Code of Vermont Rules
Agency 13 - AGENCY OF HUMAN SERVICES
Sub-Agency 170 - DEPARTMENT FOR CHILDREN AND FAMILIES (DCF)
Chapter 000 - RENUMBERING AND RESTRUCTURING OF DEPARTMENT RULES
Section 13 170 000 - RENUMBERING AND RESTRUCTURING OF DEPARTMENT RULES

Old Rule Number

Old Agency Number

New Agency Number

New Rule Number

13 170 001

2000, 2100

2000

13 170 200

13 170 021

2100

2100

13 170 210

13 170 003

2200, 2300

2200

13 170 220

13 170 001, 13 170 003, 13 170 021

2300, 2100

2300

13 170 230

13 170 017

2400

2400

13 170 240

13 170 007

2600

2600

13 170 260

13 170 002

2700

2700

13 170 270

13 170 004

2800

2800

13 170 280

13 170 006

2900

2900

13 170 290

13 170 010

2500

3000

13 170 300

13 170 008

M100

4100

13 170 410

13 170 008

M200

4200

13 170 420

13 170 008

M300

4300

13 170 430

13 170 008

M400

4400

13 170 440

13 170 010

2500

5100

13 170 510

13 170 009

3000

5200

13 170 520

13 170 015

4000

5300

13 170 530

13 170 019

3500

5400

13 170 540

13 170 014

3300

5500

13 170 550

13 170 013

3200

5600

13 170 560

13 170 108

3400

5700

13 170 570

13 170 012

3100

5800

13 170 580

13 170 020

4100

5900

13 170 590

13 170 008

M100

7100

13 170 710

13 170 008

M500

7200

13 170 720

13 170 008

M600

7300

13 170 730

13 170 008

M700

7400

13 170 740

13 170 008

M800

7500

13 170 750

13 170 008

M900

7600

13 170 760

All Programs Rules with Shorter Names Sorted by New Number

New Number

Old Number

New Name

Old Name

2000

2000

All Programs

Introduction

2010

2100­2109

Eligibility and Payment

Eligibility and Payment

2011

2101

Eligibility

Eligibility

2012

2102

Payment

Payment

2013

2103

Case Records

Case Records

2014

2104

Authorized Representative

Authorized Representative

2015

2106.1

Fraud

Definition

2015.1

2106.2

Suspected Fraud

Criteria for Identification of Suspected Fraud

2015.2

2106.3

Methods of Investigation

Methods of Investigation

2015.3

2106.4

Referral to Law Enforcement

Referral to Law Enforcement Agencies

2015.4

2106.5

Records and Reports

Records and Reports

2020

2111

Application Procedures

Application Procedures

2030

2170

Americans With Disabilities Act (ADA)

Americans With Disabilities Act (ADA)

Reach First Rules with Shorter Names Sorted by New Number

New Number

Old Number

New Name

Old Name

2100

2190

Reach First

Introduction to Reach First

2101

2191

Definitions

Definitions

2110

2192

Eligibility

Eligibility

2111

2193

Financial Eligibility

Financial Eligibility

2112

2194

Personal Interview

Personal Interview

2113

2194.1

Orientation

Orientation

2114

2194.2

Financial and Self­Sufficiency Screening

Financial and Self­Sufficiency Screening

2115

2194.3

Ineligible Families

Families Ineligible for Reach First

2116

2194.4

Families Inappropriate for Referral

Families Inappropriate for Reach First Referral

2117

2194.5

Families with Mandatory Applicants

Families with Reach First Mandatory Applicants

2118

2194.6

Families with No Mandatory Applicants

Families with No Reach First Mandatory Applicants

2120

2195

Payments

Reach First Payments

2121

2195.1

Payment Calculation

Payment Calculation

2122

2195.2

Payment Disbursement

Payment Disbursement

2130

2196

Services Component

Reach First Services Component

2131

2196.1

Assessment

Assessment

2132

2196.2

Case Management

Case Management

2133

2196.3

Family Development Plans

Family Development Plans

2134

2196.4

Support Services

Support Services

2140

2197

Participant Responsibilities

Reach First Participant Responsibilities

2141

2197.1

Consequences of Noncompliance

Consequences of Noncompliance

2142

2197.2

Noncompliance and Good Cause

Noncompliance and Good Cause

2143

2197.3

Conciliation

Conciliation

2150

2198

Referral and Transition to Other Programs

Referral and Transition to Other Programs

2160

2199

Notice and Appeal

Notice and appeal

Reach Up Eligibility Rules with Shorter Names Sorted by New Number

New Number

Old Number

New Name

Old Name

2200

2200

Reach Up

Purpose of the Reach Up Program

2201

2201

Eligibility and Payment Process

Eligibility and Payment Process

2202

2202

Eligibility and Payment Definition

Eligibility and Payment Definition

2203

2203

Case Records

Case Records

2204

2204

Authorized Representative

Authorized Representative

2205

2205.1

Fraud

Definition

2205.1

2205.2

Suspected Fraud

Criteria for Identification of Suspected Fraud

2205.2

2205.3

Methods of Investigation

Methods of Investigation

2205.3

2205.4

Referral to Law Enforcement

Referral to Law Enforcement Agencies

2205.4

2205.5

Records and Reports

Records and Reports

2206

2215

Quality Control Review

Quality Control Review

2207

2225.1

Domestic Violence

Domestic Violence

2210

2208

Application

Application

2210.1

2334

Termination Due to Support Payment

Administrative Period Following Termination of Reach Up Due to Support Payment

2210.2

2209

Choice of Program

Choice of Program

2210.3

2210

Deadline for Application Processing

Deadline for Application Processing

2211

2211

Methods of Investigation

Methods of Investigation

2211.1

2211.1

Statement of Need

Statement of Need

2211.2

2211.2

Interviews

Interviews

2211.3

2211.3

Verification

Verification

2211.4

2211.4

Collateral Sources

Collateral Sources

2212

2218

Continuing Eligibility

Continuing Eligibility

2213

2218.1

Review of Eligibility

Review of Eligibility

2213.1

2220.1

Reviews

Reviews

2214

2220

Change of Circumstances

Change of Circumstances

2214.1

2223

Change of Address

Change of Address

2214.2

2224

Family Separation

Family Separation

2214.3

2222

Deceased Participant

Deceased Recipient

2215

2218.2

Assistance Pending Fair Hearing

Continued Assistance Pending Fair Hearing

2216

2225

Decisions, Notification and Authorization

Case Decisions, Notification and Authorization

2216.1

2226

Application Decisions

Application Decisions

2216.2

2226.1

Money Payment

Money Payment

2216.3

2227

Review Decisions

Review Decisions

2217

2228

Notice of Decision

Notice of Decision

2217.1

2228.1

Exemptions from Minimum Advance Notice

Exemptions from Minimum Advance Notice

2217.2

2228.2

Money Grant Notice

Money Grant Notice

2220

2230

Money Grants

Money Grants

2221

2231

Alternate Payee

Alternate Payee

2222

2232

Method of Payment

Method of Payment

2222.1

2238

Vendor Payments

Vendor Payments

2222.2

2237

Maintenance Assistance

Maintenance Assistance

2222.3

2236

Administrative Expense

Administrative Expense

2223

2233

Deceased Payee

Deceased Payee

2224

2234.1

Underpayments

Underpayments

2225

2234.2

Overpayments

Overpayments

2225.1

2242.74

Overpayment to Aliens

Overpayment to Aliens

2226

2235

Protective Payments

Protective Payments

2226.1

2235.1

Money Mismanagement

Criteria for Determining Money Mismanagement

2226.2

2235.2

Payee Selection Criteria

Payee Selection Criteria

2226.3

2235.21

Conflict of Interest Limitation

Conflict of Interest Limitation

2226.4

2235.3

Payee Relationship

Payee Relationship

2226.5

2235.4

Controlled Vendor Payments (CVP)

Controlled Vendor Payment System (CVP)

