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Monroe County Prevention Retention Contingency Policy SEPTEMBER 25, 2017 Monroe County Department of Job & family Services 100 Home Ave. Woodsfield, Ohio 43793 (740) 472-1602

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Monroe County

Prevention Retention Contingency PolicySEPTEMBER 25, 2017

Monroe County Department of Job & family Services100 Home Ave.

Woodsfield, Ohio 43793(740) 472-1602

Table of Contents

Guidelines for PRC Assistance

Section Page(s)

Introduction 3

II. PRC Program 4-7

A. Assistance Group CompositionB. EligibilityC. Repayment ResidenceD. Income 7E. Residence 8F. Ineligible Family Assistance Group 8-9G. Scope of Benefits/Services 9I-I. Standard Promptness 10I. Community Resources 10J. Applicant Responsibility 10K. Application 11L. Notice of Approval/Denial 12M. Approval Page 13

Ill. Federal Poverty Guideline Chart 14

IV. Service Chart 15

A. Gas ProgramB. Employment Related ServicesC. Job Training ProgramD. Household Needs ProgramE. Back to School ProgramF. Relocation ProgramG. Contingency ServicesII. Summer Youth/Youth ActivitiesI. Budgeting Education ServicesJ. Higher Edcicational Transportation -TANFK. Child WelfareL. Disaster Services

APPENDIX A: Non-discrimination, ADA, Limited English Proficiency, Citizenship, SSN, Discrimination complaints

2

Introduction

Section 5108.04 of the Ohio Revised Code requires each County Department of Job andFamily Services have a PRC Plan which is updated at least every two years. Monroe CountyJob and Family Services is able to modify, terminate, establish new policies, and temporarilysuspend PRC Services as necessary.

In 2009, a reduction in overall state funding sources required services provided through thePRC Program be prioritized according to the level of need. In an effort to preserve the safetyand well being of children and families, the Monroe County Department of Job and FamilyServices has developed a plan which supports Child Welfare, Project Partners, RelocationProgram, Summer Youth/Youth Activity, Back To School Programs, and Higher EducationalTransportation Program..

This modified PRC Plan outlines services, eligibility requirements, and other definitionsspecific to Monroe County for Monroe County residents. This Plan has been developed,reviewed, and recommended by the Monroe County Board of Commissioners, and theMonroe County Department of Job and Family Services (MCDJFS). It is updated at aminimum every biennium and notice is posted in the newspaper offering public comment onthe services outlined. The Monroe County PRC Plan was developed in compliance with Sec5108.04 of the Ohio Revised Code.

VOTER REGISTRATIONMonroe County Department of Job and Family Services provides all customers with theopportunity to register to vote. The voter registration application as prescribed by theSecretary of State under section 3503.10 of the ORC will be made available to persons whoare applying for, receiving assistance from, or participating in the PRO program (referenceORC 329.051.

PREVENTION, RETENTION AND CONTINGENCY (PRC) PROGRAM

The Monroe County Department of Job and Family Services strives to providecomprehensive services that are designed to promote personal responsibility, family stability,economic security, and self-sufficiency.

The Monroe County Department of Job and Family Services will operate a Prevention,Retention, and Contingency (PRC) Program designed to provide benefits and servicesto needy families and low-income employed families who are in need of help with essentialsupports to move out of poverty and become self-sufficient. These supports include non-recurrent, short-term, crisis-oriented benefits and, ongoing services that are directly related tothe four purposes of the TANF program which does not meet the federal definition ofassistance. Non-recurrent, short-term assistance addresses discrete crisis situationswhich do not provide for needs extending beyond four months. These benefits andservices are consistent with the federal definition of “non-assistance” as found in 45 C.F.R.260.31 (b). The definition of “non-assistance” includes:

1. Non-recurrent, short-term benefits that:a. are designed to deal with a specific crisis situation or episode of need;b. are not intended to meet recurrent or ongoing needs; andc. will not extend beyond four months.

2. Supportive services such as child care and transportation provided to familieswho are employed;

3. Services such as counseling, case management, peer support, child careinformation and referral, transitional services, job retention, job advancement,and other employment-related services that do not provide basic income support.

