COMBINED MANUAL DESCRIPTION OF CHANGES ATTACHMENT REVISED SECTIONS ISSUED 06/2018
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1 COMBINED MANUAL DESCRIPTION OF CHANGES ATTACHMENT REVISED SECTIONS ISSUED 06/2018 The EFFECTIVE DATE of the changes is the same as the issuance date unless stated otherwise (Verifying Disability/Incapacity - Cash) in GA in the 1st bullet deletes and adds language about how long the Request for Medical Opinion (DHS-2114) is valid (Uncle Harry Food Support Benefits) in SNAP in Step 4 corrects the minimum SNAP allotment to $15. This change was EFFECTIVE 10/01/17 and is due to the (FY) 2018 Cost-of-Living Adjustments (COLA) to the Supplemental Nutrition Assistance Program (SNAP).
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3 COMBINED MANUAL ISSUE DATE 06/2018 VERIFYING DISABILITY/INCAPACITY - CASH Social Security Administration (SSA) determinations and benefits may be verified with the State Verification and Exchange System (SVES) interface between MAXIS and SSA. See TEMP Manual TE (SVES TPQY Interface) for more information on this interface. MFIP: Do not ask for proof of illness or disability you expect to last less than 30 days unless the claim is questionable. For households extended under the Ill/Incapacitated category which you expect to last 30 days or more, types of proof are: Social Security Administration (SSA) disability status. A qualified professional s or psychologist's report based on the results of a current medical examination or a current psychiatric evaluation (no older than 12 months). The medical statement must state the time period the disability will last. See (Qualified Professionals). If the qualified professional s or psychologist's report alone does not prove disability, get a vocational history for the last 5 years to supplement the medical statement. When possible, the county agency should determine disability. When you cannot tell if the evidence proves disability, refer the case to the State Medical Review Team (SMRT). Counties may submit a Referral to SMRT by Fax or SIR Fax to or SIR to the SMRT Case box at dhs.smrtcases@state.mn.us All submissions must be in the following format: Documents must be in a multipage format. Do not send individual documents. Documents must be arranged in a portrait orientation. Do not use not sideways or upside down orientation. Documents must be placed in the following order: 1. State Medical Review Team Referral for Disability Determination (DHS-6123) (PDF). 2. State Medical Review Team Authorization to Release Protected Health Information (DHS-6124) (PDF). 3. State Medical Review Team Adult Disability Worksheet (DHS-6125) (PDF) or State Medical Review Team Children s Disability Worksheet (DHS-6126) (PDF). 4. Medical Documentation. Medical evidence from the last 3-6 months relevant to the disabling condition. Submissions must not include copies of medical bills, health care applications, driver s licenses, birth certificates, Explanation of Medical Benefits (EOMB), or other documents that are not medical records. The county agency must pay for costs the client incurs for medical reports using MA administrative account funds. Clients who do not cooperate in the process cannot use disability as a basis of exemption from Employment Services. The SMRT returns its determination and the supporting evidence to the county agency. In some cases the SMRT must request additional information. A SMRT decision is binding on the county agency, although clients may appeal. See 0027 (Appeals).
4 COMBINED MANUAL ISSUE DATE 06/2018 VERIFYING DISABILITY/INCAPACITY - CASH DWP: Follow MFIP, EXCEPT do not ask for proof of illness or disability you expect to last less than 30 days unless the claim is questionable. SNAP: See (Verifying Disability/Incapacity - SNAP). MSA: Verify blindness or disability by either: Receipt of RSDI or SSI based on the person's blindness or disability. The person has SSA 1619B status as indicated on MAXIS. See TEMP Manual TE (1619 A and B Status). GA: Use any 1 of the following as proof of illness or disability/incapacity: The Request for Medical Opinion (DHS-2114) (PDF) (for non-smrt referrals) signed by a qualified professional. The DHS certification is valid for 6 months from the date of last examination unless a shorter or longer time frame for the condition is specified. See (Qualified Professionals). The SMRT Determination of Disability The person has SSA 1619B status as indicated on MAXIS. See TEMP Manual TE (1619 A and B Status). Other medical certification. See MEDICAL CERTIFICATION in (Glossary: Lump Sum...). GRH: Follow MSA, for blind, aged, and disabled clients. For all other adults, verify that a person has a disabling condition that limits the ability to work and provide self-support according to a person s basis of eligibility as follows: Permanent illness. See (Qualified Professionals). Temporary illness. See (Qualified Professionals). Requires services in residence. See (Qualified Professionals).
