PM 03-06-05-a: Exception Reasons

WAG 03-06-05-a

One or more of the following reasons must exist for an exception to be approved or continued.

  1. SSI Disability application pending - The customer must have an SSI Disability application pending and CAU must determine that the customer is probably eligible for SSI. If the customer's SSI application has been denied and is on appeal, the customer must have representation unless no advocate is available.
  2. Medical condition - CAU must determine that the customer is unable to work for at least 30 hours per week due to his or her medical condition. Use this reason for customers with an SSI application pending only if CAU determines they have a medical barrier but do not meet SSI disability standards. Part-time work (under 30 hours per week) does not disqualify a person from this exception reason.
  3. Intensive program for barrier that prevents full-time work - The customer must be participating in a program for a barrier that prevents them from working at least 30 hours per week. This includes DCFS, domestic or sexual violence, homeless services, mental health, substance abuse, and vocational rehabilitation programs. The program must be an approved part of the Responsibility and Services Plan (RSP). Part-time work (under 30 hours per week) does not disqualify a person from this exception reason.
  4. Approved education or training program - This includes customers enrolled in an approved Basic Education, Vocational Training, or Postsecondary (beyond High School) Education activity that they are expected to complete within 6 months after the 60 months end. The education or training program must be part of the customer's current RSP.
  5. Family care barrier - A family care barrier exists when CAU determines an adult or minor parent is needed in the home to provide full-time care for a related child under age 18 or spouse due to their medical condition (see PM 21-01-04-c).
  6. Child approved for New Manual MaterialMedically Fragile Technology Dependent (MFTD) waiver - Severely disabled children are approved for a MFTD waiver when it is determined cost-effective to keep the child at home rather than in an institution (see PM 06-11-01).