/
NC Department of Health and Human Services NC Department of Health and Human Services

NC Department of Health and Human Services - PowerPoint Presentation

tawny-fly
tawny-fly . @tawny-fly
Follow
356 views
Uploaded On 2019-12-25

NC Department of Health and Human Services - PPT Presentation

NC Department of Health and Human Services Division of Social Services Economic amp Family Services Division Cluster Meeting Operational Support Team October 2019 Welcome and Introductions Economic and Family Services Updates and Reminders ID: 771488

dss work application 2019 work dss 2019 application notice services month case fns child manual income 8650 eligible required

Share:

Link:

Embed:

Download Presentation from below link

Download Presentation The PPT/PDF document "NC Department of Health and Human Servic..." is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

NC Department of Health and Human Services Division of Social ServicesEconomic & Family Services DivisionCluster Meeting Operational Support Team October 2019

Welcome and Introductions

Economic and Family Services Updates and Reminders

The Work Number Usage DCD Letter issued in September concerning Work Number Usage Administrative Letter EFS-FNSEP-11-2019 dated 2/7/2019 provided updates and guidance related to usage of The Work Number North Carolina’s allowed usage for a six-month period is 625,000 billable hits Charged $3.22 overage fee for each additional hit Cost for overage passed down to individual counties Most information older than three months is not required to determine eligibility January 2019 to May 2019, 57% of the requests exceeded the three-month history selection

Energy Programs Federal Poverty Level increase for State Fiscal Year 2020 effective in NC FAST October 1, 2019 Policy sections 100, 200, 300 and 400 have been updated effective October 1, 2019 Please update the provider payments timely before entering the check number and date for federal reporting. Vendors need to be paid within thirty (30) days of information recorded Energy Program Work Group has been established.

Food & Nutrition Services Updates Effective October 1, 2019, SNAP households who received $130 will decrease to $105 and households who received $70 will decrease to $65 Homeless Shelter Deduction (new policy) Census Income Exemption Cost of Living Adjustment (COLA) Mass Change

Work First Updates Two-Parent Subsidized Employment Survey should have been completed in September Work First Policy Manual Sections 102 and 201 are being updated

Program Integrity Program Integrity Timeliness Reports: Report EPI407 displays a summary of all open/pending referrals. The EPI407 report shows each county’s timeliness percentage Report EPI420 displays all open investigations without a Product Liability Case (PLC) and active PLCs assigned to an investigator. It shows all referrals ordered by program and then in order of status

Workers need to make sure they are completing the DSS-1473 State Appeal Form AND the DSS 1473A (addendum) found at the above link This will always be the most current version of the form Also, county workers need to make sure they complete the location blank, so that the Hearings Officer knows the correct location to hold the hearing Program Integrity Cont’ https://policies.ncdhhs.gov/divisional/social-services/forms

Program Integrity Cont’ Only check ONE block under the Program Type If an action by the county affects benefits in multiple programs and the client is appealing the action in each program, you must submit a separate State Appeal Request form for each action

Program Integrity Cont’ The county workers should submit ALL necessary appeal documents (completed DSS-1473 and/or DSS-1473A along with the items listed at the bottom of page 1 of the DSS-1473) WITHIN 5 DAYS of the date of the appeal request for it to be timely The county should include copies of ALL documentation noted on page 2 of the DSS-1473A (Program Integrity) in order to allow the Hearing Officer to properly prepare for the hearing. This documentation should also include relevant policy and an appeal summary

Program Integrity Cont’ Program Integrity MUST use this addendum in addition to submitting a DSS-1473

Program Integrity Cont’ By Mail: Department of Health & Human Services Hearings & Appeals Section 2418 Mail Service Center Raleigh, NC 27699-2418 FAX: 919-715-1910 EMAIL: Send ALL emails through the DHHS ZixMail portal (Zix Secure Email Message Center) to: dss.hearings.appeals@dhhs.nc.gov

Work First Participation Rates

March 2019 Total Recipients 22,079December 2018 Total Recipients 23,333 December 2017 Total Recipients 27,038 OFA, Data & Reports North Carolina TANF Total Number of Recipients

Two-Parent Work First Participation Rate

North Carolina TANF Total Number of Two-Parent Families March 2019 Total 20 December 2018 Total 21 December 2017 Total 55 OFA, Data & Reports

