From: "Saved by Internet Explorer 11" Subject: APPENDIX A 1 Date: Tue, 23 Oct 2018 15:53:37 -0400 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01D46AE8.8F5953E0" X-MimeOLE: Produced By Microsoft MimeOLE This is a multi-part message in MIME format. ------=_NextPart_000_0000_01D46AE8.8F5953E0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: file://\\dhs\archive\OIM\OIMManuals\BOPArchive\ca\Final 01-31-12\110\110_A.htm APPENDIX A 1

3D"Table 3D"Master

Cash Assistance Handbook

BUDGET GROUP=20 EXAMPLES

APPENDIX = A

BUDGET GROUPS EXAMPLES:

TANF BUDGET = GROUPS=20 -

MULTI - TANF=20 BUDGET GROUPS IN A COMMON RESIDENCE

1.

Living together are Mrs. Smith, = her two minor=20 sons John and Jim, her 16-year-old daughter Mary, Mary's son Bob, = a=20 22-year-old son Bert, and Bert's children, Sam and Susan. Everyone = in the=20 common residence is applying for cash benefits. =

Budget groups are established as = follows:=20


CATEGORY C = BUDGET GROUP=20 #1	CATEGORY = C BUDGET GROUP=20 #2
Mrs.=20 Smith John Jim Mary Bob	ES=20 EC EC EC EC	Bert Sam Susan	ES EC EC

In this situation, Mary is = required to be in=20 her sibling=92s budget group because she also qualifies as a TANF = child=20 based on her age and the absence of her father. Mary=92s child, = Bob, is also=20 included as a TANF child.

However, Bert does not qualify as = a TANF=20 dependent child due to his age and is therefore not required to be = in his=20 siblings' budget group. If Bert qualifies as the specified = relative for=20 his children, he is required to be included in the budget group of = his=20 dependent children as a parent.

NOTE: Each TANF budget group = will receive a=20 monthly assistance payment based on the FSA for the number of = individuals=20 in each budget group.

2.

A common residence includes Mrs. = Scott, her=20 niece Shari (age 15), her daughters Kaye (age 11), Rita (age 13), = and=20 Karen (age 16), Karen's daughter Lorene (age one), and another = grandchild,=20 Lane (age 10). Both of Lane's parents are absent. Mrs. Scott = wishes to=20 apply for benefits for everyone. She is designated the specified = relative=20 as she has care and control of all of the = children.

Three C budget groups are = established. Karen=20 and Lorene must be included in the same budget group, because = Lorene is a=20 TANF child, and Karen is a minor parent who is required to reside = in her=20 mother=92s home. Karen must also be included in the same budget = group as her=20 siblings, Kaye and Rita, who qualify as TANF children. Mrs. Scott = must be=20 included in the same budget group because she is the parent of a = TANF=20 child in the budget group. Since Shari and Lane are not parents or = siblings of a TANF child, separate budget groups are established = for each=20 of them even though they are under the care and control of the = same=20 specified relative as the other TANF children.=20


CATEGORY = C BUDGET GROUP=20 #1	CATEGORY = C2 BUDGET GROUP=20 #2	CATEGORY C3 = BUDGET GROUP=20 #3
Mrs.=20 Scott Kaye Rita Karen Lorene	ES EC EC EC EC	Shari (Living = arrangement code=20 10)	EC	Lane	EC

NOTE: If multiple budget groups = are=20 established using a common specified relative as payment name, a = common=20 record number is assigned. Each TANF budget group will receive an=20 assistance payment based on the FSA for the number of persons in = each=20 budget group.

MINOR PARENT IN THE = BUDGET=20 GROUP

3.

If the minor parent is exempt from = the=20 requirement to reside in an adult home and is exercising care and = control=20 of the TANF child, the minor parent is designated the specified = relative=20 and may apply for cash benefits for herself and her child. The = minor=20 parent=92s child is the TANF child, and the minor parent must be = included in=20 the TANF budget group because she is the TANF child=92s parent. = Coding of=20 eligibility status will be as = follows:

Minor parent
Minor = parent=92s=20 child

ES
EC

(Living arrangement code=20 10)

4.

If the minor parent qualifies as a = TANF child=20 and her parent(s) and sibling(s) are applying for or receiving = cash=20 benefits, the minor parent must be included in her parent=92s = budget group=20 and cannot be the specified relative for her own child. The minor = parent=92s=20 child is also included as a TANF child. Coding of eligibility = status will=20 be as follows:

Minor parent=92s = parent(s)
Minor parent=92s=20 sibling(s)
Minor parent
Minor parent=92s = child

ES
EC
EC
EC

(Living arrangement = code=20 10)

5.

If the minor parent or her = siblings do not=20 qualify as TANF children and the minor parent is required to = reside in the=20 home of her parents, the minor parent=92s parent completes the = application.=20 The minor parent must be included in the TANF budget group with = her child=20 because she is the parent of the TANF child. The minor parent=92s = parent who=20 is the payment name, and the other specified relative for the = minor parent=20 and the TANF child will not have to be included. Coding of = eligibility=20 status will be as follows:

Minor parent's = parent(s)
Minor parent's=20 other parent
Minor parent's sibling(s)
Minor parent
Minor = parent's child

NS
NP
NA
EP
EC

(Living arrangement = code=20 10)

6.

If the minor parent is required to = reside in=20 the home of a parent, legal guardian, other adult relative or an=20 adult-supervised supportive living arrangement because she does = not meet=20 any of the exemptions listed under Section 110.6, = the minor=20 parent may not be designated as either a specified relative or the = payment=20 name for herself or her child. The adult with whom the minor = parent was=20 residing would complete the application. The minor parent must be = included=20 in the TANF budget group with her child because she is the parent = of a=20 TANF child. The adult with whom the minor parent was residing = could be the=20 payment name. The specified relative for the minor parent and the = TANF=20 child will not have to be included in the budget=20 group.

