery
A. The recovery methods specified are
predicated on the existence of a net overpayment to be recovered as
described below.
1. Grant Reduction. The agency recovers any
overpayment from current recipients, who were adults at the time of
the overpayment, by grant reduction unless the agency first accepts
either total or partial recovery, with any balance owed repaid
through grant reduction. Any initial repayment made in a local office
by the recipient must be forwarded to:
DHS Financial Management
LP Building, 3rd Floor, Bldg 57 Howard
Ave.
Cranston, RI 02920
2. The recipient is given a receipt and
advised that the remainder of the overpayment will be recovered by
grant reduction.
3. Recovery Rate. The grant reduction
recovery rate for all active cases is ten percent (10%) of the
monthly standard of assistance or up to the amount of the payment if
it is less than the standard of assistance.
4. Direct Repayment. Former recipients and
recipients who receive no payment because the deficit is less than
the ten dollar ($10) minimum payment make repayments directly to the
CCRU from their income or resources. Further discussion will be made
in the procedural transmittal.
5. Setoff of State Personal Income Tax
Refund. Further discussion will be made in the procedural
transmittal.
6. Pursuant to R.I. Gen. Laws Chapter
44-30.1, DHS may recover overpayment of cash assistance benefits
through setoff of the individual's state personal income tax refund.
2.26 Compromising Claims
A. The CCRU may compromise a claim or any
portion of a claim if it can reasonably be determined that a
household’s economic circumstances dictate that the claim will
not be paid in three (3) years.
B. The full amount of the claim (including
any amount compromised) may be used to offset benefits owed to the
household.
C. Any compromised portion of a claim may
be reinstated if the claim becomes delinquent.
D. Office of Internal Audits reference.
2.27 Terminating and Writing-Off Claims
A. Terminated Claim. The definition of a
terminated claim is one which all collection action has ceased.
B. Written-Off Claim. The definition of a
written-off claim is a claim that is no longer a receivable subject
to the state agency.
C. Reinstatement. 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.
D. Invalid Claim. 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 overpayment as a different type of claim.
E. Claims must be terminated and written
off, when:
1. All adult household members are
deceased;
2. It is not cost effective to pursue the
claim any further;
3. The claim is delinquent for three (3)
years or more, unless it is planned to pursue the claim through the
State Tax Offset Program or
4. The household cannot be located.
2.28 Methods of Collecting Claims
A. The agency may collect payment for
claims using one of the following methods.
1. Reducing benefits prior to issuance,
including allotment reduction and offsets to restored benefits;
2. Deducting benefits after issuance from
electronic benefit transfer (EBT) accounts with the client’s
written permission;
3. Accepting cash, including checks, money
orders, and credit or debit cards;
4. Participation in the State Tax Offset
Program.
B. Any payment for a claim is accepted
whether it represents full lump sum repayment or partial payment.
C. The agency accepts installment payments
made for a claim as part of a negotiated repayment agreement for
non-participating households.
2.28.1 Reduction in Benefit Allotment
A. CCRU will automatically collect payments
for any claim by reducing the amount of monthly benefits that a
household receives. The amount reduced is limited to ten percent
(10%) of the household's monthly allotment.
B. The agency shall not reduce the initial
allotment when the household is first certified.
C. 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.
2.28.2 Benefits from EBT Accounts
A. A household is allowed to pay its claim
using benefits from its EBT account. However, the following
requirements must be met:
1. For collecting from active or
reactivated EBT accounts, written permission must be obtained in
advance;
2. the agreement must include:
a. a statement that this collection
activity is strictly voluntary;
b. the amount of the payment;
c. the frequency of the payments (i.e.
whether monthly or one-time only);
d. the duration of the agreement; and
e. a statement that the household may
revoke this agreement at any time.
2.28.3 Over-Payment of a Claim
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. The household is paid
by whatever method the agency deems appropriate, considering the
household's circumstances.
2.29 Notice Requirements
2.29.1 Notice of Adverse Action
A. A decision on continuing eligibility
(prospectively) must be made as soon as it becomes known that a
change in a family's income, resources, and/or circumstances will
affect the payment.
B. When it is determined that a change in
the recipient's circumstances will result in a reduction, suspension,
or discontinuance of a payment, the recipient must be notified by
issuing a notice of adverse action at least ten days prior to the
effective date.
