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The Kansas Economic and Employment Support Manual 05-07

Table of Contents - 2000

1000
ADMINISTRATIVE INFORMATION

2000
GENERAL ELIGIBILITY REQUIREMENTS

3000
EMPLOYMENT FOCUSED ACTIVITIES

4000
ASSISTANCE PLANNING WITH INDIVIDUAL APPLICANTS/ RECIPIENTS

5000
RESOURCES (NOT APPLICABLE TO MEDICAID POVERTY LEVEL, HEALTHWAVE, AND CHILD CARE PROGRAMS)

6000
INCOME

7000
BUDGETING OF INCOME AND DETERMINATION OF FINANCIAL
ELIGIBILITY

8000
INSTITUTIONAL AND HOME AND COMMUNITY BASED SERVICES LIVING
ARRANGEMENTS

9000
REPORTING CHANGES, TRANSFER OF ASSISTANCE AND REVIEWS

10000
CHILD CARE PROVIDERS

11000
INCORRECT BENEFITS AND FRAUD DETERMINATIONS

12000
ADULT PROTECTIVE SERVICES

13000
LIEAP

*

2000

GENERAL ELIGIBILITY REQUIREMENTS

2100

REQUIREMENTS COMMON TO ALL OR MOST PROGRAMS

2110

Act in Own Behalf

2111

Legally Incapacitated Persons

2112

Minors

2120

Cooperation

2121

Supplying Information

2122

Application and Review Process

2123

Cooperation with Quality Assurance (Not Applicable to the Medical Program )

2124

Potential Resources (Not Applicable to the Food Stamp and Child Care
Programs)

2124.1

Requirements

2124.2

Failure to Comply

2130

Social Security Numbers (Not Applicable to TransMed or Child Care)

2131

Verification of SSN

2132

Participation Without an SSN

2133

Good Cause for Participation Without an SSN

2134

Refusal or Failure to Provide or Apply for SSN

2135

Use of SSN

2136

Referral Procedure for Applying for an SSN

2137

Entering SSN's on KAECSES

2140

Citizenship and Non-Citizen Status (Not Applicable to Children Needing Child Care for Qualified Social Service Reasons)

2141

Citizenship

  2141.1

Citizens at Birth

2142

Qualified Non-Citizen Status for the Cash, Medical, and Child Care Programs

2142.1

Eligible Non-Citizens

2142.2

Non-Citizens Who Qualify After 5 Years From the Date of Entry or
the Date Status Was Granted

2143

Qualified Non-Citizen Status for Food Stamps

2143.1

Non-citizens Eligible Indefinitely Effective April 1, 2003

2143.2

Non-Citizens Who Qualified After 5 Years from the Date of Entry or the Date Status was Granted

2143.3

Special Non-citizen Provisions

2144

Victims of Trafficking

2145

Documentation of Citizenship

 

2145.1

For all Programs Except Medical and General Assistance

 

2145.2

Citizenship Documentation For Medical Assistance and General Assistance

 

2145.3

Documentation for Citizens at Birth

  2145.4

Reasonable Opportunity to Provide Documentation (Medical and General Assistance Only)

2146

Documentation of Legal Status

 

2146.1

Documentation Not Clear

 

2146.2

Non-citizens Unable to Provide Documentation

 

2146.3

Documentation Obtained Later

 

2146.4

Verification of Alien Status through SAVE

 

2146.5

Verification of 40 Qualifying Quarters of Coverage (For Food Stamps Only)

2150

Residence

2151

Duplicate Benefits

2152

Institutionalization (Applicable to Medical Only)

2160

Cooperation With and Referral to Child Support Enforcement (Not Applicable to
Medical or Food Stamps)

2161

Cooperation

2162

Good Cause for Failure to Cooperate

2163

Referral to Child Support Enforcement

2164

Assignment of Support and Effective Date of Assignment (Not Applicable
to Child Care)