Coding of eligibility status will = be as=20 follows:

Minor parent's parent or other = adult=20 relative
Minor parent's other parent
or
Legal=20 guardian
or
Adult representative
Minor parent
Minor = parent's=20 child

NS
NP

NG

NA
EP
EC

(Living = arrangement=20 code 10)

NOTE: Income from the minor = parent's parent=20 is deemed to the budget group. See Chapter 155, = Deeming Income=20 and Resources.

7.

If the minor parent is pregnant = and qualifies=20 for TANF benefits but is required to reside in the home of a = parent, legal=20 guardian, other adult relative or in an adult-supervised = supportive living=20 arrangement because she does not meet any of the exemptions listed = under=20 Section 110.6, = the minor=20 parent may not be designated as a specified relative nor payment = name for=20 herself. The adult with whom the minor parent is residing would = complete=20 the application and could be the payment name. If the adult is a = specified=20 relative for the minor parent, that individual will not have to be = included in the budget group.

Coding of eligibility status will = be as=20 follows:

Minor parent=92s parent or = other adult=20 relative
Minor parent=92s other parent
or
Legal=20 guardian
or
Adult representative
Minor = parent

NS
NP

NG

NA
EP

(Living = arrangement=20 code 10)

NOTE: Income from the minor = parent's parent=20 is deemed to the budget group. See Chapter 155, = Deeming Income=20 and Resources.

NOTE: If the pregnant minor = parent does not=20 meet all of the requirements under Section 110.211, = Pregnant=20 Women, an eligibility determination will be made under the GA=20 category.

8.

The common residence includes Mrs. = King, her=20 16 year old son Steve, 17 year old daughter Betty, 15 year old = daughter=20 Dorothy, Betty's two year old son Charles, and Dorothy's six month = old son=20 Scott. Betty and Dorothy request separate applications for=20 themselves.

Neither Betty nor Dorothy is = exempt from the=20 requirement to reside in an adult home; therefore, one budget = group is=20 established. Mrs. King is designated the specified relative and is = the=20 payment name for the budget group. Mrs. King and Steve must be = included in=20 the budget group. Charles and Scott must also be included in the = same=20 budget group as their mothers.

Coding of eligibility status will = be as=20 follows:

Mrs.=20 = King
Steve
Betty
Charles
Dorothy
Scott

ES
EC
EC
EC
EC
EC

(Living arrangement = code=20 10)

(Living arrangement code=20 10)

TANF UNEMPLOYED=20 PARENT

9.

Living in a common residence are = Mrs. Fell,=20 her 14 year old son George, her grandchild Lori, Lori's mother = Debra (age=20 16), Debra's boyfriend Tom, and Debra and Tom's son Jim. Paternity = has=20 been legally established for Jim. Mrs. Fell is applying for = benefits for=20 herself, George, and Lori.

Debra qualifies as a TANF = dependent child and=20 must be included as George=92s sibling. Debra is not working. Tom = works=20 fulltime at $8 an hour. Lori=92s half brother, Jim, does not = qualify as a=20 TANF child because there is no deprivation based on absence, = incapacity,=20 or unemployment.


CATEGORY=20 C
Mrs.=20 Fell George Lori Debra	ES EC EC EC	Tom Jim	NA NA

NOTE: If Tom is not employed, = Jim would be=20 considered a TANF child and both Tom and Jim would be included in = the=20 budget group as an EA and EC, respectively. The category of the = entire=20 budget group would change to U because this is the only category = under=20 which Lori=92s half brother qualifies.

When certain members of the budget = group=20 qualify for TANF-C while others qualify only for TANF-U, the U = category=20 takes precedence over the C category when determining the overall = category=20 of the budget group.

10.

The common residence includes Ms. = Spock, her=20 10 year old daughter Janet, Ms. Spock's boyfriend Fred, and their = son=20 Mark. Fred has legally established the paternity of Mark. Ms. = Spock and=20 Fred are unemployed and Fred receives UC. Ms. Spock is applying = for=20 benefits for herself and Janet.

Janet is a TANF eligible child. = Mark must be=20 included in the budget group because he is a half sibling of Janet = and=20 meets TANF dependent child conditions. Fred must be included as = the=20 unemployed parent of the TANF child = Mark.


CATEGORY=20 U
Ms.=20 Spock Janet Fred Mark	ES EC ES EC


	NOTE: Fred's income is adjusted = to a four=20 person FSA in determining the monthly assistance=20 payment.
11.	Mr. Adams who is unemployed, Mrs. = Adams who is=20 employed full time at $8.00 hour, his 13 year old son John by a = previous=20 marriage, and their 8 year old son Ted reside in a single family = home. Mr.=20 Adams applies on behalf of his son. The budget group must consist = of John=20 (EC) and his father (ES). Although the children have a half = brother=20 relationship, there is no deprivation due to absence, incapacity = or=20 unemployment for the 8 year old. Consequently Ted does not have to = be=20 included in the TANF budget group. See Chapter 155, = Deeming=20 Income and Resources.
	If Mrs. Adams becomes unemployed = as defined in=20 Section=20 129.4, Unemployment of One = or Both=20 Parents, the budget group would contain = all 4=20 persons and the category of the budget group would change to=20 U.

A STEPPARENT IN THE TANF BUDGET = GROUP

12.

Living together in a common = residence are Mrs.=20 Brown, her 10 year old son Terry, her 16 year old daughter = Theresa,=20 Theresa's daughter Vicki, and Theresa's husband Dwayne (Vicki's=20 stepfather). Mrs. Brown is applying for herself, Terry, and Vicki. = Theresa=20 must be included in the budget group as the sibling of the TANF = child,=20 Terry. If Mrs. Brown is determined to be the specified relative = for Vicki,=20 one C budget group is established as=20 follows:

<= /TABLE>


CATEGORY=20 C
Mrs.=20 Brown Terry Vicki Theresa Dwayne	ES EC EC EC NL


	NOTE: Dwayne's income is deemed = available=20 because he is the stepfather of Vicki. See Chapter 155, = Deeming Income=20 and Resources.
13.	Mrs. Roberts, her 10 year old son = Ned and Mr.=20 Roberts, spouse/stepfather, reside together in a shelter for the = homeless.=20 Mrs. Roberts applies on behalf of her son. The budget group must = include=20 Mrs. Roberts (ES) and her son (EC), since she is a parent of the = TANF=20 dependent child. Mr. Roberts may be an NL member, and his income, = if any,=20 is deemed available as a stepparent. Or, if the spouse/stepfather = is in=20 need, he could be included in the budget group as an essential = person or=20 he could apply as a separate budget group for=20 GA.

