Disability Lifeline Program (Invalid)
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Disability Lifeline Program (Invalid)


Revised May 18, 2012



(The Disability Lifeline cash program is invalid as of 10/31/2011)

 

Disability Lifeline

 

Disability Lifeline for persons18 not yet 19 GA-R

 

Program Changes

 

Sanction

 

Case Specific Situations

 

Case Maintenance

 

Disability Lifeline Program - Chart


DISABILITY LIFELINE (Invalid)

What is Disability Lifeline?

 

Who is eligible for Disability Lifeline?

 

What programs are included under Disability Lifeline?

 

How long is the Disability Lifeline certification period?

 

How do I screen Disability Lifeline assistance?

 

How do I process Disability Lifeline?

 

How do I complete processing GA benefits after an incapacity approval and all pending verifications have been received? 

 


 

What is Disability Lifeline?

 

·         The General Assistance (GA) program was re-named Disability Lifeline. The program name has changed but the program type code of GA has remained the same within the ACES system.

 

·         Disability Lifeline is a cash and medical program for adults who are unable to work for at least 90 days due to a physical and/or mental incapacity.

 

Who is eligible for Disability Lifeline?

 

·         Adults who meet the criteria in the following EAZ Manual sections may be eligible for Disability Lifeline:

 

o    Meet the requirements in EAZ Manual – WAC 388-400-0025 Who is eligible for disability lifeline benefits?  

 

o    Meet the requirements in EAZ Manual – WAC 388-408-0010 Assistance units for general assistance programs.

 

o    Meet the requirements in EAZ Manual – WAC 388-424-0015 Immigrant Eligibility restrictions for the State Family Assistance, General Assistance, and ADATSA programs.

 

o    Have a verified incapacity expected to last at least 90 days or be aged, blind or disabled. See EAZ Manual – WAC 388-448-0001 What are the incapacity requirements for general assistance?


NOTE:

If the client has dependent children living in the same household, determine eligibility for Temporary Assistance for Needy Families (TANF) before processing Disability Lifeline assistance. If an active GA client is now living with their dependent child (ren), see How do I process a change from GA-U (G01) to TANF (F01) when a dependent child moves into the home?


What programs are included under Disability Lifeline?

 

·         See the Disability Lifeline – Chart.

 

·         For additional information see EAZ Manual - Program Summary – Disability Lifeline.

 

How long is the Disability Lifeline certification period?

 

·         Disability lifeline AUs can be certified for up to 12 months. See EAZ Manual – WAC 388-416-0010 Medical certification periods for recipients of cash assistance programs.


How do I screen Disability Lifeline assistance?

 

·         To screen a Disability Lifeline AU, use the program type of GA and follow the steps in Screening – aces.online, Screening an Application.


NOTE:

If the program that the system defaults to is not the appropriate program for your client, you may need to manually select the correct program.


How do I process Disability Lifeline?

 

·         To process a pending GA AU, take the following steps:

 

1.    From the AMEN, select Option O – Interview.

 

2.    On the STAT screen, complete the Finl Resp fields as follows:

 

o    [PN] - Pending for the applicants.

 

o    [SP] – Ineligible Spouse for the non-applying spouse.

 

o    [NM] – Non Member for all other HH members. See Case Specific Situations for married couples.

 

3.    Complete the interview following the steps in the Interview chapter.

 

o    The following steps are not necessary if the client is older than 64 and 7 months as they already meet the incapacity requirements. However, they must meet all other eligibility criteria for Disability Lifeline.

 

o    If verifications are required to determine financial eligibility, do not delay sending the referral to Social Services.Send a referral to Social Services to determine incapacity.  Give the client DSHS 14-050, Statement of Education, Employment, and Health to complete and return to the Incapacity Social Worker (ISW).

 

o    The ISW will notify you if the client meets the incapacity requirements for the program.

 

o    The AU must remain pending until you receive the Incapacity Determination (14-118) from the ISW or follow the instructions established by your local office.

 

o    For instructions on changing an active GA AU from G01 to G02, such as coding the  STAT screen for married couple when both are eligible for the same GA Program Type, or when a client starts receiving SSI, s ee Case Specific Situations.