4.

PRC assistance will be authorized with the expectation that the PRC assistance group willthen be able to function without additional agency help. Services are provided to anassistance group to prevent them from relying on cash assistance and guide them to selfsufficiency by helping them through the presenting crisis. Services are also provided to aPRC assistance group to help members retain employment, and thereby, to achieve orcontinue self-sufficiency. In addition, services are provided to a PRC assistance group tomeet a presenting or contingent need which, if not satisfied, threatens the safety, health, orwell-being of one or more PRC assistance group members.

4

Assistance Group Composition

PRC benefits and services are available to a family assistance group (AG) which includes aminor child under age 18 and a full-time student or a pregnant individual who is at least six (6)months pregnant as defined in the Ohio Revised Code. Household composition will includeall in the household who will derive a direct benefit from the PRC. Some PRC benefits andservices are also available to the non-custodial parent of a minor child receiving assistance,who lives in the county, but does not live in the same household as the minor child. Aneligible family must consist of a pregnant individual who is at least six (6) months pregnant ora minor child who resides with a parent, caretaker relative, legal guardian or legal custodian.

For the purpose of clarification, the non-custodial parent of a minor child receiving assistancemeans the child must be: (1) residing in a household that is in receipt of cash assistance, foodstamps, or the Ohio Medical card; or (2) the non-custodial parent must either be paying, or becomplying with a seek work order on behalf of the minor child. The non-custodial parent mustbe a resident of Monroe County and must also meet the economic need standard establishedfor the benefits and/or services requested. It shall be the responsibility of the non-custodialparent to provide necessary documentation to verify they are the non-custodial parent of aminor child receiving assistance as outlined in this paragraph.

A child may be “temporarily absent” from the home yet the child and his/her family may stillqualify for PRO. The absence of a member of the assistance group is temporary if theindividual has been absent for no longer than 45 consecutive days, location of the absentindividual is known, there is a definite plan for the return of the absent individual to the home,and the absent individual shared the home with the assistance group prior to the onset of theabsence. An exception to the 45 consecutive days applies when a child is removed from thehome by the children services agency due to abuse, neglect or dependency if the agencyindicates there is a reunification plan to return the child to the home within six months. Duringthis period, the child is considered to be residing with the parent, caretaker relative, legalguardian, or legal custodian. An eligible family may also consist of a minor child residing witha parent, caretaker relative, legal guardian or legal custodian and other members of thehousehold who may or may not be related to the minor child, as these people may enhancethe family’s ability to achieve economic self-sufficiency.

Eligibility

In order to receive PRC benefits and services, a member of the assistance group must be acitizen of the United States or a qualified alien as defined in Section 5101:1-2-30 of the OhioAdministrative Code.

Eligibility for PRO is dependent upon the assistance group’s demonstration and verification ofneed for financial assistance and/or services, and whether the agency determines thatprovision of PRO will satisfy the presenting needs. In order for eligibility to be determined, thegross income of the assistance group must be compared to the economic need standard

established for the benefits and services requested. The economic need standards will bebased on Federal Poverty Guideline measures which will be updated as the Federal Poverty

Guidelines are revised. When determining eligibility for the PRC assistance group to receivebenefits or services, the assistance group’s income must be equal to or less than theeconomic need standard. See the attached Federal Poverty Guideline Chart and List ofServices and/or Benefits for Monroe County.Assistance Groups (AG’s) with striking members shall be ineligible for PRC unless the AGwas eligible for benefits the day prior to the strike and is otherwise eligible at the time ofapplication. For PRC purposes, a “striker” shall be anyone involved in a strike or concertedstoppage of work by employees (including a stoppage by reason of the expiration of acollective bargaining agreement) and any concerted slowdown or other concerted interruptionof operations by employees. Examples of non-strikers who could be eligible for PRC include(1) employees whose workplace is closed by an employer in order to resist demands ofemployees (e.g., a lockout); (2) employees unable to work as a result of striking employees(e.g., striking newspaper pressmen preventing newspapers from being printed and,consequently, truck drivers who are not working because there are no papers to deliver); and(3) employees who are not part of the bargaining unit on strike not wanting to cross a picketline due to fear of personal injury or death. Pre-strike eligibility shall be determined byconsidering the day prior to the strike as the day of application and assuming the strike didnot occur.