Two-Parent Work Participation Rate OFA, Data & Reports North Carolina’s Two-Parent Participation Rate FFY 2018 29.6%

Two-Parent Work Participation Rate Calculation Work First Manual Two-Parent Participation Rate Calculation : Numerator =The number of two-parent families receiving a Work First payment for the month in which required hours in federal work activities were completed Denominator = The number of two-parent families receiving a Work First cash assistance payment for the month

Achieving the Two-Parent Work Participation RateBoth parents included in the case must be Work EligibleFor a case to count in the numerator, the Work Eligible parents must participate in an average of 35 hours per week in federal countable work activities If the two-parent family is receiving federally funded childcare, they must complete an average of 55 hours per week in federal countable work activities Counties must ensure at least 90% of all two-parent families complete the required number of hours in countable federal work activities Work First Manual

Achieving the Two-Parent Work Participation Rate Cont’Case Management Best Practices Work First application approval Help address immediate barriers Get the family into activities quickly Maintain frequent contact with the family Monitor progress Work First Manual

Knowledge Check North Carolina is required to achieve a ______% Two-Parent Work Participation Rate. a. 35% b. 75% c. 90% d. 100% What individuals are not considered work eligible for the purposes of the Work Participation Rates? a. Incapacitated Adults b. Individual Receiving Social Security Disability c. Individuals Applying for Social Security d. Single Custodial Parents with Newborn Under 12 Months of Age Work First Manual

Work First and Working with Incapacitated or Disabled Individuals

Work Eligible Individuals With Physical Incapacitation or Disabled Exemption Evidence Work First Manual Are Not Removed From The Work Participation Rate (WPR)

Individuals With Disabilities Work First Manual ADA defines disability as a physical or mental impairment that substantially limits major life activities. Major physical or mental impairments include but are not limited to: visual, speech, and hearing impairments, mental retardation, emotional illness, specific learning disabilities, cerebral palsy, epilepsy, muscular dystrophy, multiple sclerosis, orthopedic conditions, cancer, heart disease, diabetes, tuberculosis, HIV Everyone with a disability must be afforded the opportunity to participate in or benefit from services in the Work First Program Agencies must take steps to ensure individuals with disabilities can participate in all programs and services and are not limited to those designed solely for individuals with disabilities

Voluntary Disclosure Work First Manual An impairment is suspected and disclosure is voluntary; Screenings and other resources are available to identify the impairment; The benefits of identifying the impairment include accommodations and services for those individuals with documented disabilities; If he/she chooses not to disclose a disability or cooperate with efforts to identify the disability, he/she may be required to participate with work activities without accommodations.

Case Scenario Susie Blank and her two children were approved for Work First. She stated she has not worked in two years because she had back surgery and her doctor stated she cannot work. She stated she is applying for Social Security Disability. Keyed Outcome Plan activity for Susie to keep all scheduled doctors appointments and report changes to worker within ten days. Keyed Exemption Evidence Physical Incapacitation. Next appointment with worker November 9. (three months from application)

Discussion of Services & Referrals Susie Blank and her two children were approved for Work First. She stated she has not worked in two years because she had back surgery and her doctor stated she cannot work. She stated she is applying for Social Security Disability. Keyed Outcome Plan activity for Susie to keep all scheduled doctors appointments and report changes to worker within ten days. Keyed Exemption Evidence Physical Incapacitation. Next appointment with worker November 9. (three months from application)

Summary of Services & Referrals Work First Manual Assessments and Screenings Purpose of Visit Screenings Available Programs and Services Work First, CIP, LIEAP, FNS, Medicaid and Adult Services Referrals Social Security Disability Verification to Show Application was Filed Report of Medical Examination (DSS 8655) and Follow-up Functional Capacity Evaluation Referral to Vocational Rehabilitation

Case Management Work First Manual Case Management is planning and directing the provision of, and/or directly providing services Includes keeping track of what has been provided and what can be provided in relation to the family’s needs

Case Management Reminders Work First Manual Initial assessment and periodic reassessment of families’ needs and participant’s job readiness Examination of constructive ways to resolve work-related and family-related issues Mutually-developed strategies for self-sufficiency Identification of responsibilities of both participant and agency in facilitating the completion of plans Planning and monitoring a participant’s assigned activities Arranging and/or providing transportation Arranging childcare

Work First Monitoring

Work First Program Monitoring Summary of Findings SFY 18-19 & Work First Program Tentative Schedule SFY 19-20 DCDL 8/7/2019 EFS-WF-07-2019

Cash Assistance Monitoring Findings Audit/DAST-10 Screening completed at child only application and/or review DSS 8228 Application & Documentation Workbook incomplete Exemption Evidence physical incapacitation and/or disabled keyed prior to benefit issued Job Quit Penalty explained at child only application and/or review No notice issued at application to apply for Unemployment Insurance Benefits (UIB) No Child Support Enforcement referral completed One-year certification period at child only application 12-Month and/or 24-Month time Limit incorrect

Cash Assistance Monitoring Findings Policy Sections The Audit/Dast-10 Screening is located in Work First Manual Section 104B. The substance use screening and testing does not apply to: Child only cases with a non-parent caretaker as the case head Dependent children Supplemental Security Income recipients Keying exemption evidence to adjust the 24-Month Time Limit for Incapacitation/Disabled participants: Work First Manual Section 118, adjustments to the State 24-Month Time Limit occurs after benefit issued Job Quit Penalty Work First Manual Section 104, Job Quit Penalty. The Job Quit Penalty must be explained and documented for all work eligible adults at application

Cash Assistance Monitoring Findings Knowledge Check What section of the Work First Policy Manual includes the Audit/Dast-10 Screening? Name the three categories the Audit/Dast-10 Screening does not apply to. When is exemption evidence applied to adjust the 24-Month Time Limit for an incapacitated individual? What is the appropriate certification period for a child only application? Fill in the blank. The Job Quit Penalty must be explained and documented for all ____ _____ _____ at application.

Employment Services Monitoring Findings No work registration prior to beginning Job Search activity Job Search Logs incomplete DSS-6963B MRA Plan of Action not printed from NC FAST Communications Outcome Plan Activity not included on signed/printed DSS- 6963B Outcome Plan participation hours doesn’t match Time Card DSS-5309 Federal Excused Absence Log not completed Fair Labor Standard Act (FLSA) calculation incorrect DSS-5298 Family Assessment of Strength & Needs not signed and/or completed timely

Employment Services Monitoring Findings Policy Sections Work First Manual Section 118, Work Registration Requirements Registration for work with NC Works is a prerequisite to participation in the Job Search component of Work First Employment Services Work First Manual Section 118, The MRA-Plan of Action (MRA-B) An MRA-B must be printed from the NC FAST Communications Tab whenever an Outcome Plan is created or revised by the caseworker Work First Manual Section 118, Work Experience FLSA Formula WFFA payment – (current IV –D support orders) + FNS allotment / Federal or State Minimum Wage (whichever is greater) Work First Manual Section 118, Reporting Participation Document the dates and reasons for excused absences on the Excused Absence Log, DSS 5309, and maintain the log in the case record

Employment Services Monitoring Knowledge Check Registration for work with NC Works is a _______ to participation in the Job Search component of Work First Employment Services. An MRA-B must be _____ from the NC FAST Communication tab whenever an _____ ____ is created or revised by the caseworker. What is the formula for the Fair Labor Standards Act (FLSA)? The DSS-5309 is used to document the reasons for _____ ______ absences.

Work First Services Monitoring Findings IEG Work First Services Application not keyed in NC FAST DSS-5027 not signed by applicant, Section C not completed, not closed in SIS, and/or not closed in NC FAST No documentation of resources at application Using outdated DSS-8225 DSS-5327 Learning Needs Screening Tool (LNST) not offered DSS-5330 Learning Needs Screening Tool Waiver not signed

Work First Services Monitoring Findings Policy Sections IEG findings, Administrative Letter 3-2016 “Counties that are providing Work First Services at 200% of the Federal Poverty Level are required to process services in the NC FAST system.” DSS-5027 findings, Administrative Letter 2-2016 and SIS Manual II B & III “The application for WFS is the DSS-5027. Complete the appropriate sections and provide the applicant with a copy of the notice. Instructions for completing the DSS-5027 are in the Services Information System Manual.” DSS-5327 and 5330 findings, Administrative Letter 13-2010 “Caseworkers must offer the DSS-5327, Learning Needs Screening Tool (LNST) to all Work First applicant (including child only cases).” “Caseworkers must explain and have the applicant or participant sign the DSS 5330, LNST waiver in the individual agrees or declines to complete the LNST.”

