PM 21-01-04-b

Item 80 code 331 HCBC identifies each case that contains a waiver child. The code contains the month and year the waiver was approved. The Exception Processing Unit (EPU) enters code 331 on a TANF case when the family has a waiver child in the home. The code stops the counter for everyone on the case (except it doesn't stop a counter over 60). When Item 80 code 331 HCBC is centrally entered, the Item 73 code is also changed to 4 (caring for a waiver child) for the first adult in the case.

An applicant or customer may request a barrier to participation in work and training activities based on having a child who might be eligible as a waiver child by completing the Request for Status Review (Form 2826).

text revisedTo refer a child for the waiver, send the following information in a memorandum to the Bureau of Policy Development (BPD):

  • Case name and case number;
  • Name of child;
  • A brief description of the nature of the child's illness and its expected duration.

BPD forwards the waiver referral to the Division of Special Care for Children (DSCC) which manages the waiver program. DSCC contacts the child's family to determine interest and general eligibility for the program. If pursued, DSCC completes the waiver application and submits it to the HFS Bureau of Comprehensive Health Services for approval. BPD notifies the FCRC of the approval or denial of the waiver request via memorandum.

text addedNote: A family may contact DSCC directly to apply for a waiver by calling 1-800-322-3722.

When the Family Community Resource Center is notified by BPD that a child has been approved under the Home & Community-based Care Program:

  1. Review the TANF case and determine how many months of TANF have been counted since the month entered with code 331 HCBC. Take action to correct the TANF counter by subtracting those months if the counter was 60 or less for the code 331 month.

    Example: EPU enters code 331 HCBC with a date of 09/02. This action is entered for the 12/02 payment month. The months of 09/02, 10/02, and 11/02 were counted against the TANF 60-month counter for the adults in the case.

    Subtract these 3 months for each person whose counter was 60 or less in 9/02. The counter is centrally stopped for the 12/02 payment month by the entry of code 331. 

    1. Complete and send Form 4335 to the customer when you reduce his or her counter.
  2. Review the Responsibility and Services Plan (RSP) or the Service Plan in VCM.
    1. Revise if necessary to include a waiver child's special needs.
    2. Remove the adult(s) from participation in work, training, or other self-sufficiency activities, unless they wish to volunteer for an activity.
  3. Review Item 73 coding. Enter code 4 for the first adult in the TANF case if the code is not already changed.

When the Family Community Resource Center is notified by BPD that a child has not been approved under the Home & Community-based Care Waiver Program:

  1. Notify the customer of the decision on their work and training participation status by using Notice of Decision on Status (Form 2827).
  2. Determine if the customer may be eligible under the Family Care barrier (see PM 21-01-04).
  3. Review the Responsibility and Services Plan (RSP) or the Service Plan in VCM. Revise if necessary. Include participation in work, training, or other self-sufficiency activities for the nonexempt adult(s) if no other barrier exists.

When the Family Community Resource Center is notified by BPD that a child is no longer eligible under the Home & Community-based Care Program:

  1. Review the Responsibility and Services Plan (RSP) or the Service Plan in VCM. Include participation in work, training, or other self-sufficiency activities for the nonexempt adult(s) if no other barriers exist.
  2. Review Item 73 coding. Enter code 9 for each adult in the TANF case if the code is not already changed and no other barriers or exemptions exist.