If the applicant for PRC, or any other adult in the PRC household, has an outstandingOWF/FNChild Care overpayment, the person with the overpayment must enter into anagreement with the agency to start repayment of the outstanding overpayment. If paymentsare not maintained, any subsequent PRC requests may be denied. lithe applicant or anyother adult in the PRC household, has an outstanding PRC, that PRC must be paid in fullbefore another PRC will be issued. No PRC assistance with heating and electric will beissued during the HEAP program. If an individual has utilized the relocation services underthis PRC plan in Monroe County, they will not be eligible for PRC relocation again.

Repayment

For some selected benefits, a “Repayment Agreement” must be signed with the MonroeCounty Department of Job and Family Services prior to PRC issuance. For those preventionservices, retention services, and/or contingency services that require repayment, the PRCassistance group must make regular, predetermined payments on a monthly basis until thePRC repayment amount is paid in full.

The Monroe County Department of Job and Family Services reserves the right to waive therepayment requirement for a household if there are extenuating circumstances.

PRC is restricted to timeframes outlined in the following service chart. PRC ineligibility will beextended indefinitely for those households that contain an adult who received a previous PRCpayment as an adult which was not fully repaid by any of the repayment methods listedabove. Failure to repay may result in legal action. The PRC Repayment Agreement outlinesthe specific guidelines for repayment.

6

Note: Households that have not met the conditions of repayment for PRC benefits may stillremain eligible for selected services and/or benefits undet this plan. Thosehouseholds that have not met the conditions of PRC repayment will still be eligible to receivethe following services in Monroe County provided that all other PRC eligibility criteria ismet:, Child Welfare Services, and Summer Youth / Youth Activity Program, Monroe Co.Public Transportation, Project Partnership and YES.

IncomeOAC 5101:1-24-20 governs the federally mandated exclusions of income and resources foreligibility requirements

The total gross income, both earned and unearned, of all members of the PRC assistancegroup will be counted, with the exception of earned income of a minor child. This includes allincome which is normally exempt or disregarded when determining eligibility for Ohio WorksFirst (OWE) or Disability Assistance fDA). All income received by the PRC assistance groupduring a 30-day budget period will be considered when determining financial need. The 30-day budget period begins thirty (30) days prior to the date of the PRC application and ends onthe application date, unless that time period does not accurately reflect the expected income.In that instance, the income that is projected to be received within a 30-day budget periodwhich begins on the date of the PRC application may be used.

For cases in which the income cannot be accurately obtained, the agency will implementpractices that are reasonable and prudent when determining countable income. A signedODHS 7341, “Applicant/Recipient Authorization for Release of Information” will beobtained from the applicant for an inquiry.

Once the release is received, verification which is obtained by telephone will contain cleardocumentation in the PRC assistance group record concerning the name and position of thesupplier of the information, the date the verification was obtained, the amount of the verifiedincome, and the name of the individual who obtained the verification. More stringentverification will be required when PRC benefits and services involve a direct monetary gain bythe applicant and opportunities for fraud are prevalent.

Unearned IncomeExamples of unearned income which will be counted will include, but may not be limitedto, the following:

Alimony and child supportRegular/recurring royalty lease incomeLump-sum payments find, tax refunds and if rec’d during the 30 day timeframe)Unemployment BenefitsPension and Retirement BenefitsStrike BenefitsRental Income

OWF, DA, or Supplemental Security Income (SSI) payments

Earned IncomeEarned income is income in which the assistance group member must perform sometype of labor or service to receive it. Examples of earned income which will be countedmay include, but may not be limited to, the following:

Earnings from work as an employeeEarnings from self-employmentStrike benefits if striker is required to perform services in order to receive themTraining allowances

Residence

PRC benefits and services are available only to residents of Monroe County, unlessotherwise noted. Residence is established by living in the county voluntarily with the intent toremain permanently or for an indefinite period. All applicants for PRC benefits and serviceswill be required to provide verification of residency.

