DEPARTMENT OF HEALTH AND SOCIAL SERVICES

Division of Social Services

PROPOSED

PUBLIC NOTICE

DSS Application Process

In compliance with the State's Administrative Procedures Act (APA - Title 29, Chapter 101 of the Delaware Code), 42 CFR §447.205, and under the authority of Title 31 of the Delaware Code, Chapter 5, Section 512, Delaware Health and Social Services (DHSS) is proposing to amend the Division of Social Services Manual regarding Division of Social Services Manual regarding the DSS Application Process, specifically, to update formatting and clarify the application process for DSS benefit programs.

Any person who wishes to make written suggestions, compilations of data, testimony, briefs or other written materials concerning the proposed new regulations must submit same to, Planning, Policy and Quality Unit, Division of Medicaid and Medical Assistance, 1901 North DuPont Highway, P.O. Box 906, New Castle, Delaware 19720-0906, by email to Nicole.M.Cunningham@state.de.us, or by fax to 302-255-4413 by 4:30 p.m. on March 4, 2019. Please identify in the subject line: DSS Application Process.

The action concerning the determination of whether to adopt the proposed regulation will be based upon the results of Department and Division staff analysis and the consideration of the comments and written materials filed by other interested persons.

SUMMARY OF PROPOSAL

The purpose of this notice is to advise the public that Delaware Health and Social Services (DHSS)/Division of Social Services (DSS) is proposing to amend Division of Social Services Manual regarding the DSS Application Process, specifically, to update formatting and clarify the application process for DSS benefit programs.

Statutory Authority

Background

The policies have been amended to explain the application process for DSS benefit programs in a text that is more concise and understandable. Also, language that referred to the prior DSS eligibility system was removed and references to “food stamps” were updated to “food benefits”.

Summary of Proposal

Purpose

The current policies have been amended to update formatting and to clarify the application process for DSS benefit programs.

Summary of Proposed Changes

Effective for services provided on and after April 11, 2019 Delaware Health and Social Services/Division of Social Services proposes to amend sections 2000, 2000.1, 2000.2, 2000.3, and 2000.4 of the Division of Social Service Manual specifically, to update formatting and clarify the application process for DSS benefit programs.

Public Notice

In accordance with the federal public notice requirements established at Section 1902(a)(13)(A) of the Social Security Act and 42 CFR 447.205 and the state public notice requirements of Title 29, Chapter 101 of the Delaware Code, Delaware Health and Social Services (DHSS) gives public notice and provides an open comment period for thirty (30) days to allow all stakeholders an opportunity to provide input on the proposed regulation. Comments must be received by 4:30 p.m. on March 4, 2019.

Fiscal Impact

These policies are currently in place and there are no new financial responsibilities.

AMENDED

An application is a request for assistance made by an individual, agency, institution, guardian, or other individual acting for the applicant with his knowledge and consent. An application must be formalized in writing and applicants must be interviewed by an application worker before an eligibility decision can be made.

Any person interested in applying for benefits will receive a DSS application form. These forms are available at all DSS locations. A daily log to record the names of individuals who request application forms will be maintained at each DSS location. Applications for benefits cannot be processed until applicants submit a completed application and complete the filing procedures as specified in DSSM 2001.1.

The primary responsibility for establishing eligibility resides with the client, however, the Division will take necessary action to assist the applicant to establish his eligibility for assistance.

Each applicant will be informed of the programs for which he may be eligible, of his right to a decision on eligibility within a reasonable period of time, and will be informed of his right to appeal any Division decision on eligibility.

Each applicant will have his need for assistance determined in accordance with Division standards. The income of an applicant will be considered in relation to his needs during the calendar month in which the individual applies for assistance. Only such resources as an applicant has currently available will be used in determining eligibility

Policies specific to Medical Assistance applications and processing timelines are found in DSSM policy section 14100.

7 CFR 273.2, 45 CFR 206.10, 45 CFR 98.1 (b)(1)

An application for assistance allows DSS to determine an applicant's eligibility for benefits.

1. Any individual interested in applying for benefits may receive, complete, and submit a DSS application for assistance.

A. Applications are available at all DSS locations and online.

B. The applicant or an agency, institution, guardian, or other person acting for the applicant (with the applicant’s knowledge and consent) may submit an application in writing or electronically.

C. DSS will:

i. Maintain a daily log at each location to record the names of individuals who request an application.

ii. Inform applicants of their:

2. The applicant has primary responsibility for providing verification of eligibility; however, DSS will assist the applicant when necessary.

3. DSS will compare the applicant’s income and need for the calendar month in which assistance is requested. DSS will use the applicant’s available resources at the time of application in determining eligibility.