 

4.    On the DEM1 screen:

 

o    Enter the [appropriate valid value] in the Liv Arng field on the DEM1  screen. See WAC 388-513-1315 for additional information on GA clients receiving Long Term Care Services.

 

How do I complete processing GA benefits after an incapacity approval and all pending verifications have been received?

 

·         To process a GA AU after receiving an incapacity approval, take the following steps:

 

1.    From the AMEN, select Option O – Interview.  

 

2.    On the DEM2 screen:

 

o    Enter [the appropriate code] in the Dis / Incp Type field. Coding on this screen determines the Program Type and Medical Coverage Group.

 

o    Enter [the appropriate code] in the Approv Source field

 

o    Enter [the approval date] in the Approv Date field.

 

o    Enter [the established date] in the Estab Date field.

 

o    Enter [the date the incapacity approval ends] in the End Date field.

 

    The disability / incapacity end date as established by the Social Services Worker. For new applications this date must be more than 90 days from the date of application.

 

o    See the Disability Lifeline chart for additional coding information.

 

3.    On the VERF screen:

 

o    Enter the [date the client met all of the eligibility requirements] in the Elig Estab Date field.

 

4.    Call DONE  and commit the data.

 

5.    Complete processing following the steps in the Process Application Months chapter.

 

6.    Complete finalizing following the steps in the Finalize Application chapter.


NOTE:

For clients aged 64 and 7 months to 65 years old ACES does not currently support policy found in EAZ Manual – WAC 388-448-0001 What are the incapacity requirements for general assistance? It is necessary to code the Dis/Incp Type field on the DEM2 screen with [D] – Disabled.


NOTE:

ACES establishes the correct GA Program Type (Unemployed, Pending SSI, Aged, Blind or Disabled) and Medical Coverage Group based on the data entered.


DISABILITY LIFELINE FOR PERSONS 18 NOT YET 19 GA-R (Invalid)

Who is eligible to receive G01 (Categorically Needy Medical) GA-R?

 

When is a GA-R recipient not eligible to receive G01 medical?

 

How do I open G01 (Categorically Needy) medical?

 

How long is GA-R G01Certification period?

 


 

Who is eligible to receive G01 (Categorically Needy Medical) GA-R?

 

GA-R-Regular is the state funded cash program for individuals over age18 but under the age of 19 who are incapacitated and unable to work for at least 90 days. The GA-R program provides federally funded CN (Categorically Needy Medical) medical coverage for recipients of this program due to children being eligible for Federal Medicaid until they turn 19 years of age. See EAZ Manual – WAC 388-400-0025 Who is eligible for disability lifeline benefits?

 

When is a GA-R recipient not eligible to receive G01 medical?

 

·          GA-R recipients who do not cooperate with the Third Party Liability (TPL) process are not eligible to receive any medical assistance, but may still receive a GA cash benefit.  These clients have a Finl Resp code of [RC]-Recipient Cash Only.

 

·         For more information on TPL cooperation requirements and sanction penalties for failing to cooperate, see Disqualified/Sanctioned Assistance Unit/Individual, Non-Cooperation, Third Party Liability and EAZ Manual – Third Party Liability - WAC 388-505-0540 (4).

 

How do I open G01 (Categorically Needy) GA-R medical?

 

·         Eligible clients automatically receive G01 CN medical when they are opened on a GA-R AU.

 

·         See How do I screen Disability Lifeline? for instructions on opening a GA-R case. After case is processed and finalized the type code will change to R.

 

How long is GA-R G01 Certification period?

 

·         G01 Medical certification coincides with eligibility for G01 cash assistance.  See EAZ Manual – WAC 388-416-0010 Medical certification periods for recipients of cash assistance programs. 

 


PROGRAM CHANGES (Invalid)

How do I process a change from GA-U (G01) to GA-X (G02)?

 

How do I process a change from GA program to SSI Related Medical (S02)?

 

How do I process a change from GA when a client begins receiving SSI (S01)?

 

How do I process a change from GA-U (G01) to TANF (F01) when a dependent child move’s into the home?

 


 

How do I process a change from GA-U (G01) to GA-X (G02)?