2226.6

2235.5

Redetermination

Redetermination

2226.7

2235.6

Appeal

Appeal

2230

2242.1

Eligible Child

Eligible Child

2230.1

2302.11

Relative

Relative

2230.2

2302.12

Qualified Caretaker

Qualified Caretaker

2230.3

2302.13

Home

Home

2231

2242.2

Eligible Parent

Eligible Parent

2231.1

2208.1

Civil Unions Act (Act 91)

Civil Unions Act (Act 91)

2232

2242.4

Needy Essential Person

Needy Essential Person

2233

2302

Residence

Residence

2233.1

2302.2

Residence ­Committed Child

Committed Child (ANFC)

2234

2303

Social Security Numbers

Social Security Numbers

2235

2330­2339

Support Obligations and Payments

Child Support Obligations and Payments

2235.1

2331

Assignment of Support Rights

Assignment of Support Rights

2235.2

2332

Cooperation With Child Support

Cooperation With Child Support

2235.3

2332.1

Good Cause for Refusal

Good Cause for Refusal to Cooperate

2235.4

2332.2

Request for Waiver

Request for Waiver

2235.5

2332.3

Review of Good Cause Waivers

Review of Good Cause Waivers Granted

2236

2242.73

Temporarily Disqualified Aliens

Temporarily Disqualified Aliens

2237

2304

Special Cases of Ineligibility

Special Cases of Ineligibility

2237.1

2304.1

Strike Participants

Strike Participants

2237.2

2304.2

Residence in Two States

Persons Claiming Residence in Two States

2237.3

2304.3

Fugitive Felons and Probation and Parole Violators

Fugitive Felons and Violators of Probation and Parole

2240

2242

Formation of the Assistance Group

Assistance Group

2241

2242.5

Caretaker

Caretaker

2242

n/a

Unmarried Parents with a Child­in­Common

n/a

2250

2239

Need Determination

Need Determination

2251

2240

Method for Determination of Need

Method for Determination of Need

2252

2245.24

Ratable Reduction

Ratable Reduction

2253

2240.1

Eligibility Computation

Eligibility Computation

2254

2216.1

Prospective Budgeting

Definitions

2254.1

2216.2

Prospective Eligibility and Budgeting

Prospective Eligibility and Budgeting

2255

2241

Amount of Payment

Amount of Payment

2256

2241.1

Income Deficits Prohibited

Income Deficits Prohibited

2260

2244­2249

Needs

Basic Requirements

2261

2245

Need Standards

Need Standards ­Household or Housing Unit

2261.1

2245.2

Basic Need Standard

Eligibility Standards ­ANFC

2261.2

2245.21

Members in Long­Term Care

Members in Long­Term Care

2261.3

2245.22

Children in Schools or Institutions

Dependent Children in Schools and/or Institutions

2261.4

2245.23

Special Needs

Special Needs Allowances

2262

2243

Living Arrangement

Living Arrangement

2263

2245.3

Housing Allowance

Housing Allowance ­Eligibility Standards

2263.1

2245.31

Subsidized Housing

Subsidized Housing

2263.2

2245.33

Budgeting Subsidized Housing

Budgeting For Subsidized Housing

2263.3

2245.5

Shared Households

Shared Households

2263.4

2246

Room and Board Standards

Room and Board

2263.5

2247

Institution

Institution

2263.6

2248

Foster Home

Foster Home (ANFC­FC)

2264

2245.4

Temporary Absence­Illness

Temporary Absence­Illness

2265

2245.41

Temporarily Uninhabitable Home

Temporary Absence ­Other than Illness

2270

2250­2259

Income

Income

2270.1

2250.1

Lump Sum Income

Lump Sum Income

2270.2

2250.2

Income­in­Kind

Income­in­Kind

2271

2252

Unearned Income

Unearned Income

2271.1

2252.1

Social Security ­Railroad Retirement

Social Security ­Railroad Retirement

2271.2

2252.2

Veterans Benefits

Veterans Benefits

2271.3

2252.3

Contributions

Contributions

2272

2333

Distribution of Child Support

Distribution of Child Support Money

2272.1

2333.1

Family Bonus Payment

Family Bonus Payment

2272.2

2333.2

Parent Share Payment

Parent Share Payment

2272.3

2333.3

Arrearage Collected

Arrearage Collected

2272.4

2333.4

Advance Support Payments

Advance Support Payments

2273

2242.71

Income of Sponsored Aliens

Sponsored Aliens

2273.1

2242.72

Excluded Income of Sponsored Alien

Excluded Aliens

2274

2253

Earned Income

Earned Income

2274.1

2253.1

Computation Method

Computation Method

2274.2

2253.11

Earned Income Computation Sequences

Earned Income Computation Sequences

2274.3

2253.2

Business Expense

Business Expense

2274.4

2253.21

Providing Child Care

Providing Child Care

2275

2253.3

Earned Income Deductions

Earned Income Deductions and Disregard

2275.1

2253.31

Employment Expenses

Standard Employment Expense Deduction

2275.2

2253.32

Dependent Care Expenses

Deduction from Earned Income for Dependent Care Expenses

2275.3

2253.33

Earned Income Disregard

Earned Income Disregard

2275.4

2253.34

Disallowance of Disregard

Disallowance of Earned Income Disregard

2276

2255.1

Excluded Income

Other Excluded Income

2280

2260­2269

Resources

Resources

2281

2261

Combined Resources Limitation

Combined Resources Limitation

2281.1

2261.1

Transfer or Assignment Prohibited

Transfer or Assignment Prohibited

2281.2

2261.2

Property Sales

Property Sales

2281.3

2263.7

Excess Resources

Excess Resources

2282

2262

Real Property

Real Property

2283

2263

Personal Property

Personal Property

2283.1

2263.1

Liquid Assets

Liquid Assets

2283.2

2263.2

Trust Funds ­Trust Accounts

Trust Funds ­Trust Accounts

2283.3

2263.3

Burial Plots ­Funeral Arrangements

Burial Plots ­Funeral Arrangements

2283.4

2263.4

Pension Funds

Pension Funds

2283.5

2263.5

Vehicles

Vehicles

2283.6

2263.6

Income­Producing Property

Income Producing Property

2284

2264

Excluded Resources

Excluded Resources

2290

2270­2279

Potential Income and Resources

Potential Income and/or Resources

2291

2271

Pension and Benefit Programs

Pension and Benefit Programs

2292

2272

Insurance and Liability Claims

Insurance and/or Liability Claims

2293

2273

Support from Relatives

Relative Support

2293.1

2273.1

Notice to Law Enforcement

Notice to Law Enforcement Officials

2293.2

2273.2

Contact with Relatives

Contact with Relatives

2293.3

2273.3

Location of Relatives

Location of Relatives

2293.4

2273.4

Referral to Office of Child Support

Referral to Office of Child Support

2293.5

2273.5

Cooperation with Courts

Cooperation with Courts

2293.6

2335

Collections for Non­Reach Up Families

Support Collections for Families Not Receiving Public Assistance

Reach Up Services Rules with Shorter Names Sorted by New Number

New Number

Old Number

New Name

Old Name

2300

2340

Reach Up Services

Introduction to Reach Up Services Component

2301

2341

Definitions

Definitions

2302

2350

Case Management

Case Management

2302.1

2350.1

Caseload Size

Caseload Size

2302.2

2350.2

Notification

Notification

2302.3

2350.3

Assessment

Assessment

2302.4

2350.4

Case Management Responsibilities

Case Management Responsibilities

2310

2351

Support Services

Support Services to Participating Families

2311

2351.1

Support Services, Assessment, and the FDP

Relationship of Support Services to Assessment and the FDP

2312

2351.2

Support Services Providers

Support Services Providers

2313

2351.3

Types of Support Services

Types of Support Services

2314

2351.4

Payment for Support Services

Payment for Support Services

2314.1

2351.41

Payment by Other Programs

Payment for Support Services Through Other Programs

2314.2

2351.42

Payment by DCF

Payment of Support Services by the Department

2315

2351.5

Criteria For Purchase of Support Services

Criteria For Purchase of Support Services

2316

2352

Child Care Assistance

Child Care Assistance

2316.1

2352.1

Basic Eligibility Criteria

Basic Eligibility Criteria

2316.2

2352.2

Allowable Child Care Expenses

Allowable Child Care Expenses

2316.3

2352.3

Payment Rate

Payment Rate

2317

2353

Incentive Payments

Incentive Payments

2317.1

2353.1

Payment of Incentives

Payment of Incentives

2320

2360

Participation

Participation in the Services Component

2321

2360.1

Participation Requirements

Services Component Participation Requirements

2322

2360.2

Participation Phases

Participation Phases

2322.

