New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter B - Public Assistance
Article 1 - Determination of Eligibility-General
Part 352 - Standards of Assistance
Section 352.31 - Estimate of need and application of income
Universal Citation: 18 NY Comp Codes Rules and Regs ยง 352.31
Current through Register Vol. 46, No. 39, September 25, 2024
(a) For applicant or recipient.
(1)
The estimate of need for any applicant or recipient shall include all items of
need as specified in these regulations for persons in the circumstances under
which such items are allowed. The amount to be included for each item of need
shall be the appropriate amount provided in accordance with schedules and other
provisions of these regulations. To the extent that an item offered is
otherwise provided, it shall not be included in the estimate of need, but the
manner in which such item is provided shall be recorded.
(2) All available and unrestricted income of
a legally responsible relative in the home and/or a relative required to be in
the public assistance household pursuant to section
352.30
of this Part must be applied against his/her own needs and the needs of the
other persons in the public assistance household. In determining eligibility
and standard of need, if one of the relatives referenced in this paragraph is
sanctioned under Part 347, 349, 352, 369, 370 or 385 of this Title, all of that
person's income, minus any appropriate disregards under section
352.19
or
352.20
of this Part, must be applied against the needs of the public assistance
household.
(3) The amount of income
received by the applicant or recipient in excess of $15 per month from a
lodger, or in excess of income of $60 per month from a boarding lodger, shall
be considered as income to the applicant or recipient, unless such applicant or
recipient documents that the actual out-of-pocket expenses incurred in
providing the room for the lodger exceed $15 per month, or that such expenses
for room and board for the boarding lodger exceed $60 per month. If documented
expenses exceed $15 or $60, actual expenses shall be allowed and the excess
considered income to the applicant or recipient.
(4) Support payments made pursuant to an
order of the Family Court or other appropriate court by an individual through a
social services district's support collection unit on behalf of a safety net
assistance applicant or recipient, must be applied in the safety net assistance
category as follows: an amount of current child or child and spousal support
collected on behalf of the safety net assistance household must be disregarded
and paid to the safety net assistance household pursuant to section
352.15 of this
Part. The remaining amount must be used for purposes of determining eligibility
for public assistance, and then applied as reimbursement for public assistance
paid to the safety net assistance household on whose behalf such support
payments are collected.
(5) Support
payments required to be made directly to a recipient by an individual pursuant
to an order of the Family Court or other appropriate court will be treated in
the safety net assistance category only as follows:
(i) If there has been habitual failure to
make court-ordered support payments or where the circumstances are such that
there are reasonable grounds to believe that such support payments will not be
made, the income therefrom may be considered as irregular as to amount or
uncertain as to receipt and the provisions of subdivision (c) of this section
shall be considered as applicable.
(ii) Failure to make at least three payments
in full during the preceding three-month period shall be deemed to constitute
an habitual failure to make payments.
(iii) The following shall constitute
reasonable grounds to believe that court-ordered support payments will not be
made by the individual who has been ordered to make such payments:
(a) the individual has failed to make at
least three consecutive court-ordered support payments in full; or
(b) the whereabouts of the individual are
unknown; or
(c) the individual is
known to be unemployed; or
(d) the
individual's sole means of support is known to be public assistance or
supplemental security income or both; or
(e) the individual is confined to a medical
institution or is obviously too ill or incapacitated to work; or
(f) the individual is incarcerated in a penal
institution.
(iv) In
cases in which the individual is making payments on a regularly recurring
basis, but in an amount less than the amount stated in the court order, such
lesser amount only shall be applied against the needs of the applicants or
recipients in determining the amount of the grant.
(v) For current child or child and spousal
support received directly by a safety net assistance household in a month, an
amount determined pursuant to section
352.15 of this
Part must be disregarded.
