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Application / Verification / Case Review

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ALL Agency Rules & Procedures Practice Materials

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PDF Document Application for Transitional Assistance Benefits (TABA - 1)

DTA paper form used if BEACON breaks down. Most TAFDC and EAEDC applications now taken on screen.

9/1/2003
PDF Document Application- Request for Assistance TAFDC, EAEDC, EA, FS (RFA-7)

Initial Request for Assistance form for the TAFDC, EAEDC, EA, and FS programs.

7/1/2001
PDF Document Collateral Contact Form (Voluntary Authorization to Release Information/ VARI)

Form that allows DTA worker to assist client with obtaining verifications from third parties.

10/1/2006
PDF Document Computer Match- NH Motor Vehicle Related (NHRV)10/1/1998
PDF Document Computer Match- Social Security Number (SSN Match-NFL-2)9/1/2000
PDF Document Computer matches: Federal VA Match Log and Appmt Letter (FVM-1 & FVMAL)5/1/2002
PDF Document DTA Appointment Letter- English (AL-1)8/1/1996
PDF Document DTA Appointment Letter- Spanish (TP-TAFDC-AL (S))9/1/1995
PDF Document Field Op 00-007C TAFDC Casework Activity5/22/2000
PDF Document Field Op 00-022 EVS Match Report9/6/2000
PDF Document Field Op 01-015 Temporary MassHealth Cards for TAFDC and EAEDC Applicants and Recipients 3/12/2001
PDF Document Field Op 2004-18: Systematic Alien Verification for Entitlements

The Systematic Alien Verification for Entitlements (SAVE) Program Office, within the Department of Homeland Security, is responsible for administering the SAVE Program. The SAVE Program is used to verify a noncitizen’s immigration status by using the noncitizen’s alien registration number (“A” number). The noncitizen verification is provided primarily through the Verification Information System (VIS).

4/14/2004
PDF Document Field Op 2005-14: TAFDC - Reapplication Having Used 60-Day Work Search Period

This Field Operations Memo reinforces DTA field instructions for processing applicants who have previously used the 60-day work search period.

3/29/2005
PDF Document Field Op 96-005 State Verification and Exchange System (SVES)3/1/1996
PDF Document Field Op 97-025 TAFDC Elig. Reviews + Notice of Trans. Time Limit Status4/16/1997
PDF Document Field Op 97-043 TAFDC Casework Activity

In eligibility reviews, case workers should market job search and skills training in addition to emphasizing time limit.

7/15/1997
PDF Document Field Op 98-001 NH Registry Match1/2/1998
PDF Document Field Op 98-017C Trans. Plans at Application8/7/1998
PDF Document Field Op 98-043 NH Div. of Motor Vehicles Match - Update10/1/1998
PDF Document Field Op 99-005 Unique "999" #s for App./Recip. Awaiting SSNs2/12/1999
PDF Document Field Op Memo 2006-43: Permanent Verification in BEACON

The purpose of this memo is to: address issues related to reverification of information that is considered permanently verified; and remind AU Managers that, once SSN and date of birth are verified, applicants /recipients must not be required to verify the item unless a change is entered in BEACON or the information is questionable.

9/26/2006
PDF Document Field Op Memo 2007-15: TAFDC - Health Insurance Offered Questions BEACON3/15/2007
PDF Document Field Op Memo 2007-22: The Beacon Generated Verification Checklist

This memo describes changes in the layout and readability of the BEACON Generated Verification (VC-1) and informs AU Managers of related procedural changes. Advocacy note: Instead of paper verification checklists, FS applicants and recipients should be receiving in the mail a customized check list of verifications which should asks ONLY for the verifications specific to their case, should list a range of alternative verifications and should not ask for verifications already in the record or considered "permanent." Be sure to check the accuracy of verifications listed on this BEACON generated list.

3/29/2007
PDF Document Field Op Memo 2008-46: TAFDC – Orientation PowerPoint Presentation as an Application Activity

Field Operations Memo 2007-45 introduced TAO staff to Orientation Sessions. Attendance at these sessions was voluntary for any TAFDC applicant or work program required client. To ensure that all TAFDC applicants receive this critical information in as timely and as uniformly a way as possible, the Department is making the orientation PowerPoint presentation a required part of application activities for all TAFDC applicants (see 106 CMR 702.125 (C) and (E)). This change in procedure will begin September 2, 2008.