2360.2

Application Phase

Application Phase

2322.

2360. 2

Pre­Work­Ready Phase

Pre­Work­Ready Phase

2322.

2360.2

Work­Ready Phase

Work­Ready Phase

2322.

2360.2

Employment Phase

Employment Phase

2322.

2360.2

Assignment to a Phase

Assignment to a Participation Phase

2322.6

2360.26

Months of Financial Assistance

Months of Receipt of Reach Up Financial Assistance

2330

2361

Family Development Plans

Family Development Plans

2331

2361.1

Employment Goal

Employment Goal

2332

2361.2

Development of the FDP

Development of the FDP

2333

2361.3

FDP Reviews and Modifications

Reviews and Modifications of the FDP

2334

2362

FDP Requirements

Family Development Plan (FDP) Requirements

2335

2362.1

Adult Participants

Adult Participants' FDP Requirements

2335.1

2362.11

Requirement to Report to VDOL

Requirement to Report to Department of Employment and Training

2335.2

2362.12

Primary Caretaker Parents

FDP Requirements for Primary Caretaker Parents

2336

2362.2

Minor Parents

Additional FDP Requirements for Minor Parents

2336.1

2362.21

Approved Living Arrangement

Approved Living Arrangement Requirement

2336.2

2362.22

Other Approved Living Arrangements

Alternate Approved Living Arrangements

2336.3

2362.23

Noncompliance with Approved Living Arrangement

Noncompliance, Good Cause, and Sanctions

2337

2362.3

Out­of­School Youth

FDP Requirements for 16­and 17­Year­Old Out­of­School Youth

2340

2363

Work Requirements

Work Requirements

2341

2363.1

Work­Ready Determination

Work­Ready Determination

2341.1

2363.11

When Determined Eligible

When Determined Eligible for Reach Up Financial Assistance

2341.2

2363.12

During the First 12 Months

During the First 12 Cumulative Months of Receiving Reach Up Financial Assistance

2341.3

2363.13

12th Month of Financial Assistance

Upon Receipt of the 12th Cumulative Month of Reach Up Financial Assistance

2341.4

2363.14

Pre­Work­Ready Phase Extended

When the Pre­Work­Ready Phase Is Extended Beyond 12 Months

2341.5

2363.15

Financial Assistance Before July 2001

For Participants Receiving Financial Assistance Before July 1, 2001

2342

2363.2

Implementation of Phase­In Plan

Implementation of Phase­In Plan For Adults Receiving Assistance Before July 1, 2001

2343

2363.3

Work Requirement Hours

Work Requirement Hours

2343.1

2363.31

Parents in Two­Parent Families

Work Requirement Hours for Parents in Two­Parent Families

2343.2

2363.32

Single Parents and Caretakers

Work Requirement Hours for Single Parents and Caretakers

2343.3

2363.33

Participants Under 20 Years Old

Alternate Work Requirement for Participants Under 20 Years Old

2343.4

2363.34

Requirement to Accept or Retain a Job

Requirement to Accept or Retain a Suitable Unsubsidized Job

2343.5

2363.35

Exceptions to Requirement to Accept a Job

Exceptions to the Requirement to Accept a Suitable Unsubsidized Job

2350

2364

Work and Work Activities

Work and Work Activities Described

2350.1

2364.1

Unsubsidized Employment

Unsubsidized Employment

2350.2

2364.2

Subsidized Private Employment

Subsidized Private Employment

2350.3

2364.3

Subsidized Public Employment

Subsidized Public Employment

2350.4

2364.4

Work Experience

Work Experience

2350.5

2364.5

On­the­Job Training

On­the­Job Training

2350.6

2364.6

Job Search

Job Search

2350.7

2364.7

Community Service Programs

Community Service Programs

2350.8

2364.8

Vocational Education

Vocational Education

2350.9

2364.9

Job Skills Training

Job Skills Training Directly Related to Employment

2350.10

2364.1

Education Related to Employment

Education Directly Related to Employment

2350.11

2364.11

Satisfactory Attendance at Secondary School

Satisfactory Attendance at Secondary School or in a Course of Study Leading to a Certificate of General Equivalence

2350.12

2364.12

Child Care Services to CSP Participant

Provision of Child Care Services to an Individual Participating in a Community Service Program.

2351

2364.13

Financial Literacy Classes

Financial Literacy Classes

2352

2364.14

Work Activity Displacement Policy

Work Activity Displacement Policy

2353

2364.15

Fair Labor Standards Act

Fair Labor Standards Act

2360

2365

Deferments and Modifications

Deferments and Modifications

2361

2365.1

Presumption of Capacity to Work

Presumption of Capacity to Work

2362

2365.2

Deferment of Requirements

Grounds for Deferment of Services Component Requirements

2363

2365.3

Deferment or Modification of work Requirement

Grounds for Deferment or Modification of the Work Requirement

2363.1

2365.31

Domestic Violence Deferment or Modification

Domestic Violence Deferment or Modification

2363.2

2365.32

Medical Deferment or Modification

Medical Deferment or Modification

2370

2370

Noncompliance and Good Cause

Noncompliance and Good Cause

2371

2370.1

Types of Noncompliance

Types of Noncompliance

2371.1

2370.11

De Facto Refusal

De Facto Refusal

2371.2

2370.12

Overt Refusal

Overt Refusal

2372

2370.2

Determination of Good Cause

Determination of Good Cause

2373

2370.3

Good Cause Criteria

Good Cause Criteria

2373.1

2370.31

Good Cause for Refusing, Quitting, or Being Fired from a Job

Good Cause for Refusing a Job Offer, Quitting a Job, or Being Terminated from a Job

2373.2

2370.32

Good Cause for Noncompliance with FDP Requirement

Good Cause for Failing to Comply with an FDP Requirement

2373.3

2370.33

Absence of Appropriate Child Care

Absence of Appropriate Child Care

2374

2371

Conciliation

Conciliation

2374.1

2371.1

Conciliation Process

Conciliation Process for Noncompliance

2374.2

2371.2

Conciliation Resolution Period

Conciliation Resolution Period

2374.3

2371.3

Successful Resolution

Successful Resolution

2374.4

2371.4

Unsuccessful Resolution

Unsuccessful Resolution

2375

2372

Sanctions for Noncompliance

Sanctions for Noncompliance with Services Component Requirements

2375.1

2372.1

Independent Review and Notice

Independent Review and Notice

2375.2

2372.2

Sanction Amounts

Sanction Amounts

2375.3

2372.21

Housing Protection Limitation

Housing Protection Limitation on Sanction Amounts

2375.4

2372.3

Vendor Payment of Housing Costs

Vendor Payment of Housing Costs

2375.5

2372.4

Meeting with Case Manager

Meeting with Case Manager

2376

2373

Sanctions - Cure and Forgiveness

Sanctions - Cure and Forgiveness

2377

2373.1

Curing Sanctions

Curing Sanctions

2377.1

2373.11

Notice of Ability to Cure

Notice of Ability to Cure

2377.2

2373.12

Process to Cure Sanctions

Process to Cure Sanctions

2378

2373.2

Forgiveness of Past Sanctions

Forgiveness of Past Sanctions

2380

2380

Notice and Appeal

Notice and Appeal

2380.1

2380.1

Notice

Notice

2380.2

2380.2

Appeal

Appeal

2380.3

2380.3

Grounds for Appeal

Grounds for Appeal

2390

2180

Solely State­Funded Programs and Separate State Programs

Solely State­Funded Programs and the Separate State Programs Component of Reach Up

