Rule - State of Tennessee DHS Project by maclaren1

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									RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C


State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.2.5 Gather and Calculate Earned Income
Program Affected: All                     Users: Caseworker

   Process:

    This process describes the procedures followed when the user obtains earned income and/or
    verification information for an individual. The system must also determine if the income is countable, based on
    program rules and the treatment thereof. The system must also perform calculations, converting provided
    documentation into a monthly gross amount, also determining if actual or prospective calculations are required
    for that month. The capturing, treatment of and calculating of earned income from self-employment will be found
    in the process ―Earned Income – Self-Employment, Gather and Calculate‖.

   Sub-Processes:

   1. Determine if Individual has Earned Income from Employment in Last 90 Days or is on Strike

       The caseworker shall determine if the individual has earned income in the last 90 days or is on strike. If the
       individual has been employed, the caseworker will collect and enter the employment data. If the individual is
       on strike, pre-strike income data is collected and entered. The system must permit income documentation to
       be entered by pay period, with the ability to capture up to 12 weeks of income.

       EMPLOYMENT (Input)
       Employer Name
       Employer Address
       Employer Phone Number
       Parent Company Name
       Type of Work
       Supervisor Name
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.2.5 Gather and Calculate Earned Income
Program Affected: All                     Users: Caseworker
       Employee Job Title
       Employment begin date
       Employment end date
       Hours per Week
       Hours worked per Pay Period
       Frequency of Pay Periods
       Monthly Average Hours
       Employment Status indicator
       Employee Health Benefits Provided (Y/N)
       Employee Benefits Type
       Voluntary Quit Indicator
       Good Cause Indicator
       Good Cause Type
       Sick Pay
       Employer Disability Pay
       Jury Duty
       Maternity Pay
       Employment Type
       Strike Status indicator
       Strike begin date
       Strike end date

       INCOME (Input)
       Employment Income Amount
       Gross Income per Pay Period Reported
       Number of Pay Periods Reported
       Pay Period End Date
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.2.5 Gather and Calculate Earned Income
Program Affected: All                     Users: Caseworker
       Pay Date
       Final Pay Check Date
       Verification Source
       Non-Representative
       Garnishment Amount
       Garnishment Reason
       Garnishment Frequency
       Garnishment Start Date
       Garnishment End Date
       Free Form Text for further explanation

   2. Record Employment Income or Strike Data

       If the individual has earned income in the last 90 days or is on strike, the user will record whether the type of
       income information received is Employment or Strike data.

       EMPLOYMENT (Output)
       Employer Name
       Employer Address
       Employer Phone Number
       Parent Company Name
       Type of Work
       Supervisor Name
       Employee Job Title
       Employment begin date
       Employment end date
       Hours per Week
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.2.5 Gather and Calculate Earned Income
Program Affected: All                     Users: Caseworker
       Hours worked per Pay Period
       Frequency of Pay Periods
       Monthly Average Hours
       Employment Status indicator
       Employee Health Benefits Provided (Y/N)
       Employee Benefits Type
       Voluntary Quit Indicator
       Good Cause Indicator
       Good Cause Type
       Sick Pay
       Employer Disability Pay
       Jury Duty
       Maternity Pay
       Employment Type
       Strike Status indicator
       Strike begin date
       Strike end date

       INCOME (Output)
       Employment Income Amount
       Gross Income per Pay Period Reported
       Number of Pay Periods Reported
       Pay Period End Date
       Pay Date
       Final Pay Check Date
       Verification Source
       Non-Representative
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.2.5 Gather and Calculate Earned Income
Program Affected: All                     Users: Caseworker
       Garnishment Amount
       Garnishment Reason
       Garnishment Frequency
       Garnishment Start Date
       Garnishment End Date
       Free Form Text for further explanation

   3. Perform ―Obtain Verification‖ if Needed

       This is a reusable process that will be invoked when verifications of income are required. If there is pending
       employment information, the ―Obtain Verification‖ process is performed to request the verifications. This
       process also records the verification when verifications are received, and alerts the user when the requested
       information is not provided when due.

   4. Calculate Average Monthly Gross Income and Hours Worked

       The system shall calculate the countable average monthly gross income and hours worked based on case,
       individual, employment, income information and program rules. The system shall also determine when actual
       countable monthly gross income is to be used and calculate that based on input data. The system will
       display the results.

       CASE (Input)
       Case ID

       INDIVIDUAL (Input)
       Employed Individual Name
       Employed Individual ID
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.2.5 Gather and Calculate Earned Income
Program Affected: All                     Users: Caseworker

       EMPLOYMENT (Input)
       Employer Name
       Employer Address
       Employer Phone Number
       Parent Company Name
       Type of Work
       Supervisor Name
       Employee Job Title
       Employment begin date
       Employment end date
       Hours per Week
       Hours worked per Pay Period
       Frequency of Pay Periods
       Monthly Average Hours
       Employment Status indicator
       Employee Health Benefits Provided (Y/N)
       Employee Benefits Type
       Voluntary Quit Indicator
       Good Cause Indicator
       Good Cause Type
       Sick Pay
       Employer Disability Pay
       Jury Duty
       Maternity Pay
       Employment Type
       Strike Status indicator
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.2.5 Gather and Calculate Earned Income
Program Affected: All                     Users: Caseworker
       Strike begin date
       Strike end date
       Hours worked per pay period
       Number of pay periods reported