IVD Non-Cooperation Monitoring Findings Non-cooperation with Child Support Enforcement and no Sanction applied to case DSS-8110 adequate notice not sent

IV D Non-Cooperation Monitoring Findings Policy Sections Non-Cooperation with child support enforcement and sanction, WF Manual Section 103 IV; Section 116 IX; Section 120 II and Admin Letter 7-2009 A sanction must be imposed when a caretaker fails for cooperate with Child Support Enforcement for the children for which they are receiving cash assistance. DSS-8110 adequate notice not sent, Section 116 IX, Administrative Letter 3-2014 Revision of the MRA-A in 2014 which included the verbiage, “The statement will serve as a family’s timely notice.” “Generate the adequate notice (DSS-8110). The DSS-8110 must state the reason for the sanction.”

Work First Reminders Work First Manual Use Updated DSS Forms to Prevent Monitoring Findings DSS-8219 Consent for Release of Confidential Information, Rev. 8-2019 DSS-8224 Referral to Qualified Professional in Substance Abuse, Rev. 8-2019 DSS-8108 Notice of Benefits, Rev. 7-2019 DSS-8109 Your Application for Benefits is Being Denied or Withdrawn, Rev. 7-2019 DSS-8110 Your Benefits are Changing, Rev. 8-2019 Drug Testing Portal Log-in to Drug Testing Portal every 30 days to prevent being locked out and the need to be reset.

Work First Top Questions

Scenario: We have a client applying for Benefit Diversion who completely failed the Audit/DAST-10 and we are trying to arrange drug testing. The client states she has to do a drug test with her psychiatrist anyway, can we use that one or does it need to be through i3screen? Substance Use Testing

Answer: Benefit Diversion is considered a short term service intended to divert individuals from ongoing cash assistance. Substance Use policy is only applicable for individuals who are applying for or receiving Work First cash assistance. Testing at another facility has no bearing on the Work First application. Substance Use Testing

Scenario: Audit DAST-10 was conducted and the applicant scored a four (4) on the DAST. The client was referred to substance use testing. The client did not show for testing and withdrew the application on the same day. Is a no-show for the testing treated as a positive? Do we need to sanction the applicant? How do we do this at application? Substance Use Testing & Sanctions

Answer: Being a “no-show” does not equate to a positive result. However, if the individual is work eligible they would continue to be work eligibleIf the agency is unable to determine good cause then a sanction must be imposed for the individual who failed to comply Instructions regarding keying a sanction can be found in the “Creating a Sanction” Job Aid Substance Use Testing & Sanctions

Scenario: Child only case was due for recertification and the case head failed to provide physical forms. The case head came in before the end of the month to complete the recertification but the doctor’s appointment wasn’t able to be scheduled, and provide verification, until after the certification period ended. Since the agency was unable to verify all aspects of the MRA-A should the agency impose a penalty month? Sanction at Recertification

Answer: Is the agency able to establish Good Cause on the behalf of the caretaker? If good cause is established the agency may make the determination to not impose a penalty month. This should be CLEARLY documented in the narrative. If good cause not established, a sanction must be applied and carried out. Sanction at Recertification

Scenario: Child’s grandmother has legal custody and the biological mother has returned to the home. Since the grandmother has legal custody, do we have to add the mother to the case? Who to Include in the Assistance Unit

Answer: The parent must be included in the case with the child if they live in the home. Unless the parent’s legal rights have been terminated. Who to Include in the Assistance Unit

Scenario: The case head non-cooperated with child support on August 21st and then cooperated on August 28th. Do we enter a sanction and terminate the case or are they okay because they cooperated within a ten day notice? Child Support Sanctions

Answer: If the case head non-cooperates with child support for one day in the month they have created a sanction for their case and are required to miss one payment. For WFB cases, the sanction month is the month they non-cooperated due to pay after performance requirements. For Child only cases, the effective date is the following month because the payment for the sanction month has already been issued. Child Support Sanctions

Time Remaining 15 14 13 12 11 10 09 08 07 06 05 04 03 02 01 Time is Up

Developing Excellent Interviewing Skills

Policy RequirementFNS- Section 310Work FirstSection 101-Initial ScreeningSection 104-Application Interview Section 117-Ongoing Interviews Energy Section 135- Outlines Rights Section 300-Fraud prevention and supporting application processing Section 400-Various interview methods used to support the initial application