A HALF SIBLING INCLUDED IN THE TANF BUDGET=20 GROUP

14.

Living together are Ms. Young, her = minor=20 daughter Sophie, Ms. Young's boyfriend Tom, and their son Sean. = The=20 paternity of Sean has been legally established. Tom is = incapacitated and=20 meets requirements for TANF, but not SSI. All members of the = common=20 residence wish to apply.

There is only one budget group. = Membership in=20 the budget group begins with the relationship to the TANF child = Sophie.=20 Her half brother, Sean, must be included in the budget group = because he=20 qualifies as a TANF child. Tom must be included because he is the = parent=20 of the TANF child Sean.

A SPECIFIED = RELATIVE WHO IS NOT=20 THE PARENT WHEN A PARENT LIVES WITH HIS CHILDREN BUT IS NOT DESIGNATED = THE=20 SPECIFIED RELATIVE


CATEGORY=20 C
Ms.=20 Young Sophie Tom Sean	ES EC ES EC

15.

A budget group consists of Ms. = Dennis (ES) and=20 her two children (EC), Tommy, age 13 and Rick, age 7. Ms. Dennis = is also=20 the specified relative and payment name for a second budget group=20 containing her grandchild, Maya, age 7 months. Rita, the 24 year = old=20 mother of the 7 month old child moves into the common residence. = Because=20 of drug abuse, custody of her child has been given to the = grandmother by=20 the court. Rita is required to be included in the budget group of = her 7=20 month old child. As Rita does not qualify as a dependent child due = to age,=20 she does not have to be included in the budget group of her = siblings. As=20 she cannot be designated the specified relative (ES), she is coded = EA.

A TANF CHILD LIVING WITH AN = INDIVIDUAL OTHER THAN=20 A SPECIFIED RELATIVE DURING A CRISIS OR CHANGE IN THE CHILD=92S=20 LIFE

16.

A budget group consists of Ms. = Ruiz (ES) and=20 her child Tomas (EC), age 5. The mother is involved in an = automobile=20 accident and will be hospitalized for at least 3 months. The child = was not=20 with the mother at the time of the accident. A neighbor who is not = related=20 to the child agrees to care for the 5 year old until the mother is = discharged from the hospital.

As the mother=92s absence has been = verified and=20 parental control of the 5 year old child has been transferred to = the=20 neighbor, TANF payments are authorized in the name of the = caretaker/=20 neighbor (NA). If the caretaker also requests assistance, she = would need=20 to establish her eligibility based on her circumstances apart from = the=20 TANF budget group containing the 5 year old child. As a = non-parental=20 caretaker, the neighbor would be eligible for=20 GA.

ESSENTIAL PERSON IN THE TANF BUDGET = GROUP

17.

Mrs. Elway is 33 years of age, = disabled and=20 lives with her sister Mrs. Porter and Mrs. Porter's three year old = son=20 Wayne. Mrs. Elway meets all the conditions for GA. Mrs. Porter = requests=20 that her sister be included in her budget=20 group.


CATEGORY=20 C
Mrs. Porter Wayne Mrs.=20 Elway	ES EC EE

TANF ELIGIBILITY = DEPENDING ON=20 WHETHER PATERNITY WAS ESTABLISHED

18.

Ms. Roberts, her 5 year old = daughter Rose, her=20 boyfriend Robert, his 10 year son Roger and their 1 year old son = Rick,=20 reside in a single family home. Depending on whether paternity was = established for the 1 year old child, the following would=20 occur:

Paternity established for the 1 = year old=20 child =96 Ms. Roberts applies on behalf of her daughter Rose, = as her=20 boyfriend Robert, is employed and supporting the other two=20 children.

<

The TANF budget group must consist = of Rose=20 (EC) and Ms. Roberts (ES).

<

Rick is not included in the budget = group as=20 there is no deprivation due to absence, unemployment or=20 incapacity.

<

Roger is not included as he is not = related to=20 Rose.

If Robert or Ms. Roberts were = unemployed or=20 incapacitated, the budget group would include all 5 persons. Roger = (EC)=20 would be included as he is a half sibling to Rick (EC) and all = qualify as=20 TANF dependent children. Robert, the boyfriend (ES), is required = to be=20 included in the budget group as the parent of the 2 TANF dependent = male=20 children, Roger and Rick.

Paternity NOT established for = the 1 year=20 old child =96 Using the above example but paternity is not = established=20 for the 1 year old child Rick. Ms. Roberts applies for the 5 year = old=20 daughter, Rose (deprivation due to absence of a parent). Ms. = Roberts (ES)=20 is included as a parent. The budget group must also include Rick = (EC), as=20 he qualifies as a dependent child due to absence of a parent and = is a half=20 sibling to Rose (EC).

If Robert (ES) is in need, he = would be in a=20 separate TANF budget group. This budget group would include his 10 = year=20 old son Roger (EC) who qualifies as a dependent child due to = absence of a=20 parent. Until paternity is established, Roger would not be = considered a=20 half sibling to Rick.

TIME-LIMITED = ASSISTANCE (LIMITED=20 TO 60 MONTHS [1830 DAYS] IN AN INDIVIDUAL=92S = LIFETIME)

19.

A family receives TANF cash = benefits in Ohio=20 in January, February and March of 1997. On April 1, 1997, they = apply for=20 cash assistance in Pennsylvania. As a family meeting TANF = requirements who=20 previously received TANF cash benefits in another state, TANF will = be=20 authorized. The 60-month limit balance will be adjusted to reflect = TANF=20 cash benefits received in the other state with the count beginning = March=20 3, 1997 and continuing until the date benefits were discontinued. = Until=20 CIS is changed, out-of-state receipt of TANF cash benefits must be = recorded in the case record.