Ineligible Family Assistance Groups

According to Federal and State law, the following assistance groups are !iQ. eligible for PRC:

1. Single people, childless couples and parents without a minor child (with exceptionthat a non-custodial parent of a minor child who is ordered into the EmploymentProgram by a Court within Monroe County or by the Monroe County Child supportAgency (MCCSEA) and is complying with the Employment Program to find a job iseligible) or paying their monthly obligation.

2. Households containing a fleeing felon.

3. Individuals ineligible for other programs, due to non-compliance with the terms oftheir assistance. (examples include OWE sanction, EAET sanction, not complyingwith a prior PRC repayment agreement or an overpayment agreement; FAETrecipients that are sanctioned must have served the minimum sanction periodbefore eligible and must sign a compliance form.)

4. Pursuant to ORC section 5101.83 and OAC rule 5101:1-23-75, PRC benefits andservices may not be provided to a family that fraudulently received benefits underthe OWE and/or PRC programs until a member of the assistance group repays thecost of the fraudulent assistance.

5. Because the PRC Program is funded with federal Title lV-A block grand funds, nomedical expenses for applicants are covered except pre-pregnancy familyplanning services.

$

6. Households containing any adult or minor head of household who quits a jobwould be ineligible for a 90 day period from the quit-date, except where goodcause has been established per Ohio Revised Code (ORC) 5107.26.

7. Households containing any adult or minor head of household who has been firedwithin 90 days of application, due to willful actions on the employees part to causetermination.

8. Residence outside of Monroe County, Ohio.

9. Any individual that is an illegal alien.

10. All minor parents or pregnant minors who are not residing in an adult supervisedsetting.

Scope of Benefits/Services

At the time of application, all individuals that submit a PRC application for services will beinformed in writing of their rights to request a state hearing. All PRC applications will have aJFS 04059 “Explanation of State Hearing Procedures” form attached.

The attached chart lists the scope of benefits and services provided by the Monroe CountyPRC program. The chart also lists the assistance groups served, the economic needstandards for the particular benefit/service, caps on benefits/services, the targetedgroups, and whether repayment is required. The targeted groups are used to customizeservice delivery specific to the family’s circumstances.PRC payments will be limited to the amount actually required to meet the presenting need.Client has to present a past due bill stating that services are going to bedisconnected/delinquent. This bill can not be 3 or more months delinquent. See AttachedChart.

Any assistance received by an adult member of the household under another Ohio countyPRC program within the past twelve (12) months will be taken into consideration whendetermining eligibility for PRC services in Monroe County. The maximum dollar amountsstated above will not be exceeded between all the counties during the twelve (12)consecutive month period.

In addition, if another Ohio county had conditions (i.e., repayment) on receipt of theirPRC benefits, those conditions will continue in effect in Monroe County if known to theagency.

Standard of Promptness

The intent of this program is to provide and authorize benefits and services within five (5)working days of the receipt of a signed application and all the required documentationnecessary to process the application (i.e., pay stubs, residency verification, etc.). In someinstances, this five-day time frame may need to be extended due to unavoidable delays onthe part of the applicant or the agency.

The five-day standard of promptness is the time frame that the Monroe County Department ofJob and Family Services will strive to meet and is intended to stress the importance of dealingwith PRC applications in an efficient manner. The agency will not deny any PRC applicationdue only to the expiration of the five-day period. The agency has 30 days to process allapplications. All applications past 30 days, with no client cooperation, will be terminated.

When the five (5) day time frame cannot be met, the assistance group record will includedocumentation of the case activity on the PRC application in order to provide a clearexplanation of the unexpected or unavoidable delays in processing the application.

Community Resources

The availability of resources within the local community (Monroe County and the immediatesurrounding area) will be explored prior to the authorization of PRC. A PRC assistance groupshall apply for and utilize any program, benefit or support system which may reduce oreliminate the presenting need.

Agency personnel authorizing PRC will be aware of the community resources that couldassist a family in need of immediate services. The knowledge of those resources that areavailable will assist staff in determining if any other means within the community may be usedto meet or help meet the presenting needs. Attempts to locate community resources andarrangements made with other service providers will be documented in the PRC assistancegroup record. One denial letter is required by any local community service to process PRCapplications.