2165

Failure to Cooperate

2165.1

TAF Noncooperation Penalties

2165.2

Child Care Noncooperation

2166

Reporting of Support to EES

2167

Paternity of Alleged Father in the Home (Not Applicable to Food
Stamps, Medicaid or Child Care)

  2167.1 Expedited Paternity Establishment
  2167.2 Special Case Situations

2168

Voluntary Referral (Food Stamp and Medical)

2170

Strikers (Not Applicable to Medical or Child Care)

2171

Striker Definition

2172

Provisions Specific to Food Stamps

2172.1

Pre-Strike Eligibility

2172.2

Current Eligibility

2172.3

Work Registration

2172.4

Scheduling Intake

2172.5

Resources and Verification

2180

Other General Program Requirements

2181

Not Receiving SSI (Not Applicable to Medical, Food Stamps, or Child Care)

2182

Fugitive Felons and Probation and Parole Violators (Not Applicable to
Medical or Child Care)

2183

Reserved

2200

REQUIREMENTS SPECIFIC TO TEMPORARY ASSISTANCE FOR FAMILIES (TAF)

2210

Child in Family

2220

Living With a Caretaker

2221

Joint Custody Situations

2222

Minor Parent Not Living with Caretaker

2223

Temporary Absence of A Child or Caretaker

2230

Teen Parent Under Age 18

2240

Time-Limited Assistance

2241

Counting Cash Assistance Received From Other States Toward the 60-Month Time Limit

 

2242

Agency Protocol Prior to Terminating TAF Cash Case Due to the 60-Month Time Limit

 

2243

Hardship Status

 

 

2243.1

Non-Cooperation with Work Programs When in Hardship Status

 

 

2243.2

Non-Cooperation with Child Support When in Hardship Status

 

2244

Extension of Time Limits for Domestic Violence Victims

2300

REQUIREMENTS SPECIFIC TO STATE FUNDED ASSISTANCE PROGRAMS

2310

General Assistance (GA)

2311

Vehicle Registration

2312

Not Eligible for TAF

2313

General Assistance Criteria

2314

General Assistance Reintegration (GA RN)

2315

Application for Social Security Benefits

2316

Interim Assistance Reimbursement (IAR)

2317

Time Limited Assistance

 

2318

Hardship Status

 

2319

Guidelines for Closing GA Hardship Cases Over 24 Months When Hardship Status Ends

2320

Funeral Assistance Program

2321

General Eligibility Requirements

2322

Additional Requirements for the Funeral Assistance Program

2322.1

Recipient Status

2322.2

Resource/Estate Limit

2322.3

Funeral Expense Limit

2323

Funeral Assistance Benefit

2324

Communication With Funeral Homes and Cemeteries

2330

Grandparents as Caregivers Assistance

 

2331

Eligibility Requirements

 

2332

Household Definition

 

2333

Interview Requirements

 

2334

Mandatory Verification

 

2335

Income Guidelines

 

2336

Unearned Income

 

2337

Earned Income

 

2338

Exempt Income

 

2339

Treatment of Income for Persons not Included in the Household

2340

Application Processing

2341

Reporting requirements

  2342

Support Services

 

 

2342.1

Support Services Available

 

 

2342.2

Support Services Parameters

2400

REQUIREMENTS SPECIFIC TO REFUGEE (RE) CASH ASSISTANCE PROGRAM

2410

General Requirements

2420

RE Work Related Requirements

2430

Establishment of Need and Amount of Assistance

2440

Notification of Application for Assistance

2500

REQUIREMENTS SPECIFIC TO THE FOOD STAMP PROGRAM

2510

Categorically Eligible Households

2511

Potential Categorically Eligible Households

2512

Eligibility Factors and Verification Deemed for Food Stamp Eligibility Purposes

2513

Reserved

2514

Persons Not to be Included in a Household Which is Otherwise Categorically Eligible

2515

Work Related Requirements

2516

Special Provisions for SSI Households

2517

Termination of Categorical Eligibility

2518

Categorical Eligibility and Claims

2520

Able-bodied Adults Without Dependents (ABAWD)