4. DSS will process applications in accordance with Division standards when a completed and signed application is submitted to DSS and the applicant completes an interview with a DSS case worker.

AMENDED

2000.1 Filing Submitting Applications

To receive assistance benefits, applicants must file an application by submitting a completed application form (Form 100) to DSS. Application forms are available and can be filed at all DSS locations each business day from 8:00 a.m. to 4:30 p.m. Applicants have the right to file an application the same day they contact DSS to request assistance and will be referred to the correct DSS location to apply. If an applicant is hospitalized or is ill, provisions for completing the application process at the hospital or in the client's home will be made by the local intake office.

Upon request for assistance, applicants will:

Applicants are screened through DCIS for prior case activity and MCI numbers will be assigned as needed.

Applicants must submit a completed and signed application or Request for Assistance to DSS to begin the process for determining eligibility for benefits.

1. Applicants applying for benefits:

A. May obtain and submit an application at a DSS location or online.

B. May submit an application on the same day as they make initial contact with DSS.

C. May submit a Request for Assistance by completing and signing page one of the application.

D. May be assisted by an individual (age 18 or older) of the applicant’s choice in the application

process.

E. Will be assisted by DSS in completing the application process if hospitalized or ill.

F. Will be offered a copy of the DHSS Program Information and Rights and Responsibilities.

2. DSS date stamps, screens, and processes submitted applications according to Division

standards.

A. The screening process includes a search for prior DSS case activity, assignment of a Master

Client Index (MCI) number, and an eligibility check for expedited food benefit services.

B. DSS will interview the applicant (in person or via telephone) the same day the completed

application is submitted. If the interview cannot be conducted on the same day, DSS will

schedule an interview with the applicant for a later date.

C. DSS will instruct applicants who submit a Request for Assistance to complete the remainder of

the application and bring it to their scheduled intake interviews.

Related policies:

DSSM 2000.5

AMENDED

2000.2 Conducting Interviews

All applicants for assistance benefits must be interviewed by an application worker before eligibility for benefits can be determined. If a person cannot speak English, state on the signature page of the application whether translation services were offered or a family member or other person was present to translate. Interviews will be arranged as promptly as possible to ensure that applications are processed as specified in DSSM 2000.5.

The unit supervisor in each DSS location is responsible for determining the number of applicants that can be interviewed each day. If an applicant will not be interviewed on the same day that he/she files an application, the supervisor or his designee will screen the application for expedited service eligibility. All applicants who appear to qualify for expedited Food Stamp service must be scheduled for an application interview early enough to assure that benefits can be issued within expedited processing deadlines. (See DSSM 9041).

DSS must interview individuals applying for assistance before eligibility for benefits can be determined.

1. DSS will conduct applicant interviews promptly to ensure that applications are processed according to Division standards.

A. DSS will conduct applicant interviews either in person or by telephone (as indicated by the program).

B. DSS will offer translation services to applicants who cannot speak English. The person who serves as the translator:

i. Must be age 18 or older,

ii. Must sign the signature page of the application, and

iii. Is preferably a translator available through the Division’s contracted language service.

C. DSS will schedule an interview and will give Form 105 “Appointment and Request for Verification” to all applicants who are unable to be interviewed on the same day that they submit an application.

D. DSS must schedule timely interviews with applicants who qualify for expedited food benefits to ensure that benefits can be issued within the expedited processing deadlines.

E. DSS offices will maintain a daily log of all applications received, interviews scheduled, and cases processed.

Related policies:

DSSM 2000.5, 9041, 14100.3

AMENDED

2000.3 Record of Recording Applications

Local offices are required to record the date that each application for benefits is filed. The application is recorded by data entering application information into the DCIS system. Applications are pended in the DCIS system.

Each DSS office must maintain a daily log to record when applications are received.

1. DSS offices will:

AMENDED

2000.4 Disposition of Applications and Notice Requirements Determining Application Status

All applications for benefits filed with DSS must be disposed of, and notice of the disposition must be sent promptly to the applicant.

Applications are disposed of as follows:

1. Accepted ‑ benefits can begin because the applicant is found eligible for assistance; or

2. Withdrawn ‑ the applicant chooses to terminate the application process; or

3. Denied ‑ benefits will not begin because the applicant does not meet eligibility requirements.

Note: For cash assistance, benefits begin from the date all required verification is received. For Food Stamps, benefits begin from the application filing date, after all required verification is received.

DSS will process all filed applications for benefits and will promptly send a notice of the determination to the applicant.

1. DSS determines applications as follows: