reglab/statecodes huggingface dataset:
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 2 - Rhode Island Works Program Rules and Regulations › Section 218-RICR-20-00-2.26 - Compromising Claims

Current through June 14, 2024
A. The CCRU may
				  compromise a claim or any portion of a claim if it can reasonably be determined
				  that a household's economic circumstances dictate that the claim will not be
				  paid in three (3) years.
B. The
				  full amount of the claim (including any amount compromised) may be used to
				  offset benefits owed to the household.
C. Any compromised portion of a claim may be
				  reinstated if the claim becomes delinquent.
D. Office of Internal Audits
				  reference.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 2 - Rhode Island Works Program Rules and Regulations › Section 218-RICR-20-00-2.27 - Terminating and Writing-Off Claims

Current through June 14, 2024
A. Terminated
				  Claim. The definition of a terminated claim is one which all collection action
				  has ceased.
B. Written-Off Claim.
				  The definition of a written-off claim is a claim that is no longer a receivable
				  subject to the State agency.
C.
				  Reinstatement. A terminated and written-off claim may be reinstated if a new
				  collection method or a specific event (such as winning the lottery)
				  substantially increases the likelihood of further collection.
D. Invalid Claim. If a claim is determined to
				  be invalid, the claim must be discharged and reflected as a balance adjustment
				  rather than a termination unless it is appropriate to pursue the overpayment as
				  a different type of claim.
E.
				  Claims must be terminated and written off, when:
1. All adult household members are
				  deceased;
2. It is not cost
				  effective to pursue the claim any further;
3. The claim is delinquent for three (3)
				  years or more, unless it is planned to pursue the claim through the State Tax
				  Offset Program or
4. The household
				  cannot be located.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 2 - Rhode Island Works Program Rules and Regulations › Section 218-RICR-20-00-2.28 - Methods of Collecting Claims

Current through June 14, 2024
A. The agency may
				  collect payment for claims using one (1) of the following methods.
1. Reducing benefits prior to issuance,
				  including allotment reduction and offsets to restored benefits;
2. Deducting benefits after issuance from
				  electronic benefit transfer (EBT) accounts with the client's written
				  permission;
3. Accepting cash,
				  including checks, money orders, and credit or debit cards;
4. Participation in the State Tax Offset
				  Program.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 2 - Rhode Island Works Program Rules and Regulations › Section 218-RICR-20-00-2.29 - Notice Requirements

Current through June 14, 2024
2.29.1
Notice
				  of Adverse Action
A. A decision on
				  continuing eligibility (prospectively) must be made as soon as it becomes known
				  that a change in a family's income, resources, and/or circumstances will affect
				  the payment.
B. When it is
				  determined that a change in the recipient's circumstances will result in a
				  reduction, suspension, or discontinuance of a payment, the recipient must be
				  notified by issuing a notice of adverse action at least ten days prior to the
				  effective date.
C. The notice must
				  contain:
1. The reason for the proposed action
				  and the agency policy which requires the action;
2. An explanation of the opportunity to
				  discuss the action with the DHS worker authorizing the discontinuance,
				  suspension or reduction in payment;
3. An explanation of the opportunity to have
				  an Adjustment Conference with the Supervisor;
4. An explanation of the provision for
				  continuance of the payment for recipients, including those in a hardship
				  extension, if a hearing is requested within the ten day period of the date of
				  the notice (continuance of benefits is not available for applicants for RIW
				  benefits or for applicants in a hardship extension); and
5. An explanation of the opportunity to
				  request a hearing within thirty (30) days of the date of the notice, along with
				  the "Request for a Hearing" form.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 2 - Rhode Island Works Program Rules and Regulations › Section 218-RICR-20-00-2.30 - Case Records

Current through June 14, 2024
A. The DHS utilizes
				  the electronic case record to retain data concerning decisions on eligibility
				  and payments. All applications forms, documentation, monthly report forms,
				  correspondence, and other papers are scanned and indexed into the electronic
				  eligibility system. Paper records are no longer utilized.
B. All electronic case records explicitly
				  contain confidential matter. It is unlawful for any person to make use of, or
				  cause to be used, any information contained in records for purposes not
				  directly connected with the administration of the RI Works Program, except with
				  the consent of the participant concerned as referenced in R.I. Gen. Laws §
										40-5.2-26.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 3 - General Public Assistance Program › Section 218-RICR-20-00-3.1 - Introduction