2521

Persons Exempt from the ABAWD Provision

2522

Regaining Eligibility

2523

One-time Three Month Extension

2524

Establishing the 3 Month Period

2525

Certification Periods

2526

Treatment of Income and Resources

2527

Definitions

2530

Households Containing Post-High School Students

2531

Student Participation Criteria

2532

Student Status During Vacations and Break Periods

2533

Income, Resources, and Deductions of Ineligible Students

2534

Reserved

2540

Institutional Residents Who May Participate in the Food Stamp Program

2541

Alcohol and Drug Treatment and Rehabilitation Centers

2541.1

Certification Procedures

2541.2

Processing Standards

2541.3

Income and Resources

2541.4

Treatment Center Responsibilities

2541.5

Responsibility of Treatment Center When Resident Exits

2541.6

Agency Responsibility to Report Misuse

2541.7

Agency Action When the Treatment Center is Disqualified or Loses Certification

2542

Group Living Arrangements

2542.1

Certification Procedures

2542.2

Processing Standards

2542.3

Income and Resources

2542.4

Group Living Facility Responsibilities

2542.5

Residents of Group Living Arrangement

2542.6

Responsibility of the Group Home, Acting as an Authorized Representative, When a Resident Exits

2542.7

Action Required When Residents, Who Retained the Use of Their Own Benefits, Exit

2542.8

Agency Responsibility to Report Misuse

2542.9

Agency Action When the Group Living Arrangement is Disqualified or Loses Certification

2543

Shelters for Battered Women and Children

2543.1

Certification Procedures

2543.2

Processing Standards

2543.3

Income and Resources

2543.4

Issuance and Use of Benefits

2544

Pre-release Applicants

2550

Comparable Treatment for Disqualifications

2551

Assessing Penalties

2552

Treatment of Income and Resources and Special Procedures

2560

Special Provisions for Food Stamp Program When there is a TAF Failure to
Cooperate With CSE

2600

REQUIREMENTS SPECIFIC TO THE MEDICAID AND MEDIKAN PROGRAMS

2610

General Program Information

2611

Medicaid

2612

MediKan

2620

Medical Assistance Related to the Cash Programs (AM associated with GA and RE)

2620.1

Medical Assistance for Recipients of General Assistance

2620.2

Medical coverage for Recipients of Refugee Assistance

2630

SSI Recipients (SI)

2631

Other Eligibility Factors

2632

Prior Eligibility

2633

Recipients of State Supplemental Payments

2634

1619 Status

2635

Persons with Drug Addiction or Alcoholism

2636

Loss of Recipient Status

2637

Effect of Institutionalization

2638

Protected Filing Date

2639

Special Provisions for Children Terminated from SSI Due to Changes in Disability Criteria

2640

Reserved

2650

Medical Only Coverage Related Refugees (MA RM Extended Medical)

2660

Medical Only Coverage Related to the SSI Program (MS/CI)

2661

Related to Age

2662

Related to Disability, Including Blindness

2662.1

Disability Levels for Presumptive Disability and General Assistance/MediKan

2662.2

Authorization to Determine Disability

2662.3

Referral to Disability Determination Services (DDS)

2662.4

Presumptive Medical Disability Team (PMDT)

2662.5

Failure to Cooperate with the PMDT

    2662.6 Changes During the Disability Determination
    2662.7 Persons with Drug Addiction or Alcoholism
    2662.8 Effect of Loss of SSA/SSI Eligibility on Disability Determination
    2662.9 Protected Filing Dates

2663

Presumptive Medicaid Disability (PMD)

 

2663.1

Disability Criteria

 

2663.2

Eligibility Requirements

 

2663.3

SSI-Related Coverage

 

2663.4

Precedence of the Social Security Disability Determination

 

2663.5

KAECSES Procedures

 

2663.6

Final Determination By SSA

2664

Working Healthy (MS WH)