C. The notice must contain:
1. the reason for the proposed action and
the agency policy which requires the action;
2. an explanation of the opportunity to
discuss the action with the DHS worker authorizing the
discontinuance, suspension or reduction in payment;
3. an explanation of the opportunity to
have an Adjustment Conference with the Supervisor;
4. an explanation of the provision for
continuance of the payment for recipients, including those in a
hardship extension, if a hearing is requested within the ten day
period of the date of the notice (continuance of benefits is not
available for applicants for RIW benefits or for applicants in a
hardship extension); and
5. an explanation of the opportunity to
request a hearing within thirty (30) days of the date of the notice,
along with the "Request for a Hearing" form.
2.29.2 When Timely Notice Not Required
A. Where timely notice is not required, an
adequate notice must be sent not later than the date of action when:
1. the agency has factual information
confirming the death of a recipient or of the payee when there is no
relative available to serve as new payee;
2. The agency receives a clear written
statement signed by a recipient that s/he no longer wishes
assistance, or that gives information which requires discontinuance
or reduction of assistance, and the recipient has indicated, in
writing, that s/he understands that this is the consequence of
supplying such information;
3. the recipient has been admitted or
committed to an institution;
4. the recipient has been placed in skilled
nursing care, intermediate care or long-term hospitalization;
5. the recipient's whereabouts are unknown
and agency mail directed to her/him has been returned by the post
office indicating no known forwarding address. The recipient's check
must, however, be made available to her/him if the whereabouts
becomes known during the payment period covered by a return check;
6. a recipient has been accepted for
assistance in another state and that fact has been established by the
jurisdiction previously providing assistance;
7. a child is removed from the home as a
result of a judicial determination, or voluntarily placed in foster
care by his/her legal guardian;
8. a change in level of medical care is
prescribed by the recipient's physician; or
9. a special allowance granted for a
specific period is terminated and the recipient has been informed, in
writing, at the time of initiation that the allowance shall
automatically be discontinued at the end of the specified period.
2.29.3 Required Action
A. A client has a right to request a
hearing within thirty (30) days of the agency's notice of action. If
a request for a hearing is made within the ten (10) day advance
notice period, no action for reduction, suspension, or discontinuance
is taken until the hearing decision is issued except in the following
instance:
1. When the reduction, suspension, or
discontinuance is caused by a change in either State or Federal law
that requires automatic grant adjustment for classes of recipients. A
timely notice of such grant adjustment can be issued by mass mailing,
and the payment is not continued and no hearing need be granted. Any
appeal requested solely due to a change in the law receives an agency
response that no hearing is granted. However, a hearing is granted
and the payment is continued when the reason for the appeal is
incorrect grant computation. The RIW Administrator, assistant
administrator or RIW supervisor will review the issue to determine
this and will inform the recipient, in writing, of the action that
will be taken.
B. If the payment is continued and, at the
hearing, a determination is made that the sole issue is one of State
or Federal law or policy and not one of incorrect grant computation,
assistance is reduced, discontinued, or suspended immediately and the
recipient must be promptly informed, in writing, of the action.
However, the formal hearing decision is issued within the time limits
for hearing decisions.
C. When a second change occurs while the
hearing decision is pending, and the recipient does not request a
hearing within the advance notice period on the second issue,
assistance is reduced, discontinued, or suspended, and the recipient
must be promptly notified of this in writing.
D. At the end of the ten (10) day advance
notice period, the action remains in force if the client has not
responded and requested a hearing. The client continues to have a
right to a hearing, however, on the issue for thirty (30) days
following the notice of adverse action.
2.30 Case Records
A. The DHS utilizes the electronic case
record to retain data concerning decisions on eligibility and
payments. All applications forms, documentation, monthly report
forms, correspondence, and other papers are scanned and indexed into
the electronic eligibility system. Paper records are no longer
utilized.
B. All electronic case records explicitly
contain confidential matter. It is unlawful for any person to make
use of, or cause to be used, any information contained in records for
purposes not directly connected with the administration of the RI
Works Program, except with the consent of the participant concerned
as referenced in R.I. Gen. Laws § 40-5.2-26.