 

·         To process a change from G01 to G02 when a client’s status changes from incapacity to disabled, take the following steps:

 

1.    From the AMEN screen, select Option R – Interim Historical Change.

 

2.    Enter the [month that eligibility for GA-X began] in the Benefit Month (MM YY) field.

 

o    Clients eligible for the GA-X program have the same medical coverage as SSI – related clients while their determination for SSI eligibility is pending with the Social Security Administration (SSA). For additional information see EAZ Manual – SSI Related Medical.


NOTE:

A client must be a recipient of GA-X in order to receive CN medical while their SSI application is pending with SSA. Retro CN medical can be opened based on the GAX disability approval date when there is a need for retro medical and all other eligibility factors are met for the retro time period. A S02 AU must be screened using the disability approval date as the date of application.


 

3.    On the DEM2 screen:

 

o    Enter [the appropriate code] in the Dis / Incp Type field.

 

o    Enter [the appropriate code] in the Approv Source field.

 

o    Enter [the approval date] in the Approv Date field.

 

o    Enter [the established date] in the Estab Date field.

 

o    Enter [the date the incapacity approval ends] in the End Date field.

 

4.    Call DONE and commit the data.

 

o    The program type changes to GA-X and medical coverage group changes to G02.

 

o    Repeat steps 1 through 4 for each month the GA-X was approved.

 

How do I process a change from GA program to SSI – Related Medical (S02)?

 

·         When a GA client has been found eligible for SSI – related medical, take the following steps:

 

1.    Screen an S02 AU using the CN medical approval date as the application date, following the instructions in the Screening – aces.online chapter.

 

o    If the client is eligible for Medicare coverage, screen a S03 AU as well.

 

2.    Complete interview following the steps in the Interview chapter.

 

3.    Process all pending months following the instructions in the Process Application Month chapter.

 

o    If the GA AU is not already closed, enter a [500-level reason code] in the AU Status Reason field to deny all months that overlap the active GA AU, except for the GA opening month.

 

o    Ignore the system-generated overpayment and document.

 

How do I process a change from GA when a client begins receiving SSI (S01)?

 

·         In most situations, information received from the Social Security Administration on the SDX interface will result in the automatic closure of the GA AU and opening of the S01 AU.

 

·         To manually close the GA AU and open S01 when the client is approved for SSI, take the following steps:

 

1.    Screen an S01 AU following the instructions in the Screening chapter.  Enter the [SSI opening date] as the Application Date.

 

2.    Follow the steps in the Interview, Process Application Month, and Finalize Application chapters to open the S01 AU.

 

o    If the person has Medicare coverage, see the Medicare Savings Program chapter.

 

o    The GA AU will close during Interview and Processing when the SI income is entered on the UNER screen.

 

o    The GA AU will close for client- level reason code 203- Receiving SSI and AU-level Reason Code 245 – No Eligible Household Members in the ongoing month.

 

o    Update the Concurrent Receipt field on the DEM1 screen for any overlapping months client was active on GA with [O – Previous Benefit was Overpayment].

 

o    Update the [Dis/Incp Type], [Approval Source], [Approv Date] and [Estab Date] field on the DEM2 screen for each month the client was determined SSI eligible.

 

o    When the GA AU is closed ACES calculates an overpayment for the overlapping months. Office of Financial Recovery (OFR) establishes and collects this overpayment so enter [IG] – Ignore in the OP Reason Code field on the CAFI screen.

 

How do I process a change from GA-U (G01) to TANF (F01) when a dependent child move’s into the home?

 

·         When a person on GA has an eligible child move into the home, take the following steps:

 

1.    Follow the instructions in the Add a Program chapter in aces.online.

 

2.    Follow the steps in the Interview, Process Application Month, and Finalize Application chapters to open the F01 AU.

 

·         Enter the [appropriate valid value] in the Concurrent Receipt field on the DEM1 for any month in which the AF AU will be open and the GA-U was already open.

 

·         Enter [Reason Code 587 – Already Eligible for Program in a Different AU] in the AU Status Reasons field to close the GA AU.


SANCTION (Invalid)

 

·         See the Disability Lifeline Treatment/Referral section.   


