PM 06-03-01-b
Issuance of Crisis Assistance (other than non-medical need for essential medical care)
- Have the client complete Form 2689.
- Obtain any needed proofs to verify the emergency situation.
- Determine the client's eligibility for Crisis Assistance. If not receiving TANF, determine eligibility for TANF first. For time limits on processing a request for Crisis Assistance, see PM 06-03-01-c.
- Complete 2 copies of Notice of Decision on Request for Crisis Assistance (Form 2690).
- If eligible, complete Form 552.
- Use TA 55 in Item 3, definer 2 in Item 4, and TAR 14 in Item 33. Enter the appropriate needs code(s) in Item 80. See WAG 25-03-04 for maximum amounts for each need.
TYPE |
CODE |
Food |
201 |
Clothing |
202 |
Household Supplies |
203 |
Rent |
207 |
Household Furnishings |
344 |
- Enter one of the following Crisis Assistance Request Codes in the SUP. BY box for each Item 80 code.
1 |
Homeless - Fire, Flood, Disaster |
2 |
Eviction |
3 |
Physical abuse, Domestic or Sexual Violence |
4 |
Loss of Essential Items - Due to Disaster |
5 |
Deprived of Food as a Result of Fire/Flood |
6 |
Lost or Stolen Cash |
- Enter the total amount of Crisis Assistance approved in Item 38. The total amount of all Item 80 codes must equal the amount in Item 38.
- 5d. In Item 40, enter 9999999 as the original warrant number. (The data input operator enters this on Screen 4 in IPACS.)
- Forward to Family Community Resource Center Administrator or designee for supervisory approval.
- Send the original Form 2690 to the client within 2 workdays from the date of decision.
- If eligible, process the Form 552 via IPACS. Advise the client that cash Crisis Assistance benefits will be available via the Illinois Link System within 48 hours after the approval.
- File Form 552, Form 2689, and the copy of Form 2690 in the case record.
Example: The applicant had a fire in her home that destroyed everything. She applied for TANF and Crisis Assistance. There are 4 persons (one adult and 3 children) in unit. Applicant is employed and earns $400 a month. Applicant will not receive another pay for 10 days. The Payment Level for a benefit unit size of 4 in a Group I county is $435. The rent on her new unfurnished apartment is $142.
The following needs can be met through the Crisis Assistance Program:
Rent |
$142 (up to max $250) |
Food |
200 ($5 per day x 10 days x 4 people) |
Clothing |
117 |
Household Supplies |
17 |
Household Furnishings |
50 (kitchen table)
40 (4 chairs)
120 (4 bed frames)
280 (4 single mattresses and springs) |
Total Crisis Assistance Authorization = $966
Code Item 80 of the Form 552 as follows:
CODE |
AMOUNT |
SUP. BY |
201 |
200 |
1 |
202 |
117 |
1 |
203 |
17 |
1 |
207 |
142 |
1 |
344 |
490 |
1 |
Expedite the determination of eligibility for TANF (see PM 17-02-01). If eligible for TANF, approve the case without a 30-day wait and issue a Crisis Assistance payment of $966. If not eligible for TANF, deny the Crisis Assistance application.
Requests for Non-medical Needs Related to Essential Medical Care
- (FCRC) Have the client complete Form 2689.
- (FCRC) Call the medical provider to verify the time and place of the client's appointment if the client does not have written proof.
- (FCRC) Call the client's source of transportation and/or lodging to verify cost if the client does not have written proof. The cost of meals is on a per diem basis and does not need proof.
- (FCRC) Complete Inter-office Memorandum Request (Form 2623).
- (FCRC) Fax Form 2623, Form 2689, and the most recent Form 552 or pages 1, 2, and 3 of the PF-1 Screen Printout (ACID) to the Regional Office.
- (RO) Decides whether to approve or deny request. Determines amount of assistance to be given for approved requests. Tells Family Community Resource Center.
- (FCRC) Send the client Form 2690.
- (FCRC) Issue payment if approved, using code 204 in Item 80.