9/2/2008
PDF Document FYI: Electronic Validation of Identity

Social Security Number validation by the electronic SVES system is acceptable verification of identity for all DTA benefits programs. No benefits should be delayed for failure to verify identity if the SVES system can validate the social security number.

5/1/2007
PDF Document FYI: Accepting fax documents for EA, EAEDC, FS, and TAFDC verifications

From November, 2005 Transitions.

11/1/2005
PDF Document FYI: Alternate Verifications

Reminder to case workers that verifications are not limited to any one type of document.

8/1/2005
PDF Document FYI: expired immigration documents

An FYI to DTA staff on expired immigration documents, explaining that an expired document does NOT mean expired immigration status!!

10/1/2007
PDF Document FYI: Helping Applicants and Clients Experiencing Domestic Violence Verify Eligibility

AU Managers must remember to help applicants and clients obtain required verifications, if they are unable to obtain verifications for reasons beyond their control. AU Managers must also remember to allow additional time and to give additional help to applicants and clients who have identified themselves as having trouble providing verifications due to Domestic Violence (DV), if specific documentation, such as a birth record to prove relationship, is taking more time than normally required (10 days) or would put the applicant or client at risk.

5/1/2008
PDF Document FYI: Reminder: Helping Applicants and Recipients Verify Eligibility

Reminder to case workers that they are obligated to assist applicants and recipients with getting verifications that they have difficulty getting for reasons beyond their control, and to inform applicants and recipients of alternative forms of verification including self-declarations and collateral contacts.

12/1/2000
PDF Document Hotline Focus - 07/03

SSN matches; no need for SS card for verification.

7/1/2003
PDF Document Hotline Focus - 3/06

FS and TAFDC eligibility for LPR children and adults in country less than 5 years; when verification of citizenship is and is not required.

3/1/2006
PDF Document Hotline Focus for 07/01

Replacement EBT cards at reapplication; TAFDC: household composition including 2 parents, one common child, one child from previous relationship, and earnings; TAFDC: income of step-parent where natural parents are not in the home is not counted if she opts out of assitance unit.

7/1/2001
PDF Document Hotline Focus for 07/99

Multilingual cards must be sent with every manual notice, inlcuding verification checklists; TAFDC: Family cap and deprivation factor; TAFDC: work requirement for parents of school-age children is based on mandatory school age not school attendance (note that while this reasoning still applies for figuring out which work requirement applies, it is no longer true that no work requirement applies to parents of children under 6).

7/1/1999
PDF Document Non-citizen DTA screening form: "Supplement A" (Spanish - Supp A-1)

Instructions for this form were included in Field Operations Memo 2004-34, issued 9/20/04. DTA workers are required to let non-citizens opt out of the TAFDC and food stamp application if they do not want benefits for themselves or do not want to give information on their non-citizen status or SSN. Keep in mind that, for food stamp purposes, a non-citizen who does have work authorization or other legal status may want to give that information even though he or she is not applying since having legal status (either LPR or under color of law status) may trigger higher food stamp benefits using a favorable income calculation.

10/1/2004
PDF Document Non-citizens: Supplement A - Questions Regarding Citizenship Status (English - Supp A- 9/2004)

Instructions for this form were included in Field Operations Memo 2004-34, issued 9/20/04. DTA workers are required to let non-citizens opt out of the TAFDC and food stamp application if they do not want benefits for themselves or do not want to give information on their non-citizen status or SSN. Keep in mind that, for food stamp purposes, a non-citizen who does have work authorization or other legal status may want to give that information even though he or she is not applying since having legal status (either LPR or under color of law status) may trigger higher food stamp benefits using a favorable income calculation.

9/1/2004
PDF Document Shelter Verification (Landlord Form (LL/VR)) Revised 2008

The new form does not ask the landlord to list all the household members or other questions irrelevant to receipt of benefits, but instead focuses on specific information needed for residence and shelter costs. It also advises the client of many alternative verifications instead of the form on the reverse side. This form will be issued more formally in the February Transitions, but is presently on-line with DTA forms. The "Shared living" form will be similarly revised.

1/30/2008
PDF Document SSI/RSDI Verification Request Form (SSA-VR)12/1/1996


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