technical eligibility factors for k-tap. rules that apply to everyone

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Technical Eligibility Factors for K-TAP

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Page 1: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Technical Eligibility

Factors for K-TAP

Page 2: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Rules That Apply to Everyone

Page 3: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

ResidencyEach member must reside in Kentucky

A child is ineligible when away from the home or expected to be away from the home in excess of 30 days. However, there

are exceptions for the following good cause reasons:

• For medical care

• To attend school (boarding school, college, vocational school, or JOB CORPS)

• Emergency foster care- limited to 30 days for the child. The parent may remain active on KTAP for up to 60 days. (MS 2338 C, 2 explains the work-around on this.)

• Visit family/friends- SR maintains parental control.

Note: A K-TAP parent or child in a Long Term Care facility (LTC) may remain eligible for K-TAP for up to one year.

Page 4: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

 

Citizenship &

Alien RequirementsEach member must be a U.S. citizen or

qualifying alien, in order to be included in the KTAP grant.

Applicants and clients must present proof of U.S. citizenship.

Aliens must verify their qualifying alien status.

Page 5: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

 

 EnumerationEach member must furnish a Social Security Number (SSN), or apply for

one, if one has not already been issued

Client’s Statement accepted for SSN

If not meeting this requirement, the non-enumerated individual is shown as an ineligible member in the K-TAP case

 

Page 6: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

 

Standard Filing UnitAll siblings and parents must be

included in the same KTAP case, if technically eligible and living in the

same household.

There are exceptions to the rule!

This is covered in great detail during basic training in the computer lab!

Page 7: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Rules That Apply to Children

Page 8: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

AgeVerification is required for age

requirements

Child must be:

Under 18 years old, or

18 years old, and in school full-time

Page 9: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

School AttendanceAny K-TAP child from 16 to 18 years old

must be in regular full time school attendance, including home schooling

Verify by form PA 33D, and/or automated school report completed quarterly by school

If not meeting this requirement, the child’s needs are removed from the K-TAP grant

If there are no other children active on the K-TAP case, the entire K-TAP case is ineligible- explore eligibility for E or T Medicaid

Page 10: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Living with Specified Relative

Child must be residing in the home of someone who meets the definition of a

Specified Relative This includes the natural or adoptive

parents

If parents are not in the home, anyone that is related, either by blood or marriage

If related by marriage, the relationship will continue, even after the marriage has ended (as long as it ended after the birth of the K-TAP child)

Page 11: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Deprivation Child must be deprived of parental support

due to the death, incapacity, unemployment, or continued absence, either voluntary or

involuntary, of the natural or adoptive parent.

Deprivation is determined separately for each child

Deprivations must be verified

If not meeting this requirement, the child is not eligible

If there are no other children on the case, the entire K-TAP case is ineligible

Page 12: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Rules That Apply to Adults

Page 13: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Eligible Child in the HomeIn order for the adult to be eligible,

there must be a child in the home who is technically eligible for K-TAP

• A child that receives SSI, State Supp. or Foster Care, who would otherwise be eligible for K-TAP, is considered an eligible child

• If there is no child in the home, the entire case is ineligible

Page 14: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Meet the Definition of

SR or SPAdult must be related to the child,

either by blood or marriage

Adult must be either: The natural or adoptive parent of the K-TAP

eligible child

If the parents are not in the home, another relative who assumes responsibility for the care of a child, without assuming financial obligation

If no relation exists, the entire K-TAP case is ineligible.

Page 15: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Division for Child Support(DCS)

The SR is required to cooperate with the Division for Child Support in all

phases of support activity

There are exceptions to these requirements, if good cause is met

If an adult refuses/fails to cooperate, the adult is disqualified from K-TAP

The 25% reduction is also applied to the SNAP case.

Page 16: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Kentucky Works Program

& Work RegistrationAdults must comply with KWP and Work

Registration requirements, unless exempt

If QP refuses to cooperate, the entire case is ineligible

If any other adult refuses to cooperate, they are sanctioned, and pro-rata reduction is applied to the case.

Page 17: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

AssessmentThe assessment is completed to determine a work-eligible individual’s current level of employment. A work-eligible person is a member or in a K-TAP

case who is required to participate in KWP.

•An adult or minor parent who is coded as the SR (M03) or SP (M04) and included in the grant. •A parent who lives with the K-TAP child but excluded due to a drug felony, probation/parole violator, or being a fleeing felon.•If the adult is exempt from KWP an assessment is not necessary.

Page 18: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Third Party Liability (TPL)Adult is required to assign rights to any

third party payments received to the cabinet for any services that are

available under Medical Assistance

This includes such things as health insurance, or an accident settlement for medical expenses paid by Medicaid Services

If adult refuses/fails to comply with TPL, they are disqualified from the case.

Page 19: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Rules That Apply to

Teen Parents

Page 20: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Adult Supervised Setting

An unmarried teen parent under age 18 must live with

someone who meets the definition of SR, legal

guardian, or approved adult supervised setting as

approved by P&P.

Page 21: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

School Attendance If under 18, teen parent must attend

school full time

If under 18 and graduated, they will be required to participate in KWP

If teen parent is 18 or 19 years old, they may choose to either go to school or participate in another KWP activity to meet work requirements

Page 22: Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone

Division for Child SupportTeen parents are also required to

cooperate with DCS in all phases of child support activity

There are exceptions to these requirements if good cause is met

If teen parent refuses/fails to cooperate, the teen parent is disqualified from K-TAP and MA

A 25% reduction is also applied to the SNAP case