       INCOME (Input)
       Employment Income Amount
       Gross Income per Pay Period Reported
       Number of Pay Periods Reported
       Pay Period End Date
       Pay Date
       Final Pay Check Date
       Verification Source
       Non-Representative
       Garnishment Amount
       Garnishment Reason
       Garnishment Frequency
       Garnishment Start Date
       Garnishment End Date
       Free Form Text for further explanation
       Gross representative income per pay period
       Number of pay periods reported

       INCOME (Output)
       Average gross monthly income by individual
       Average gross monthly income by case
       Gross income actual month/year
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.2.5 Gather and Calculate Earned Income
Program Affected: All                     Users: Caseworker
       Gross income case month/year

   5. Determine if There is Other Employment Income in Case

       The caseworker will determine through continued discussion with the client if there is other earned income in
       the case. The additional income can be either from employment or self-employment and can be earned by
       any group member. An individual may have multiple sources of earned income for the same period of time,
       and the system must be capable of capturing all sources and calculating each individual source.

   6. Determine if Income is from Employment or Self-Employment

       If there is other employment income for this case, the user will determine if the income is from employment or
       self-employment.

   7. Perform ―Gather and Calculate - Self-Employment Income‖ Process

       If the employment income is from self-employment, the system will perform the reusable ―Gather and
       Calculate - Self-Employment Income‖ process.

   8. Record Employment Income or Strike Data

       If the other employment income information is from employment, the user will record whether the type of
       information received is from employment or strike data.

       EMPLOYMENT (Output)
       Employer Name
       Employer Address
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

State of Tennessee
DHS V.I.P. Process Description
Prepared by: DHS Policy/Systems
Date: January 31, 2005
Process: 1.2.5 Gather and Calculate Earned Income
Program Affected: All                     Users: Caseworker
       Employee Job Title
       Employment begin date
       Employment end date
       Hours worked per Pay Period
       Employment Status indicator
       Strike Status indicator
       Strike begin date
       Strike end date

       INCOME (Output)
       Employment Income Amount
       Gross Income per Pay Period Reported
       Number of Pay Periods Reported
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C