2391

2181

Solely State­Funded Programs

Solely State­Funded Program Component Descriptions

2391.1

2181.1

Parental Nurturing Component

Reach Up Parental Nurturing Component

2391.2

2181.2

Minor Parents' Safety Net Component

Reach Up Minor Parents' Safety Net Component

2391.3

2181.3

Special Needs Component

Reach Up Special Needs Component

2391.4

2181.4

SSI and SSDI Applicant Component

Reach Up Supplemental Security Income and Social Security Disability Insurance (SSI/AABD) Applicant Component

2392

2182

Exemption from 60­Month Limit

Hardship Exemption from 60­Month Limit on Federal TANF Assistance

2393

2183

Assignment to Solely State­Funded Programs

Assignment to the Solely State­Funded Programs Component

2393.1

2183.1

Assignment Rules

Rules Governing Assignment and the Order of Assignment

2394

2184

Separate State Funds Programs

Reach Up Separate State Funds Programs Component

2395

2185

Child Support Distribution

Child Support Distribution for Families in Solely State­Funded and Separate State Funds Programs

PSE Rules with Shorter Names Sorted by New Numbers

New Number

Old Number

New Name

Old Name

2400

2400

Postsecondary Education (PSE)

Introduction to Postsecondary Education Program

2401

2401

Definitions

Definitions

2402

2417

Americans with Disabilities Act

Americans with Disabilities Act

2410

2402.1

Initial Eligibility

Initial Eligibility

2411

2402.2

Continuing Eligibility

Continuing Eligibility

2420

2403.1

General Application Requirements

General Requirements

2421

2403.2

Application Periods

Application Periods

2422

2403.3

Financial Eligibility

Financial Eligibility Application

2423

2403.4

Documentation

Provision of Documentation

2424

2403.5

Literacy Assessment

Literacy Assessment

2425

2403.6

Non­Participating Parents Unable­to­Work

Requirements for Non­Participating Parents Unable­to­Work

2426

2403.7

Pre­Existing PSE Degrees

Applicants With Pre­Existing PSE Degrees­Exceptions

2427

2403.8

Development of PSE Plan

Development of PSE Plan

2428

2403.9

Conditions for Participation

Conditions for Participation in PSE Program

2429

2403.10

Notice of Decision

Eligibility Determination and Written Notice

2430

2404

Priorities

Priorities

2440

2405

Participants Receiving a Stipend April 1, 2007

Transition for Participants Receiving a Stipend on April 1, 2007

2450

2406.1

PSE Plan

PSE Plan Development, Modification, and Review

2451

2406.2

PSE Plan Requirements

PSE Plan Requirements

2452

2406.3

Fields of Study/Majors

Fields of Study/Majors - Requirements for Exceptions

2453

2406.4

Change in Occupation, Major, Degree or College

Change in Occupation, Major, Field of Study, Degree or College

2454

2406.5

Modifications to Plan Schedule

Modifications to the Schedule for Program Completion

2460

2407

Financial Assistance

Financial Assistance

2461

2408

Support Services

Support Services

2462

2409

Pre­Participation Services

Pre­Participation Services

2470

2411.1

Case Management

General

2471

2411.2

Availability of Case

Availability of Case

Management

Management

2472

2411.3

Case Management Services

Case Management Services

2473

2411.4

Other Services

Other Services

2474

2411.5

Case Management During Interruptions

Case Management During Interruptions in PSE Program Participation

2475

2411.6

Conflict of Interest

Conflict of Interest

2480

2412.1

Annual Review

Scheduling Annual Review

2481

2412.2

Documentation

Provision of Documentation

2482

2412.3

Review of PSE Plan

Review of PSE Plan

2483

2412.4

Conditions for Continuing Participation

Conditions for Continuing Participation in the PSE Program

2484

2412.5

Non­Participating Parents Unable­to­Work

Requirement for Non­Participating Parents Unable­to­Work

2485

2412.6

Notice of Decision

Continuing Eligibility Determination and Written Notice

2486

2413.1

Approved Interruptions

Approved Interruptions

2487

2413.2

Unapproved Interruptions

Unapproved Interruptions

2488

2413.3

Financial Support During Interruptions

Financial Support During Interruptions in PSE Program Participation

2490

2414

Time Limits for Participation

Time Limits for Participation in PSE Program

2491

2415

Termination from PSE

Termination from PSE Program

2492

2416

Notice and Appeal Rights

Rights to Written Notice and Appeal

GA Rules with Shorter Names Sorted by New Numbers

New Number

Old Number

New Name

Old Name

2600

2600

General Assistance (GA)

General Assistance

2601

2600.1

Application

Application

2601.1

2032

Methods of Investigation

Methods of Investigation

2601.2

2032.2

Interviews

Interviews

2601.3

2032.3

Verification

Verification

2601.4

2032.4

Collateral Sources

Collateral Sources

2602

2600.2

Applicant Household

Applicant Household

2603

2600.3

Definitions

Definitions

2604

2603

Citizenship and Residence

Citizenship and Residence

2605

2604

Applicant's Responsibility

Applicant's Responsibility

2606

2605

District Director's Responsibility

District Director's Responsibility

2610

2601

Non­Catastrophic Eligibility

Eligibility Criteria for Non­Catastrophic Situations

2620

2602

Catastrophic Eligibility

Eligibility Due to a Catastrophic Situation

2621

2602.1

Catastrophic Situation

Definition of Catastrophic Situation

2622

2602.2

Constructive Eviction

Definition of Constructive Eviction

2623

2602.3

Emergency Medical Need

Definition of Emergency Medical Need

2630

2607

Employment

Employment

2631

2607.1

Work Requirements

Requirements

2632

2607.2

Work Exemptions

Exemptions from Employment Requirement

2633

2607.3

Active Job Search Effort

Active Effort

2640

2608

Income

Income

2641

2608.1

Work Expense Deduction

Standard Work Expense Deduction

2642

2608.2

Self Employment Deductions

Self Employment Deductions

2643

2608.3

Child Support Deductions

Child Support Deductions

2644

2608.4

Room and Board Deductions

Room and Board Deductions

2645

2608.5

Dependent Care Deduction

Dependent Care Expense Deduction

2646

2608.6

Excluded Income

Excluded Income

2650

2610

Benefit Issuance

Benefit Issuance

2650.1

2060

Vendor Payments

Vendor Payments

2650.2

2061

Administrative Expenses

Administrative Expenses

2651

2611

Groceries and Personal Needs

Groceries and Personal Needs

2652

2613

Housing

Housing

2652.1

2613.1

Permanent Housing

Permanent Housing

2652.2

2613.2

Temporary Housing

Temporary Housing

2653

2613.3

Moving Expense

Moving Expense

2654

2614

Room and Board

Room and Board

2655

2615

Heating Equipment

Heating Equipment

2656

2616

Transportation

Transportation

2657

2617

Fuel and Utilities

Fuel and Utilities

2657.1

2617.1

Metered Delivery

Metered Delivery

2657.2

2617.2

Bulk Delivery

Bulk Delivery

2660

2620

Medical Care

Medical Care

2660.1

2620.1

Payment for Medical Care

Payment

2661

2621

Physician Services

Physician Services

2662

2622

Dental Services

Dental Services

2663

2623

Vision Services and Items

Vision Services and Items

2664

2624

Prescription Drugs

Prescription Drugs

2665

2625

Medical Supplies

Medical Supplies

2666

2626

Durable Medical Equipment

Durable Medical Equipment

2667

2627

Ambulance Services

Ambulance Services

2670

2640

Burial Responsibility

Burial Responsibility

2671

2641

Burial Arrangements

Burial Arrangements

2672

2642

Application for Burial

Application

2673

2643

Burial Eligibility

Eligibility Requirements

2674

2644

Allowable Expenses, Burial

Allowable Expenses

2674.1

2644.1

Professional Services, Burial

Professional Services

2674.2

2644.2

Other Expenses, Burial

Interment and Other Related Expenses

2675

2645

Resources, Burial

Resources

2676

2646

Payment for Burial

Provision for Payment

2677

2647

Payment Process, Burial

Payment

2680

2680

Town Service Officer (TSO)