Applicant Responsibility

An applicant for PRC is responsible for completing all necessary documents, furnishing allavailable facts and information, and cooperating with the agency in the eligibilitydetermination process. In addition, an applicant must utilize available income and resourcesin meeting the presenting need. This includes ongoing assistance programs such as OWF,DA, SSI and food stamps, as well as Unemployment Compensation, Social Security, andspecial energy programs.

There will be no PRC eligibility if the assistance group fails to make use of available incomeor resources that are sufficient to meet all or a portion of the presenting need.

Application10

The Monroe County Department of Job and Family Services has developed a “Prevention,Retention, and Contingency (PRC) Program Application” for use when a famy is applying forPRC benefits and services. For child welfare services, a self-declaration of family size andincome application will be used unless the family is apply for a hard service such as utility,gas, etc. A family in receipt of food assistance 30 days prior to the date of application doesnot need to provide income verification documents and verification of receipt of foodassistance will be verified in CRISe.

The application and any other information and/or documentation gathered during the eligibilitydetermination process will be maintained in a separate assistance group case file, even if theassistance group is in receipt of ongoing OWE, Medicaid, and/or Food Stamps. The separateassistance group folders will be maintained for all PRC applications and related verifications.

Eligibility factors, time restraints, and amounts available to pay for the various benefits andservices covered will be explained. Anyone applying for PRC services will receiveappropriate information about, referrals to, and access to Medicaid, Food Stamps, childcare assistance and other programs that provide benefits that could help them successfullytransition to work. In addition, the voter registration application will be made available topersons who are applying for and/or receiving assistance through the PRC program.

Any applicant/recipient who gives fraudulent information in order to receive PRC benefits orservices will be subject to overpayment and recovery procedures by the Monroe CountyDepartment of Job and Family Services’ Benefit Recovery Unit.

Note: When the applicant for PRC, or any other adult in the PRC household, has anoutstanding OWF/FS/PRC/Child Care overpayment, the assistant group will not be eligible forPRC assistance until the overpayment is paid in full.

Services and benefits will be provided which directly lead to, or can be expected to lead to,the family in becoming self-sufficient by accomplishing one of the four purposes of TANF:

1. To provide assistance to needy families so that children may be cared for in theirown homes or in the homes of relatives;

2. To end the dependence of needy parents on government benefits by promotingjob preparation, work and marriage;

3. To prevent and reduce the incidence of out-of-wedlock pregnancies andestablish annual numerical goals for preventing and reducing the incidence ofthese pregnancies; and

4. To encourage the formation and maintenance of two-parent families.

Notice of Approval/Denial

If it is determined that an application for PRC is approved, the ODHS 4074, “Notice ofApproval of Your Application for Assistance”, or a comparable agency-specific approval formshall be mailed or otherwise delivered. If it is determined that an application for PRC isdenied, the ODHS 7334, “Notice of Denial of Your Application for Assistance”, or acomparable agency-specific denial form shall be mailed or otherwise delivered.

Once eligibility for PRO is established, authorization shall occur and a payment for thebenefits or services will be generated. Authorization may occur at any time during the periodbeginning on the date that PRO is approved. As long as payment is authorized within thirty(30) days, the actual payment(s) will be made to the vendors according to the procedures inplace for the Monroe County Department of Job and Family Services.

Any programs that provide ongoing services (such as WIA services, etc.), a reapplication willbe completed once per year in order to establish financial eligibility for ongoing services.

All PRO payments will be made to the vendor. Any deposits made directly to a vendor, andlater returned, are to be returned to the Monroe County Department of Job and FamilyServices instead of the client. If a deposit is returned to the client, the client will beresponsible to repay the full PRO amount.

The chart that follows includes the List of Services and/or Benefits that are available underthe Monroe County PRC Program.

Program Operation

To ensure fair and equitable treatment of families applying for PRC, the program will becontinuously in operation according to the standards of policy and procedure as set forthwithin this document. The covered benefits and services or the amounts specified for thebenefits and services listed in the section detailing the scope of coverage will not be reduced,limited, or restricted unless the program is modified.