20.

A TANF client receives no cash = because of=20 minimum grant provisions. Although the case is not closed, a "0" = cash=20 payment month due to the minimum grant provision does not count = toward the=20 60-month limit. NOTE: See Chapter 105, Section 105.25 for = more=20 examples of time-limited assistance situations.

GENERAL ASSISTANCE = BUDGET GROUPS=20 -

21.

Two sisters, ages 50 and 52, live = together in=20 a common residence and there is no room and board agreement. Each = sister=20 is eligible for GA benefits as a separate budget group. Each = budget group=20 will receive an MAP based on a reduced FSA, i.e., the sisters will = share a=20 two person FSA.

GA BUDGET GROUP = CONSISTING OF=20 UNRELATED INDIVIDUALS

22.

The common residence consists of = Jim and his=20 girlfriend, Jane. Jim=92s only resources are two motor vehicles: a = car with=20 an equity value of $900 and a motorcycle with an equity value of = $500.=20 Jane has $100 in her checking account. The worker explained the = following=20 options to Jim and Jane.

Option 1:

If Jim and Jane apply as separate = budget=20 groups, Jane would be eligible for a full FSA for herself only as = her=20 income and resources are within limits. Jim, however, would not be = eligible at this time. Jim=92s car is exempt from consideration, = but the=20 equity value of the motorcycle exceeds the $250 resource limit for = one=20 person.

NOTE: If Jim did not have = excess resources,=20 Jane and Jim would be authorized as separate budget groups, (D, = D2) but=20 would share a two person FSA.

Option 2:

If Jane agreed to have Jim = included in her=20 budget group, the total resource limit would be raised to $1000. = Total=20 countable resources of $100 (Jane) and $500 (Jim) would now be = within=20 limits. An FSA for two persons would be applied to the two person = budget=20 group (D).

23.

If the minor parent is age 16 or 17, has = never been=20 married, is pregnant, or is the natural parent of a dependent = child who=20 does not qualify for TANF (i.e., the father to the dependent child = resides=20 with the dependent child and the minor parent) and who also does = not=20 qualify as a TANF child and does not meet one of several = exemptions to=20 reside in the home of either a parent, legal guardian, other adult = relative or in an adult-supervised supportive living arrangement, = the CAO=20 will determine if the minor parent qualifies under the GA=20 program.

Coding of eligibility status will = be as=20 follows:

	Qual Code
Minor parent=92s = parent Minor parent=92s=20 other parent or Other adult relative or adult=20 representative or Legal guardian Minor parent = 01 Dependent=20 child 01 Father to dependent child (paternity=20 established)	01 01	NA NP NA NG EC (Living=20 arrangement code 10) EC or NA NA or NL if income deemed to=20 dependent child

NOTE: Income from the minor = parent=92s=20 parent(s) and/or the father to the minor parent=92s dependent = child is=20 deemed to the budget group. See Chapter 155, = Deeming Income=20 and Resources.

NOTE: If the income deemed to = the dependent=20 child makes the budget group ineligible, recalculate the grant, = using only=20 the information or deemed income relating to the minor parent. = Code the=20 minor parent=92s child and the father to the minor parent=92s = child as=20 Nas.

24.

If the minor parent is not = eligible for TANF=20 assistance (i.e., there is no deprivation of the minor parent=92s = child=97the=20 father to the dependent child resides in the common residence). = The minor=20 parent meets all other requirements under Section 110.7 = and the=20 other parent meets requirements under Chapter 105, = Section 105.42, coding of=20 the General Assistance budget group will be as=20 follows:

Members

Minor=20 parent

Dependent Child
Father to Dependent Child = (paternity=20 established)

Elig.
Status

EC

EC
EA<= /P>

Qual
Code

01

01
14

Rel.

X (Note = all=20 individuals under 18 must be coded 01 =96 Qual.=20 = code)
D
NR

SPECIAL PROGRAM = BUDGET GROUPS -

REFUGEES =96 WITH AND WITHOUT INCOME

25.

(Refugee =96 no income): Mr. Chen, = Mrs. Chen and=20 their pre-school child Jia reside in a single family home. The = family does=20 not qualify for TANF. Mr. Chen qualifies under the Refugee = Resettlement=20 Program (RRP) as a refugee. For purposes of identifying the higher = rate of=20 Federal reimbursement for cash assistance provided to refugees, = Mr. Chen=20 would be coded by the appropriate refugee program status code = (02). In=20 this situation, the budget group would be separated into two grant = groups=20 and receive a divided FSA.


One budget=20 group
CATEGORY D	PROGRAM STATUS	QUAL=20 CODE	CATEGORY = D2	PROGRAM STATUS	QUAL CODE
Mrs. C. = Jia	EA EC	00 00	14 01	Mr. C = EA	02	13
The total FSA available for this = budget group=20 cannot exceed the (3 person FSA). The FSA is split between the = grant=20 groups as follows:
$195 $198 $393	Mr. C. (FSA for 1) =96 = refugee Mrs. C. and=20 Jia (difference between 1 and 3=20 persons) Total

NOTE: Beginning with the ninth = month,=20 determination for continued eligibility using standard GA = regulations will=20 be required. If the budget group case remains eligible, the = program status=20 code 02 grant group is closed and Mr. C. is added to Mrs. C.=92s = grant group=20 resulting in one grant group containing the budget group=20 members.

26.

(Refugee =96 income): Mr. and Mrs. = Evans apply=20 for GA benefits and reside in a single family home. Mr. Evans is = working=20 part-time and receives an average of $50 per week from his job. = Mr. Evans=20 qualifies under the RRP (program status code 02) and is within 8 = months=20 from the date of entry into the US. Mrs. Evans is eligible for GA = because=20 she is disabled. In this situation, one budget group separated = into two=20 grant groups sharing a two person FSA is established as=20 follows:


One budget=20 group
CATEGORY D	PROGRAM STATUS	QUAL=20 CODE	CATEGORY = D2	PROGRAM STATUS	QUAL CODE
Mr. E	EA	02	13	Mrs. E =	EA	00	04

The FSA is split into 2 grant = groups with Mr.=20 Evans receiving a full FSA for 1 person and Mrs. Evans receiving = the=20 difference between the 1 person and 2 person = FSA.