Purpose of Interviewing Allow client’s to tell their story Discuss agency benefits and requirementsDetermine eligibility Resolve client’s questions Educate clients

Client Interactions Empathy Communication Professionalism Sensitivity Tactfulness

People react differentlyRecognize barriersAttitudes towards authority Some individuals require more timeClients may not openly reveal a disability or limitationVary communication methods Key Points

Interview PreparationKnow your material Review the questionsPrepare your interview spaceClarify the purpose of the interviewHave all necessary paperwork and forms for the interview close at hand Clear your head Don’t count on your memory

Exercise courtesyBe aware of verbal and non verbal cues Welcome and introductionsExplain the processClient centered focus Privacy, confidentiality, and responsibilities for all involved Introduction and Greeting

Role Play

Open-Ended Interview Questions Advantages:Encourage more client participation Provide more complete explanation of answers Gather more information Customer centered Disadvantages: Longer answers which may take more time Rely on the client’s priorities Irrelevant information

Important Reminders Active ListeningEnsures understandingRestate questions Avoid jargon No assumptions Listen

Lunch

Energy Programs Top Questions

LIEAP Client Has Credit with VendorScenario: Client has a credit from LIEAP on their vendor account. They have moved from the residence. Can the credit be transferred to the new vendor who will be the primary heat source at the new residence or will these funds need to be returned to DSS?

LIEAP Client Has Credit with VendorAnswer: Settlement of the credit is between the household and the energy provider. The provider can forward the credit balance to the new energy provider. If the provider is unable to contact the household, the DSS is responsible for trying to locate the household. If the DSS is unable to locate the household, the credit balance should be returned to the local DSS agency. The local DSS agency will return the funds to the Controller’s Office via the DSS-1571 and notify DSS Automation at 919-527-6270 to credit the county’s funds in NC FAST. Client’s are not allowed to receive a refund from providers. 

CIP Invoice Different from BillScenario: Client applies for CIP with a Disconnect Notice from their heating vendor with $200 required to prevent disconnection. When the invoice is received, the amount listed is $213.51. How do I handle this?

CIP Invoice Different from BillAnswer: It is not uncommon to go back and edit the CIP crisis amount especially for gas or oil vendors. When the invoice is returned with a different amount, adjust the payment amount in NC FAST to reflect the accurate payment amount. Then follow the process to put the application on a payment request once the invoice is received for the actual amount.

Limits to CIP Funding SourcesScenario: Based on the needs of the CIP applicant, can the client receive $600 in CIP funds and an additional $600 from non-federal CIP funding sources (Progress Energy Neighbor, Duke Share the Warmth, Wake Electric Round Up or Haywood Helping Each Member Cope)? Or is it $600 per year no matter which funding source helps the client?

Limits to CIP Funding SourcesAnswer: Counties can use more than one funding source to alleviate the crisis. Note that the non-federal CIP funds will be pulled first before the CIP funds are used. So a client could receive $600 from the non-federal CIP funding source and $600 from CIP. Once those funds are used for the state fiscal year, there is no more CIP assistance available to the client.

Energy Programs Best Practices

FNS Top Questions

ABAWD Free and Bonus MonthsScenario: Patty O Furniture reapplied for FNS on 5/2/2019 and is not working Received 3 ABAWD Free Months 1/2019-3/2019 as a Non-Compliant ABAWDProvided verification that she worked 89 hours with a Temporary Agency in March 2019 and 10 hours in February Is the client eligible for Bonus Months? SOURCE:

ABAWD Free and Bonus MonthsAnswer: The client is not eligible for Bonus MonthsWorker should recode March because the client had 80 hours of credible activityEntering Exemption Evidence for March, gives client back one Non-Compliant ABAWD month May 2019 is a prorated month, so is not an ABAWD month June 2019 is last free ABAWD month Client may become eligible for Bonus Months after receiving the last free month if meets criteria

Calculating Child Support IncomeScenario: London Bridge applies for FNS on 9/12/2019 for herself and her 2 minor childrenShe is employed and provides her base period check stubsShe receives child support through IVD for one of the children. The base period child support is 6/15/2019 - $250, 7/15/2019 - $250, 8/15/2019 - $363 What child support income would you count?

