MR #13.19: SNAP E & T Changes due to the Affordable Care Act (ACA) and Integrated Eligibility System (IES)

Helping Families. Supporting Communities. Empowering Individuals.

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09/19/2013

Summary

  • The Affordable Care Act (ACA) establishes eligibility for Medicaid for adults ages 19-64 that previously may have been ineligible for Medicaid but eligible for SNAP.
  • For those that were eligible for SNAP, they typically received on a Category 08 case.  With the implementation of ACA, they may now receive Medicaid and SNAP on a 94 case. The 94 cases are coded with a K in Item 25.
  • Customers that are nonexempt for SNAP E & T will continue to be referred to SNAP E & T by coding a 9 in Item 73 regardless of if they receive SNAP benefits on a Category 94 or 08 case.
  • Effective immediately, refer adult only SNAP E & T nonexempt 94 cases, ages 19 - 49, as well as nonexempt Category 08 cases.
  • Effective immediately, Cook County offices no longer transfer SNAP E & T nonexempt cases (regardless of category) to the SNAP E & T office.  All cases remain at the office where the application was filed (Office of Choice).
  • Effective immediately, the SNAP E & T office in Chicago will no longer work exclusively with Category 08 cases.  Adult only nonexempt 94 cases, ages 19 - 49 will be referred to SNAP E & T along with Category 08 cases.
  • To ensure all nonexempt SNAP customers are referred and enrolled in SNAP E & T, reports # 50487771 and 5048778-01 are revised to include both Category 08 and Category 94 cases with a K coded in Item 25.

The Affordable Care Act (ACA) establishes eligibility for Medicaid for adults ages 19-64 that previously may have been ineligible for Medicaid but eligible for SNAP. For those that were eligible for SNAP, they typically received on a Category 08 case.  With the implementation of ACA, they may now receive Medicaid and SNAP on a 94 case. These 94 cases are coded with a K in Item 25. This change impacts SNAP E & T both statewide and in the City of Chicago.

SNAP E & T Changes Effective Immediately

The following SNAP E & T related changes are effective immediately:

  • Refer adult only SNAP E & T nonexempt 94 cases, ages 19 - 49, as well as nonexempt Category 08 cases.
  • Cook County offices no longer transfer SNAP E & T nonexempt cases to the SNAP E & T office. All cases remain at the office where the application was filed (Office of Choice).
  • The SNAP E & T office in Chicago will no longer work exclusively with Category 08 cases.  Adult only nonexempt 94 cases, ages 19 - 49 will be referred to SNAP E & T along with Category 08 cases.

Changes to SNAP E & T Reports

To ensure all nonexempt SNAP customers are referred and enrolled in SNAP E & T, reports #50487771 and 5048778-01 are revised to include both Category 08 and Category 94 cases with a K coded in Item 25.

So that workers in the Cook offices do not have to complete Form 2151 to refer customers to SNAP E & T, reports #50487771 and 5048778-01 are revised to select and display any office 200 with a Chicago address on the Office #223 report. The SNAP E & T staff will work with the customers from reports #50487771 and 5048778-01. Forms 2151 and 2151A are not being eliminated or modified.

Report #50487771 is renamed, "SNAP E & T Caseload Master Listing". 

Report #5048778-01 is renamed, "SNAP E & T Summary Master Report" and the following codes will no longer display under All Other Codes; 344, 345, 452, 532, 640, 800, 810, and 890.

Changes to SNAP E & T for Cook FCRCs

Effective immediately, Cook County offices no longer transfer SNAP E & T nonexempt cases living in the City of Chicago to the SNAP E & T office. All cases remain at the FCRC where the application was filed (Office of Choice). FCRCs processing the applications continue to:

  • explain the E & T requirements;
  • give the applicant the SNAP Employment and Training Program brochure (Form 4538);
  • register them in SNAP E & T by entering code 9 in Item 73 for nonexempt category 08 cases and 94 cases with a K coded in item 25.

Once approved, category 08 and 94 cases with a Chicago address and coded with a 9 in Item 73 will appear on the SNAP E&T Caseload Master Listing report (#50487771) for the SNAP E&T FCRC (223).  Staff at the SNAP E & T FCRC will continue to:

  • conduct the assessment of employability;
  • enroll cases in SNAP E&T activities and refer them to E & T providers as appropriate;
  • issue supportive service payments as appropriate;
  • conduct the conciliation meeting as appropriate; and
  • impose sanctions.

SNAP E&T staff will be given the appropriate system access to issue supportive service payments and impose sanctions on those cases that remain at the FCRC where the application was filed (Office of Choice).

Changes to Downstate SNAP E & T

The only change for downstate FCRC's SNAP E & T process is that they will now refer adult only SNAP E & T nonexempt 94 cases, ages 19 - 49, as well as nonexempt Category 08 cases and the SNAP E & T reports will be modified as specified above.

Deleting a Reference to Void Actions

PM 22-08-09 is revised to delete a reference to void actions that changed with the MR #13.11: LINK 3 Phase II manual release.

Manual Revisions

[signed copy on file]

Michelle R.B. Saddler

Secretary, Illinois Department of Human Services

Forms Referenced:

  • Form 4538