 Program    Rule
   Type    Number                                                       Rule
IV-E FC      1      The income of the required members of a foster child’s pre-custody removal home shall be
                    considered and recorded for an initial IV-E foster care eligibility determination for each new foster
                    care custody episode.
IV-E FC      2      The income received by a foster care child or received on behalf of a foster care child shall be
                    recorded for each initial determination of re-imbursability and for each periodic re-determination.
IV-E FC      3      The required members of a foster child’s pre-custody removal home are the:
                         foster child;
                         foster child’s parent(s) if they were living in the home from which the child was removed; and
                         foster child’s technically eligible siblings if they were living in the home from which the child
                            was removed.
IV-E FC      4      Income shall include all monies from whatever source is received by the required members of a
                    foster child’s pre-custody removal home for an initial IV-E foster care eligibility determination.
IV-E FC      5      Income shall include all monies received by the foster child or on behalf of the foster child when
                    determining whether the child’s cost of care is reimbursable from IV-E foster care funds and for each
                    periodic re-determination.
IV-E FC      6      The name and address of the current employer for each required member of the foster child’s pre-
                    custody removal home shall be recorded.
IV-E FC      7      The gross earned income received by each required member of the foster child’s pre-custody
                    removal home shall be recorded.
IV-E FC      8      The frequency of receipt of the gross earned income for each employed required member shall be
                    recorded.
IV-E FC       9     The employment begins and end date for each employed required member shall be recorded.
IV-E FC      10     All earned income received by an employed required member shall be verified prior to approval.
IV-E FC      11     Earned income shall be verified by documentary evidence or collateral contact.
/FS/FFP
IV-E FC      12     A required member’s lack of employment shall be recorded.
IV-E FC      13     The earned income of a child who is a full-time student is excluded when determining a foster child’s
                    initial eligibility for IV-E foster care.
IV-E FC      14     The earned income of an IV-E foster child who is a full-time student is exempt.
IV-E FC      15     Income belonging to members of the foster child’s pre-custody removal home who are not required
                    members is exempt and not recorded.
IV-E FC      16     The earned income of a part-time student not employed full time shall be recorded and counted in the
                    budget calculation for an initial eligibility determination for IV-E foster care.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
 Program    Rule
   Type    Number                                                         Rule
IV-E FC      17     The earned income of a child without student status shall be recorded and counted in the budget
                    calculation for an initial eligibility determination for IV-E foster care.
IV-E FC      18     The earned income of a part-time student not employed full time shall be recorded and counted in the
                    budget calculation against the July 16, 1996 Gross Income Standard. If the earned income of the
                    part-time student and the total income of the required members of the child’s pre-custody removal
                    home meet the Gross Income Standard, the earned income of the part-time student shall be
                    disregarded when calculating the income test for the Consolidated Need Standard.
IV-E FC      19     Gross earned income shall be converted to a monthly amount when the gross earned income is
                    received more frequently than monthly.
IV-E FC      20     Deem income as available to the required members of a foster child’s pre-custody removal home
                    when a foster child’s stepparent was living in the foster child’s pre-custody removal home or the
                    parent of a minor parent was living in the foster child’s pre-custody removal home.
IV-E FC      21     A parent of a foster child on strike on the last day of a month renders the foster child ineligible for
                    Title IV-E foster care if the parent was living in the foster child’s pre-custody removal home.
IV-E FC      22     A non-parent required member who was on strike on the last day of a month causes ineligibility for
                    the individual.
ALL          23     Earned income shall be defined as money derived from an individual’s work efforts, e.g., wages,
                    salaries, commissions, or as profits from self-employment.
ALL          24     Earned income shall also include pay received from jury duty, bonuses, vacation pay, maternity leave
                    pay, and sick pay received by an individual while still employed.
ALL          25     Garnished or diverted wages shall be considered earned income.
ALL          26     Multiply weekly gross earned income by 4.3 to convert to monthly gross income.
ALL          27     Multiply bi-weekly, i.e., income received each two weeks, gross earned income by 2.15 to convert to
                    monthly gross income.
ALL          28     Multiply daily income by the number of days the individual was paid to convert to monthly gross
                    income.
ALL          29     Divide annual income by 12 to determine monthly income.
ALL          30     Earned income shall be verified by documentary evidence or collateral contact.
CC           31     Child Care has no additional requirements related to this process for Families First participants other
                    than those indicated by FFP.
CC           32     Gross earned income for Transitional, At-Risk, At-Risk Child Only and Low-Income Child Care
                    participants is money received from wages, or salaries before tax or other withholdings.
CC           33     Gross Armed Forces pay, military housing allowance, commissions, tips, military housing allowance
                    and cash bonuses are considered wages and salaries for Transitional, At-Risk, At-Risk Child Only
                    and Low-Income Child Care participants.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
 Program    Rule
   Type    Number                                                       Rule
CC           34     Voluntary deductions from wages for tax deferred compensation benefits such as cafeteria plans,
                    dental, medical or child care expenses, 401K retirement plans or any other monies where the
                    employee can stop the deduction and receive the money are considered countable earned income
                    for Transitional, At-Risk, At-Risk Child Only and Low-Income Child Care participants.
CC           35     The Certificate Program will enter the income as provided by the participants.
CC           36     Transitional, At-Risk, At-Risk Child Only and Low-Income Child Care participants must submit weekly
                    or monthly paycheck stubs, or employer statement to the certificate program.
CC           37     Gross earned income is countable from the natural parent, adoptive parent, married spouse of the
                    participant if residing in the home, and a second parent or alleged parent, when residing in the home,
                    of the children needing child care, even if unmarried to the caretaker.
CC           38     Regular income obtained during a portion of the year is considered annual income.
CC           39     When determining eligibility, the certificate program must verify gross income for Transitional, At-
                    Risk, At-Risk Child Only and Low-Income Child Care participants.
CC           40     In cases where employment has just begun and there is no income verification, the income must be
                    estimated to determine eligibility for Transitional, At-Risk, At-Risk Child Only and Low-Income Child
                    Care participants.
