Pennsylvania Code
Title 55 - HUMAN SERVICES
Part II - Public Assistance Manual
Subpart C - Eligibility Requirements
Chapter 165 - ROAD TO ECONOMIC SELF-SUFFICIENCY THROUGH EMPLOYMENT AND TRAINING (RESET) PROGRAM
SPECIAL ALLOWANCES FOR SUPPORTIVE SERVICES
Section 165.44 - Verification for special allowances for supportive services
Universal Citation: 55 PA Code ยง 165.44
Current through Register Vol. 54, No. 44, November 2, 2024
(a) Verification needed to authorize special allowances for supportive services.
(1) Before authorizing the
special allowance for supportive services, the Department will determine the
following:
(i) Whether the supportive service
requested is required to enable the participant to engage in an approved work
or work-related activity.
(ii) The
expected charge for the service or item requested.
(iii) The date the service or item is needed
by the participant.
(iv) The date
that payment for the service or item is required under the provider's usual
payment policy or practice.
(v) The
Department will not pay for or provide a special allowance for items and
services already paid for or obtained unless required under Federal
law.
(2) Verification,
including collateral contact, that the special allowances for supportive
services is required will be provided prior to authorization.
(3) Acceptable verification consists of
collateral contacts, written statements or completed Departmental forms,
obtained from sources such as employers, prospective employers, school
officials, employment and training providers or providers of supportive
services. If collateral contacts are used, the information will be documented
in the participant's file.
(4) The
Department will use collateral contacts whenever necessary to ensure that
payment is made in advance of the date that payment is required.
(b) Verification needed for reoccurring and nonrecurring special allowances for supportive services.
(1) The individual's
eligibility for a special allowance for a supportive service is reviewed
monthly, or more often if expenses are likely to change, at each
redetermination or recertification, whenever a change in employment or training
is reported by the individual or the employment and training provider, and
whenever the AMR or EDP is revised.
(i) A
participant shall verify the actual costs incurred by the participant for the
supportive service and the participant's attendance at the approved work or
work-related activity. The Department may require that the participant or
provider of the supportive service, or both, verify that the participant
received the approved special allowance for supportive services and that the
provider received payment for the amount the participant was eligible to
receive.
(ii) When verification
provided indicates a change in eligibility, payment of the special allowance to
the participant shall be reduced, terminated or increased, as appropriate, upon
issuance of a confirming notice to the participant, in accordance with §
133.4(c) (relating to procedures).
(iii) The individual shall provide
verification of expenditure of the special allowance within the time frame
specified on the AMR or EDP.
(2) The Department will process an
overpayment referral to recover a special allowance for supportive services to
the extent of the misuse in accordance with §
165.91 (relating to restitution)
and Chapter 255 (relating to restitution). Circumstances for which a referral
may be appropriate include the following:
(i)
The participant was ineligible for cash assistance or SNAP only benefits in the
month the Department issued a special allowance for supportive
services.
(ii) The participant did
not use the special allowance for supportive services for its intended
purpose.
(iii) The actual cost of
the supportive service was less than the estimated cost of the
service.
(iv) The participant
provided falsified or erroneous documentation to obtain a special allowance for
supportive services.
(v) The
participant received a reoccurring special allowance for supportive services
when the need no longer existed.
(vi) The participant or provider of
supportive services, or both, did not provide verification, such as a receipt,
that the supportive services requested were obtained using the special
allowance payment.
(vii) The
participant did not participate in or comply with RESET, including meeting
hourly and other work and work-related requirements as specified on the AMR or
EDP.
The provisions of this §165.44 amended under sections 201(2), 403(b), 403.1, 405, 405.1, 405.1A, 405.3, 408(c) and 432 of the Public Welfare Code (62 P. S. §§ 201(2), 403(b), 403.1, 405, 405.1, 405.1A, 405.3, 408(c) and 432); and the Federal Food stamp regulation in 7 CFR 273.7(d)(4).
This section cited in 55 Pa. Code § 165.1 (relating to general).
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