Monroe County reserves the right to modify, suspend or terminate the PRO Program at anytime. Modifications may encompass any or all areas of the county PRO Plan. Anymodification or termination of the PRO Plan will be put in writing and forwarded to theMonroe County Commissioners and the Ohio Department of Job and Family Services withan established effective date. Monroe County reserves the right to modify, suspend, orterminate PRO services or eligibility requirements for any reason, including (but not limitedto) reduction of funds, changes in State or Federal regulations, and the need to addressappropriate emerging needs within the Agency. Benefits and services to be provided underthe program that are allowable under uses of federal IV-A funds under 42 U.S.C. 601 and604(a), except that they may not be “assistance” as defined in 45 C.F.R. 260.31 (a) but ratherbenefits and services that 45 C.F.R.260(b) exclude from the definition of assistance.

• Restrictions on the amount, duration, and frequency of the benefits and services:

• Eligibility requirements for the benefits and services.

• Fair and equitable procedures for both of the following:

12

604(a), except that they may not be “assistance” as defined in 45 C.F.R. 260.31(a) but rather

benefits and services that 45 C.F.R.260(b) exclude from the definition of assistance.

• Restrictions on the amount, duration, and frequency of the benefits and services:

• Eligibility requirements for the benefits and services.

• Fair and equitable procedures for both of the following:

- The certification of eligibility for the benefits and services that do not have a financial

need eligibility requirement; and

- The determination and verification of eligibility for the benefits and services that have a

financial need eligibility requirement.

Objective criteria for the delivery of benefits and services.

The Monroe County Department of Job and Family Services agree to implement the

Prevention, Retention and Contingency (PRC) Program in Monroe County in accordance

with the guidelines outlined in this plan.

This Prevention, Retention and Contingency (PRC) Program Plan shall replace all prior

versions of the plan for Monroe County.

Effective date of this amended plan: September25, 2017

__________________

Monroe County Commissioners

_____________

Date

Date

Date

13

RESOLVED BY TIlE BOARD OF COUNTY COMMISSIONERS

MONROE COUNTY, OHIO, THAT:

Whereas, the Monroe County Department of Job and Family Services’

Prevention, Retention & Contingency (PRC) Plan was approved by the

Monroe County Board of Commissioners on July 31, 2017;

Whereas, the present Monroe County Department of Job and FamilyServices’ Prevention, Retention & Contingency (PRC) Plan is in need of the

following revision:

Biennial Update

Now, therefore, be it resolved, that the Monroe County Department of Job

and Family Services’ Prevention, Retention & Contingency (PRC) Plan is

approved effective this date.

Resolved and Approved this 25th1 day ofSeptember 2017.

________

- The certification of eligibility for the benefits and services that do not have a financialneed eligibility requirement; and

- The determination and verification of eligibility for the benefits and services that have afinancial need eligibility requirement.

Objective criteria for the delivery of benefits and services.

The Monroe County Department of Job and Family Services agree to implement thePrevention, Retention and Contingency (PRC) Program in Monroe County in accordancewith the guidelines outlined in this plan.

This Prevention, Retention and Contingency (PRC) Program Plan shall replace all priorversions of the plan for Monroe County.

Effective date of this amended plan: September 25, 2017

Jeanette Harter, Director DateMonroe County Dept. Job and Family Services

Monroe County Commissioners

Date

Date

Date

Rev. 212017

Monthly Federal Poverty GuidelineEffective January 26, 2017

The Monthly Federal Poverty Guideline (FPG) measure is used to determine incomeeligibility for the Prevention, Retention, and Contingency (PRC) program. The total grosscountable income of all members of the PRC assistance group must be equal to or lessthan 100%, 150%, 200%, or 300% of the monthly FPG amount for the appropriateassistance group size.

Assistance 100% Monthly 150% Monthly 200% Monthly 300% MonthlyGroup Size FPG FPG FPG FPG

1 1005 1508 2010 3015

2 1354 2030 2707 4060

3 1702 2553 3404 5105

4 2050 3075 4100 6150

5 2399 3598 4797 7195

6 2747 4120 5494 8240

7 3095 4643 6190 9285

8 3444 5165 6887 10330

For families with more than 8 persons, add $4,180.00 per year for each person.