FFP          41     All sources of income must be explored to determine Families First financial eligibility.
FFP          42     Earned income is money derived from an individual’s work efforts and may include but not be limited
                    to wages, salaries, and commissions.
FFP          43     Eligibility and payment amount shall be established prospectively.
FFP          44     If an individual is steadily employed, income from previous months will be used to anticipate the
                    amount of income in the month of application and subsequent months.
FFP          45     If an individual who is steadily employed indicates that future income will differ substantially from the
                    previous month’s income, the caseworker shall use such information to make a reasonable estimate
                    of earnings.
ALL          46     Countable income and expenses available to a case shall be stated in monthly amounts.
FFP          47     Income shall be converted to monthly amounts for the purpose of determining prospective eligibility.
FFP          48     Hourly or piecework wages shall be converted to a monthly amount by estimating the amount of
                    income to be expected as the result of a week’s work based on hours/days produced. The weekly
                    earnings shall be used to figure the monthly income amount.
FFP          49     Multiply weekly income by 4.3 to determine a monthly income amount.
FFP          50     Multiply bi-weekly income by 2.15 to determine a monthly income amount.
ALL          51     When calculating average and prospective income, the system shall disregard those amounts that
                    are designated as being non-representative.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
 Program     Rule
   Type     Number                                                      Rule
FFP/CC        52     When a wage earner is employed and paid on a regular monthly basis, accept his/her verified
                     monthly salary as monthly income.
FFP           53     Divide annual income by 12 to determine monthly income.
FFP/CC        54     Use the income received by the assistance group members during the initial application month to
                     determine initial eligibility and benefit level.
FFP/CC        55     An assistance group may be eligible in the application month based on circumstances existing in that
                     month, but ineligible in the subsequent month because of changes that occur.
FFP/CC        56     The assistance group may be entitled to benefits for the application month even when the processing
                     of the application results in benefits not being paid in subsequent months.
FFP/CC        57     An assistance group may be ineligible in the application month based on circumstances in that
                     month, but eligible in the subsequent month because of changes that occur.
FFP           58     Adjustments in Families First grants are made on the basis of reported or discovered changes.
FFP/CC/FS     59     If a change in income is reported and the change is ongoing, the new amount shall be used to project
                     future ongoing income.
FFP/CC        60     At reapplication, currently available income shall be used to determine ongoing eligibility if the
                     income is anticipated to be ongoing.
FFP/CC        61     If only the hourly rate and the number of hours an individual is scheduled to work are provided to the
                     caseworker to determine monthly income, the caseworker shall calculate the weekly amount and
                     convert to a monthly figure by multiplying by 4.3, even if the individual is paid semi-monthly.
FFP/CC/FS     62     Include tips when determining the monthly income for individuals who earn them.
FFP/CC/FS     63     Do not count only the hourly wage and do not automatically assign individuals who earn tips the
                     minimum wage amount.
FFP/CC/FS     64     Individuals who earn tips shall have their averaged tip amount added to their monthly earnings that
                     have also been averaged based on their hourly income.
FFP/CC/FS     65     The value of in-kind income shall not be included in determining monthly gross income.
/MA
FFP/CC/FS     66     The income of a child under 18 and still in school is not calculated in the Families first budget.
FS            67     Income derived from an individual’s work effort, such as wages, salaries, and commissions is treated
                     as earned income.
FS            68     Pay received from jury duty, bonuses, vacation pay, maternity leave pay, and sick pay received by an
                     individual while still employed is treated as earned income.
FS            69     Garnished or diverted wages are treated as earned income.
FS            70     An applicant who voluntarily quits his/her job of at least 30 hours per week is not eligible to
                     participate in the Food Stamp Program when the quit occurred within 60 days before the date of
                     application, or after the date of application but before disposition of the case.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
 Program    Rule
   Type    Number                                                       Rule
FS           71     An applicant who voluntarily reduces his/her work hours to less than 30 hours per week is not eligible
                    to participate in the Food Stamp Program when the reduction of hours occurred within 60 days before
                    the date of application, or after the date of application but before disposition of the case.
FS           72     A household with members taking part in a strike, are ineligible to participate in the Food Stamp
                    Program unless they were eligible for food stamp benefits the day prior to the strike and are
                    otherwise eligible at the time of application.
FS           73     When a currently certified food stamp household has a member who goes on strike, the household
                    and the striking member will remain eligible for food stamps, but the striking member's pre-strike
                    earnings must continue to be counted as earned income for the household.
FS           74     The striking household member's income must be determined by using the greater of the monthly
                    earned income from the job on which the strike occurred as if the member were still working, or the
                    striking member's current income.
FS           75     The greater of the two incomes, of a striker (prior and current) must be added to the income of the
                    other household members to determine household income.
FS           76     Income received during the past 30 days shall be used as an indicator of the income that is and will
                    be available to the household during the certification period.
FS           77     Past income shall not be used as an indicator of income anticipated for the certification period if
                    changes in income have occurred or can be anticipated to occur.
FS           78     If income fluctuates to the extent that a 30 period alone cannot provide an accurate indication of
                    anticipated income, the state and the household may use a longer period of past time if it will provide
                    a more accurate indication of anticipated fluctuations in future income.
FS           79     If the household's income fluctuates seasonally, income from the most current season comparable to
                    the certification period may be used, rather than the last 30 days, as an indicator of anticipated
                    income.
FS           80     Earnings determined not to be representative of anticipated future earnings may be disregarded in
                    determining gross income.
FS           81     In no event will the state automatically attribute to the household the amounts of any past income.
FS           82     Only currently available income will be used to project ongoing available income unless the amount
                    and date of receipt of expected income is known with reasonable certainty or unless some change
                    has occurred.
FS/FFP/      83     If the exact amount or month of receipt of a particular income is unknown, only that portion which can
MA                  reasonably be anticipated shall be considered as income.