NOTE: If Mr. Evans=92 income = after deductions=20 exceeds his share of the FSA, his grant group would be closed as = he no=20 longer qualifies under the special program as he is meeting his = needs. The=20 system will not allow Mr. Evans to be included in Mrs. Evans=92 = grant group=20 as long as his date of entry into the U.S. is within the initial 8 = month=20 period. Therefore, Mr. Evans=92 income and resources would be = deemed to Mrs.=20 Evans in accordance with Chapter 155, = Deeming Income=20 and Resources. Likewise, if Mrs. Evans has income, after = deductions, which=20 would exceed her share of the FSA, her grant group would be closed = and her=20 income and resources would be deemed to Mr. = Evans.

Beginning with the ninth month, = determination=20 for continued eligibility using standard GA regulations will be = required.=20 If the budget group remains eligible, the program status code 02 = grant=20 group is closed. Mr. Evans would be added to Mrs. Evans=92 grant = group. The=20 income would be used to determine the budget group=92s=20 eligibility.

PREGNANT = WOMAN

27.

UNMARRIED PREGNANT WOMAN AGE 18 = OR OLDER=20 - Miss Gray, an unmarried pregnant woman, applies for = assistance as=20 she is unable to work full-time any longer due to her pregnancy. = Miss Gray=20 verifies her baby is due in 2 1/2 months, and the fetus, if born, = would=20 qualify as a TANF dependent child. Miss Gray intends to raise the = child.=20 The CAO authorizes Miss Gray (ES) for TANF. Income from part-time=20 employment is adjusted against the FSA for one, as the fetus is = not=20 included in the FSA.

UNMARRIED PREGNANT MINOR UNDER = AGE 18 -=20 Miss James, an unmarried pregnant 17 year old, applies for = assistance=20 as she no longer lives with her boyfriend and has no means of = support.=20 Miss James states she moved out of her parents' home ten months = ago when=20 she and her boyfriend decided to live together. Miss James stated = that=20 when her pregnancy of three months was confirmed, she and her = boyfriend=20 quarreled and her boyfriend walked out on her. She had only $50 at = the=20 time of her application and the rent will be due on her apartment = in two=20 weeks. Miss James verified she had tried to find employment, but = because=20 of her limited work skills and physical problems due to the = pregnancy, she=20 has not been successful in locating and securing=20 employment.

The CAO must first determine if = Miss James is=20 required to reside in her parents' home or the home of a legal = guardian,=20 other adult relative or in an adult-supervised supportive living=20 arrangement. See = Section=20 110.60. If Miss James=20 is not exempt, a grant to relocate her with her parents in = Maryland or a=20 legal guardian will be considered.

28.

MARRIED - Mr. and Mrs. = Strayer apply=20 for assistance and reside in an apartment. Mr. Strayer qualifies = for GA as=20 he is temporarily incapacitated due to a broken leg but the cast = will be=20 removed in 2 months.

Mrs. Strayer is unemployed due to = her=20 pregnancy and has just entered her last trimester. Mrs. Strayer = qualifies=20 as a specified relative to her unborn child because deprivation = exists due=20 to the father's incapacity. All other TANF nonfinancial and = financial=20 eligibility requirements also are met by Mr. and Mrs. Strayer. = Since Mr.=20 Strayer is not eligible for TANF until the child is born, the = common=20 residence would contain 2 budget = groups:

CATEGORY C	DEP CODE	CATEGORY D	QUAL = CODE
Mrs. Strayer = ES	13	Mr. Strayer = EA	04

The monthly payment amount = allocated to each=20 budget group may not exceed the total FSA for two persons. The = TANF budget=20 group will receive a full FSA ($195) for one person. The GA budget = group=20 will receive a reduced FSA ($110) based on the difference between = a one=20 and two person FSA.

Mr. Strayer is released from his = doctor's care=20 and is to start a new job working 15 hours per week at a local = fast food=20 restaurant. As Mr. Strayer no longer qualifies for GA, he would be = transferred to medically needy only if otherwise=20 eligible.

An eligibility determination of = Mrs. Strayer's=20 continued TANF eligibility is completed. In this situation, the = fetus, if=20 born, would be a TANF child based on deprivation due to = unemployment.=20 Therefore, Mrs. Strayer remains = TANF-eligible.

Mr. Strayer's income and resources = are deemed=20 in accordance with Chapter 155, = Deeming=20 Income and Resources.

Use the same budget groups as in = the above=20 example, except Mr. Strayer's hours of employment increased to 40=20 hours/week. Eligibility of the fetus, if born, under TANF must be=20 redetermined. As TANF eligibility for Mrs. Strayer is based on a=20 deprivation factor which no longer exists, Mrs. Strayer is = ineligible for=20 TANF and her continued eligibility would be based on GA = eligibility=20 requirements. Mr. Strayer's income and resources are deemed in = accordance=20 with Chapter 155, = Deeming=20 Income and Resources.

NOTE: For purposes of = identifying the=20 Federal funding for medical services provided to GA pregnant = females,=20 assign a separate budget to the pregnant client with a Program = Status Code=20 of 15.

29.

SSI PENDING - (GA) Mr. and = Mrs. Pratt=20 reside in a single family home. Mr. Pratt is unemployed due to=20 deteriorating health resulting from diabetes and requires drug = maintenance=20 as part of the treatment for the condition. Both qualify for GA. = Mr. Pratt=20 is determined potentially eligible for monthly SSI benefits. Mr. = and Mrs.=20 Pratt are eligible for a 2 person FSA of $305. The FSA is split = into 2=20 grant groups with Mrs. Pratt receiving a full FSA for 1 person = ($195) and=20 Mr. Pratt receiving the difference between the 1 and 2 person FSA = ($110),=20 as he is required to apply for SSI, as=20 follows:


One budget=20 group
	CATEGORY	PROGRAM=20 STATUS	QUAL = CODE	FSA
Mr. P. Mrs. = P.	D D2	50 00	04 06	$110 $195

MIXED CATEGORIES = IN A COMMON=20 RESIDENCE

30.