CASE SPECIFIC SITUATIONS (Invalid)

How do I code a married couple when both are applying for the same GA program?

 

How do I process a married couple when each is eligible for different GA programs?

 

How do I process a married couple when the wife is pregnant and the husband is incapacitated?

 

When can I process a GA when there are children in the home?

 

How do I change an active G01 AU when the client is determined to be eligible for G02?

 

How do I process G02 AU when CN medical has been approved for a period prior to G01 approval?

 

Why is GA-U being denied for Reason Code 222?

 

How do I process G01 or G02 when incapacity review is complete?

 


 

How do I code a married couple when both are applying for the same GA program?

 

·         Include married couples on the same AU unless eligible for different Disability Lifeline GA Programs. See EAZ Manual – WAC 388-408-0010 Assistance units for general assistance programs.

 

1.    On the STAT screen, enter [PN] in the Finl Respfield for both.

 

2.    To complete the application follow the steps in How do I process Disability Lifeline?

 

How do I process a married couple when each is eligible for different GA programs?

 

·         When  each person in a married couple household is eligible for a different GA program, take the following steps:

 

1.    Screen a GA  AU with spouse 1 as head of household with financial responsibility code of [PN] - Applicant and spouse 2 as [NM] – Non Member.

 

2.    Screen a separate GA AU with spouse 2 as HOH and spouse 1 as [NM] – Non Member.

 

3.    On the AMEN screen, select Option O – Interview.

 

4.    On the STAT screen, complete the Finl Resp field as follows:

 

o    [PN] – Application for the HOH

 

o    [NM] Not Related and Not Financially Responsible to the Applicant in the Finl Resp field for the spouse on each AU.

 

5.    On the DEM1 screen:

 

o    Enter the [appropriate valid value based on the client’s situation] in the Living Arrangement field.

 

o    Enter the [appropriate valid value] in the Marital Status field.

 

6.    On the DEM2 screen for each client:

 

o    Enter the [Disability / Incapacity Type] in the Dis/Incp Type field.

 

o    Enter the [approval source] in the Approv Source field.

 

o    Enter the [approval date] in the Approv Date field.

 

o    Enter the [establish date] in the Estab Date field.

 

o    Enter the [incapacity end date] in the End Date field.

 

7.    On the UNER screen for each client:

 

o    Enter income code [OA] in the Srce field.

 

o    Enter [AM] in the Inc Mthd field.

 

o    Enter [$73.00] in the Amt 1 field if the household has shelter expenses resides in an Adult Family Home. If the household has NO shelter costs, use [$44.00] as the [OA] on the UNER screen.

 

o    Enter [OT] in the V field.


NOTE:

For benefit months prior to 4/1/11, enter [$98.00] for households with shelter expenses and [$59.00] for those without.

These steps result in each AU being issued a grant based on one-half of the two-person GA payment standard. See EAZ Manual – WAC 388-478-0030 Payment standards for GA-U and ADATSA.


8.    On the SHEL screen for each client, enter a portion of the shelter costs.

 

9.    On the VERF screen for each client:

 

o    Enter the [approval date] in the Elig Est Date field.

 

10.   Complete the cases following the steps in Processing Application Months and Finalize Application.

 

How do I process a married couple when the wife is pregnant and the husband is incapacitated?

 

·         A pregnant woman eligible for TANF, living with her incapacitated husband, and both are applying for cash.

 

1.    Screen a TANFAU with the pregnant wife as Head of Household (HOH) and the husband as spouse.

 

2.    Screen a GAAU with the incapacitated husband as HOH and the wife as spouse.

 

3.    On the AMEN screen, select Option O – Interview.

 

4.    On the STAT screen, complete the Finl Resp field as follows:

 

o    [PN] – Application for the HOH

 

o    [SP] Ineligible Spouse for the spouse on each AU.

 

5.    On the DEM1 screen for the wife:

 

o    Enter the [appropriate valid value based on the client’s situation] in the Living Arrangement field.

 

o    Enter the [appropriate valid value] in the Marital Status field.

 

o    Enter the [pregnancy due date] in the Due Date field.