FS/FFP/      84     Income anticipated with reasonable certainty during the period under consideration shall be counted
MA                  as income only in the month(s); it is expected to be received, unless the income is averaged.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
 Program     Rule
   Type     Number                                                     Rule
FS            85     A household may request consideration of actual fluctuating income on a month-to-month basis, and
                     benefits must be determined on a month-to-month basis, as well.
FS            86     To determine average income, the household's anticipated income fluctuations will be considered
                     over the certification period.
FS            87     The number of months used to arrive at the average income need not be the same as the number of
                     months in the certification period.
FS            88     A destitute household's income must not be averaged during the first month of the certification
                     period.
FS            89     When a household's projected income will be received in other than a monthly amount, the income
                     will be converted to a monthly amount to determine the amount of income to be used to determine
                     eligibility and amount of payment.
FS            90     To convert income earned by the hour or by the piece to a monthly amount, estimate the amount of
                     income for a week, based on hours/days produced, and convert to a monthly amount.
FS/FFP/CC     91     To convert income received twice a month (semi-monthly) to a monthly amount, multiply the semi-
                     monthly amount by 2.
FS            92     When a household member is paid on a regular monthly basis accept his/her verified monthly
                     wage/salary as the monthly income.
FS            93     To convert annual income to a monthly amount, divide the annual figure by 12.
FS            94     Earnings for an individual under an annual contract will be counted during the 12 months the contract
                     is intended to cover, beginning with the first month the person receives payment under the contract.
FS            95     Contract income received in a shorter period of time than one year will be considered as income in
                     the months it is intended to cover.
FS            96     If a self-employed individual receives payment once annually, the income will be averaged over a 12-
                     month period, beginning with the first month the income is received.
FS            97     Cents for all types of income will be used in food stamp budget calculations, and will be dropped at
                     the final step of the budget.
FS            98     Cents for all types of expenses will be included in the food stamp budget calculations, and will be
                     dropped at the final step of the budget.
FS           99      Hourly wages will not be rounded prior to converting to gross weekly or gross monthly income.
FS           100     Combine earned income for each individual in the household with earnings, all unearned income, and
                     all income from self-employment to determine gross monthly income.
FS           101     Ongoing income from any and all sources is considered available to meet maintenance needs until
                     the recipient reports a change or the agency discovers a change.
FS           102     The income of all persons who share a household must be explored.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
 Program     Rule
   Type     Number                                                       Rule
FS/FFP/CC     103    All educational income is excluded. The excluded income may be title IV, WIA, Non-Title IV, work
                     study and Federal grants as well as from private sources.
FS/FFP/CC    104     Up to 8 weeks of income shall be captured for the purpose of calculating prospective income.
FFP          105     The following monies are among those considered earned income in the Families First program:
                          Wages, salaries, commissions
                          Garnished or diverted wages
                          Profit from self-employment enterprises such as the following:
                               - farming
                               - small business enterprises
                               - roomers/boarders
                               - rental receipts—Rent receipts from property owned/being purchased by an
                                  individual/family when the owner/purchaser is actively engaged in the production of the
                                  income
                               - total gains of any capital goods or equipment related to the business, excluding the costs
                                  of doing business.
                          Training and Rehabilitation allowances—any wages paid for on-the-job training or public
                             service employment, except JTPA earnings of child applicants/recipients.
                          Severance pay.
                          Vacation, sick, longevity, bonus pay, maternity leave pay, and jury duty pay are counted as
                             earned income when mandatory deductions (FICA, SSA, etc) are made.
                          JTPA payments to adults and minor caretakers, if the payments are wages or compensation
                             in lieu of wages.
                          Allowances and Other Benefits under the National and Community Service Trust Act of 1993
                          AmeriCorps stipend for living allowance
                          Reimbursements for normal living expenses such as rent, personal clothing, and food eaten
                             at home, are a gain or benefit, if the reimbursement exceeds the actual incurred expense.
                          Welfare to Work payments for work and/or training activities.
FS           106     The following monies are among those considered earned income in the Food Stamp program:
                          Wages, salaries, commissions
                          Profit from self-employment enterprises such as the following:
                               1. farming
                               2. small business enterprises
                               3. roomer/boarders
                               4. rental receipts, if an owner of rental property is actively engaged in the rental,
                                    maintenance, management of property at least 20 hours per week.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
Program    Rule
  Type    Number                                                       Rule
                              5. total gains of any capital goods or equipment related to the business, excluding the costs
                                 of doing business.
                        Any training allowances from vocational and rehabilitative programs sponsored by federal,
                           state, or local governments (such as the Employment & Training Program) unless the
                           allowances are excluded as reimbursements. (Except for WIA training allowances which are
                           excluded.)
                        Vacation, Sick, Longevity and Bonus Pay when employment continues
                        All monies received through the Workforce Investment Act (WIA), Americorps, and Youthbuild
                           On-The-Job Training Programs, unless the WIA participant is under age 19 and under
                           parental control of another adult member.
                        Earnings for Americorps on-the-job training programs, except for individuals under age 19
                           who are under the parental control of an adult household member.
                        Earnings for on-the-job training programs, except for individuals under the age of 19 who are
                           under the parental control of an adult household member.
                        Garnished or diverted wages.
TCM/TCS    107     The following monies are among those considered earned income for the Medicaid categories Aid to
                   Dependent Children Medicaid Only, Failed due to Sibling, Medically Needy, Pregnant PLIS (185%),