Current through June 14, 2024
A. R.I. Gen. Laws Chapter
				  40-6, entitled "Public Assistance
				  Act," establishes the legal basis for a General Public Assistance Program. In
				  that the State has resources:
1. The General
				  Public Assistance (GPA) cash programs are available for adults age eighteen
				  (18) years of age and older who have an illness or medical condition that keeps
				  them from working.
2. GPA shall not
				  be provided to any individual who has been determined eligible for Supplemental
				  Security Income (SSI) or who is eligible or who would be eligible for the Rhode
				  Island Works (RIW) program.
3. GPA
				  eligibility shall not exist for certain persons who are in the care of,
				  confined by, or in the custody of another State Agency such as the Department
				  of Corrections (DOC), the Department of Children, Youth and Families (DCYF) or
				  the Department of Behavioral Healthcare, Developmental Disabilities amp;
				  Hospitals (BHDDH).
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 3 - General Public Assistance Program › Section 218-RICR-20-00-3.2 - Interim Cash Assistance - Bridge Fund

Current through June 14, 2024
A.
				  Individuals may be eligible to receive cash assistance in the form of a semi
				  monthly payment while they are awaiting the determination of SSI eligibility.
				  This program of interim cash assistance is referred to as the "Bridge" Fund or
				  program.
1. This program is limited to
				  individuals who have applied for and been found eligible for Title XIX Medicaid
				  and who have applied for and are actively pursuing a claim for Supplemental
				  Security Income (SSI) benefits.
2.
				  A determination for Medicaid affordable care coverage (ACC) must be completed
				  under the Modified Adjusted Gross Income (MAGI) or Elder and Adults with
				  Disability rules (EAD) prior to a determination of eligibility.
3. Eligibility for the Interim Cash
				  Assistance for Disabled (Bridge Fund) is restricted to individual applicants
				  only.
a. Couples may apply as individuals (one
				  (1) or both could be found eligible as individuals).
(1) If both are eligible, each may be
				  provided individual Bridge payments.
4. Applicants must meet the following
				  eligibility requirements:
a. Must have filed
				  an application for Bridge Fund;
b.
				  Must have applied for Medicaid affordable care coverage (ACC) for eligibility
				  under Modified Adjusted Gross Income (MAGI) or Elder and Adults with
				  Disabilities (EAD) Rules;
c. Must
				  have been found eligible for Title XIX Medicaid;
d. Must have filed a claim for Supplemental
				  Security Income (SSI) benefits and be actively pursuing the claim;
e. Must have signed an agreement that if the
				  SSI claim is waived in favor of Title II Social Security Disability Insurance
				  (SSDI), the individual will repay DHS to the extent DHS would have been
				  reimbursed through the SSI claim;
f. Must have completed the Authorization for
				  Reimbursement form before any benefits can be paid; and
g. Income and resource must be within the
				  limits established in §§3.2.3 and 3.2.4 of this Part.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 3 - General Public Assistance Program › Section 218-RICR-20-00-3.3 - Hardship

Current through June 14, 2024
A. An applicant who is pending a DHS program
				  benefit determination who has no income and is unable to work due to a
				  disability may apply for GPA Hardship.
B. The recipient may be awarded a one (1)
				  time payment based on availability of funds.
C. GPA Hardship will not be approved for
				  individuals who have received a hardship payment for a program that was
				  subsequently denied if applying for the same program within a calendar
				  year.
D. No more than two (2) GPA
				  hardship payments will be issued to the same individual within a calendar year.
1. The amount of payment will be based upon
				  the amount of funding available.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 3 - General Public Assistance Program › Section 218-RICR-20-00-3.4 - Funeral and Burial Expenses

Current through June 14, 2024
3.4.1
The
				  Application Process
A. For the
				  Department to consider granting assistance to those persons who may be
				  eligible, application for payment of funeral and burial expenses must be made
				  on behalf of the deceased within thirty (30) days of the date of death.
1. An application for payment of funeral and
				  burial expenses shall also be deemed as received on behalf of a decedent when a
				  person with custody of an unclaimed body contacts the Department of Human
				  Services (DHS) to report the unclaimed body.
2. Eligibility for the expenditure of GPA
				  funds for a funeral or burial does not exist for anyone who at the time of
				  their demise, was confined by and/or in the custody of the Department of
				  Corrections, the Department of Children, Youth and Families or the Department
				  of Behavioral Healthcare, Developmental Disabilities amp; Hospitals
				  (BHDDH).
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 3 - General Public Assistance Program › Section 218-RICR-20-00-3.5 - Appeal Rights

Current through June 14, 2024
A. An
				  applicant/recipient has a right to request a hearing within ten (10) days of
				  the DHS's notice of action regarding an impending reduction, suspension, or
				  discontinuance of assistance except for Hardship under §
										3.3   of this Part.
1. If a request for a hearing is made within
				  the ten (10) day advance notice period of the date of the notice and a written
				  request for continuation of assistance is included in the request for hearing,
				  no action for reduction, suspension, or discontinuance is taken until the
				  hearing decision is reached except in the following instances:
a. When the reduction, suspension or
				  discontinuance is caused by a change in State law that requires automatic grant
				  adjustment for classes of recipients, a timely notice of such grant reduction
				  can be issued by mass mailing, and the payment is not continued and no hearing
				  need be granted.
(1) However, a hearing is
				  granted and the payment is continued when the reason for the appeal is
				  incorrect grant computation. The DHS supervisor will review the issue to
				  determine this and will inform the recipient, in writing, of the action that
				  will be taken.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.1 - General Provisions

Current through June 14, 2024
4.1.1
Introduction
A. The Rhode Island
				  Department of Human Services (DHS) recognizes the importance of providing
				  strong access to affordable, quality child care for all Rhode Island families.
				  Access to affordable, quality child care services is critical to supporting
				  Rhode Island children achieve developmental and academic outcomes for their
				  long-term success.
1. The Starting RIght Child
				  Care Assistance Program (CCAP), adopted in 1998, ensures access to affordable,
				  developmentally appropriate, early childhood education and support services for
				  young children and their families. The CCAPs focus is on three (3) crucial
				  supports:
a. Providing low to moderate-income
				  families with the financial resources to find and afford quality child care for
				  their children;
b. Promoting a
				  stable, regulated, well-qualified provider community; and
c. Implementing quality initiatives to
				  enhance the quality, supply and availability of child care in Rhode
				  Island.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.3 - Eligibility and Authorization of Services

Current through June 14, 2024
A. Families with
				  incomes at or below two hundred percent (200%) of the Federal poverty level
				  (FPL) who meet the requirements for the Starting RIght Child Care Assistance
				  Program (CCAP) are eligible to receive full or partial payment for child care
				  expenses when delivered by a CCAP approved child care provider. There are three
				  (3) avenues for qualifying for payment of child care expenses through the CCAP:
1. Categorical Eligibility - The Rhode Island
				  Temporary Assistance for Needy Families (TANF) Program extends eligibility for
				  the CCAP to Rhode Island Works Program (RI Works) cash assistance recipients,
				  including Teen and Family Development Program participants, who meet the need
				  for services as established in §
											4.5   of this Part.
2. Income Eligibility - Working Rhode Island
				  families, families where a parent(s) is participating in an approved education
				  and training program, and TFD participants who are not RI Works cash recipients
				  may be income eligible for the CCAP if they meet the requirements set forth in
				  §
											4.6   of this Part.
3. CCAP
				  for College Eligibility -As of July 1, 2022, CCAP may be approved for families
				  where a parent(s) requires child care assistance that is necessary to enroll or
				  maintain enrollment in an Associate's degree or Bachelor's degree program at a
				  Rhode Island public institution of higher education if they meet the
				  requirements set forth in §
											4.6   of this Part.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.4 - Applying for Child Care Assistance

Current through June 14, 2024
4.4.1
Application
A. The application
				  for the CCAP consists of the required application, verification of certain
				  eligibility criteria, and the need for services. When information is known to
				  the DHS from other DHS program sources, and meets the minimum verification
				  requirements of each program, independent verification is not required and
				  previous verified information is used in determining the CCAP eligibility.
				  Families seeking eligibility for the CCAP shall apply to the DHS in accordance
				  with the following:
1. Point of Application
a. Rhode Island Works (RI Works) recipients,
				  including those who are Teen and Family Development (TFD) participants, parents
				  participating in an approved education or training program, as well as families
				  making the transition off cash assistance, may complete an application through
				  the DHS-2 or on-line, or have child care added as an activity within their RI
				  Works case.
b. Working families,
				  families where the parent(s) is participating in an approved education and
				  training program, and TFD participants not receiving income support through RI
				  Works may apply online at
www.dhs.ri.gov
,
				  or at
www.healthyrhode.ri.gov
, or
				  may obtain a printable application at
www.dhs.ri.gov
, or through a local DHS
				  office.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.5 - Criteria for Categorical Eligibility