(6) Upon notification by the support
collection unit of the amount of current support collected for a month for a
recipient of public assistance, the public assistance unit must review the
household's eligibility to receive public assistance. This review must be
conducted no later than the second month after the month in which the public
assistance unit receives from the support collection unit the report of the
current support collected for the month. In determining whether the amount of
current support collected was sufficient to make the family ineligible for
assistance during the month for which the support was collected, the public
assistance unit must treat the amount of support collected, less the portion
disregarded pursuant to section
352.15 of this
Part, as income. If such treatment makes the family ineligible for assistance,
the public assistance unit must notify the family and the support collection
unit of the effective date of the household's ineligibility for assistance. If
such treatment does not make the household ineligible for an assistance
payment, the assistance payment will be calculated without regard to the amount
of support collected.
(7) If
assistance which is countable under the durational time limit provisions of
section
369.4
or
370.4
of this Title continues to be paid after the effective date of ineligibility
pursuant to paragraph (6) of this subdivision, the social services district
shall adjust the time limit count of trackable individuals in the case to
remove the months of ineligibility during which countable assistance was
issued.
(8) Any amount of support
paid to the household pursuant to section
347.13(b)(3)(iv),
(v), (vi), (vii), (c)(2)(iii), (iv), or (v)
of this Title must be treated as income in the month after the month in which
the payment is received by the household.
(b) [Reserved]
(c) Temporary changes in earned income.
When there is a temporary change in earned income, no adjustment will be made to the regularly recurring public assistance grant. However, changes in earned income that last for less than 30 days must be supplemented when the following conditions are met:
(1) a supplement has been
requested;
(2) verification of the
reduced earned income amount has been provided no later than 10 days after the
month in which the reduction occurred; and
(3) the recipient has established that the
reduction in earned income was beyond the recipient's control. Beyond
the recipient's control means that the reduction resulted from:
(i) a mental or physical problem that the
recipient had;
(ii) the employer's
determination to reduce hours of work or wages; or
(iii) other extenuating circumstances under
which the recipient could not reasonably be expected to earn the same amount of
income.
(d) Recovery of overpayments.
(1)
Social services districts shall take all reasonable steps necessary to promptly
correct any overpayments, including overpayments resulting from assistance paid
pending a hearing decision, subject to the following conditions:
(i) Social services districts must recover an
overpayment from:
(a) the assistance unit
that was overpaid;
(b) any
assistance unit of which an adult member of the overpaid assistance unit, as
defined in subparagraph (ii) of this paragraph, has subsequently become a
member; and
(c) any adult
individual member of the overpaid assistance unit, as defined in subparagraph
(ii) of this paragraph, whether or not currently a recipient.
(ii) The term
adult, as used in this subdivision, refers to any member of
the assistance unit who at the time of overpayment occurrence exceeds the age
requirements of an eligible child as set forth in section
369.2(c)
of this Title. A child meeting the eligible child age requirements as set forth
in section
369.2(c)
of this Title who is a member of the assistance unit at the time of overpayment
occurrence must not be held liable for overpayment recoupment/recovery by
operation of clauses (i)(b) or (c) of this
paragraph.
(2) The
proportion of the current assistance grant that must be deducted for recoupment
must be 10 percent of the household's needs for family assistance and safety
net assistance. If undue hardship is claimed and substantiated, the recoupment
must not be less than five percent of the household's needs. However, when the
grant amount is less than 10 percent of such needs for family assistance or
safety net assistance, or less than five percent in undue hardship situations,
the full grant must be recouped. For purposes of this paragraph, the
household's needs include the following allowances:
(i) an allowance for regularly recurring
needs and home energy as contained in schedules SA-2a, SA-2b and SA-2c of
section
352.2(d)
of this Part;
(ii) an allowance for
rent in accordance with section
352.3(a) and
(d) of this Part;
(iii) an allowance for fuel for heating as
contained in schedules SA-6a, SA-6b and SA-6c of section
352.5(b)
of this Part;
(iv) an allowance for
personal needs in accordance with section
352.8
of this Part;
(v) a restaurant
allowance and an allowance for home delivered meals as contained in schedule
SA-5 of section
352.7(c)
of this Part;
(vi) an allowance for
chattel mortgages or conditional sales contracts in accordance with section
352.7(h)
of this Part;
(vii) a pregnancy
allowance in accordance with section
352.7(k)
of this Part; and
(viii) an
allowance for water in accordance with section
352.3(b)
of this Part.