Town Service Officer Appointment

2681

2681

TSO Duties

Town Service Officer Duties

2682

2682

TSO Decisions

Eligibility Decisions

2682.1

2682.1

Groceries or Meals, TSO

Issuance for Groceries or Restaurant Meals

2682.2

2682.2

Housing,TSO

Issuance for Housing

2682.3

2682.3

Fuel and Utilities, TSO

Issuance for Fuel and/or Utilities

2682.4

2682.4

Emergency Medical Care, TSO

Issuance for Emergency Medical Care

2682.5

2682.5

Other Items, TSO

Issuance for "Other Items"

2683

2683

TSO Compensation

Compensation

AABD Rules with Shorter Names Sorted by New Numbers

New Number

Old Number

New Name

Old Name

2700

2700­2799

Aid to the Aged, Blind or Disabled (AABD)

Aid to the Aged, Blind or Disabled (AABD)

2701

2716

Authorized Representative

Authorized Representative

2702

2717

Case Records

Case Records

2703

2713.4

Recipient Fraud

Recipient Fraud Investigation

2710

2711

Application

Application

2711

2712

Initial Eligibility

Initial Eligibility

2712

2712.1

Application Decisions

Application Decisions

2713

2712.2

Statement of Need

Statement of Need

2714

2712.3

Interviews

Interviews

2715

2712.4

Verification

Verification (Proof)

2716

2712.5

Collateral Sources

Collateral Sources

2720

2713

Continuing Eligibility

Continuing Eligibility

2721

2713.1

Review Decisions

Review Decisions

2722

2713.2

Change Report

Change Report

2723

2713.3

Eligibility Review

Periodic Full Eligibility Review

2730

2714

Notice and Appeal

Notice and Appeal

2731

2714.1

Notice of Decision

Notice of Decision

2732

2714.2

Right to Appeal

Right to Appeal

2733

2714.3

Continued Benefits

Continued Benefits During Appeal

2734

2714.4

Fair Hearing Procedures

Fair Hearing Procedures

2740

2715.1

Eligibility Expenses

Eligibility Expenses

2741

2715.2

SSI/AABD Payments

SSI/AABD Benefit Payments

2742

2715.3

Assistance Pending SSI

Interim Assistance (SSI/AABD Pending)

2743

2715.4

AABD­EP Benefit Payments

AABD­EP Benefit Payments

2750

2720­2729

Mandatory AABD Supplement

Eligibility Criteria Mandatory AABD Supplement

2760

2730­2739

Optional AABD Supplement

Eligibility Criteria Optional AABD Supplement

2761

2731

Living Arrangements

Living Arrangements

2762

2731.1

Independent Living

Independent Living

2763

2731.2

Living in Another's Household

Living in Another's Household

2764

2731.3

Residential Care Home

Licensed Residential Care Home

2764.1

2731.31

Residential Care, Assistive Community Care

Residential Care Home with Assistive Community Care - Level III

2764.2

2731.32

Residential Care, Limited Nursing

Residential Care Home with Limited Nursing Care - Level III

2764.3

2731.33

Other Residential Care

Residential Care Home - Level IV

2765

2731.4

Community Care Home

Licensed Community Care Home

2766

2731.5

Custodial Care

Custodial Care ­Family Home

2767

2731.6

Long­Term Care

Long­Term Care

2770

2732

Payment Levels

Payment Levels

2780

2750­2759

Essential Person (AABD­EP)

Eligibility Criteria State AABD (Essential Person)

2781

2751

Essential Person Definition

Essential Person Definition

2781.1

2751.1

Personal Care Services

Medically Necessary Personal Care Services

2781.2

2751.2

Homemaker Services

Medically Necessary Homemaker Services

2782

2752

AABD­EP Assistance Group

Assistance Group

2783

2753

Living Arrangements, AABD­EP

Living Arrangement Basis

2783.1

2753.1

Independent Living with EP

Independent Living With Essential Person

2783.2

2753.2

EP Living in Another's Household

Living in Another's Household With Ineligible Spouse

2784

2754

AABD­EP Payment Levels

Payment Levels

2785

2755

Resources, AABD­EP

Resources Standard

2786

2756

Income, AABD­EP

Income Computation

EA Rules with Shorter Names Sorted by Current Numbers

New Number

Old Number

New Name

Old Name

2800

2800

Emergency Assistance (EA)

Emergency Assistance

2801

2800.1

Application

Application

2802

2800.2

Applicant Household

Applicant Household

2803

2800.3

Definitions

Definitions

2804

2800.4

Authorization Limits

Authorization Limits

2805

2803

Disqualification

Disqualification

2806

2804

Applicant's Responsibility

Applicant's Responsibility

2807

2805

District Director's Responsibility

District Director's Responsibility

2810

2801

Non­Catastrophic Eligibility

Eligibility Criteria for Non­Catastrophic Situations

2820

2802

Catastrophic Eligibility

Eligibility Due to a Catastrophic Situation

2821

2802.1

Catastrophic Situation

Definition of Catastrophic Situation

2822

2802.2

Constructive Eviction

Definition of Constructive Eviction

2823

2802.3

Emergency Medical Need

Definition of Emergency Medical Need

2830

2807

Employment

Employment

2831

2807.1

Work Requirements

Requirements

2832

2807.2

Employment Definitions

Employment Definitions

2833

2807.3

Work Exemptions

Exemptions from Employment Requirement

2834

2807.4

Active Job Search Effort

Active Effort

2840

2808

Income

Income

2841

2808.1

Work Expense Deduction

Standard Work Expense Deduction

2842

2808.2

Self­Employment Deductions

Self­Employment Business Expense Deductions

2843

2808.3

Child Support Deductions

Child Support Deductions

2844

2808.4

Room and Board Deductions

Room and Board Deductions

2845

2809.5

Dependent Care Deduction

Dependent Care Expense Deduction

2846

2809.6

Excluded Income

Excluded Income

2850

2810

Benefit Issuance

Benefit Issuance

2851

2811

Groceries and Personal Needs

Groceries and Personal Needs

2852

2813

Housing

Housing

2852.1

2813.1

Permanent Housing

Permanent Housing

2852.2

2813.2

Temporary Housing

Temporary Housing

2852.3

2813.21

Permanent Housing Pre­Authorization

Pre­authorization of Permanent Housing Payments

2853

2813.3

Rental or Mortgage Arrearage

Rental or Mortgage Arrearage

2853.1

2813.31

Arrearage Definitions

Definitions

2853.2

2813.32

Arrearage Eligibility

Eligibility for Payment of Rental or Mortgage Arrearage

2854

2814

Moving Expense

Moving Expense

2855

2814

Room and Board

Room and Board

2856

2815

Heating Equipment

Heating Equipment

2857

2816

Transportation

Transportation

2858

2817

Fuel and Utilities

Fuel and Utilities

2858.1

2817.1

Metered Delivery

Metered Delivery

2858.2

2817.2

Bulk Delivery

Bulk Delivery

2860

2820

Medical Care

Medical Care

2860.1

2820.1

Payment

Payment

2870

2830

Child Welfare Emergencies (EA­CWE)