Current through June 14, 2024
4.5.1
General
				  Requirements and Criteria
A. RI Works
				  recipients who fulfill the general requirements stated in §
											4.3   of this
				  Part, shall meet the following criteria to be eligible for the CCAP:
1. The CCAP authorized services shall only be
				  approved for RI Works recipients who have an acceptable need for services
				  related to fulfilling program requirements.
a.
				  The following shall constitute an acceptable need for services for RI Works
				  eligible families:
(1) The parent(s) or
				  caretaker relative shall have an approved, signed and current employment plan
				  on file and shall need the CCAP authorized child care services during periods
				  of time when engaged in one (1) or more of the component activities required to
				  comply with that plan.
(2) RI Works
				  families receiving the CCAP services shall meet the employment plan component
				  activity requirements outlined in the Rhode Island Works Rules and Regulations,
				  §
														2.11   of this Subchapter. Such component activities include those
				  specified therein, as well as any combination of education and work-related
				  activities contained in an approved employment plan.
(3) In a two (2) parent home, both parents
				  shall have a signed and approved current employment plan as specified in the
				  Rhode Island Works Program Rules and Regulations, §
														2.11   of this
				  Subchapter.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.6 - Criteria for Income Eligibility

Current through June 14, 2024
4.6.1
General
				  Requirements and Criteria
A. Working
				  families and families where a parent(s) is participating in an approved
				  education or training program, as well as TFD participants not receiving RI
				  Works cash assistance who meet the general requirements in §
											4.3   of this
				  Part and the following criteria may be CCAP income eligible:
1. Financial Determination
a. The countable income of the financial unit
				  shall be at or below two hundred percent (200%) of the Federal poverty level
				  (FPL), based on family size.
(1) Transitional
				  Child Care allows families currently eligible for child care to continue to
				  receive child care after their income exceeds two hundred percent (200%) of the
				  Federal poverty level (FPL), as long as income remains below three hundred
				  percent (300%) FPL.
(2) When income
				  rises above three hundred percent (300%) of the FPL the family is no longer
				  eligible.
(3) New child care
				  assistance applicants with income over two hundred percent (200%) of the FPL
				  will not be eligible for Transitional Child Care.
(4) Eligibility for Transitional Child Care
				  will be determined at normal recertification times.
(5) Families found eligible will be continued
				  on Transitional Child Care until they reach three hundred percent (300%) of the
				  FPL.
(AA) If approved for Transitional Child
				  Care and income later falls below two hundred percent (200%) of the FPL,
				  eligibility for Transitional Child Care ends and an application for Child Care
				  Assistance under the regular CCAP can occur.
(BB) Families are eligible to resume
				  Transitional Child Care if their income were to again rise above two hundred
				  percent (200%) of the FPL.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.8 - Authorization of Child Care Services

Current through June 14, 2024
4.8.1
Assessment and Scope of Authorized Child Care
A. Upon determining that a family is either
				  categorically or income eligible for the CCAP, the agency representative shall
				  make an assessment of the scope of authorized child care required to meet a
				  family's need for services.
1. The
				  authorization for the CCAP child care services is based on an assessment of the
				  following factors related to the need for services:
a. The number of hours each day per week that
				  the parent(s) of an eligible child is employed, in an approved education or
				  training program or engaged in a RI Works or TFD approved activity that
				  requires child care services.
b. Up
				  to one (1) hour per day of child care may be added to the daily total to cover
				  travel time from the child care location to place of employment/approved
				  activity and return. Additional travel time may be allowed if there is a
				  documented need, related directly to meeting work or employment plan
				  commitments.
c. In cases where the
				  parent is requesting the CCAP services under either §§
													4.5  or  4.6   of
				  this Part, the allowable child care expense is based on the total number of
				  hours reported on the work or training schedule provided in the CCAP
				  application.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.9 - Enrollment for CCAP Authorized Services

Current through June 14, 2024
4.9.1
Responsibilities
A. Through the
				  enrollment process, the family of an eligible child and the CCAP approved child
				  care provider of choice make the arrangements necessary for the delivery of the
				  CCAP authorized services, in accordance with the requirements established by
				  the Department for payment of allowable child care expenses.
1. The child care provider is required to
				  transmit the pertinent information about these arrangements to the DHS using
				  the CCAP automated enrollment system.
a. All
				  CCAP approved providers shall have access to the CCAP automated enrollment
				  system and are required to enroll all eligible children through that system as
				  a condition of receiving payment for the CCAP authorized child care
				  services.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.10 - Notices, Rights and Duties