The common residence includes Mrs. = Poole and=20 her two children, David, age seven and Douglas, age five. Her = boyfriend,=20 Justin Reighart, moves into the home. He is not the father of = either of=20 Mrs. Poole's children. He qualifies for GA. The payment for the D = budget=20 is the difference between a 3 and 4 person FSA, unless Justin is = paying=20 room and board payments.


CATEGORY = C	CATEGORY=20 D
Mrs.=20 Poole David Douglas	ES EC EC	Justin	EA

Click Here to Go to the INDEX

Reissued: November 2, = 2004=20 replacing January 30, 2001; reviewed October 21,=20 2009

3D"Table 3D"Master

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1.	Living together are Mrs. Smith, = her two minor=20 sons John and Jim, her 16-year-old daughter Mary, Mary's son Bob, = a=20 22-year-old son Bert, and Bert's children, Sam and Susan. Everyone = in the=20 common residence is applying for cash benefits. =
	Budget groups are established as = follows:=20


	In this situation, Mary is = required to be in=20 her sibling=92s budget group because she also qualifies as a TANF = child=20 based on her age and the absence of her father. Mary=92s child, = Bob, is also=20 included as a TANF child.
	However, Bert does not qualify as = a TANF=20 dependent child due to his age and is therefore not required to be = in his=20 siblings' budget group. If Bert qualifies as the specified = relative for=20 his children, he is required to be included in the budget group of = his=20 dependent children as a parent.
	NOTE: Each TANF budget group = will receive a=20 monthly assistance payment based on the FSA for the number of = individuals=20 in each budget group.
2.	A common residence includes Mrs. = Scott, her=20 niece Shari (age 15), her daughters Kaye (age 11), Rita (age 13), = and=20 Karen (age 16), Karen's daughter Lorene (age one), and another = grandchild,=20 Lane (age 10). Both of Lane's parents are absent. Mrs. Scott = wishes to=20 apply for benefits for everyone. She is designated the specified = relative=20 as she has care and control of all of the = children.
	Three C budget groups are = established. Karen=20 and Lorene must be included in the same budget group, because = Lorene is a=20 TANF child, and Karen is a minor parent who is required to reside = in her=20 mother=92s home. Karen must also be included in the same budget = group as her=20 siblings, Kaye and Rita, who qualify as TANF children. Mrs. Scott = must be=20 included in the same budget group because she is the parent of a = TANF=20 child in the budget group. Since Shari and Lane are not parents or = siblings of a TANF child, separate budget groups are established = for each=20 of them even though they are under the care and control of the = same=20 specified relative as the other TANF children.=20


		NOTE: Income from the minor = parent's parent=20 is deemed to the budget group. See Chapter 155, = Deeming Income=20 and Resources.
7.	If the minor parent is pregnant = and qualifies=20 for TANF benefits but is required to reside in the home of a = parent, legal=20 guardian, other adult relative or in an adult-supervised = supportive living=20 arrangement because she does not meet any of the exemptions listed = under=20 Section 110.6, = the minor=20 parent may not be designated as a specified relative nor payment = name for=20 herself. The adult with whom the minor parent is residing would = complete=20 the application and could be the payment name. If the adult is a = specified=20 relative for the minor parent, that individual will not have to be = included in the budget group.

		NOTE: Income from the minor = parent's parent=20 is deemed to the budget group. See Chapter 155, = Deeming Income=20 and Resources.
		NOTE: If the pregnant minor = parent does not=20 meet all of the requirements under Section 110.211, = Pregnant=20 Women, an eligibility determination will be made under the GA=20 category.


8.	The common residence includes Mrs. = King, her=20 16 year old son Steve, 17 year old daughter Betty, 15 year old = daughter=20 Dorothy, Betty's two year old son Charles, and Dorothy's six month = old son=20 Scott. Betty and Dorothy request separate applications for=20 themselves.
	Neither Betty nor Dorothy is = exempt from the=20 requirement to reside in an adult home; therefore, one budget = group is=20 established. Mrs. King is designated the specified relative and is = the=20 payment name for the budget group. Mrs. King and Steve must be = included in=20 the budget group. Charles and Scott must also be included in the = same=20 budget group as their mothers.
	Coding of eligibility status will = be as=20 follows:


9.	Living in a common residence are = Mrs. Fell,=20 her 14 year old son George, her grandchild Lori, Lori's mother = Debra (age=20 16), Debra's boyfriend Tom, and Debra and Tom's son Jim. Paternity = has=20 been legally established for Jim. Mrs. Fell is applying for = benefits for=20 herself, George, and Lori.
	Debra qualifies as a TANF = dependent child and=20 must be included as George=92s sibling. Debra is not working. Tom = works=20 fulltime at $8 an hour. Lori=92s half brother, Jim, does not = qualify as a=20 TANF child because there is no deprivation based on absence, = incapacity,=20 or unemployment.


	NOTE: If Tom is not employed, = Jim would be=20 considered a TANF child and both Tom and Jim would be included in = the=20 budget group as an EA and EC, respectively. The category of the = entire=20 budget group would change to U because this is the only category = under=20 which Lori=92s half brother qualifies.
	When certain members of the budget = group=20 qualify for TANF-C while others qualify only for TANF-U, the U = category=20 takes precedence over the C category when determining the overall = category=20 of the budget group.
10.	The common residence includes Ms. = Spock, her=20 10 year old daughter Janet, Ms. Spock's boyfriend Fred, and their = son=20 Mark. Fred has legally established the paternity of Mark. Ms. = Spock and=20 Fred are unemployed and Fred receives UC. Ms. Spock is applying = for=20 benefits for herself and Janet.
	Janet is a TANF eligible child. = Mark must be=20 included in the budget group because he is a half sibling of Janet = and=20 meets TANF dependent child conditions. Fred must be included as = the=20 unemployed parent of the TANF child = Mark.