Child Welfare Emergencies

2871

2830.1

EA­CWE Eligibility

Eligibility Criteria

2872

2830.2

Protective Services, EA­CWE

Protective Services

2873

2830.3

Family Support Services, EA­CWE

Family Support Services

2874

2830.4

Family Prevention Services, EA­CWE

Family Prevention Services

Fuel Rules with Shorter Names Sorted by New Numbers

New Number

Old Number

New Name

Old Name

2900

2900

Fuel Program

Fuel Program

2901

2900.1

Additional Funds

Additional Funds

2902

2912

Fuel Supplier Certification

Fuel Supplier Certification

2903

2913

Advantageous Pricing

Advantageous Pricing

2904

2911

Recoupment

Recoupment

2910

2901

Household Composition

Criteria Applied in Determining Fuel Household Membership and Eligibility

2911

2901.1

Definitions

Definitions

2912

2901.2

Eligible Households

Eligible Households

2913

2901.3

Excluded Households

Excluded Households

2914

2902

Application

Application for Assistance

2915

2902.1

Application Period

Application Period

2916

2905

Verification

Verification

2920

2903.2

Resources

Definition of Resources

2921

2903.1

Resources Maximum

Maximum Allowable Resources

2922

2903.3

Jointly Held Resources

Jointly Held Resources

2930

2904

Income

Income

2931

2904.1

Income Maximums

Allowable Income Maximums

2932

2904.2

Definition of Income

Definition of Income

2933

2904.3

Income Deductions

Income Exclusions, Disregards, Deductions and Adjustments

2940

2906

Benefit Levels

Benefit Levels

2941

2906.1

Subsidized Housing

Reductions for Public, Subsidized, or Section 8 Housing

2942

2906.2

Calculation of Benefits

Calculation of Benefits

2943

2906.3

Fuel Program Tables

Fuel Program Tables

2944

2906.4

Primary Heating Fuel Costs

Primary Heating Fuel Costs

2950

2907

Benefit Issuance

Benefit Issuance

2951

2907.1

Benefit Payment Method

Benefit Payment Method

2952

2907.2

Payments to Certified Fuel Suppliers

Use of Payments to Certified Fuel Suppliers

2953

2907.3

Credit Balances

Credit Balances at the End of the Heating Season

2954

2907.4

Expedited Benefits, Crisis Households

Expedited Seasonal Fuel Benefits for Crisis Households

2960

2908

Changes in Circumstances

Changes in Household Circumstances

2961

2908.1

Change of Fuel Supplier

Change of Fuel Supplier

2970

2909

Notices and Appeal Rights

Notice of Decision and of Appeal Rights

2971

2910

Fair Hearing

Fair Hearing

2971.1

2910.1

Fair Hearing Definitions

Definitions

2971.2

2910.2

Fair Hearing Rules

Fair Hearing Rules

2980

2950

Crisis Fuel Assistance,

Crisis Assistance

2981

2951

Eligibility, Crisis Fuel

Eligibility

2982

2951.1

Expedited Fuel Benefits, Crisis Households

Expedited Seasonal Fuel Benefits for Crisis Households

2983

2952

Crisis Fuel Application

Application

2984

2953

Income, Crisis Fuel

Income

2985

2954

Resources, Crisis Fuel

Resources

2986

2955

Verification, Crisis Fuel

Verification

2987

2956

Crisis Fuel Benefits

Benefits, Payment Maximums, and Conditions of Receipt

2988

2957

Appeal Rights, Crisis Fuel

Appeal Rights, Crisis Component

2989

2958

Recoupment, Crisis Fuel

Recoupment

Refugee Cash Assistance with Shorter Names Sorted by New Numbers

New Number

Old Number

New Name

Old Name

3000

2501

Refugee Cash Assistance (RCA)

Refugees Eligible for Assistance Under the Refugee Cash Assistance Program

3010

2502

Eligibility

Eligibility for Assistance

3020

2502.1

Relationship to SSI/AABD

Relationship to SSI/AABD

3030

2503

Employment Requirements

Employment Requirements

3031

2503.1

Sanctions

Sanctions

3040

2504

Unaccompanied Minors

Unaccompanied Minors

3050

2505

Fair Hearings

Fair Hearings and Appeals

Medicaid Rules with Shorter Names Sorted by New Number

New Number

Old Number

New Name

Old Name

4100

M100

Medicaid Program

General Description - Medicaid Program

4101

M101

Purpose - Medicaid Program

Purpose - Medicaid Program

4102

M101.1

Vermont Health Access Plan (VHAP)

Purpose - Vermont Health Access Plan

4103

M116

VHAP Determination When Medicaid Closes

VHAP Program

4104

M134

Quality Control Review

Quality Control Review

4105

M135

Beneficiary Fraud

Recipient Fraud Investigation

4110

M102

Eligibility and Enrollment Process

Eligibility and Enrollment Process

4111

M102.1

Premiums

Premiums

4112

M104

Authorized Representative

Authorized Representative

4113

M105

Case Records

Case Records

4120

M111

Application

Application Requirement

4121

M112

Reapplication and Reenrollment

Reapplication and Reenrollment

4122

M113

Retroactive Application

Retroactive Application

4123

M114

Date of Application

Date of Application

4124

M115

Choice of Category

Choice of Category

4130

M121

Application Decisions

Application Decisions

4131

M122

Decision Time Limits

Decision Time Limits

4132

M123

Application Forms

Application Forms

4133

M124

Interview

Interview

4134

M125

Social Security Numbers

Social Security Numbers

4135

M126

Verification

Verification (Proof)

4136

M127

Collateral Sources

Collateral Sources

4137

M128

Potential Unearned Income

Requirement to Apply for Annuities, Pensions, etc.

4138

M129

Other Potential Income

Pursuit of Medical Support, Third­Party Medical Payments and Private Health Insurance

4138.1

M129.1

Assignment of Rights to Payments

Assignment of Rights to Support and Payments

4138.2

M129.2

Cooperation in Obtaining Payments

Cooperation in Obtaining Support and Payments

4138.3

M129.21

Good Cause for Noncooperation

Good Cause for Noncooperation

4138.4

M129.3

Enrollment in a Health Insurance Plan

Enrollment in a Health Insurance Plan

4140

M131

Eligibility Review

Eligibility Review Requirement

4141

M132

Review Frequency

Review Frequency

4142

M133

Review Decisions

Review Decisions

4150

M141

Notice of Decision and Appeal

Notice of Decision

4151

M142

Right to Appeal

Right to Appeal

4152

M142.1

Disability Determination Appeal

Disability Determination Appeal

4153

M143

Continued Benefits Pending Appeal

Continued Benefits During Appeal or Fair Hearing

4154

M144

MCO Appeals and Fair Hearing Rules

MCO Appeals and Fair Hearing Rules

4160

M150

Payment Systems

Payment Systems

4161

M150.1

Cost­Sharing

Cost­Sharing Requirements

4162

M150.2

Obligation of the Department

Obligation of the Department

4163

M151

Eligibility Expenses

Eligibility Expenses

4164

M153

Beneficiary Identification

Beneficiary Identification

4170

M170.1

Citizenship

Requirement

4171

M170.2

U.S. Citizen

U.S. Citizen

4171.1

M170.21

Notice of Verification Requirement

Notice of Obligation to Satisfy Documentation Requirement

4171.2

M170.22

Citizenship and Identity Documentation

Acceptable Documentation of Citizenship and Identity

4172

M170.3

Qualified Alien

Qualified Alien

4172.1

M170.31

Battered Alien

Battered Alien

4172.2

M170.32

Immigration Status Documentation

Acceptable Document of Qualified Alien Status

4173

M170.4

Five­Year Bar for Qualified Aliens

Five­Year Bar for Qualified Aliens

4173.1

M170.41

Documentation of Entry Date

Acceptable Documentation to Determine the Five­Year Bar

4174

M170.5

Non­Qualified Aliens

Non­Qualified Aliens

4174.1

M170.51

Illegal Aliens

Illegal Aliens

4174.2

M170.52

Undocumented Aliens

Undocumented Aliens

4175

M170.6

Ineligible Aliens and Non­Immigrants

Ineligible Aliens/Non­Immigrants

4176

M170.7

Confirmation of Immigration Via SAVE

Confirmation of Immigration and Citizenship Status

4177

M170.8

Emergency Medical Services

Emergency Medical Services

SSI-Related Medicaid Rules with Shorter Names Sorted by New Number

New Number

Old Numbers

New Names

Old Names

4200

M200

Medicaid, Aged, Blind, and Disabled

SSI­Related Medicaid Eligibility

4201

M200.1

Definitions

Definitions

4202

M200.2

Categorically Needy Coverage Groups

SSI­Related Categorically Needy Coverage Groups

4202.1

M200.21

Categorically Needy Coverage Groups

SSI­Related Categorically Needy Coverage Groups

4202.2

M200.22

SSI­Eligible Coverage Groups

SSI­Eligible Coverage Groups

4202.3

M200.23

Long­Term Care Coverage Groups

Long­Term Care Medicaid Coverage Groups

4202.4

M200.24

Coverage Groups for New Applicants

SSI­Related Medicaid Coverage Groups Open to New Aged, Blind, or Disabled Applicants