(3) If
through recoupment, the amount payable to the assistance unit is reduced to
zero, members of the assistance unit are still considered recipients of family
assistance or safety net assistance.
(4) In cases which have both an underpayment
and an overpayment, the social services district shall offset one against the
other in correcting the payment.
(5) Recovery shall be made by appropriate
legal action against the income or resources of those individuals who are no
longer recipients. However, social services districts may waive recovery of an
overpayment from an individual no longer receiving assistance if the amount of
the overpayment is less than $125 and the overpayment was not the result of
fraud on the part of the recipient as defined in section
348.1 of
this Title. In cases involving fraud, social services districts must continue
to make an effort to recover the overpayment, regardless of the amount. When
the overpayment is $125 or more and does not involve fraud, social services
districts may elect to discontinue collection procedures when it is determined
that the cost of recovery is greater than the cost of collection and reasonable
efforts to recover the overpayment have been made. Reasonable
efforts must include notification of the amount of and reason for the
overpayment and that repayment is required. If recovery is not made, the social
services district must recoup the amount of overpayment if the assistance unit
reapplies and is found eligible.
(6) When a recipient who is subject to
recoupment moves from one social services district to another, the new district
of residence shall recover overpayments made by the social services district of
original residence in accordance with the provisions of this Part.
(7) Social services districts shall take one
of the following three actions by the end of the quarter following the quarter
in which the overpayment is first identified:
(i) recover the payment;
(ii) initiate action to locate and/or recover
the overpayment from a former recipient; or
(iii) initiate recoupment from a current
recipient's grant.
(8)
When an overpayment, or any portion of an overpayment, represents assistance
received during a period of ineligibility for such assistance, and when such
assistance was countable toward a time limit pursuant to the provisions of
section
369.4
or
370.4
of this Title, social services districts shall take the following actions:
(i) identify the specific whole calendar
month(s) of ineligibility for countable assistance;
(ii) identify the amount of countable
assistance for each whole calendar month of ineligibility;
(iii) track repayment or recovery of the
amount of the overpayment to determine when a previous whole calendar month of
countable assistance has been fully recouped or recovered; and
(iv) adjust the individual's time limit count
to remove each calendar month of ineligible receipt of countable assistance as
the full amount of countable assistance for that month is recouped or
recovered.
(e) Overpayments to aliens.
(1) Any sponsor of an alien and the alien
shall be jointly and severally liable for any overpayment of public assistance
made to the alien during the three years after the alien's entry into the
United States due to the sponsor's failure to provide correct information under
the provisions of section
352.33
of this Part.
(2) When a sponsor is
found to have good cause or to be without fault for not providing information
to the social services district, the sponsor will not be held liable for the
overpayment and recovery will not be made from such sponsor. The sponsor shall
have good cause or be without fault if the information requested was not known
and could not have been known to the sponsor or the documentation requested was
not available to the sponsor.
(3)
An overpayment for which the alien or the sponsor and the alien are liable
shall be repaid to the social services district or recovered in accordance with
subdivision (d) of this section. If the social services district is unable to
recover the overpayment through this method, funds to reimburse the agency
shall be withheld from future payment to which the alien or sponsor is entitled
under:
(i) family assistance or safety net
assistance; or
(ii) any
federally-administered cash benefit program established by the Social Security
Act.
(f) Correction of underpayments to current recipients.
(1) Social services districts must correct
any underpayments to current recipients, and to those who would be current
recipients if the error causing the underpayment had not occurred, by making
appropriate payments in each case within 30 days after discovery of the
underpayments. Such retroactive payments will not be considered as income or as
a resource in the month paid or in the next following month. Judicial
determinations which enjoin or declare invalid departmental policy do not
create an underpayment.
(2) Persons
who join an existing public assistance filing unit, who are required to be
members of the unit and, whose presence causes an underpayment to be made to
the case will have an underpayment adjustment made only:
(i) for those months in which the filing unit
met all eligibility requirements; or
(ii) for the period retroactive to the date
that the persons joined the existing filing unit when the change in household
composition is reported within 10 days of its occurrence, and if the
appropriate eligibility requirements are met within such 10-day
period.
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