Transcript FDPIR Eligibility - Alaska Native Tribal Health Consortium

FDPIR
ELIGIBILITY
Part 1: How is your tribe administrating client’s applications?
Part 2: Who is eligible, certification periods and household scenarios
Part 3: Case File Management, Notice of Adverse Action, Claim for
Over-Issuance of FDPIR Benefits, Fair Hearing Requests
Part 4: Wrap up with Questions and Comments
AM I ELIGIBLE
FOR FDPIR?
ELIGIBILITY REQUIREMENTS:
• Income Based Requirements
• Residency Requirements
• Other requirements
INCOME
STANDARDS
FY14:
Net Monthly Income Standards Effective 10/1/2013
HH Size
Each additional Member
$$$ limit
Over / (under)
1
$1,456
2
$1,875
3
$2,295
4
$2,714
5
$3,133
6
$3,566
7
$3,985
8
$4,404
$ 420.00
RESIDENCY
REQUIREMENT:
“Low-income American Indian and non-Indian
households living in approved areas near a
reservation or in Oklahoma that contain at
least one person who is a member of a
Federally-recognized tribe are eligible to
participate in FDPIR.”
In Alaska, Native Villages/Tribal areas are
considered to be a “reservation”.
Approved “near areas” may be included.
Check with your tribe’s MOA to find out if
your tribe has an approved near area. Near
areas cannot be other reservations/tribal
lands.
OTHER NONFINANCIAL
REQUIREMENTS
Household members who are disqualified
from SNAP and/or FDPIR, must not receive
SNAP and/or FDPIR benefits during their
disqualification period.
Intentional Program Violations (IPV’s)
• First Violation: Not eligible for either
SNAP/FDPIR for 12 months.
• Second Violation: Not eligible for either
SNAP/FDPIR for 24 months.
• Third Violation: Not eligible for either
SNAP/FDPIR permanently
FDPIR
APPLICATION
Fill out application completely.
Blank pages and sections are confusing and
need to be avoided. Include “N/A” or “0” if
not applicable.
If unclear or conflicting information is
included on the application, ask the
household to clarify! This helps cut down
the wait time for a decision.
An interview with the household needs to
be completed the day of the application
date or ASAP to verify household
circumstances.
COLLATERAL
CONTACT
FORM
Include a signed Collateral Contact form for
those over the age of 18.
Verifies Residency and Income.
This form ensures household members
over the age of 18 know they are being
signed up to be considered for FDPIR
benefits.
This form helps tribal administrators
understand the household’s income based
on questions regarding their income.
HOUSEHOLD
SCENARIO 1
A family consists of 7 people, and all live in the same
home: father, mother, daughter 19 years old with a one
year old child, another daughter 15 years old, and a son
and his wife, both 24 years old.
The application states the son and his wife take care of
their own meals, and their earned income is $3,000 per
month. The father works and is paid $950 every two
weeks, and the mother works and receives $700
weekly.
A) How large is the Household (HH) for FDPIR purposes?
B) Calculate the Net Monthly Income for the FDPIR HH.
C) Is the HH FDPIR eligible?
D) If not, why not?
HOUSEHOLD
SCENARIO 2
An elderly couple is certified. They have
difficulty picking up their food package
and would like their son to be their
authorized representative and pick up
their food packages. He is employed by
FDPIR as a distribution worker.
A) Can he act as this parents’ authorized
representative (AR)?
B) If not, why not?
C) If so, what steps would be required
before he could be approved?
HOUSEHOLD
SCENARIO 3
A man comes to your office and says he
wants to apply. He says in a loud and
abusive tone that if he doesn’t get his food
within 15 minutes, he will kick you up and
down the street.
A) Are you obligated to provide him
service?
HOUSEHOLD
SCENARIO 4
How many days does a household have to
report a change in income or household
size?
A) How many days do you have to act
upon the change?
B) What do you need to do to when a
change makes the household ineligible?
HOUSEHOLD
SCENARIO 5
When dual participation occurs, which
agency must issue a claim?
What should you do when an unreported
change is discovered?
A) What changes are required to be
reported?