Current through June 14, 2024
4.10.1
Notices
A. To ensure that the
				  Child Care Assistance program (CCAP) is administered in an equitable, effective
				  and efficient manner, the following requirements have been established:
1. Applicants for the Child Care Assistance
				  Program shall receive timely and adequate notice from the DHS of eligibility
				  determinations. The Department shall also provide timely and adequate notice of
				  any adverse decisions that terminate or reduce benefits.
a. Notice of Approval. Upon determining that
				  an applicant meets the general requirements for the CCAP in §
													4.3   of this
				  Part and the criteria for either categorical (§
													4.5   of this Part) or
				  income (§
													4.6   of this Part) eligibility, Notice of Approval shall be sent
				  by the DHS informing the family of the eligibility start and end dates and the
				  scope of services authorized.
(1) The notice
				  shall also indicate whether an income eligible family is required to pay a
				  share of the cost for the CCAP authorized services and the amount of the family
				  share.
(2) In addition, the Notice
				  of Approval shall state that any eligible children in the family shall only be
				  enrolled for the CCAP authorized child care services by a CCAP approved
				  provider, who has a signed and valid DHS-CCAP Approved Provider Agreement and
				  is listed, accordingly, in the Central Provider Directory (CPD).
(3) Notices of Approval are also sent when
				  there are additional children in the family approved for the CCAP.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.11 - Improper Payments

Current through June 14, 2024
4.11.1
Underpayments
A. If the household
				  was eligible to receive child care assistance benefits but received a benefit
				  that was less than that which they were entitled, or the failure to issue a
				  benefit for a benefit month in which the household was eligible for such a
				  benefit constitutes an underpayment.
1. The
				  agency representative corrects the underpayment as soon as possible, but not
				  later than thirty (30) days after discovery of the underpayment, to a current
				  recipient or one who would be a current recipient had the error causing the
				  underpayment not occurred.
2. In
				  cases involving an underpayment and an overpayment in the same month, the
				  agency representative must factor in both in determining what the correct
				  payment should have been. If an underpayment still exists, it is promptly
				  corrected.
3. For purposes of
				  determining eligibility and the amount of assistance, a retroactive corrective
				  payment is not considered income, nor is it considered a resource in the month
				  received or in the following month.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.12 - Child Care Provider Guide

Current through June 14, 2024
4.12.1
DHS
				  CCAP Approved Child Care Providers
A.
				  The Department of Human Services shall make payment only for the CCAP
				  authorized child care services when rendered by the DHS CCAP approved child
				  care providers.
1. To obtain approval, child
				  care providers shall meet the minimum requirements set forth in this §
												4.12   of this Part, including entering into an agreement with the DHS that
				  fulfills the requirements set forth in this Part.
2. A list of providers that have obtained the
				  DHS approved status is maintained on-line and can be accessed through
				  dhs.ri.gov.
3. A provider may begin
				  to provide authorized services to the CCAP eligible children during the week
				  that an application for the CCAP approval has been submitted to the OCC.
				  However, the DHS shall only make payment for such services when, and on the
				  condition that, the provider is granted CCAP approved status, completes the
				  introductory trainings and enrollment, and complies with reporting activities
				  specified in this Rule.
4. The DHS
				  shall discontinue payments when a provider exceeds the number of allowable
				  children in its care or has evidence of provider non-compliance with the
				  current approved Provider Agreement (APA), and/or the DHS licensing Regulations
				  (Chapter 70 of this Title).
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 4 - Child Care Assistance Program Rules and Regulations › Section 218-RICR-20-00-4.13 - CCAP Maximum Weekly Reimbursement Rates

Current through June 14, 2024
A. Weekly
				  reimbursement is paid according to the provider type, enrolled hours and age of
				  the child receiving care. A copy of the CCAP Established Schedule of Weekly
				  Rates may be viewed at
www.dhs.ri.gov
.
B. The categories for time authorized and
				  enrolled and for the child's age are as follows:
1. Time Authorized and Enrolled
a. Full time: Thirty (30) hours or more per
				  week
b. Three Quarter Time: Twenty
				  to twenty-nine (20 - 29) hours per week
c. Half time: Ten to nineteen (10 - 19) hours
				  per week
d.  Quarter Time: Zero to
				  nine (0 - 9) hours per week
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 5 - Supplemental Security Income and State Supplemental Payment Rules and Regulations › Section 218-RICR-20-00-5.1 - Introduction