5 COMBINED MANUAL ISSUE DATE 06/2018 VERIFYING DISABILITY/INCAPACITY - CASH Unemployable. - Assessment by vocational specialist. See (GRH Basis Unemployable). Medically certified as having developmental disability or mental illness. See (Qualified Professionals). Application or appeal pending for Social Security Disability or SSI. See (Qualified Professionals). AND - Proof of application or appeal to the Social Security Administration. Advanced age. - Assessment by vocational specialist. See (GRH Basis Unemployable). - Proof of work history showing decreased occupational status. See (GRH Basis Advanced Age). Learning disability. See (Qualified Professionals). Drug/alcohol addiction. See (Qualified Professionals).
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7 COMBINED MANUAL ISSUE DATE 06/2018 UNCLE HARRY FOOD SUPPT BENEFITS MFIP: See SNAP provisions. For households whose MFIP is ending and which contain an Uncle Harry Food Support unit, see TEMP Manual TE (Food Support When MFIP is Closed). DWP, MSA, GA, GRH: No provisions. SNAP: Some non-mfip members of an MFIP unit may be able to get SNAP only. These cases are commonly known as Uncle Harry Food Support (UHFS) units. There are special rules for determining their SNAP benefits. See (Glossary: Two Party ). To determine the amount of SNAP to issue to eligible UHFS units: 1. Determine the composition of the SNAP unit, following the SNAP provisions in 0014 (Assistance Units). 2. Exclude from the SNAP unit all current MFIP unit members, including optional MFIP unit members who have chosen to be on MFIP and people disqualified for MFIP fraud. The remaining members constitute the Uncle Harry Food Support (UHFS) unit. 3. Allow the unit at least the maximum shelter deduction when you compute SNAP benefits for the UHFS unit. If any member of the UHFS unit is eligible for an uncapped shelter deduction, and is responsible to pay shelter costs, allow the uncapped deduction if higher than the maximum shelter deduction. To compute the uncapped deduction, allow the full cost of the shelter expenses; do NOT prorate. Do not consider income or expenses of any MFIP unit members. If the Uncle Harry unit shares responsibility for a shelter expense with the MFIP unit, allow the full cost of the expense. See (Shelter Deductions). 4. The UHFS unit must pass the gross and net income tests, see 0019 (Gross Income Test), 0020 (Net Income Limits). MAXIS will calculate the SNAP allotment for the UHFS unit. The Uncle Harry allotment will be 75% of the stand-alone SNAP allotment or $15, whichever is more. MFIP unit members who are disqualified for fraud or non-compliance with SNAP quality control may NOT get SNAP only.
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January 22, Enclosed is a copy of the decision resulting from the hearing held in the above-referenced matter.
STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES OFFICE OF INSPECTOR GENERAL Jim Justice BOARD OF REVIEW Bill J. Crouch Governor 416 Adams St. Cabinet Secretary Suite 307 Fairmont, WV 26554
Scope: All services billed for by Renown Regional, Renown South Meadows, Renown Skilled Nursing, and Renown Rehabilitation Hospital
Page 1 of 9 Scope: All services billed for by Renown Regional, Renown South Meadows, Renown Skilled Nursing, and Renown Rehabilitation Hospital Purpose: To provide financial assistance to those without
Scope: All services billed for by Renown Regional, Renown South Meadows, Renown Skilled Nursing, and Renown Rehabilitation Hospital
Page 1 of 9 Scope: All services billed for by Renown Regional, Renown South Meadows, Renown Skilled Nursing, and Renown Rehabilitation Hospital Purpose: To provide financial assistance to those without