B) When must you issue a claim letter?
C) Can you suspend a claim?
HOUSEHOLD
QUESTIONS
If a person is receiving unemployment, and
taxes are being withheld, does that person
receive a 20% deduction?
What is meant by “expedited service”? In
your own words, explain the circumstances
that would entitle someone to receive
expedited service.
If an applicant household cannot provide
required verifications within the time
required, the application contains the
required information and it appears to be
otherwise eligible, what should be done?
HOUSEHOLD
QUESTIONS
How long of a certification period should a
household reporting zero income be
assigned?
If someone reports zero income every
month, what should you do?
If someone is paid weekly, what is the
conversation factor?
If someone is paid bi-weekly, what is the
conversation factor?
APPLICATION
IS TURNED IN.
NOW WHAT?
Applications have 7 business days before a
decision is to be reached by the ITO/State
agency. Do not include weekends and
holidays when counting seven days out
from the time the client has turned in an
application.
Expedited Cases have 1 business day from
the time an application is received.
Expedited Cases: out of food and/or zero
income. Cannot be participating in SNAP
during the same month.
CASE FILE
MANAGEMENT
FDPIR File Cabinet:
Add three sections in your file cabinet:
• “CPV”
• “Open”
• “Closed”
Have the “CPV” files in the front to keep
track of the files that need immediate
attention. When files are nearing their
Certification Period End, move those files
into the “CPV” section. Keep files in
alphanumeric order in all three sections.
CASE FILE
MANAGEMENT
File Folders: I highly recommend a Top File Tab 2
Fastener Manila File Folder.
Left side of the file folder:
• Application
• -Tab- “Recerts/Verif.”
• Recertification/Change Report Forms
• Verification documents
•
A tab labeled “Recerts/Verif.” is used to separate
the Application from the Recertification/Change
Forms and Verification documents.
•
What is looks like: Application on the top; the
“Recerts/Verif.” Tab and the client’s
Recertification/Change Report Forms and the
applicant’s verification documents (bank
statement, etc) on the bottom.
CASE FILE
MANAGEMENT
Right side of the file:
• Eligibility Worksheets
• FDPIR Letters
• -Tab- “Notes”
• Case Notes
A tab labeled “Notes” is used to separate
the Eligibility Worksheets and FDPIR
Letters from the Case Notes. In the Case
Notes section; please include a copy of the
applicant’s Food Issuance Sheets.
APPROVAL
If a household is found to meet residency,
income and other eligibility requirements
(including not being on SNAP), mail or
hand deliver a Letter of Eligibility. In this
letter, notify the household how long their
certification period is for.
DENIAL
What must you do when you determine
that a household is ineligible?
A) What information must be in a notice
of denial?
B) What is the time limit in which a notice
of denial must be sent?
If a household is found to be ineligible for
FDPIR, mail or hand deliver a Denial Letter.
In this letter, notify the household the
reason why they are determined to be
ineligible.
Include a Request for Fair Hearing with
their denial letter.
What information must a notice of
adverse action contain?
NOTICE OF
ADVERSE
ACTION
• Reason for the Adverse Action and Date
that this action will come into effect
• Right to Request a Fair Hearing and right
to continue FDPIR benefits at current level
while hearing is pending
• Timeframe when a household can request
a Fair Hearing
• A notice that the household will be liable
for any over issued benefits during the
pending time frame, if decision for
Adverse Action (lowering of benefits)
remains in effect
• Contact information for additional
information
• Contact information for an individual
and/or organization who provides free
legal consultation
FAIR HEARING
REQUEST
Timeline:
Household is given a decision about their
application. Household has up to 90 days
to file a Request for Fair Hearing.
The tribe has 60 days from the time a
Request for Fair Hearing is received, to
complete a Fair Hearing for the household.
OVER
ISSUANCE OF
FDPIR
BENEFITS
Determine how many months the
household has received FDPIR benefits
outside of their eligibility.
AIS system is able to calculate the cost of
the food that needs to be paid back to the
ITO/State agency.
You may also use the Over Issuance
Worksheet Template (FDP032) to help
manually track the client’s over issuance.