Procedures 447-10-55

 

Initial Eligibility 447-10-55-05

(Revised 5/28/15 ML #3447)

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PI 18-17

 

 

The eligibility determination process begins with the case manager who is responsible for completing the Foster Care Placement Notification and Preliminary Eligibility Determination form, SFN 630, for all children who enter care. This form along with a copy of the removal court order and the petition, which resulted in the removal, are sent to the eligibility staff. Title IV-E eligibility determination is based on the July 16, 1996, AFDC rules.

 

Depending on individual county procedures, the eligibility staff or social worker/case manager will send a Title IV-E/Title XIX SFN 641 application to the child’s parents, or guardian. If the parents do not complete and return the application, the Social Worker/Case Manager will be asked to follow-up with the parents and secure the needed information. As a last resort, the Social Worker/Case Manager will complete the application on the child’s behalf, providing as much information as possible about the child’s situation.

 

The eligibility staff will use the Title IV-E eligibility determination forms to determine if the child is eligible for Title IV-E benefits. The eligibility staff will also enter and authorize the payment on CCWIPS, and authorize Medical Assistance coverage as appropriate. If the child is eligible for Title IV-E benefits, this child becomes “categorically” Medicaid eligible. Worker will authorize the Medicaid accordingly. If the child is not eligible for Title IV-E benefits, a Medicaid determination must be made and the child certified (or not certified) accordingly.