Calculating Child Support IncomeAnswer: Evaluate the base period income for a patternDisregard payments that are not representativeDocument clearly what action is taken to determine the countable child supportIf the $250 payments are representative, count it ongoing and disregard the $363. Document! Document! Document!

How to Count School Employee’s Income Scenario: Suzy Que applies for FNS on 6/9/2019 after school lets out for summer break stating she is out of work for the summer. She is employed by the county school system as a Teacher Assistant. She is a contract employee making $28,000 gross income annually. She does not receive any pay during the summer break. How do you count her income? SOURCE:

How to Count School Employee’s Income Answer: Contract employees are generally teachers and administration, but also includes teachers assistants in some school systems. Contract income is considered annualized income, so you divide it by 12. The result is the amount that is counted each month of the year for which it is intended. $28,000 gross income/12 months = $2333.33 per month

DSS-8650 Requirement at ApplicationScenario: Jack Spratt applied for FNS on 9/9/2019. He screened eligible for expedited services DSS-8650 issued for required verificationsDSS-8650 expired without applicant returning any verifications Does the worker send a 2 nd DSS-8650 for this application?

DSS-8650 Requirement at ApplicationAnswer: No, the worker does not need to send a 2nd DSS-8650 for this application.Administrative Letter 07-2017 provided policy that the requirement for a 2 nd DSS-8650 for applications only applies to FNS applications and reapplications that are NOT eligible for expedited services. Apply this policy to all FNS applications and reapplications that are subject to normal processing. SOURCE:

DSS-8650 Requirement at Recertification Scenario:FNS household certification period ends 9/30/2019Timely DSS-2435 SR returned by 9/15/2019. Worker attempts but is unable to reach household by phone for an interview DSS-8650 issued to schedule the required interview Can the worker request other required verifications on the DSS-8650?

DSS-8650 Requirement at RecertificationAnswer: Yes, the worker can request other required verifications on the DSS-8650? USDA has recently provided updated guidance that other required verification can be requested on the DSS-8650 when requesting an interview for FNS recertifications. This does not apply to applications or reapplications.

Time Remaining 15 14 13 12 11 10 09 08 07 06 05 04 03 02 01 Time is Up

Reducing FNS Errors

Case and Procedural Error Rate (CAPER)Quality Control (QC) reviews negative actions Reflects negatively on program access and the State’s participation rateCurrent reported CAPER Error Rate is 44.19% for Federal Fiscal Year (FFY) 2019

CAPER Cont’SOURCE: Quality Control Summary Report March 2019

Alternative to Checking DSS-8551 Next DayStep 1 – Worker processes case in NC FAST Step 2 – Go to the Income Support Details Tab

Alternative to Checking DSS-8551 Next Day Cont’ Step 3 – Go to Communications Tab and Select New Pro Forma to generate the DSS-8551

Alternative to Checking DSS-8551 Next Day Cont’ Step 4 – Review Pro Forma for accuracyIf Pro Forma is correct, print, mark sent in NC FAST and mail the DSS-8551 If Pro Forma is incorrect, review evidence on the Evidence Dashboard and correct If evidence is corrected, cancel incorrect Pro Forma and generate a new notice. Review for accuracy. If the evidence is correct and notice is incorrect, cancel the notice, submit a Help Desk Ticket and complete a manual notice. Document in NC FAST and mail to household

Categorical Eligible Categorically eligible (CE) refers to Food and Nutrition Services (FNS) households who are exempt from meeting the resource and gross and net income limits. Verification of residency and enumeration not required after a case is CE.

Categorical Eligible (CE) Five Types of CE cases: Supplemental Security Income (SSI) and/or Work First Family Assistance (WFFA) HouseholdsWork First Employment Services Households SSI Households At least one member of the FNS unit receives 200% Services 200% Expanded Categorically Eligible Households

Categorical Eligible (CE) Cont’ 200% Expanded Categorically Eligible Households must meet ALL three of the following criteria:Household income under 200% of the Federal Poverty Income Limit FNS unit doesn’t contain any disqualified individuals Notice of TANF funded services is provided to the FNS unit

Categorical Eligible (CE) Evidence at Application Important!!!! Remove the CE indicator when denying FNS applicationsQuality Control (QC) must go by what has been entered in NC FAST

Small Group Activity

Application Example 1DOA 4/9/2019. Not eligible for Expedited Services DSS-8650 issued requesting verification of rent, residency and incomeApplication denied on 30th day for failure to provide information with CE indicator remaining Is this notice invalid or incorrect?