Current through June 14, 2024
5.1.1
Authority
A. The Department of Human Services (DHS)
				  administers the State supplemental portion of monthly Supplemental Security
				  Income (SSI) benefits to eligible residents of Rhode Island. The Social
				  Security Administration (SSA) sends the Federal portion of SSI benefits. The
				  DHS issues a separate payment for the State Supplemental Payment (SSP).
1. DHS is responsible for income eligibility
				  determinations for those who are denied Federal SSI due to excess income ( 20
				  C.F.R. Part 416, Subparts K and D Income, Subpart L Resources). DHS is also
				  responsible for disability determinations on those denied Federal SSI due to
				  excess income but eligible for an SSP. If the individual does not meet the
				  resource limits set in  20 C.F.R. §
													416.1205, he/she is not
				  eligible for an SSI payment, Federal or State.
2. Payment levels are established by specific
				  categories which indicate living arrangement.
3. DHS administers the State supplemental
				  portion for the following living arrangements:
a. Category A - Individual or Couple in Own
				  Household
b. Category B -
				  Individual or Couple in Another's Household
c. Category E - Individual or couple in Title
				  XIX Facility
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 5 - Supplemental Security Income and State Supplemental Payment Rules and Regulations › Section 218-RICR-20-00-5.2 - Administration and Organization

Current through June 14, 2024
A. Where to Apply
1. SSI Office - Information relative to
				  eligibility requirements for the SSI Program can be obtained by contacting the
				  appropriate Social Security Administration office. To find the nearest office
				  call the Social Security Office at
				  1-800-772-1213 or online at
www.socialsecurity.gov
. Individuals
				  eligible for an SSI benefit are automatically eligible for an SSP.
2. DHS Office - Information relative to
				  eligibility requirements for the SSP Program can be obtained by calling
				  1-855-MY-RI-DHS (1-855-697-4347).
3. Individuals/couples who wish to apply for
				  a State-only Supplemental Payment must first apply at the SSA office to
				  determine SSI eligibility.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 5 - Supplemental Security Income and State Supplemental Payment Rules and Regulations › Section 218-RICR-20-00-5.3 - Service Provision

Current through June 14, 2024
A. Eligibility for
				  State Supplemental Payments
1. Individuals or
				  couples receiving SSI are eligible for an SSP and include the following:
a. Grandfathered SSI recipient - Individuals
				  who received State assistance in December 1973 and became eligible for SSI in
				  January 1974, are called grandfathered clients by the State and a mandatory
				  income level (MIL) client by SSI;
(1) Such an
				  individual must continue to meet the definition of blind or disabled that was
				  in effect under the State plan in December 1973.
(2) Individuals who are needed in the home to
				  care for an eligible person are called an essential person. Such an individual
				  is also called a grandfathered client.
(3) Individuals who are an essential person
				  must have lived continuously with the eligible person since January
				  1974.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 5 - Supplemental Security Income and State Supplemental Payment Rules and Regulations › Section 218-RICR-20-00-5.4 - State Payment to Assisted Living Facilities Not Eligible to Receive Title XIX Funding of the Social Security Act

Current through June 14, 2024
A. For
				  Supplemental Security Income recipients who reside in a State licensed assisted
				  living facility that is not eligible to receive funding under Title XIX of the
				  Social Security Act (42 U.S.C. §
											1381
et seq
.),
				  an established monthly payment will be made to the facility for disabled and
				  elderly individuals who, on or after July 1, 2012, receive the State
				  supplementary assistance payment for an individual in State licensed assisted
				  living residence under R.I. Gen. Laws §406-27.
1. State payments to non-Medicaid assisted
				  living facilities are made directly to the facility on a monthly
				  basis.
2. This payment is equal to
				  two hundred six dollars ($206.00) per individual per month subject to available
				  funding. The Department of Human Services is authorized to implement these
				  payments subject to funding made available through the Rhode Island General
				  Assembly.
3. Facilities will be
				  required to provide a notarized certified statement to the Department
				  documenting the number of residents that meet the eligibility criteria for this
				  payment, within ten (10) business days of the first (1st) of each
				  month.
4. The State shall make
				  retroactive payments back to July 1, 2012 to facilities that provide the
				  necessary documentation regarding eligible residents.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 5 - Supplemental Security Income and State Supplemental Payment Rules and Regulations › Section 218-RICR-20-00-5.5 - State Subsidy Payment to Selected Assisted Living Residences