2664.1

General Eligibility Requirements

2664.2

Age and Blindness/Disability Requirements

2664.3

Earned Income Requirement

2664.4

Financial Requirements/Methodologies

2664.5

Premium Requirement

2664.6

Ongoing Eligibility

2664.7

Extension of Coverage for Temporary Unemployment

 

2665

Working Healthy Medically Improved

   

2665.1

General Requirements/Working Healthy Recipient

   

2665.2

Medical Improvement

   

2665.3

Financial Eligibility/ Premium Requirement

   

2665.4

Employment Status

   

2665.5

Medically Determinable Severe Impairment

   

2665.6

Referral to Benefits Specialist

 

2666

Child in an Institution (CI)

2670

Restricted Coverage for Medicare Beneficiaries (QMB/LMB/QWD)

2671

Qualified Medicare Beneficiaries (QMB)

2671.1

Effective Date of QMB Eligibility

2671.2

Medicare Part A Eligibility

2671.3

Income and Resource Methodologies

2671.4

Eligibility Determination

2671.5

Benefits

2672

Low Income Medicare Beneficiaries (LMB)

2672.1

Regular LMB (also known as the Specified Low-Income Medicare Beneficiary Program

2672.2

Expanded LMB (also known as the Qualifying Individual-1 Program

2673

Reserved

2674

Qualified Working Disabled (QWD)

2674.1

Medicare Part A Eligibility Under Section 1818(a)

2674.2

Income and Resource Methodologies

 

2675

Medicare Part D Subsidy

 

 

2675.1

Deemed Eligibles

 

 

2675.2

Determined Eligibles

 

 

2675.3

Effective Date of Subsidy

 

 

2675.4

Benefits and Levels of Subsidy

 

 

2675.5

Subsidy and Other Medical Programs

 

 

2675.6

Changes in Subsidy Levels

 

 

2675.7

Termination of Subsidy Coverage

2680

Protected Medical Groups (Pickle Amendment, Early/Disabled Widows and Widowers, etc.)

2681

Pickle Amendment

2682

Qualifying Disabled Widows and Widowers

2683

Adult Disabled Children

2684

Early or Disabled Widows and Widowers

2690

Other Covered Groups

2691

Emergency Service Coverage for Non-Citizens

2692

Mandated TB Care

2693

Persons with Breast and Cervical Cancer

2693.1

Screening Requirement

2693.2

Application Process

2693.3

Uninsured Provision

2693.4

Eligibility Period

2694

AIDS Drug Assistance Program (ADAP)

2700

RESERVED

2800

REQUIREMENTS SPECIFIC TO THE CHILD CARE PROGRAM

2810

General Requirements

2820

Personal Need

2830

Types of Child Care

2831

JO (TAF) Child Care

2832

Reserved

2833

Reserved

2834

Reserved

2835

 EM (Non-TAF) Child Care

 

2836

AE (Vocational Rehabilitation) Child Care

2840

Establishing a Waiting List

2850

Flint Hills Job Corps

2851

Eligibility and KsCares Payment Coding

2852

Work Programs

2900

OTHER PROGRAM REQUIREMENTS

2910

Third Party Resources

2911

Medicare and Medicare Buy-In

2911.1

Eligibility for Buy-In

2911.2

Medicare Entitlement

2911.3

Buy-In Effective Date

2911.4

Buy-In Terminations

2911.5

Explanation of Social Security Numbers and Health Insurance Claim (HIC)

2911.6

Buy-In Process

2911.7

Part A Buy In

2911.8

Refunds

2911.9

Problem Situations

    2911.10

Medicare Prescription Drug Coverage

2912

Health Insurance Premium Payment System (HIPPS)

2912.1

Referral Process

2912.2

Cost-Effectiveness Determination

2912.3

Payment Process

2912.4

Treatment of Spenddown Cases

2912.5

Impact on Eligibility

2920

Certificates of Creditable Coverage

2930

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