Application Example 1 Answer: Invalid This is an invalid notice because proof of income was not included The procedure would be cited as invalid rather than incorrect because unnecessary information was requested (verification of residency for CE households) The action is also invalid because unnecessary information was requested

Application Example 2DOA 4/9/2019. Not eligible for Expedited Services DSS-8650 issued requesting verification of income Application denied on 30th day for failure to provide information with CE indicator remaining Is this notice invalid or incorrect?

Application Example 2 Answer: CorrectWhile this application is showing CE incorrectly, QC would not call the notice or action invalid because it did not include proof of residency

Application Example 3Scenario: DOA 3/11/2019. Applicant quit job to care for sick parent in February. Not eligible for Expedited ServicesNon CE household of applicant, minor child and elderly parentDSS-8650 issued on DOA requesting proof of residency, verification of last day worked and last pay and proof of rent DSS-8650 second request issued 3/22/2019 Application denied 4/10/2019 Is this an incorrect or invalid notice?

Application Example 3Answer: Incorrect The notice is incorrect because it lists information that was not requested. The DSS-8650 does not request information regarding Voluntary Quit. In this example, the worker failed to update voluntary quit in NCFAST on the evidence dashboard, therefore it was included on the notice.

Recertification Example 1Recertification DOA 3/6/2019 Case is 5 person CE householdDSS-8650 issued requesting verification of residency and earned income Is this notice invalid or incorrect?

Recertification Example 1 Answer: CorrectThe denial reason on the notice is correct because it matches the worker’s reason for denialHowever, this notice is incorrect because it states FNS unit has until the 60th day to provide verification for a reopen Case would be cited invalid because unnecessary verification of residency was requested. Residency is not required for CE households at recertification

Recertification Example 2Timely recertification 3/6/2019 Case is 3 person CE householdDSS-8650 issued requesting interview and earned incomeDenied recert on 3/29/2019 for failure to provide verification Is this notice invalid or incorrect?

Recertification Example 2Answer: Incorrect This is an incorrect notice because a Notice of Missed Interview (NOMI) was not provided. When denying a recertification for failure to interview, the reason must be included on the notice in order for the FNS household to receive a NOMI This notice is also incorrect because it states FNS unit has until the 60 th day to provide verification for a reopen

Recertification Example 3 Timely Recertification received 3/13/2019 1 person CE FNS unitABAWD free months 1/2019-3/2019New Hire Match for Bojangles in February 2019DSS-8650 issued requesting earned income Automatic Hold in NCFAST 3/29/2019 Is this notice invalid or incorrect?

Recertification Example 3 Answer: InvalidThis notice is invalid. It is an incomplete notice because it does not provide a reason for the recertification denial. While the worker requested the correct information and the policy procedures were followed, the failure to remove the Automatic Hold in NCFAST resulted in an unclear notice.

Active Error RateQC reviews sample of active cases participating in the FNS programQC verifies: Was the correct allotment amount issued?Was the application processed timely (APT)? Was the recertification processed timely (RPT)? Data is provided to Federal QC to calculate the State’s Payment Error, APT and RPT rates

Active Error Rate Cont’SOURCE: FNS QC Summary Report March 2019

Reportable ChangesFNS households subject to Simplified Reporting (SR) are required to report if one of the following changes occurs during the certification period: ABAWD stops working an average of 80 hours per month Households whose income is at or below the 130% maximum allowable gross income limit are required to report an increase in income that causes it to exceed the 130% maximum limit

Reportable Changes Cont’FNS unit is required to report changes by the 10 th of the month following the month of changeFor applications, changes must be reported by the 10th of the month, following the month in which the Notice of Eligibility is received

Reportable Changes Cont’County DSS agencies are required to react to all changes recorded in NCFAST County DSS agencies are required to react to all changes reported to the FNS worker from all programs/units within DSS regardless of the impact to the FNS allotment

Known to the AgencyChanges are Considered Known to the Agency on the: Date the Change Report is ReceivedDate the change is reported by phone, email, or fax Date of the office visit to report the change

Known to the Agency Cont’Date the change is reported to Work First Date the changed information is entered in NC FAST and a task is originatedDate the change is reported from a third party

Questions & Answers

dss.policy.questions@dhhs.nc.gov

Thank you! Safe travels!