14

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edco

urt

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tivi

ties

case

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ker.

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edia

tion

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sem

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riza

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Def

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Chi

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able

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Chi

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rovi

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case

man

agem

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ing

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eM

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clud

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rang

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ices

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anni

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sult

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ies

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omes

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ence

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esor

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mun

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tend

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ate

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cess

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sem

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akin

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ning

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isin

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pite

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ese

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hich

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limite

dto

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isis

nurs

erie

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ytr

eatm

ent

and

volu

ntee

rsor

paid

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vidu

als

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prov

ide

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serv

ices

wit

hin

the

hom

e.R

espi

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are

Ser

vice

sm

aybe

ptov

ided

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chil

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aced

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me

orw

itha

rela

tive

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ell

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ra

child

inhi

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me.

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cial

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use

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acti

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clud

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king

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indi

vidu

al,

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ily

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bers

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dap

prop

riat

eso

cial

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ice

agen

cies

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velo

pan

dca

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out

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rang

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grou

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ransp

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rans

port

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prov

idin

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eded

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ices

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sour

ces

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faci

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es.

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may

incl

ude

the

prov

isio

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cort

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stan

ce).

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nspo

rtat

ion

prov

ided

toch

ildr

en/p

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sits

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elig

ible

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ell

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rang

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sche

duli

ngan

d

mon

itor

ing

visi

ts.

The

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owin

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eno

tPR

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igib

le:

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oste

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tof

hom

em

aint

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veni

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stic

ese

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es.

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sts

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enw

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not

live

with

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ial

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ntor

othe

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ult

care

take

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ve,

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ardi

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odia

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ces.

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ithth

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low

able

unde

rO

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s19

96IV

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ate

Plan

.

Chi

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elfa

reC

ond

itio

nal

Ser

vice

sA

Gde

fini

tion

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elfa

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ondi

tion

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ild

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eI8

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e1$

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atte

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ghi

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hool

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liva

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livi

ngw

ith

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tive

/gua

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nan

dal

lot

her

mem

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Lis

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d.P

regn

ant

wom

enin

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ird

trim

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y-ea

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tus

isco

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ered

ase

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mily

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onse

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eded

).A

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illte

quir

ese

lf-d

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onof

hous

ehol

din

com

e,fa

mil

ysi

zean

dsi

gnat

ure

of

clie

nton

the

appl

icat

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sam

ple

appl

icat

ion)

MO

NR

OE

CO

UN

TY

PR

CL

IST

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S&

BE

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Ver

ific

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ior

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aych

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s,ve

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ceor

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ts.

etc)

Ifre

cord

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ere

lost

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stro

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edi

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rifi

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self

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com

eba

sed

onth

epa

st30

days

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beac

cept

ed.

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ista

nce

will

only

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ovid

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rth

ese

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eslis

ted

tohe

lpof

fset

cost

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rdi

rect

dam

age

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edby

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clar

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sast

er.

App

lica

nts

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tpr

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ent

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c)H

ouse

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mus

tha

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stai

ned

disa

ster

-rel

ated

dam

age

orlo

ssto

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igib

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rvic

es.

The

assi

stan

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oup

will

not

rece

ive

disa

ster

assi

stan

cefo

ra

serv

ice

prov

ided

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othe

rag

ency

prog

ram

orin

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nce

bene

fit.

App

lican

tsw

illbe

requ

ired

topr

ovid

eth

eD

epar

tmen

tof

Job

and

Fam

ilySe

rvic

esan

yre

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atth

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npr

oduc

ene

cess

ary

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ques

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ance

.

Cap

sar

eto

bees

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ishe

dby

MC

DJF

Sco

ntin

gent

upon

avai

labl

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ndin

g.C

aps

are

esta

blis

hed

per

hous

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d.Pr

evio

usPR

Cse

rvic

esar

eex

clud

edfr

omco

nsid

erat

ion.

RE

V:

9/25

/17