New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 90 - WORK FIRST NEW JERSEY PROGRAM
Subchapter 2 - NON-FINANCIAL ELIGIBILITY REQUIREMENTS
Section 10:90-2.4 - Exemptions from the 60-cumulative-month time limit
Universal Citation: NJ Admin Code 10:90-2.4
Current through Register Vol. 56, No. 18, September 16, 2024
(a) A WFNJ TANF/GA recipient shall be exempted from the 60-cumulative-month time limit if the recipient is:
1. Sixty years
of age or older;
2. One parent, in a two-parent family or a
caretaker relative of a disabled child or other disabled dependent who must provide full-time care for the
disabled child or other disabled dependent;
i. A disabled child is a person
from birth to the age of 18 years who has a medically determinable physical or mental impairment which
substantially reduces the child's ability to function independently, appropriately, and effectively in an
age-appropriate manner; whose impairment is expected to last for a continuous period of not less than 12
months; and who requires the continuous presence and personal services of the parent/caretaker relative to
maintain his or her basic level of functioning.
ii. A disabled
dependent is a person over the age of 18 years who suffers from a medically determinable physical or mental
impairment which reduces the dependent adult's ability to engage in substantial gainful activity; whose
impairment is expected to last for a continuous period of not less than 12 months; and who requires the
continuous presence and personal services of the parent/caretaker relative to maintain his or her basic level
of functioning.
3. Permanently disabled, including,
but not limited to, a person eligible for disability insurance benefits under Title II or Title XVI of the
Federal Social Security Act or persons who have never completed an application for SSI or SSDI benefits, or
did not appeal a denial by SSA.
i. A permanently disabled individual is an
individual whose physical or mental impairment, defect or injury prevents him or her from engaging in
full-time employment for a period of 12 or more months as certified by an attending physician (including a
licensed or certified psychologist, as appropriate), or advanced practice nurse on a minimum of one
WFNJ/MED-1, Examination Report. Such individuals may be awaiting eligibility determination for Federal
long-term disability (SSI or RSDI) benefits or be among those who have been determined by the State
Department of Labor and Workforce Development to be impaired to such a degree that they will not likely
achieve employment even with the provision of vocational rehabilitation services. This includes persons who
are permanently disabled because of HIV-related illness who are eligible for Federal SSI benefits.
ii. Such individuals, if their physical or mental impairment allows, may
participate in part-time WFNJ work activities or employment for a length of time as designated by the
certifying practitioner. When such individuals choose to engage in a WFNJ work activity and/or employment and
then find that their condition or impairment prevents such activity, he or she can revert back to deferred
status and are not subject to sanction. Part-time participants shall be given access to the same services and
supports as non-deferred recipients, such as access to training slots, transportation and child care
supports.
iii. At the time of case redetermination, a permanently
disabled individual's condition shall be reviewed. A recertification using a WFNJ/MED-1 shall not be required
for those individuals who provide documentation that they have been determined permanently disabled and are
receiving disability insurance benefits under Title II or Title XVI of the Federal Social Security Act;
otherwise a recertification using a WFNJ/MED-1 form shall be required annually. If the condition remains
unchanged, a new Individual Responsibility Plan does not have to be completed for the permanently disabled
individual.
(1) For an individual that may be work ready, a new WFNJ/MED-1
must be completed. Additionally, if the WFNJ agency worker, through his or her observation or through any
other means, which can be documented, believes that a positive change in the individual's condition occurred,
such observations shall be documented through the worker's completion of a WFNJ-6, Work First New Jersey
Medical-Social Information Report;
4.
