Refugee Categorically Needy (R03)

Created on: 
Nov 07 2016

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.

Who is eligible to receive Refugee Categorically Needy (R03) medical?

A person who meets the following eligibility criteria is eligible for R03 medical:

How long is the certification period for Refugee Categorically Needy (R03) medial?

Refugee medical is certified for up to eight months following the refugee’s entry into the United States. For more information, see:

Online Processing

How do I screen Refugee Categorically Needy (R03) medical?

To screen R03 medical, take the following steps:

  1. Follow the instructions in the Screening an Application chapter.
  2. On the Programs page, complete the following fields:
  • In the Program sections, click the checkbox next to Medical.
  • In the Program Determination Criteria section, click the checkbox next to Refugee.

How do I process a pending Refugee Categorically Needy (R03) medical Assistance Unit (AU)?

To process a pending R03 AU, take the following steps:

  1. On the AU Details page, complete the Financial Responsibility fields as follows:
  • Applicant (PN) for all applicants.
  • Non-Member (NM) for all other persons in household.
  1. On the Client Details page, complete the following fields in the Alien section for each applicant:
  • INS Status field - Select Refugee (RF) from the drop down menu.
  • Date INS Stat Granted field - Enter the [date].
  • Sponsored Alien field - Select Yes (Y) or No (N) from the drop down menu.
  • Country of Origin field - Select the client's country of origin from the drop down menu.
  • US Entry Date field - Enter the [client's date of entry].
  • Initial INS Status field - Select Refugee (RF).
  • Initial INS Date field - Enter the [date].
  • Refugee Resettlement Agency field - Enter the [resettlement agency] if applicable.
  1. After committing the interview data, follow the instructions in the Process Application Months and Finalize Application chapters.

How do I add a new household member to Refugee Categorically Needy (R03) medical when the household has already received Temporary Assistance for Needy Families (TANF) or Refugee Assistance?

There are situations where a refugee household received TANF or Refugee Assistance but is no longer eligible due to income. When a new family member joins the household, the new member is eligible to receive R03 medical.

So that the R03 AU isn't denied for being over income, take the following steps:

  1. Screen in an R03 AU as described in How do I screen Refugee Categorically Needy (R03) medical? with the new person as the Head of Household.
  2. From the Case Actions page, select Start Interview.
  3. On the AU Details page, complete the Financial Responsibility fields as follows:
  • Applicant (PN) for the applicant only.
  • Non-Member (NM) for the spouse who has received TANF or Refugee Assistance.
  • Child - SSI/Of SSI-related Parent/Used for HH Size (SC) for all children in the household to determine the household size.
  1. Complete the application interview. After committing the interview data, follow the instructions in the Process Application Months chapter for all pending months.
  2. After all pending months have been processed, follow the instructions in the Finalize Application chapter to complete the R03 eligibility determination.

Mainframe Processing

How do I process a pending Refugee Categorically Needy (R03) medical Assistance Unit (AU)?

To process a pending R03 AU, take the following steps:

  1. From the AMEN screen, select Option [O] - Interview.
  2. On the STAT screen, complete the Finl Resp fields as follows:
  • [PN] - Applicant for all applicants.
  • [NM] - Non-Member for all other persons in household.
  1. On the ALAS screen, complete the following fields for each applicant:
  • INS Stat field - Enter [RF] - Refugee.
  • Date INS Stat Granted field - Enter the [date].
  • Spons Alien field - Enter [Y] - Yes or [N] - No.
  • Country of Origin field - Enter the [client's country of origin].
  • Entry Date (MM DD YY) field - Enter the [date of entry].
  • Initial INS Stat field - Enter [RF] - Refugee.
  • Initial INS Stat Dt field - Enter the [date].
  • Refugee Resettlement Agency field - Enter the [resettlement agency] if applicable.
  1. After committing the interview data, follow the instructions in the Process Application Months and Finalize Application chapters.

How do I add a new household member to Refugee Categorically Needy (R03) medical when the household has already received Temporary Assistance for Needy Families (TANF) or Refugee Assistance?

There are situations where a refugee household received TANF or Refugee Assistance but is no longer eligible due to income. When a new family member joins the household, the new member is eligible to receive R03 medical.

So that the R03 AU isn't denied for being over income, take the following steps:

  1. Screen in an R03 AU as described in How do I screen Refugee Categorically Needy (R03) medical? with the new person as the Head of Household.
  2. From the AMEN screen, select Option [O] - Interview.
  3. On the STAT screen, complete the Finl Resp fields as follows:
  • [PN] - Applicant for the applicant only.
  • [NM] - Not Related and Not Financially Responsible to the Applicant for the spouse who has received TANF or Refugee Assistance.
  • [SC] - SSI Child/Child of SSI Related Parents/Child Used to determine Family Size for all children in the household to determine the household size.
  1. Complete the application interview. After committing the interview data, follow the instructions in the Process Application Months chapter for all pending months.
  2. After all pending months have been processed, follow the instructions in the Finalize Application chapter to complete the R03 eligibility determination.

 

See ACES Screens and Online Pages for an example of pages or screens used in this chapter.