OKDHS - OAC 340:60-1-6. Program eligibility and procedures

340:60-1-6. Program eligibility and procedures

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Revised 6-1-06

(a) Social services. Social services are provided by Oklahoma Department of Human Services (OKDHS) contracted providers in accordance with Section 400.147 through 155 Title 45 of the Code of Federal Regulations.

(b) Cash assistance. Refugees must be afforded an opportunity to apply for cash assistance. Eligibility is determined according to Temporary Assistance for Needy Families (TANF) or State Supplement Payment (SSP) program rules. The worker refers refugees who are age 65 or over, blind, or disabled to the Social Security Administration to apply for Supplemental Security Income (SSI). If the eligibility requirements for TANF or SSP are not met, a referral is made to Catholic Charities for Refugee Cash Assistance (RCA).

(c) Medical assistance. Medicaid eligibility must be determined according to rules in OAC 317:35. If not eligible for Medicaid, eligibility for Refugee Medical Assistance (RMA) must be determined using Oklahoma Department of Human Services (OKDHS) Appendix C-1, Maximum Income, Resource, and Payment Standards, Schedule XIV. All recipients of RCA are eligible for RMA if not eligible for Medicaid.

(d) Refugee Medical Assistance. • 1 A determination of categorical relationship is not required for the first eight months of eligibility for RMA from the date of entry into the United States. This date of entry is found on the documentation verifying the refugee's or asylee's status. After the first eight months, Medicaid rules at OAC 317:35 apply. For RMA, only income available on the date of application is considered. No consideration is given to:

(1) in-kind services and shelter provided by a sponsor or a local resettlement agency;
(2) cash assistance payments; and
(3) employment earnings which start after approval for RMA.

(e) Application processing time limit. An application must be disposed of by a date which brings the effective date of action within 30 days following the date of application. When disposition is not possible within this time limit, the applicant is notified in writing at the end of the 30 days of the reason for the delay and the right to request a fair hearing if he or she chooses to do so [OAC 340:2-5].

(f) Food benefits. The appropriate food benefit application and certification procedures are followed. • 2

INSTRUCTIONS TO STAFF 340:60-1-6

Revised 11-1-09

1. When determined eligible for Refugee Medical Assistance (RMA), the Family Assistance/Client Services (FACS) fields completed are:

(1) Citizen/Alien, with an entry of Qualified Alien-Asylee or Qualified Alien-Refugee (Household tab);

(2) Alien Registration Number (Household tab);

(3) Alien Entry Date (Household tab); and

(4) Categorical Relationship with an entry of Refugee with Benefit Types of ABCD or M (CNR) (Medical Gen tab).

2. See OAC 340:50 for food benefit rules. OAC 340:50-5-67 Instructions to Staff 1 through 4 specifically addresses alien status rules for food benefits.

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