Current through June 14, 2024
A. The DHS provides the monthly State subsidy
				  payment to licensed assisted living residences for each Category D recipient
				  that is not receiving Medicaid-funded long-term services and supports under
				  Title XIX of the Social Security Act, 42 U.S.C. Chapter 7.
1. State subsidy payments for selected
				  assisted living residences are made directly to the residence on a monthly
				  basis.
2. The State subsidy is
				  equal to two hundred six dollars ($206.00) per individual per month subject to
				  available funding. The Department of Human Services is authorized to implement
				  these payments subject to funding made available through the Rhode Island
				  General Assembly.
3. Assisted
				  living residences are required to provide a notarized certified statement to
				  the Department documenting the number of residents that meet the conditions for
				  this payment established under R.I. Gen. Laws §
											40-6-27.2 within ten (10) business
				  days of the first (1st) of each month.
4. The subsidy payment to the selected
				  assisted living residences is not treated as income for the purposes of
				  determining eligibility for State and Federal means-tested programs including
				  SSI, Medicaid, optional or mandatory SSPs and/or SNAP.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 5 - Supplemental Security Income and State Supplemental Payment Rules and Regulations › Section 218-RICR-20-00-5.6 - Rhode Island Federal Supplemental Security Income (SSI) and State Supplemental Payment Rates

Current through June 14, 2024
A. Federal a nd
				  State benefits for Category A, B, D and E.
Maximum Combined Federal/State Effective January
								  1, 2024
Federal Effective January 1, 2024
Maximum State Supplemental Benefit Effective
								  January 1, 2024
Living Arrangement
Individual
Couple
Individual
Couple
Individual
Couple
Category A Living in Own
								  Household
$982.92
$1,494.38
$943.00
$1,415.00
$39.92
$79.38
Category B Living in Household of
								  Another
$680.59
$1,040.64
$628.67
$943.34
$51.92
$97.30
Category D Assisted Living Residential Care
								  Setting
$1,275.00
N/A
$943.00
N/A
$332.00
N/A
Category E Title XIX Facility
$75.00
N/A
$30.00
N/A
$45.00
N/A
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 6 - Refugee Assistance Program › Section 218-RICR-20-00-6.1 - Authority

Current through June 14, 2024
This part is promulgated in order to implement the Refugee
					 Assistance Program and comply with the requirements of United States
					 Immigration and Naturalization Act and the Refugee Act of 1980 (8 U.S.C. §
											1101
et seq
.) and  45 C.F.R.
					 Part 400, Refugee Resettlement Program.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 6 - Refugee Assistance Program › Section 218-RICR-20-00-6.2 - Purpose

Current through June 14, 2024
A. The Regulation facilitates the issuance of
				  Refugee Assistance Services described in the State Plan. It implements Chapter
				  2 of Title IV of the Immigration and Nationality Act (8 U.S.C. §
											1101
et seq
.), added by
				  § 311(a)(2) of the Refugee Act of 1980 (Public Law 96-212) and amended by
				  the Refugee Assistance Amendments of 1982 (Pub. Law 97-363) and the Refugee
				  Assistance Extension Act of 1986 (Pub. Law 99-605).
B. This Regulation sets forth:
1. Requirements for eligibility for refugee
				  social services and targeted assistance, with the exception of referral and
				  interpreter services, to refugees who have been in the United States for five
				  (5) years or less;
2. The
				  identification of social service programs available to refugees.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 6 - Refugee Assistance Program › Section 218-RICR-20-00-6.4 - Eligibility

Current through June 14, 2024
6.4.1
Eligibility for Categorical
				  Programs
A. When a refugee applies for
				  cash and/or medical coverage, eligibility must first be determined for the
				  appropriate categorical program(s): Supplemental Security Income (SSI), Rhode
				  Island Works (RIW), General Public Assistance (GPA), and/or Medicaid.
1. A family eligible only due to refugee
				  status are accepted on RIW as Refugee Cash Assistance (RCA/RIW)
				  recipients.
2. An individual or
				  childless couple who have a disability severe enough to temporarily prohibit
				  their employment will be considered for GPA.
3. An individual who is sixty-five (65) years
				  of age or older, or who is blind or disabled, will be referred to the Social
				  Security Administration to apply for SSI.
a.
				  An individual with an application pending for SSI is eligible to received
				  Refugee Cash Assistance/GPA until SSI benefits are available.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 6 - Refugee Assistance Program › Section 218-RICR-20-00-6.5 - Verification