                   Not pregnant less than 1 year old (185%), Not pregnant less than 6 years old (133%), Not pregnant
                   less than 18 years old, born before 10-1-1983 (100%), Newborns up to 12 months old, Pregnant
                   women alone in first two trimesters and TennCare Standard:
                        cash tips over $20 per month
                        wages, vacation pay, dismissal pay, holiday pay, severance pay, sick leave pay, strike pay
                        Rental income, when the owner is actively engaged in producing the income
                        Self-employment income
                        Sick pay, if received in the first 6 months after the individual stopped working.
                        College Work Study, after subtracting allowable school expenses
TCM        108     The following monies are among those considered earned income for the Medicaid categories Aged
                   Non-Institutionalized, Aged Institutionalized, Blind Non-Institutionalized, Blind Institutionalized,
                   Disabled Non-Institutionalized, Disabled Institutionalized, QMB/SLMB/QI1 and Pickle Pass-along:
                        Cash tips of $20 per month
                        Farm income
                        Wages, vacation pay, dismissal pay, holiday pay, severance pay, sick leave pay, strike pay
                        Rental income, when the owner is actively engaged in producing the income
                        Self-employment income
                        Sheltered Workshop Earnings
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
Program    Rule
  Type    Number                                                       Rule
                         Sick pay, if received in the first 6 months after the individual stopped working.
TCM        109     The following types of earned income are among those excluded as income for the Medicaid
                   categories Aged Non-Institutionalized, Aged Institutionalized, Blind Non-Institutionalized, Blind
                   Institutionalized, Disabled Non-Institutionalized, Disabled Institutionalized, QMB/SLMB/QI1 and
                   Pickle Pass-along:
                        1. Wages, allowances or reimbursements paid under Title VI of the Rehabilitation Act of 1973
                        2. Certain revenues paid to Native Americans
                        3. Undergraduate grants or loans under Section 507 of the Higher Education Amendments of
                             1968
                        4. The amount of College Work Study used to purchase books, supplies, transportation and
                             miscellaneous personal expense.
                        5. Compensation provided volunteers under the Foster Grandparent Program and similar
                             programs under the Domestic Volunteer Service Act of 1973.
                        6. Earnings received to fulfill an approved plan to achieve self-support (PASS) for disabled or
                             blind individual.
TCM        110     For Medicaid categories Medically Needy, Failed due to Sibling, Pregnant PLIS (185%), Not pregnant
                   less than 1 year old (185%), Not pregnant less than 6 years old (133%), Not pregnant less than 18
                   years old, born before 10-1-1983 (100%), Newborns up to 12 months old and Pregnant women alone
                   in first two trimesters, the earnings of a child who is a full-time student is excluded.
TCM        111     For Medicaid categories Medically Needy, Failed due to Sibling, Pregnant PLIS (185%), Not pregnant
                   less than 1 year old (185%), Not pregnant less than 6 years old (133%), Not pregnant less than 18
                   years old, born before 10-1-1983 (100%), Newborns up to 12 months old and Pregnant women alone
                   in first two trimesters, the earnings of a child who is a part-time student not employed full-time is
                   excluded.
TCM        112     For Medicaid categories Medically Needy, Failed due to Sibling, Pregnant PLIS (185%), Not pregnant
                   less than 1 year old (185%), Not pregnant less than 6 years old (133%), Not pregnant less than 18
                   years old, born before 10-1-1983 (100%), Newborns up to 12 months old and Pregnant women alone
                   in first two trimesters, JTPA earnings of a child is excluded.
TCS        113     For TennCare Standard, the earnings of a student are disregarded for the first 6 months per calendar
                   year.
TCS        114     For TennCare Standard, the earnings of a part-time student who is not employed full-time is
                   disregarded.
TCM        115     For Aid to Dependent Children Medicaid Only, JTPA earnings of a child and the earnings of a child
                   who is a full-time student is disregarded for up to 6 months per calendar year,.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
 Program    Rule
   Type    Number                                                       Rule
TCM          116    For the Medicaid categories Aid to Dependent Children Medicaid Only, Failed due to Sibling,
                    Medically Needy, Pregnant PLIS (185%), Not pregnant less than 1 year old (185%), Not pregnant
                    less than 6 years old (133%), Not pregnant less than 18 years old, born before 10-1-1983 (100%),
                    Newborns up to 12 months old, Pregnant women alone in first two trimesters, and TennCare
                    Standard, exclude from SSA or VA benefits paid to a student at least age 18 the mandatory costs of
                    education (tuition/fees, etc)
TCM         117     For Aid to Dependent Children Medicaid Only, divide the amount of a lump sum by the Consolidated
                    Need Standard for the size of the Budget Group. The result is the number of months the lump sum is
                    prorated and counted as income. Any remainder is counted as income in the first month following
                    the period of ineligibility.
TCM/TCS     118     For Medicaid categories Medically Needy, Pregnant PLIS (185%), Not pregnant less than 1 year old
                    (185%), Not pregnant less than 6 years old (133%), Not pregnant less than 18 years old, born before
                    10-1-1983 (100%), Newborns up to 12 months old, Pregnant women alone in first two trimesters,
                    Aged Non-Institutionalized, Aged Institutionalized, Blind Non-Institutionalized, Blind Institutionalized,
                    Disabled Non-Institutionalized, Disabled Institutionalized, Failed due to Sibling,
                    QMB/SLMB/QI1,Pickle Pass-along and TennCare Standard, a lump sum is counted as income in the
                    month received only.
TCM/TCS     119     Income of SSI recipients is not counted for all Medicaid and TennCare categories.
TCM/TCS     120     Income of Families First recipients is not counted for all Medicaid and TennCare categories.
FFP         121     If a minor parent is receiving foster care board or adoption assistance payments but his or her child is
                    not, do not count the income(including the board/adoption assistance payment) of the minor parent in
                    determining his/her child(ren’s) eligibility for Families First.
FFP         122     If the exclusion of the child for whom adoption assistance is paid would reduce the amount of cash
                    assistance for the adoptive family, the child must be included in the Families First assistance group
                    and his income, including the adoption assistance payment, must be counted.
FFP         123     Exclude earned JTPA income (wages and compensation in lieu of wages) for a dependent applicant
                    or recipient child for up to six months in each calendar year as long as the child is a full-time student.
                    Do not count the payments during this period for either the Gross Income Standard or Consolidated
                    Need Standard tests or in computing the Families First grant. (This provision does not apply to adults
                    or caretakers under age 18.)
FFP         124     Exclude all unearned JTPA payments (needs based payments and supportive service payments) to
                    dependent children for Families First.
FFP         125     For Families First, the cost of doing business is an allowable deduction from rental income regardless
