DIVISION OF FAMILY AND CHILDREN SERVICES TWO PEACHTREE STREET, NW ATLANTA, GEORGIA 30303-3180
JANUARY 23,1996
ECONOMIC SUPPORT SERVICES MANUAL TRANSMITTAL NO. 22
TO: FROM:
County Departments of Family and Children Services Cluster Leaders State Staff
r.... M!chael
DIrector
L.
Thurmond
,~ i/ ~FJ~~t ~ /~
RE:
AFDC PEACH Sanctions
PURPOSE
The purpose of this transmittal is to revise Section 1063, Procedures To Impose AFDC PEACH Sanctions.
DISCUSSION
The AFDC procedures to remove a PEACH sanction have been strengthened so as to require some action or activity on the part of the sanctioned individual before s/he can be added back to the AU. Current procedures only require the individual to sign Form 4, PEACH Referral Form and express a willingness to participate in order to remove the sanction. The revised policy states that an individual may not be added back to an AU until the PEACH case manager notifies the eligibility worker that the individual has met his/her PEACH requirements.
IMPLEMENTATION
This material is effective upon receipt.
INSTRUCTIONS FOR MANUAL MAINTENANCE
Remove Section 1063 in its entirety and replace with the revised Section 1063.
Insert Form 493, PEACH Compliance Form, and the accompanying instructions in Section 2800.
PEN and INK
Page 2800-3, add Form 493, PEACH Compliance Form, to the TOC list of forms in the appropriate place.
Make proper notation on the Record of Receipt of Manual Transmittals.
BASIC ELIGIBIliTY CRITERIA
SANCTIONS (AFDC)
1063 - PROCEDURES TO IMPOSE AFDC PEACH SANCfIONS
Length of Sanctions Impose the AFDC PEACH sanction for the following time periods:
First failure to comply - the sanction lasts until the individual complies or becomes exempt.
NOTE: If the individual complies during the adverse action period, do not impose the sanction. However, it is still considered the "first failure to comply".
Second failure to comply - the sanction lasts until the individual complies, becomes exempt or for three months, whichever is longer.
Third or any subsequent failure to comply - the sanction lasts until the individual complies, becomes exempt or for six months, whichever is longer.
Notification For the first sanction, send a notice after three months into the Requirements sanction period explaining that the AU member can comply at
anytime in order to remove the sanction.
For the second, third or subsequent sanction, send a notice after the sanction period ends explaining that the AU member can comply at anytime in order to remove the sanction.
NOTE: To comply, the participant must successfully participate in an assigned PEACH activity for a period not to exceed 2 weeks. The PEACH activity is determined by the PEACH case manager (CM).
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Page 1063 -1
BASIC ELIGmIUTY CRITERIA
SANCI10NS (AFDC)
CHART 1063.1 REINSTATEMENT PROCEDURES
IF THIS IS THE
AND THE SANCTIONED INDMDUAL
THEN
first sanction
expresses a willingness to comply
refer the individual to PEACH via Form 493, PEACH Compliance Form.
If the individual fulfills the terms of the Compliance Agreement that is completed with the CM, the CM will return Form 493 indicating eligibility is to be reinstated.
Add the individual back to the AU the month following the month the individual complies regardless of when notification is received from the CM. The individual is eligible for Medicaid beginning with the month of compliance.
NOTE: The date of compliance is the date the individual signs Form 493.
If the individual does not fulfill the terms of the Compliance Agreement, the CM will return Form 493 indicating that the sanction is to continue.
first sanction
second or subsequent sanction
becomes exempt during the sanction period
becomes exempt prior to the end of the sanction period
lift the sanction the month following the month the individual becomes exempt.
Add the individual back to the AU the month following the month the AU member becomes exempt. The individual is eligible for Medicaid beginning with the month s/he becomes exempt.
do not lift the sanction. The entire sanction period must be served before reinstatement is considered.
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Page 1063 -2
BASIC EUGffiIUTY CRITERIA
SANCTIONS (AFDC)
CHART 1063.1 REINSTATEMENT PROCEDURES
IF THIS IS THE
AND THE SANCTIONED INDIVIDUAL
THEN
second or subsequent sanction
has served the sanction period in its entirety
and expresses a willingness to comply
refer the individual to PEACH via Form 493.
If the individual fulfills the terms of the Compliance Agreement that is completed with the CM, the CM will return Form 493 indicating eligibility is to be reinstated.
Add the individual back to the AU the month following the month the individual complies regardless of when notification is received from the CM. The individual is eligible for Medicaid beginning with the month of compliance.
NOTE: The date of compliance is the date the individual signs Form 493.
If the individual does not fulfill the terms of the Compliance Agreement, the CM will return Form 493 indicating that the sanction is to continue.
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Page 1063 -3
BASIC ELIGIBILITY CRITERIA
SANCTIONS (AFDC)
IF the case is closed for other reasons
the case is closed for other reasons
the AU reapplies after the case is closed
the AU reapplies after the case is closed
CHART 1063.2 PEACH SANCTIONS
AND
THEN
it is closed prior to the sanction being imposed
pend the sanction. Impose the sanction in its entirety when the AU reapplies.
the sanction period had been imposed prior to closure
consider the sanction as continuing even though the case is closed.
there are remaining sanction the individual for the remaining
months left in the months in the sanction period effective with
sanction period
the month of approval.
at the point of application the sanction period has expired
AND the sanctioned individual expresses a willingness to comply with PEACH in order to end the sanction
EXCEPTION: If this is the first sanction, follow the procedures in "Chart 1063.1 Reinstatement Procedures", first block.
follow the procedures as outlined in "Chart 1063.1, Reinstatement Procedures", fourth block.
MT 22 - 1/96
Page 1063 -4
BASIC EUGlliILITY CRITERIA
SANCTIONS (AFDC)
IF
in an active case the sanction is not imposed timely
CHART 1063.2 PEACH SANCTIONS
AND
THEN
the sanction period has expired at the point of discovery
establish overpayments (OP) for the months the sanction should have been imposed.
EXCEPTION: if this was the first sanction, do not establish OPs for past months.
Notify the AU of the OPs, if applicable, and provide the individual with an opportunity to comply with the PEACH requirements.
If the individual expresses a willingness to comply, refer the individual to the CM via Form 493. The individual remains in the AU pending notification from the CM.
If the CM indicates that the individual failed to meet PEACH requirements to have the sanction removed, impose the sanction ongoing until the individual complies or becomes exempt.
in an active case the sanction is not imposed timely
the sanction period has not expired at the point of discovery
.~ If the CM indicates that the individual met PEACH requirements, no further action is required.
If the individual does not express a willingness to comply, impose the sanction ongoing until the individual complies or becomes exempt.
impose the sanction for the remaining months in the sanction period and establish overpayments for the months the sanction should have been imposed. Give the AU timely notice before the sanction is imposed.
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Page 1063 -5
BASIC EUGffiIUTY CRITERIA
SANCTIONS (AFDC)
CHART 1063.2 PEACH SANCTIONS
IF
AND
THEN
at application
it is discovered that a sanction was never imposed when the case was previously active
impose the sanction for the appropriate time period effective the month of approval. NOTE: If this is the first sanction, the individual can comply at anytime.
the individual is subject to concurrent sanctions (PEACH, CSE, etc.)
each is effective the impose the sanctions concurrently for the
same month
appropriate time periods.
notified to impose a PEACH sanction
at the time of notification the individual is already subject to an existing sanction
pend the PEACH sanction until the other sanction expires.
Impose the PEACH sanction effective the month following the month the other sanction expires.
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Page 1063 -6
Georgl_~ Department of Human Resources
PEACH COMPUANCE FORM
A.
(1) TO: (3) FROM:
PARTICIPANT INFORMATION
Caseload
_
Caseload
_
(2) Date
_
(4) Client 10
(5) Client Phone
~--
(6) Participant's Name
(7) Current Mailing Address
B.
REQUEST FOR COMPLIANCE
(8) I understand that:
-I am a mandatory participant.
-I have not complied with participation requirements.
-I must meet PEACH participation requirements before J can be included in AFDC/FS/Medicaid benefits.
-I must contact the PEACH case manager named below within 7 days. by (9)
_
to schedule a compliance appointment.
(10) Case Manager Name
Phone
_
-Failure to meet participation requirements will result in my continuing ineligibility for AFDC/FS/Medicaid.
-If I am not satisfied with action taken. I may request a Fair Hearing. FULLY UNDERSTAND MY RIGHTS AND RESPONSIBILJTIES REGARDING. THE PEACH PROGRAM.
(11) Participant's Signature
TAKE THIS FORM TO YOUR PEACH APPOINTMENT
Date
C.
(12) ,0:
DISPOSITION OF COMP~JANCE REQUEST
Caseload
_
(13) Date
_
(14) FROM:
Caseload
_
(15) _ _ Met participation requirements. Reinstate eligibility based on participant's signature date above. (16) _ _ Failed to meet participation requirements. Continue sanction.
(17) PEACH Case Manager's Signature
D.
OTHER INFORMATION
Date
=.,rm ~93"
-
-;5i
This form is used by EW to initiate compliance request. and by CM to notify EW whether compliance occurs.
Section A.
Participant Information
EW completes Section A.
,-
1.
Enter PEACH Case Manager's name and case)oad number.
2.
Enter date form is initiated.
3.
Enter EW's name and caseload number.
4.
Enter 9 digit Client 10 number.
5.
Enter participant's CURRENT telephone number.
6.
Enter participant's name.
7.
Enter client's CURRENT mailing address.
Section B.
Request for Compliance
EW completes Section B. with participant.
8.
Read this section to participant.
9.
Enter date which is 7 calendar days from date form is initiated. (A.2).
10. :nter the name and phone number of the PEACH case manager the participant is to contact.
11. Obtain participant's signature, and have him/her enter the date (s)he signs the form.
Section C.
Disposition of Compliance Request
CM completes Section C.
12. Enter EW's name and caseload number.
13. Enter date form is completed. .14~ .. Enter PEACH Case Manager'.s name and caseJoad number.
15. .Check here if PEAC~ participation requirements have been met.
16. Check here if PEACH participation requirements have not been met.
17. PEACH CM signs and dates form.
Section D.
Other Information
Either EW or CM may use this section to enter additional
information.
.
Form Routing: Original (White) and 1st copy 2nd cooy (Pink) 3rd cocy (GotdenrCd) Originai (White) 1st cccy (Canary)
(Canary)
EW sends to'CM
'eN retains in case record 'eN gives to participant
CM returns to :W
eM retains in case record