Current through June 14, 2024
A. Every effort must be made to obtain
				  verification necessary for eligibility under one (1) of the categorical
				  programs. Refugees who had to leave their homelands under emergency situations
				  may not have the documentation verifying births, marriages, divorces, etc., and
				  may not be able to obtain it. In lieu of such documentation, the following
				  supporting evidence is acceptable:
1. Forms
				  from the USCIS, American Council for Voluntary Agencies for Foreign Services
				  (ACVAFS), or the American Council for Voluntary International Action (ACVIA)
				  can be used as verification of age.
2. Any documents the refugees brought with
				  them from their homelands that reflect relationship of family members is
				  acceptable evidence of relationship, for example, a letter to/from a relative
				  addressed to and/or referring to, "mother," "son," "wife," or other specified
				  relative.
3. For children, school
				  and/or medical records showing the address and the relative responsible for the
				  child may be used as verification.
4. Information from the refugee's
				  sponsor/resettlement agency supporting the refugee's statement.
5. Information recorded in the refugee's
				  assistance case record.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 6 - Refugee Assistance Program › Section 218-RICR-20-00-6.6 - Application and Standards

Current through June 14, 2024
A. The following
				  general requirements apply to all refugees regardless of their duration of
				  residence in the United States.
1. The
				  sponsor's income and resources may not be considered accessible to an applicant
				  for or recipient of assistance solely because the person is serving as a
				  sponsor.
2. Resources not readily
				  accessible to the refugee, such as resources remaining in the applicant's
				  country of original, may not be considered available to an applicant for or a
				  recipient of assistance.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 6 - Refugee Assistance Program › Section 218-RICR-20-00-6.7 - Requirements for Medicaid

Current through June 14, 2024
Medicaid eligibility is evaluated first using the MAGI
					 methodology set forth in 210-RICR- 30-00-1 and the SSI standards for Community
					 Medicaid in 210-RICR- 40-00-1.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 6 - Refugee Assistance Program › Section 218-RICR-20-00-6.8 - Fraud Unit Referrals

Current through June 14, 2024
Fraud referrals are processed through Rhode Island Bridges
					 and sent to the Department of Administration (DOA), Fraud Unit who will assign
					 an investigator.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 6 - Refugee Assistance Program › Section 218-RICR-20-00-6.9 - Appeals and Hearing Process (EOHHS Regulation)

Current through June 14, 2024
The appeals and hearing process is handled as indicated in
					 the Rules of the General Provisions of the Executive Office of Health and Human
					 Services (EOHHS) (210-RICR- 10-05-2).
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 7 - Social Services (218-RICR-20-00-7) › Section 218-RICR-20-00-7.1 - Introduction

Current through June 14, 2024
A. Title XX of the Social Security Act
				  provides states with the authority to establish a Social Services Block Grant
				  (SSBG).
1. The social services provided by
				  the Department of Human Services through Family and Adult Services and
				  Community Services are among those described in the Block Grant Pre-Expenditure
				  Report published each year.
2. The
				  Department of Human Services is designated by the governor as the agency
				  responsible for the administration of SSBG funds in Rhode Island.
3. The Department is committed to a
				  goal-oriented social services program which has the capability to avert social
				  and economic dependency and family breakdown through a planned coordinated
				  approach using other agencies as needed either for services provided by them at
				  no cost or purchased from them when the department does not provide them
				  directly.
7.1.1
Goals
A. Services will be offered to help clients
				  reach one or more of the five federal goals which have been identified by
				  Congress for Title XX:
1. Achieving or
				  maintaining economic self-support to prevent, reduce, or eliminate
				  dependency.
2. Achieving or
				  maintaining self-sufficiency, including reduction or prevention of
				  dependency.
3. Preventing or
				  remedying neglect, abuse or exploitation of children and adults unable to
				  protect their own interests, or preserving, rehabilitating, or reuniting
				  families.
4. Preventing or reducing
				  inappropriate institutional care by providing for community-based care,
				  home-based care, or other forms of less intensive care.
5. Securing referral or admission for
				  institutional care when other forms of care are not appropriate or providing
				  services to individuals in institutions.
Rhode Island Code of Regulations › Title 218 - Department of Human Services › Chapter 20 - Individual and Family Support Programs › Subchapter 00 - N/A › Part 7 - Social Services (218-RICR-20-00-7) › Section 218-RICR-20-00-7.2 - Provision of Social Services

Current through June 14, 2024
A. Services
				  provided directly by the Department of Human Services consist primarily of
				  casework and counseling and include the cost of planning and administration of
				  all SSBG activities and some staff training. They also include the referral to
				  and authorization of contracted services, taken from the SSBG Uniform
				  Definition of Services (see table below) and included in the Intended Use Plan
				  submitted to the federal government.
1.
				  Provision of services depends not only upon the need of the individual or
				  family, but also upon the availability of funding and the capacity of the
				  provider agency. Waiting lists may be established when a provider is at the
				  limit of its capacity to respond.