 

o    Enter the [appropriate verification valid value] in the Verification field.

 

o    Enter the [appropriate number] in the Num Expected field. 

 

6.    On the DEM2 screen for the husband:

 

o    Enter the [Disability / Incapacity Type], in the Dis/Incp Type field.

 

o    Enter the [approval source], in the Approv Source field.

 

o    Enter the [approval date], in the Approv Date field.

 

o    Enter the [establish date], in the Estab Date field.

 

o    Enter the [incapacity end date], in the End Date field.

 

7.    On the UNER screen for the husband:

 

o    Enter [OA] – Other Countable CA/MA Only, in the Srce field.

 

o    Enter [AM] – Anticipated Monthly, in the Inc Mthd field.

 

o    Enter [MO] – Monthly, in the Amt field.

 

o    Enter [the amount of the wife’s TANF grant], in the Amt field.

 

    Coding this income on the husband’s UNER screen will issue the correct amount of benefits based on WAC 388-450-0135 Allocating income of an ineligible spouse to a GA-U client.


NOTE:

If  the TANF grant amount changes prior to the birth of the baby, the husbands UNER amount should be updated with the TANF amount to issue the correct GA cash benefits.


8.    Complete the interview following the steps in the Interview chapter.

 

9.    On the VERF screen for each client:

 

o    Enter the [approval date] in the Elig Est Date field.

 

10.    Complete the cases following the steps in Process Application Months and Finalize Application.


NOTE:

These steps result in each AU being issued a one-person grant based on each separate cash assistance AU. See WAC 388-412-0005 General information about your cash benefits for additional information.


When can I process a GA when there are children in the home?

 

·         When one of the unmarried parents is eligible for GA and the other parent is ineligible for TANF due to the other parent’s earnings and they have a child in common.

 

·         To process this case take the following steps:

 

1.    Screen in a GA AU with the incapacitated parent as the HOH.

 

2.    From the AMEN, select Option O – Interview.  

 

3.    On the STAT screen, complete the Finl Resp field as follows:

 

o    [PN] – Application for the HOH

 

o    [NM] - Not Related and Not Financially Responsible to the Applicant in the Finl Resp field for the other parent.                             

 

4.    On the DEM2 screen:

 

o    Enter [the appropriate code] in the Dis / Incp Type field. Coding on this screen determines the Program Type and Medical Coverage Group.

 

o    Enter [the appropriate code] in the Approv Source field

 

o    Enter [the approval date] in the Approv Date field.

 

o    Enter [the established date] in the Estab Date field.

 

o    Enter [the date the incapacity approval ends] in the End Date field.

 

    The disability / incapacity end date as established by the Social Services Worker. For new applications this date must be more than 90 days from the date of application.

 

o    See the Disability Lifeline chart for additional coding information.

 

5.    On the VERF screen:

 

o    Enter the [date the client met all of the eligibility requirements] in the Elig Estab Date field.

 

6.    Call DONE  and commit the data.

 

7.    Complete processing following the steps in the Process Application Months chapter.

 

8.    Complete finalizing following the steps in the Finalize Application chapter. 


EXAMPLE

An incapacitated client applies for TANF for herself and her daughter. The daughter gets a monthly SSA death benefit of $475. This income makes the AU ineligible for TANF. Since the client is incapacitated and ineligible for TANF, workers can look at Disability Lifeline eligibility. The daughter is not in the AU and the death benefit is not allocated to the AU.


·         See EAZ Manual – WAC 388-408-0010 Assistance units for general assistance programs for additional information.

 

How do I change an active G01 AU when the client is determined to be eligible for G02?

 

·         When a G01 client is determined to be eligible for G02, take the following steps:

 

1.  From the AMEN, select Option R – Interim/Hist Change

 

2.    On the DEM2 screen:  

 

o    Enter the [disability type] in the Dis/Incp Type field.

 

o    Enter the [approval source] in the Approv Source field.

 

o    Enter the [approval date] in the Approv Date field.

 

o    Enter the [establish date] in the Estab Date field.

 

o    Enter the [incapacity end date] in the End Date field.