4202.5

M200.25

Coverage Groups for Former Recipients

Coverage Groups Open to Former Recipients of SSI, SSI/AABD, or Medicaid

4203

M200.3

Medically Needy Coverage Group

SSI­Related Medically Needy Coverage Group

4204

M200.4

Medicare Cost­Sharing Coverage Groups

SSI­Related Medicare Cost­Sharing Coverage Groups

4204.1

M200.41

Qualified Medicare Beneficiaries (QMB)

Qualified Medicare Beneficiaries (QMB)

4204.2

M200.42

Qualified Disabled and Working Individuals (QDWI)

Qualified Disabled and Working Individuals (QDWI)

4204.3

M200.43

Specified Low­Income Medicare Beneficiaries (SLMB)

Specified Low­Income Medicare Beneficiaries (SLMB)

4204.4

M200.44

Qualified Individuals (QI­1)

Qualified Individuals (QI­1)

4210

M210

Nonfinancial Eligibility Tests

Nonfinancial Eligibility Tests for SSI­Related Medicaid

4211

M211

Relationship to SSI

Relationship to SSI Based on Age, Blindness, or Disability

4212

M211.1

Definition of Age

Definition of Age

4213

M211.2

Definition of Disability

Definition of Disability

4213.1

M211.21

Substantial Gainful Activity

Substantial Gainful Activity

4214

M211.3

Definition of Blindness

Definition of Blindness

4215

M211.4

Determining Disability or Blindness

Determination of Disability or Blindness

4216

M212

Citizenship and Identity

Citizenship and Identity

4216.1

M212.1

Emergency Medical Services

Emergency Medical Services

4217

M213

Residence

State Residence

4217.1

M213.1

Temporary Absence

Temporary Absences from the State

4217.2

M213.2

Placement in Vermont Institutions

Individuals Placed in Vermont Institutions by Out­of­State Agencies

4217.3

M213.3

Incapable of Stating Intent

Incapable of Stating Intent

4217.4

M213.4

Residence as Payment Requirement

Residence as a Requirement for Payment

4217.5

M213.5

Specific Prohibitions

Specific Prohibitions

4218

M214

Living Arrangement

Living Arrangement

4218.1

M214.1

Public Institution

Living in a Public Institution

4218.2

M214.2

Private Facility

Living in a Private Facility

4218.3

M214.3

Correctional Facility

Living in a Correctional Facility

4220

M220

Financial Eligibility

Financial Eligibility for SSI­Related Medicaid

4220.1

M220.1

Definitions

Definitions

4221

M221

Formation of Financial Responsibility Group

Formation of the SSI­Related Financial Responsibility Group

4221.1

M221.1

Financial Responsibility Groups for Single Adults

SSI­Related Financial Responsibility Groups for Single Adults

4221.2

M221.2

Financial Responsibility Groups for Children

SSI­Related Financial Responsibility Groups for Dependent Children

4221.3

M221.3

Financial Responsibility Groups for Sponsored Noncitizens

SSI­Related Financial Responsibility Groups for Noncitizens with a Sponsor

4221.4

M221.31

Qualifying Quarters of Coverage

Qualifying Quarters of Coverage

4222

M222

Formation of the Medicaid Group

Formation of the SSI­Related Medicaid Group

4222.1

M222.1

Medicaid Groups for Single Adults

SSI­Related Medicaid Groups for Single Adults

4222.2

M222.2

Groups for Adults with Spouses

SSI­Related Medicaid Groups for Adults with Spouses

4222.3

M222.21

Exceptions for Adults with Spouses

Exceptions to the Rules for Forming SSI­Related Medicaid Groups for Adults with Spouses