Chronically unemployable as defined by the provisions below:
i. A
chronically unemployable adult cannot be identified until at least 36 months have been spent in the WFNJ
program and the adult exhibits a limited and inconsistent or no history of full-time, ongoing successful
gainful employment (including, but not limited to, multiple or lengthy periods of unemployment or
underemployment) or successful participation in work activities despite good faith efforts which have been
documented.
ii.No single factor or employment barrier is used to
make a determination of chronically unemployable, but rather, an individual shall be considered chronically
unemployable if he or she has a limited and inconsistent or no work history as defined above and any one of
the following criteria:
(1) Has low literacy or math level (below sixth
grade); or
(2) Exhibited personal, social or psychological
factors (as indicated in (a)4ii(2)(A) through (E) below) which indicate that the person is unlikely to ever
get and/or keep a job in the foreseeable future-any one of the following which would require medical or other
appropriate documentation and/or trigger a referral to SSI:
(A) A history
of chronic substance abuse/early onset;
(B) A personal history of
crises and traumas, both physical and/or emotional, as well as significant mental health problems, including,
but not limited to, chronic or major depression, over the person's lifetime;
(C) Borderline mental retardation or severe learning disability;
(D) The adult, 55 years of age or older, has a prolonged work history in
one particular field or occupation and is no longer able to maintain such employment due to his or her age
and inability to perform the unique requirements of the job, and lacks the education/training necessary to
engage in other successful gainful employment; or
(E) As long as
New Jersey is within the 20 percent exemption limit allowed under PRWORA, adults who have participated in the
Supportive Assistance for Individuals and Families (SAIF) program and demonstrated continued efforts to
engage in education or employment activities but after 24 months of intensive intervention exhibit more than
one barrier to employment, such as:
(I) Lack of a high school
diploma/GED;
(II) Limited English proficiency;
(III) Lack of skills/training;
(IV) Criminal record (resistant to expunction or bonding);
(V) Lack of work experience;
(VI) Child care unavailable for a special needs child;
(VII)Family problems of participant or dependent involving behavioral
health system, CP&P or legal issues; or
(VIII) Chronic health
problems of participant or dependent (with Division of Medical Assistance and Health Services (DMAHS)
review).
iii. When an adult
individual exhibits early indications of being a person who will be eventually classified as a chronically
unemployable individual, it is important to carefully plan a realistic Individual Responsibility Plan with
such an individual to phase the individual gradually into activities to build up basic skills, to instill
confidence and reinforce any talents or aptitudes the individual exhibits. Also, when significant physical,
emotional, or other disabilities are present, the individual should be directed to apply for SSI. Such
individuals should be placed in less stressful work placements such as, but not limited to, supervised
employment or community service activities. Referrals should also be made to all other appropriate services
designed to assist the developmental progress of such individuals;
5. Subject to family violence (see
10:90-2.6 for a description of other program requirements which
may be waived for victims of family violence). This exemption shall be based upon the request of the
recipient. If any of the following family violence situations occur, then an exemption shall be granted.
However, this is not an all inclusive list of family violence situations that may warrant an exemption:
i. Individuals currently living in an active family violence situation are
to be determined eligible for an exemption to the 60-month lifetime limit on receipt of cash assistance
benefits, if a deferral from the work requirement is or was requested;
ii. Individuals with a recent history of family violence who have not been
participating in the WFNJ work requirement due to the family violence situation and remain deferred due to
family violence are to be determined eligible for an exemption to the 60-month lifetime limit on receipt of
cash assistance benefits;
iii. Individuals with a previous
history of family violence who were deferred at some time and were not able to fully participate, and have
recently been participating in the WFNJ work requirement, shall be determined eligible for an exemption to
the 60-month lifetime limit on receipt of cash assistance benefits, if the inability to participate in the
WFNJ requirement has impacted his or her ability to become self-sufficient; and/or
iv. A past or present victim of family violence who has previously or who
is currently engaging in work activities, if the recipient has been unable to become self-sufficient due to
family violence;
6. An individuals who has exhausted
60 cumulative months of WFNJ TANF/GA benefits may be eligible to reapply for and receive assistance after his
or her case has been closed if he or she meets the criteria for an extension or an exemption; or
7. An individual whose case is in post 60-month extension or exemption
status who continues to have a work requirement and fails to be in compliance with that requirement, without
good cause, shall have his or her case sanctioned in accordance with provisions at
10:90-4.13.
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