Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 14 - Department of Finance (Administrative Services) › Rule 016.14.06-002 - Social Services Block Grant (SSBG) Program Manual

Current through Register Vol. 49, No. 6, June, 2024
2500
Departmental Policy
			 Issuances and Interpretation
(Continued)
Arkansas Department of Health & Human Services
Office of Finance and Administration
Donaghey Plaza West, Slot W401
P.O. Box 1437
Little Rock, Arkansas 72203-1437
2600
Waiver
			 Process
A formal written request for a waiver of policy contained in
				the Social Services Block Grant Program Manual must be submitted to the CFO or
				designee for approval. The request must be submitted or approved by the
				appropriate program agency director and state the specific section of policy
				for which the waiver is requested, duration of waiver request and complete
				justification for the waiver.
4000
PROCEDURES FOR
			 DETERMINING ELIGIBILITY
4100
Application for Services
4110
Initial
			 Application for Assistance
Applications for direct services delivered by DHHS divisions
				must be made at the appropriate division or office. Applications for purchased
				services must be made at the office of the SSBG provider from whom the
				individual wishes to receive services. The applicant is responsible for the
				completion of all application documents; however, the provider representative
				or applicable DHHS representative shall provide assistance in the completion of
				such application forms upon request.
Applications must be made on the Application for Social
				Services Block Grant Services (Form DHHS-100) (Appendix D) and signed by the
				applicant except in the following cases:
A. Information and referral services do not
			 require a signed application.
B.
			 Services delivered to investigate or remedy the abuse, neglect, or exploitation
			 of children and adults do not require a signed application if delivered by DHHS
			 staff or by other providers who receive a written referral from DHHS indicating
			 services are needed as a result of abuse, neglect or exploitation.
C. Services to Division of Children and
			 Family Services clients needed as a result of a case plan for family
			 support/reunification, prevention or remedy abuse, neglect or exploitation of
			 children, crisis intervention with children and families, and designed to help
			 adoptive and extended families at risk or in crisis. Appropriate documentation
			 (referrals, etc.) must be in the client's file.
D. Clients of the Division of Youth Services
			 who are Status Eligible. The youth's case record must contain the information
			 listed in Section 4231 under the Status Eligibility category.
E. If the service requires a signed
			 application and the individual for whom the services are requested is under age
			 eighteen, the application must be signed by a parent or guardian unless the
			 individual is considered an emancipated minor (see Section 4112). If an adult
			 has a legally appointed guardian or custodian, the guardian or custodian must
			 sign the application. In both of these cases, the parent or guardian shall be
			 advised that