                    of whether the income is earned or unearned.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
 Program    Rule
   Type    Number                                                         Rule
FFP          126    For a participant who receives Families First as a dependent child, disregard the AmeriCorps stipend
                    for living allowance in the Families First gross income standard test for up to 6 months in a calendar
                    year, and if the family passes the Gross Income Standard test, disregard it in determining the amount
                    of grant if the child is a full-time student or a part-time student working less than full-time.
FS          127     If a non-household member receives SSA, SSI and/or VA benefits on behalf of an eligible HH
                    member, the income shall be considered as available to the eligible Food Stamp household
                    member(s).
FS          128     If a non-household member receives child support payments for the support of children who are
                    eligible Food Stamp household members, the support payment shall be considered as available to
                    the children, if the children are identified in the court order.
FS          129     Monies received and used for the care and maintenance of a third party who is a non-household
                    member shall not be counted as income for Food Stamps.
FS          130     Rent subsidy payments, known as STRAP (State of Tennessee Rental Assistance Payments) are not
                    counted as income in the Food Stamp program.
FS          131     When vacation, sick, longevity or bonus pay is received in a lump sum, the household has the option
                    to count the payment in the month received or have it averaged over the certification period for Food
                    Stamps.
TCS         132     The maximum income limit for new applications is 99% of the Federal Poverty Level.
TCM/TCS     133     Earned income for TennCare/Medicaid and TennCare Standard includes all wages, salaries,
                    bonuses or commissions earned while employed by another person and all net earnings from self-
                    employment and any compensation the individual receives in-kind.
TCM         134     Cash tips of $20 per month shall be considered income for all TennCare/Medicaid and TennCare
                    Standard cases.
TCM         135     Rental income when the owner is actively engaged in producing the income shall be considered
                    income for all TennCare/Medicaid and TennCare Standard cases.
TCM         136     Travel and business expenses, if they are included in the individual’s regular pay with no specific
                    separation shall be considered income for all TennCare/Medicaid and TennCare Standard cases.
TCM         137     Royalties and Honoraria will be treated as earned income for adult TennCare/Medicaid cases.
TCM         138     Wages paid under the Rehabilitation Act of 1973 shall be excluded for adult TennCare/Medicaid
                    cases.
TCM         139     Undergraduate grants or loans of the Higher Education Amendments of 1968 and the amount of
                    college work study used to purchase books, supplies, transportation and miscellaneous personal
                    expenses shall be excluded for all TennCare/Medicaid and TennCare Standard cases.
TCM         140     Earnings received to fulfill an approved plan to achieve self-support for disabled or blind individuals
                    shall be excluded for all TennCare/Medicaid and TennCare Standard cases.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
 Program    Rule
   Type    Number                                                     Rule
TCM          141    Infrequent or irregular income shall be excluded for all TennCare/Medicaid and TennCare Standard
                    cases if it doesn’t exceed $10 per month, it is received only once in a quarter and it cannot
                    reasonably be expected to be received again or is from employment that is on an ―as needed‖ basis.
TCM/TCS     142     Earned income for TennCare Medicaid/TennCare Standard includes all wages, salaries, bonuses or
                    commissions earned while employed by another person and all net earnings from self-employment
                    and any compensation the individual receives in-kind.
TCM         143     In-kind earned income may include the value of food, clothing or shelter (or other items) provided by
                    an employer, unless the employee is/was a domestic worker.
TCM/TCS     144     Wages are counted as available to the individual when they are received or paid or when the are
                    credited to the individual’s account, or when they are set aside for the individual’s use.
TCM/TCS     145     Income can be excluded as infrequent or irregular when it meets all of the following criteria: does not
                    exceed $10.00 per month per individual or couple, it is received only once in a quarter, it cannot
                    reasonably be expected to be received again or is earned from employment that is on an ―as needed
                    basis‖.
TCM/TCS     146     Gross earnings are calculated by added all earned income totals.
TCM         147     Net earnings are calculated for non-institutionalized individuals by deducting the work expenses in
                    the following order: exclude any portion of the $20.00 general disregard not applied to unearned
                    income, exclude the first $65.00, exclude one-half of the remaining earned income, if the individual is
                    under age 65 and eligible based on his blindness, deduct any expenses reasonably attributed to the
                    production of his income.
TCM/TCS     148     Any payment made by an employer or third party (i.e., insurance company) due to sickness, accident
                    or disability is considered earned income if received in the first six months after the individual stopped
                    working.
TCM         149     Net earnings for TennCare Standard cases are calculated by subtracting the $90.00 earnings
                    disregard for each employed individual from the gross earnings.
IV-E FC     150     Income belonging to the members of the foster child’s pre-custody removal home (excluding the
                    foster child) shall only be considered and used in a budget calculation for an initial Title IV-E foster
                    care eligibility determination for each new foster care custody episode.
IV-E FC     151     Income belonging to the members of a foster child’s pre-custody removal home (excluding the foster
                    child) shall not be considered and used in a budget calculation when determining whether an eligible
                    foster child’s cost of care is reimbursable from Title IV-E foster care funds.
IV-E FC     152     Income belonging to the members of a foster child’s pre-custody removal home (excluding the foster
                    child) shall not be considered for re-determinations.
IV-E FC     153     A child is a person age 17 or younger or a person age 18, who is a full-time student in a secondary
                    school or an equivalent level of vocational or technical school, and is reasonably expected to
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
 Program     Rule
   Type     Number                                                         Rule
                     complete the course of education/training before age 19 or in the month the person reaches age 19.
IV-E FC      154     The earned income of a child who is a full-time student is excluded when determining a foster child’s
                     initial eligibility for IV-E foster care.
IV-E FC      155     The earned income of a IV-E foster child who is a full-time student is exempt.
IV-E FC      156     The earned income of a part-time student not employed full-time shall be recorded and counted in
                     the budget calculation for an initial eligibility determination for IV-E foster care.
IV-E FC      157     The earned income of a child without student status shall be recorded and counted in the budget
                     calculation for an initial eligibility determination for IV-E foster care.
IV-E FC      158     The earned income of a part-time student not employed full time shall be recorded and counted in
                     budget calculation against the July 16, 1996 Gross Income Standard. If the earned income of the
                     part-time student and the total income of the required members of the child’s pre-custody removal
                     home meet the Gross Income Standard, the earned income of the part-time student shall be
                     disregarded when calculating the income test for the Custodial Need Standard.
FS           159     Earnings for WIA On-The-Job Training programs are excluded only for individuals under age 19 who
                     are under the parental control of an adult household member.
FS           160     All income (earned or unearned) from other WIA programs is excluded.
FS           161     Earnings for Americorps/Vista On-The-Job Training programs are excluded only for individuals under
                     age 19 who are under the parental control of an adult household member.
FS           162     All income (earned or unearned) from other Americorps/Vista programs is excluded.
FFP/CC       163     Earnings for WIA On-The-Job Training programs are excluded only for individuals under age 18 who
                     are under the parental control of an adult household member.
FFP/CC       164     Income (earned or unearned) from other WIA programs is countable in Families First if it is
                     considered wages. The income is not counted if it is considered training allowances.
FFP/CC       165     Earnings for Americorps/Vista On-The-Job Training programs are excluded only for individuals under
                     age 18 who are under the parental control of an adult household member for Families First.
FFP/CC       166     Earned income from other Americorps/Vista programs are excluded from Families First if the
                     recipient was getting Families First at the time he/she joined Americorps/Vista. The income is
                     counted if the recipient was in Americorps/Vista and then applied for Families First benefits.
FS/FFP/CC    167     Earned income is not counted that is considered too infrequently or irregularly to be reasonably
                     anticipated. The amount must not exceed $30 in a three-month period.
FS/FFP/CC    168     Do not count the earned income of a household member under age 18 when: that person is a
                     student at least half-time in elementary, high school or classes to obtain a General Equivalency
                     Diploma (GED); and lives with a natural or adoptive parent or step-parent, or is under the control of a
                     household member other than a parent or, is certified as a separate Food Stamp household but lives
                     with a natural or adoptive parent or step-parent. Continue to apply this exclusion during temporary
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
Program      Rule
  Type      Number                                                         Rule
                     interruptions in school attendance (i.e., semester or vacation breaks), provided the child will return to
                     school following the break.
FFP          169     Strikers and their families are not eligible for Families First benefits; therefore no earned income
                     information is collected for Families First eligibility.
ALL          170     If an owner of rental property is actively engaged in the rental, maintenance or management of
                     property at least 20 hours per week, the income from the property is earned. If he/she is actively
                     engaged less than 20 hours per week, the income is unearned. In either case, costs of doing
                     business are deducted from gross income and the remainder of the income is counted.
FS/FFP/CC    171     On-The-Job Training payments received under the Summer Youth Employment and Training
                     program is excluded.
FS/FFP/CC    172     Earned Income Tax Credits are excluded as income.
FS/FFP/CC    173     If a child’s earnings or the amount of work performed cannot be differentiated from that of other
                     household members, prorate the total earnings among the working members. Do not count the
                     child’s prorated share.
RFP ATTACHMENT 6.1, PRO FORMA CONTRACT ATTACHMENT C
          1.2.5
  Gather and Calculate
    Earned Income
                                   STOP


      Employment                                     Employment                     Income
                                       No


                                                                                                                                           Perform
    Determine if the
                                                                     Record                                                               Gather and
     Individual has
                                                                   Employment                          Employment                          Calculate
   Earned Income in          Earned Income         Yes                                                                          No
                                                                 Income or Strike                       income?                               Self-
   last 90 days or on          or Strike?
                                                                      Data                                                                Employment
         Strike
                                                                                                                                            Income

                                                                          Employment
         Income
                                                                                        A                  Yes
                          Individual                          Case
                                                                                                                                        Self-Employment

                         Employment
                                             Calculate average
                                                                                                        Perform
                                               monthly gross
                                                                                                         Obtain
                                             income and Hours
                           Income                                                                      Verification
                                                  Worked



                                                                                                                                         Employment or
                                                                                                                      A    Employment
                                                                                                                                        Self-Employment?

                         Display
                         Average
                         Monthly
                         Income



                                               Determine if                                                                               Determine if
                                                  other                                                                                   income from
                                                                                                Other
                                               employment                                                                 Yes             employment
                                                                                             Employment?
                                                income in                                                                                    or self-
                                                  group                                                                                   employment


                                                                                                 No


                                                                                                STOP

								
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