 

3.    Call DONE and commit the data.

 

o    Repeat steps 1 and 2 in historic months by entering the Benefit Month to be processed on AMEN in the Benefit Month (MM YY) field.


NOTE:

A client must be a recipient of GA-X in order to receive CN medical while their SSI application is pending with SSA. Retro CN medical can be opened based on the disability approval date. A S02 AU must be screened using the disability approval date as the date of application.


How do I process G02 when CN medical has been approved for a period prior to G01 approval?

 

·         When a G01 client who is now eligible for G02 has been determined to be eligible for CN medical prior to the date of G01 approval take the following steps:

 

1.    Screen an S02 AU using the effective date of CN medical approval as the application date. See ACES User Manual Categorically Needy SSI Related Medical (S02)

 

2.    Complete the interview following the steps in the Interview Chapter

 

3.    Process all months following the steps in the Process Application Months Chapter.

 

o    Deny all months that overlap the active GA with a 500 level reason code EXCEPT the GA opening month.

 

o    Close the G01 opening month with a 500 level reason code. Ignore the overpayment and document.

 

Why is GA being denied for Reason Code 222?

 

·         This happens when the incapacity end date is less than 90 days out. Check the DEM2 to ensure that the end date is correct.

 

·         For incapacity lasting less than 90 days, the tracking must be done manually and a date greater than 90 days entered.

 

How do I process G01 or G02 when incapacity review is complete?

 

·         When the Progressive Evaluation Process (PEP) review is approved, take the following steps:

 

1.    From the AMEN screen, select Option R – Interim/Hist Change

 

2.    On the DEM2 screen:

 

o    Enter the new [incapacity or disability review end date] in the End Date field.

 

3.    Call DONE and commit the data.


CASE MAINTENANCE (Invalid)

What do I do when the incapacity review is due?

 

What happens when the incapacity approval expires?

 

How do I deny a GA applicant/recipient who does not meet incapacity criteria?

 


 

What do I do when the incapacity review is due?

 

·         ACES AUTO closes the AU if the end date is not updated.

 

·         When an incapacity review has been completed and the case approved, update the incapacity end date on the DEM2 with the new end date.

 

·         The incapacity end date must be more than 30 days in the future or the case will not close down correctly and the client will continue receiving assistance for which they are not eligible.

 

What happens when the incapacity approval expires?

 

·         Per policy, Disability Lifeline clients remain eligible for assistance through the end of the month in which their incapacity approval ends.

 

·         When the incapacity end date on DEM2 expires the AU should be terminated with Reason Code 517-Termination-No Current Medical and generate a GA Termination for No Medical Information letter 006-05.

 

How do I deny a GA applicant/recipient who does not meet incapacity criteria?

 

·         When a GA applicant or recipient does not meet incapacity criteria for the Disability Lifeline program the system denies or closes the client using Reason Code 221 - Fails to Meet GA Requirements, but sets the Financial Responsibility Code field on the STAT and ELIG to [DI] - Disqualified Individual.


DISABILITY LIFELINE – CHART (Invalid)

Disability Lifeline - Chart

Program Type

Approv Source

Citizenship

State/Fed Funding

Med Cvrg Grp

GA-A Aged

Not Required

Non-Federally Qualified and Non-Qualified Aliens

State

G01

GA-A Aged

Not Required (See below note)

Citizen

Federal

G02

GA-B Blind

 

[PB]

Non-Federally Qualified and Non-Qualified Aliens

State

G01

GA-B Blind

[PB]

 

Citizen

Federal

G02

GA-D Disabled

[DD], [OD], [OP] or [SA]

Non-Federally Qualified and Non-Qualified Aliens.

State

G01

GA-D Disabled

[DD], [OD],  [OP] or [SA]

Citizen

Federal

G02

GA-R Regular Categorically Needy Medical for a person over 18 but not yet 19 years of age.

Varies based on client’s situation.

Citizen or Federally Qualified, Non-Federally Qualified or Non-Qualified.

State

G01

GA-U Disability Lifeline Unemployable

[PP],  [PS] or [AS]

 

State

G01

GA-X Pending SSI

[PX]

Citizen or Federally Qualified Alien

Federal

G02

 

Modification Date: May 18, 2012