14.	Living together are Ms. Young, her = minor=20 daughter Sophie, Ms. Young's boyfriend Tom, and their son Sean. = The=20 paternity of Sean has been legally established. Tom is = incapacitated and=20 meets requirements for TANF, but not SSI. All members of the = common=20 residence wish to apply.
	There is only one budget group. = Membership in=20 the budget group begins with the relationship to the TANF child = Sophie.=20 Her half brother, Sean, must be included in the budget group = because he=20 qualifies as a TANF child. Tom must be included because he is the = parent=20 of the TANF child Sean.


16.	A budget group consists of Ms. = Ruiz (ES) and=20 her child Tomas (EC), age 5. The mother is involved in an = automobile=20 accident and will be hospitalized for at least 3 months. The child = was not=20 with the mother at the time of the accident. A neighbor who is not = related=20 to the child agrees to care for the 5 year old until the mother is = discharged from the hospital.
	As the mother=92s absence has been = verified and=20 parental control of the 5 year old child has been transferred to = the=20 neighbor, TANF payments are authorized in the name of the = caretaker/=20 neighbor (NA). If the caretaker also requests assistance, she = would need=20 to establish her eligibility based on her circumstances apart from = the=20 TANF budget group containing the 5 year old child. As a = non-parental=20 caretaker, the neighbor would be eligible for=20 GA.


18.	Ms. Roberts, her 5 year old = daughter Rose, her=20 boyfriend Robert, his 10 year son Roger and their 1 year old son = Rick,=20 reside in a single family home. Depending on whether paternity was = established for the 1 year old child, the following would=20 occur:
	Paternity established for the 1 = year old=20 child =96 Ms. Roberts applies on behalf of her daughter Rose, = as her=20 boyfriend Robert, is employed and supporting the other two=20 children.
	<	The TANF budget group must consist = of Rose=20 (EC) and Ms. Roberts (ES).
	<	Rick is not included in the budget = group as=20 there is no deprivation due to absence, unemployment or=20 incapacity.
	<	Roger is not included as he is not = related to=20 Rose.
		If Robert or Ms. Roberts were = unemployed or=20 incapacitated, the budget group would include all 5 persons. Roger = (EC)=20 would be included as he is a half sibling to Rick (EC) and all = qualify as=20 TANF dependent children. Robert, the boyfriend (ES), is required = to be=20 included in the budget group as the parent of the 2 TANF dependent = male=20 children, Roger and Rick.
	Paternity NOT established for = the 1 year=20 old child =96 Using the above example but paternity is not = established=20 for the 1 year old child Rick. Ms. Roberts applies for the 5 year = old=20 daughter, Rose (deprivation due to absence of a parent). Ms. = Roberts (ES)=20 is included as a parent. The budget group must also include Rick = (EC), as=20 he qualifies as a dependent child due to absence of a parent and = is a half=20 sibling to Rose (EC).
	If Robert (ES) is in need, he = would be in a=20 separate TANF budget group. This budget group would include his 10 = year=20 old son Roger (EC) who qualifies as a dependent child due to = absence of a=20 parent. Until paternity is established, Roger would not be = considered a=20 half sibling to Rick.


22.	The common residence consists of = Jim and his=20 girlfriend, Jane. Jim=92s only resources are two motor vehicles: a = car with=20 an equity value of $900 and a motorcycle with an equity value of = $500.=20 Jane has $100 in her checking account. The worker explained the = following=20 options to Jim and Jane.
	Option 1:	If Jim and Jane apply as separate = budget=20 groups, Jane would be eligible for a full FSA for herself only as = her=20 income and resources are within limits. Jim, however, would not be = eligible at this time. Jim=92s car is exempt from consideration, = but the=20 equity value of the motorcycle exceeds the $250 resource limit for = one=20 person.
		NOTE: If Jim did not have = excess resources,=20 Jane and Jim would be authorized as separate budget groups, (D, = D2) but=20 would share a two person FSA.
	Option 2:	If Jane agreed to have Jim = included in her=20 budget group, the total resource limit would be raised to $1000. = Total=20 countable resources of $100 (Jane) and $500 (Jim) would now be = within=20 limits. An FSA for two persons would be applied to the two person = budget=20 group (D).
23.	If the minor parent is age 16 or 17, has = never been=20 married, is pregnant, or is the natural parent of a dependent = child who=20 does not qualify for TANF (i.e., the father to the dependent child = resides=20 with the dependent child and the minor parent) and who also does = not=20 qualify as a TANF child and does not meet one of several = exemptions to=20 reside in the home of either a parent, legal guardian, other adult = relative or in an adult-supervised supportive living arrangement, = the CAO=20 will determine if the minor parent qualifies under the GA=20 program.
	Coding of eligibility status will = be as=20 follows:


	NOTE: Income from the minor = parent=92s=20 parent(s) and/or the father to the minor parent=92s dependent = child is=20 deemed to the budget group. See Chapter 155, = Deeming Income=20 and Resources.
	NOTE: If the income deemed to = the dependent=20 child makes the budget group ineligible, recalculate the grant, = using only=20 the information or deemed income relating to the minor parent. = Code the=20 minor parent=92s child and the father to the minor parent=92s = child as=20 Nas.
24.	If the minor parent is not = eligible for TANF=20 assistance (i.e., there is no deprivation of the minor parent=92s = child=97the=20 father to the dependent child resides in the common residence). = The minor=20 parent meets all other requirements under Section 110.7 = and the=20 other parent meets requirements under Chapter 105, = Section 105.42, coding of=20 the General Assistance budget group will be as=20 follows:


	NOTE: Beginning with the ninth = month,=20 determination for continued eligibility using standard GA = regulations will=20 be required. If the budget group case remains eligible, the = program status=20 code 02 grant group is closed and Mr. C. is added to Mrs. C.=92s = grant group=20 resulting in one grant group containing the budget group=20 members.
26.	(Refugee =96 income): Mr. and Mrs. = Evans apply=20 for GA benefits and reside in a single family home. Mr. Evans is = working=20 part-time and receives an average of $50 per week from his job. = Mr. Evans=20 qualifies under the RRP (program status code 02) and is within 8 = months=20 from the date of entry into the US. Mrs. Evans is eligible for GA = because=20 she is disabled. In this situation, one budget group separated = into two=20 grant groups sharing a two person FSA is established as=20 follows:

