Current through Register Vol. 54, No. 44, November 2, 2024
Eligibility verification. Eligibility
verification will be as follows:
(1)
Initial contacts. Requirements concerning initial contacts are
as follows:
(i) If the client is unable to
obtain the necessary evidence to verify eligibility, the CAO will obtain it
from public records, collateral sources and the like. When the collateral
contact requires the written consent of the client for release of the desired
information, a copy of the authorization to release information form will be
used. The authorization to release information form may be used to obtain
information from more than one collateral source as required to establish
eligibility for assistance and to verify information any time after initial
eligibility is established. The written consent of the client, secured on an
authorization to release information form, shall be effective to empower any
third party to release information requested by the CAO. However, banks and
employers are required by section 487 of the Public Welfare Code to provide
certain information without client consent upon the request of the
CAO.
(ii) The authorization to
release information form will only be used in those specific instances when the
client is unable to provide the evidence to establish eligibility. The client
must consent to the disclosure of information as a condition of
eligibility.
(iii) In certain
situations, it may be impossible to secure valid substantiation beyond the
statement of the applicant on certain eligibility factors. The worker will then
make a reasonable decision based on the worker's judgment of the available
evidence, that is, the credibility of the person, and the validity of other
supporting or conflicting evidence. Initial authorization of assistance will
not be delayed more than 15-calendar days from the date of receipt of the
application for purposes of verification of eligibility, if the applicant has
cooperated in the verification attempt.
(iv) When the evidence a client supplies is
inadequate, or is incomplete, inconsistent, or indeterminate in view of other
evidence, the worker will inform the client that additional evidence will be
required. Together, the worker and client will determine acceptable sources for
further evidence. If the evidence provided by the client is still unacceptable,
the worker will consult a collateral source of information using a copy of the
authorization to release information form when required.
(2)
Collateral contacts. Use
of collateral contacts will be as follows:
(i)
Public records, that is, courthouse records, vital statistics, motor vehicle
registration and the like and employers and banks for certain information
specified in section 487 of the Public Welfare Code may be consulted without
requesting or receiving the consent of the client.
(ii) To consult other sources of information,
the agency will need the blanket consent of the client (a copy of the
authorization to release information form when the collateral contact requires
it), whether with social agencies, doctors, hospitals and similar resources, or
with relatives or other individuals. It shall be a condition of eligibility for
assistance that an applicant or recipient sign an authorization to release
information form consenting to the disclosure of information about the age,
residence, citizenship, employment, applications for employment, income and
resources of the applicant or recipient which is in the possession of third
parties as follows:
(A) The following persons
shall sign an authorization to release information form at the times specified:
(I) The applicant, regardless of age, at the
application interview.
(II) An
individual applied for who is 18 years of age or older and an emancipated minor
17 years of age or younger, at the application interview or within 30-calendar
days of the authorization date.
(III) The person, regardless of age, who is
the payment name, during the reapplication interview.
(IV) A recipient who is 18 years of age or
older and an emancipated minor 17 years of age or younger, during the
reapplication interview or within 15-working days of the interview
date.
(V) A mandatory budget group
member added to an existing budget who is 18 years of age or older and an
emancipated minor 17 years of age or younger, within 15-working days of the
authorization date.
(B)
The information obtained shall be used only in the administration of the PA
Program, in accordance with §
105.1(c)(1)
(relating to policy).
(C) The
person who is the payment name shall sign a form within 15-working days of a
payment name change or a name change or after an intercounty transfer is
completed.
(D) The form, when
signed, becomes a permanent part of the case record, until replaced by a more
recently signed form.
(iii) Except in cases of suspected fraud, the
CAO shall attempt to notify the applicant or recipient prior to contacting a
third party for information about that applicant or
recipient.
The provisions of this §201.4 issued under sections 201(2)
and 403(b) of the Public Welfare Code (62 P. S. §§
201(2) and
403(b)).
This section cited in 55 Pa. Code §
125.1 (relating to policy); 55 Pa.
Code §
133.23 (relating to requirements);
and 55 Pa. Code §
167.43 (relating to requirements);
and 55 Pa. Code §
299.36 (relating to eligibility
requirements for SSP-only).