4222.4

M222.3

Medicaid Groups for Children

SSI­Related Medicaid Groups for Children

4223

M223

Deeming

Deeming

4223.1

M223.1

Temporary Absences

Temporary Absences and Deeming Rules

4230

M230

Resources

Overview of SSI­Related Medicaid Resource Requirements

4231

M231

Types of Resources

Types of Resources

4232

M231.1

Nonliquid Resources

Nonliquid Resources

4232.1

M231.11

Real Property

Real Property

4232.2

M231.12

Life Estate

Life Estate

4232.3

M231.13

Burial Funds

Burial Funds

4232.4

M231.14

Life Insurance

Life Insurance

4233

M231.2

Liquid Resources

Liquid Resources

4233.1

M231.21

Accounts in Financial Institutions

Accounts in Financial Institutions

4233.2

M231.22

Retirement Funds

Retirement Funds

4233.3

M231.23

Stocks, Bonds, and Funds

Stock, Bonds, Mutual Funds, and Money Market Funds

4233.4

M231.24

Annuities

Annuities

4233.5

M231.25

Mortgages and Promissory Notes

Mortgages and Promissory Notes

4233.6

M231.26

Home Equity Conversion Plans

Home Equity Conversion Plans

4234

M231.3

Resources Managed by Third Party

Resources Managed by a Third Party

4234.1

M231.31

Trusts

Trusts

4234.2

M231.32

Power of Attorney

Power of Attorney

4234.3

M231.33

Guardian

Guardian

4234.4

M231.34

Representative Payee

Representative Payee

4234.5

M231.35

Fiduciary for Joint Fiduciary Account

Fiduciary for a Joint Fiduciary Account

4240

M232

Excluded Resources

Excluded Resources

4241

M232.1

Real Property

Real Property

4241.1

M232.11

Home and Contiguous Land

A Home and Contiguous Land

4241.2

M232.12

Sale of Excluded Home

Proceeds from the Sale of an Excluded Home

4241.3

M232.13

Real Property for Sale

Real Property for Sale

4241.4

M232.14

Home Equity Conversion Plans

Home Equity Conversion Plans

4241.5

M232.15

Jointly Owned Real Property

Jointly Owned Real Property

4241.6

M232.16

Life Estates

Life Estates

4241.7

M232.17

Income­Producing Real Property

Real Property Producing Significant Income

4241.8

M232.18

Goods for Home Consumption

Real Property Producing Goods for Home Consumption

4242

M232.2

Insurance

Insurance

4242.1

M232.21

Life Insurance

Life Insurance

4242.2

M232.22

Long­Term Care Insurance Partnership

Qualified State Long­Term Care Insurance Partnership

4243

M232.3

Burial Funds

Burial Funds

4244

M232.4

Other Income­Producing Resources

Annuities, Promissory Notes, and Similar Resources That Produce Income

4245

M232.5

Resources Managed by Third Party

Resources Managed by a Third Party

4245.1

M232.51

Definition of Trust

Definition of Trust

4245.2

M232.52

Excluded Trusts

Excluded Trusts

4245.3

M232.53

Trusts Excluded Due to Hardship

Trusts Excluded Due to Undue Hardship

4246

M232.6

Early Withdrawal and Surrender Penalties

Early Withdrawal Penalties and Surrender Fees

4247

M232.7

Jointly Held Accounts

Jointly Held Accounts

4247.1

M232.71

Fiduciary for a Joint Fiduciary Account

Fiduciary for a Joint Fiduciary Account

4248

M232.8

Other Excluded Resources

Other Excluded Resources

4248.1

M232.81

Personal Property

Household Goods and Personal Effects

4248.2

M232.82

Vehicles

Vehicles

4248.3

M232.83

Independent Living Contracts

Contracts for Medical Care, Assistive Technology Devices, and Home Modifications

4248.4

M232.84

Cash

Cash, Including Cash Necessary to Operate a Business

4248.5

M232.85

Retirement Funds

Retirement Funds

4248.6

M232.86

Tax Refunds

Tax Refunds

4248.7

M232.87

Student Benefits

Student Benefits

4248.8

M232.88

Savings from Excluded Income

Savings from Excluded Income

4248.9

M232.89

Federal Exclusions

Resources Excluded by Federal Law

4249

M232.9

Exclusions for Limited Periods

Resources Excluded for Limited Periods

4249.1

M232.91

Retroactive Social Security and SSI/AABD

Retroactive Social Security and SSI/AABD Payments

4249.2

M232.92

Funds for Replacing Excluded Resources

Funds for Replacing a Lost, Stolen, or Damaged Excluded Resource

4249.3

M232.93

Earned Income Tax Credit

Earned Income Tax Credit

4249.4

M232.94

Medical or Social Services Payments

Cash Payments for Medical or Social Services

4249.5

M232.95

Victim's Compensation Payments

Victim's Compensation Payments

4249.6

M232.96

Relocation Payments

Relocation Payments

4249.7

M232.97

Expenses from Last Illness and Burial

Funds for Expenses Resulting from Last Illness and Burial

4249.8

M232.98

Stocks, Bonds, and Funds

Stocks, Bonds, Mutual Funds, and Money Market Funds

4249.9

M232.99

Home­Based Long­Term Care Disregard

Resource Disregard for Certain Individuals Receiving Home­Based Long­Term Care

4250

M233

Value of Resources

Value of Resources Counted Toward the Medicaid Resource Limit

4251

M233.1

Jointly Owned Resources

Counting Jointly Owned Resources

4251.1

M233.11

Tenancy in Common

Tenancy in Common

4251.2

M233.12

Joint Tenancy

Joint Tenancy

4251.3

M233.13

Tenancy by the Entirety

Tenancy by the Entirety

4252

M233.2

Value of Certain Resources

Value of Certain Resources

4252.1

M233.21

Annuities

Annuities

4252.2

M233.22

Life Estates

Nonexcluded Life Estates

4252.3

M233.23

Jointly Owned Real Property

Jointly Owned Real Property

4252.4

M233.24

U.S. Savings Bonds

United States Savings Bonds

4252.5

M233.25

Income­Producing Notes and Contracts

Promissory Notes and Similar Resources that Produce Income

4252.6

M233.26

Substantial Home Equity

Substantial Home Equity

4260

M234

Countable Resources

Determination of Countable Resources for SSI­Related Medicaid

4261

M234.1

Individuals Other than Children

Determining Countable Resources for Individuals Other than Children

4262

M234.2

Individuals with Spouses and Not in Long­Term Care

Determining Countable Resources for Individuals Requesting SSI­Related Medicaid, Other than Long­Term Care, When They Have a Spouse

4263

M234.3

Blind or Disabled Children

Determining Countable Resources for Blind or Disabled Children

4264

M234.4

Individuals with Spouses and in Long­Term Care

Determining Countable Resources for Individuals Requesting Long­Term Care, Including Waiver and Hospice Services, When They Have a Spouse

4264.1

M234.41

Individuals with a Community Spouse

Assessment of Resources for Individuals with a Community Spouse

4264.2

M234.42

Allocation to a Community Spouse

Allocation of Resources for Individuals with a Community Spouse

4270

M240

Income Requirements

Overview of SSI­Related Medicaid Income Requirements

4271

M241

Types of Income

Types of Income

4272

M241.1

Earned Income

Earned Income

4272.1

M241.11

Self­Employment Income

Self Employment Income

4273

M241.2

Unearned Income

Unearned Income

4280

M242

Income Exclusions

Income Exclusions

4280.1

M242.1

Earned Income Exclusions

Earned Income Exclusions

4280.2

M242.2

Unearned Income Exclusions

Unearned Income Exclusions

4281

M243

Determination of Countable Income

Determination of Countable Income for SSI­Related Medicaid

4281.1

M243.1

Financial Responsibility Group of One

Financial Responsibility Groups for One Individual Seeking Community Medicaid

4281.2

M243.2

Financial Responsibility Group of Two

Financial Responsibility Groups for Individuals When One or Both Spouses Seek Community Medicaid

4281.3

M243.3

Parent and Child Living Together

Financial Responsibility Groups for a Parent and Child Living Together

4281.4

M243.4

Children Seeking Community Medicaid

Financial Responsibility Groups for Children Seeking Community Medicaid Other Than Katie Beckett Coverage

4281.5

M243.5

Individuals Seeking Long­Term Care

Financial Responsibility Groups for Individuals Seeking Long­Term Care

4281.6

M243.51

Long­Term Care in Nursing Facilities

Determination of Countable Income for Long­Term Care Applicants in Nursing Facilities

4281.7

M243.52

Waiver or Hospice Services

Determination of Countable Income for Long­Term Care Applicants Seeking Waiver or Hospice Services

4282

M245

Income Deductions

Income Deductions

4283

M245.1

Earned Income Deductions

Earned Income Deductions

4283.1

M245.11

Business Expenses

Business Expenses from Self­employment

4283.2

M245.12

Work Expenses of Blind Individuals

Work Expenses from Income of Blind Individuals under the Age of 65

4283.3

M245.13

Work Expenses of Disabled Individuals

Work Expenses from Income of Disabled Individuals

4284

M245.2

Unearned Income Deductions

Unearned Income Deductions

ANFC-Related Medicaid with Shorter Names Sorted by New Number

New Number

Old Number

New Name

Old Name

4300

M300

Medicaid, Families and Children

ANFC­Related Medicaid: Eligibility for Individuals Under Age 21, Pregnant Women, and Parents or Caretaker Relatives of a Dependent Child

4301

M301

Eligibility

ANFC­Related Eligibility Criteria

4301.1

M301.1

Income Maximums

ANFC­Related Medicaid Income Maximum

4301.2

M301.2

Deprivation Not Required

ANFC­Related Medicaid Applicants Not Required to Establish Deprivation

4310

M302

Categorically Needy Coverage Groups

Categorically Needy ANFC­Related Coverage Groups

4311

M302.1

Eligible Family Members

Members of Families Who Meet ANFC­Related Criteria

4312

M302.2

Family Members Eligible Based on Exceptions

Individuals Who Would Be Eligible for ANFC­Related Medicaid Except For Certain Conditions

4312.1

M302.21

Eligible Except for Earnings

Groups No Longer Eligible for ANFC­Related Medicaid Due to Increased Earnings (Transitional Medicaid)

4312.2

M302.22

Eligible Except for Child Support

Groups No Longer Eligible for ANFC­Related Medicaid Due to Increased Child Support (Transitional Medicaid)

4312.3

M302.23

Eligible Except for Institutional Status

Individuals In Institutions

4312.4

M302.24

Recipients in August 1972

Individuals Entitled to OASDI and Receiving Cash Assistance in August 1972

4312.5

M302.25

Eligible Except for Child Care Payments

Individuals Receiving Child Care Services

4312.6

M302.26

Children Under 18 (Dr. Dynasaur)

Children Under 18 (Dr. Dynasaur)

4312.7

M302.27

Pregnant Women (Dr. Dynasaur)

Pregnant Women (Dr. Dynasaur)

4312.8

M302.28

Other Eligible Family Members

Other ANFC­Related Categorically Eligible Coverage Groups

4320

M303

Medically Needy Coverage Groups

ANFC­Related Medically Needy Coverage Groups

4330

M311

Citizenship and Identity

Citizenship and Identity

4330.1

M311.1

Emergency Medical Services

Emergency Medical Services

4331

M312

Residence

State Residence

4332

M313

Living Arrangements

Living Arrangements

4332.1

M313.1

Public Institution

Living in a Public Institution

4332.2

M313.2

Private Facility

Living in a Private Facility

4332.3

M313.3

Correctional Facility

Living in a Correctional Facility

4340

M320­M329

ANFC­Related Eligibility Factors

Relationship to ANFC Eligibility Factors

4341

M321

Age

Individuals Under the Age of 21

4342

M322

Pregnancy

Pregnant Women

4343

M323

Parents and Caretaker Relatives

Parents and Caretaker Relatives

4350

M330­M339

Financial Eligibility

ANFC­Related Financial Eligibility Factors

4351

M331

Financial Responsibility of Relatives

Financial Responsibility of Relatives

4351.1

M331.2