	The FSA is split into 2 grant = groups with Mr.=20 Evans receiving a full FSA for 1 person and Mrs. Evans receiving = the=20 difference between the 1 person and 2 person = FSA.
	NOTE: If Mr. Evans=92 income = after deductions=20 exceeds his share of the FSA, his grant group would be closed as = he no=20 longer qualifies under the special program as he is meeting his = needs. The=20 system will not allow Mr. Evans to be included in Mrs. Evans=92 = grant group=20 as long as his date of entry into the U.S. is within the initial 8 = month=20 period. Therefore, Mr. Evans=92 income and resources would be = deemed to Mrs.=20 Evans in accordance with Chapter 155, = Deeming Income=20 and Resources. Likewise, if Mrs. Evans has income, after = deductions, which=20 would exceed her share of the FSA, her grant group would be closed = and her=20 income and resources would be deemed to Mr. = Evans.
	Beginning with the ninth month, = determination=20 for continued eligibility using standard GA regulations will be = required.=20 If the budget group remains eligible, the program status code 02 = grant=20 group is closed. Mr. Evans would be added to Mrs. Evans=92 grant = group. The=20 income would be used to determine the budget group=92s=20 eligibility.


27.	UNMARRIED PREGNANT WOMAN AGE 18 = OR OLDER=20 - Miss Gray, an unmarried pregnant woman, applies for = assistance as=20 she is unable to work full-time any longer due to her pregnancy. = Miss Gray=20 verifies her baby is due in 2 1/2 months, and the fetus, if born, = would=20 qualify as a TANF dependent child. Miss Gray intends to raise the = child.=20 The CAO authorizes Miss Gray (ES) for TANF. Income from part-time=20 employment is adjusted against the FSA for one, as the fetus is = not=20 included in the FSA.
	UNMARRIED PREGNANT MINOR UNDER = AGE 18 -=20 Miss James, an unmarried pregnant 17 year old, applies for = assistance=20 as she no longer lives with her boyfriend and has no means of = support.=20 Miss James states she moved out of her parents' home ten months = ago when=20 she and her boyfriend decided to live together. Miss James stated = that=20 when her pregnancy of three months was confirmed, she and her = boyfriend=20 quarreled and her boyfriend walked out on her. She had only $50 at = the=20 time of her application and the rent will be due on her apartment = in two=20 weeks. Miss James verified she had tried to find employment, but = because=20 of her limited work skills and physical problems due to the = pregnancy, she=20 has not been successful in locating and securing=20 employment.
	The CAO must first determine if = Miss James is=20 required to reside in her parents' home or the home of a legal = guardian,=20 other adult relative or in an adult-supervised supportive living=20 arrangement. See = Section=20 110.60. If Miss James=20 is not exempt, a grant to relocate her with her parents in = Maryland or a=20 legal guardian will be considered.
28.	MARRIED - Mr. and Mrs. = Strayer apply=20 for assistance and reside in an apartment. Mr. Strayer qualifies = for GA as=20 he is temporarily incapacitated due to a broken leg but the cast = will be=20 removed in 2 months.
	Mrs. Strayer is unemployed due to = her=20 pregnancy and has just entered her last trimester. Mrs. Strayer = qualifies=20 as a specified relative to her unborn child because deprivation = exists due=20 to the father's incapacity. All other TANF nonfinancial and = financial=20 eligibility requirements also are met by Mr. and Mrs. Strayer. = Since Mr.=20 Strayer is not eligible for TANF until the child is born, the = common=20 residence would contain 2 budget = groups:


	The monthly payment amount = allocated to each=20 budget group may not exceed the total FSA for two persons. The = TANF budget=20 group will receive a full FSA ($195) for one person. The GA budget = group=20 will receive a reduced FSA ($110) based on the difference between = a one=20 and two person FSA.
	Mr. Strayer is released from his = doctor's care=20 and is to start a new job working 15 hours per week at a local = fast food=20 restaurant. As Mr. Strayer no longer qualifies for GA, he would be = transferred to medically needy only if otherwise=20 eligible.
	An eligibility determination of = Mrs. Strayer's=20 continued TANF eligibility is completed. In this situation, the = fetus, if=20 born, would be a TANF child based on deprivation due to = unemployment.=20 Therefore, Mrs. Strayer remains = TANF-eligible.
	Mr. Strayer's income and resources = are deemed=20 in accordance with Chapter 155, = Deeming=20 Income and Resources.
	Use the same budget groups as in = the above=20 example, except Mr. Strayer's hours of employment increased to 40=20 hours/week. Eligibility of the fetus, if born, under TANF must be=20 redetermined. As TANF eligibility for Mrs. Strayer is based on a=20 deprivation factor which no longer exists, Mrs. Strayer is = ineligible for=20 TANF and her continued eligibility would be based on GA = eligibility=20 requirements. Mr. Strayer's income and resources are deemed in = accordance=20 with Chapter 155, = Deeming=20 Income and Resources.
	NOTE: For purposes of = identifying the=20 Federal funding for medical services provided to GA pregnant = females,=20 assign a separate budget to the pregnant client with a Program = Status Code=20 of 15.
29.	SSI PENDING - (GA) Mr. and = Mrs. Pratt=20 reside in a single family home. Mr. Pratt is unemployed due to=20 deteriorating health resulting from diabetes and requires drug = maintenance=20 as part of the treatment for the condition. Both qualify for GA. = Mr. Pratt=20 is determined potentially eligible for monthly SSI benefits. Mr. = and Mrs.=20 Pratt are eligible for a 2 person FSA of $305. The FSA is split = into 2=20 grant groups with Mrs. Pratt receiving a full FSA for 1 person = ($195) and=20 Mr. Pratt receiving the difference between the 1 and 2 person FSA = ($110),=20 as he is required to apply for SSI, as=20 follows: