340:65-3-5. Application process
The worker certifies or denies applications received online or in county offices within time limits specified in (1) of this Section.
(1) Application processing time limits. Applications must be processed within program specific time limits. Refer to Oklahoma Administrative Code (OAC) 340:65-3-2.1, when the time limit's last day occurs on a day Oklahoma Human Services (OKDHS) is not open for business. The time limits are:
(A) Temporary Assistance for Needy Families (TANF) – 30-calendar days;
(B) Title IV-E Foster Care – 30-calendar days;
(C) Supplemental Nutrition Assistance Program (SNAP) - 30-calendar days unless the household is eligible for expedited service. When the household is eligible for expedited service, the application must be completed within seven-calendar days, per OAC 340:50-11-1;
(D) State Supplemental Payment (SSP) for persons:
(i) categorically related to Aid to the Aged - 30-calendar days; and
(ii) categorically related to Aid to the Blind or Disabled - 60-calendar days;
(E) SoonerCare (Medicaid) benefits for:
(i) persons categorically related to Aid to the Aged - 30-calendar days;
(ii) persons categorically related to Aid to the Blind or Disabled - 60-calendar days;
(iii) Optional Tuberculosis (TB) Coverage group - 45-calendar days; and
(iv) persons requesting long-term care services - 45-calendar days;
(F) TANF Emergency Assistance - five working days;
(G) Low Income Home Energy Assistance Program (LIHEAP), per OAC 340:20-1-14:
(i) 60-calendar days of the application date for winter heating and summer cooling; or
(ii) no later than 18 hours of the application date for an Energy Crisis Assistance Program (ECAP) application involving a life-threatening medical situation or 48 hours for all other ECAP applications;
(H) Refugee Medical Assistance - 30-calendar days;
(I) Child Care subsidy benefits – two-business days from the date the interview is completed and required proof is provided or, when not provided, within 30-calendar days:
(J) Diversion Assistance – seven working days; and
(K) Family Violence Emergency Assistance – 30-calendar days.
(2) Delayed applications. When it is not possible to process the application timely, the worker sends the applicant Form 08MP038E, Client Notice of Action Taken, to inform the applicant of the reason for the delay and the applicant's hearing rights. An application is not denied when it cannot be processed timely due to: • 1
(A) the applicant's failure or delay in providing needed information because of circumstances beyond the applicant's control;
(B) an examining physician's failure or delay in supplying needed information;
(C) the Social Security Administration's failure or delay in making a disability decision; or
(D) the worker's failure to take timely action.
(3) Certification for cash assistance. When TANF eligibility is established for the application month, certification is effective from the application date and benefits are prorated per (5) of this Section. • 2 When SSP eligibility is established for the application month, certification is effective from the first day of the month and the SSP is not prorated.
(A) When a TANF applicant requests benefits for an additional person after the application date, but before certification, the worker approves benefits for the additional person effective on the same date as the rest of the assistance unit. • 3
(B) When a TANF recipient requests benefits for an additional person after certification, the recipient must complete a new application before the additional person is added to the TANF benefit. When eligible, the worker prorates benefits for the additional person from the application date per (5) of this Section. • 4
(C) A retroactive payment may be authorized for any month the worker establishes eligibility prior to the current month. An application denied in error must have payment authorized for the period eligibility is established. • 5
(D) A certification is valid even when a month of ineligibility is determined between application and the date the certification action is taken. An applicant who is ineligible for the month of application and eligible for a subsequent month, is certified effective the first day of the subsequent month. • 6
(4) Notice of ineligibility. When an applicant is ineligible, a computer-generated denial notice is sent to the applicant explaining the reason. The applicant may request a fair hearing within the time period specified in the notice. • 7
(5) Proration of TANF benefits. When eligible, the worker certifies a TANF application from the application date and prorates the initial month's benefit, unless the applicant applied on the first day of the month or received a TANF benefit for the previous month and is eligible to be reopened, per OAC 340:65-5-6. • 8 Proration also applies for the first month the worker adds an additional person to an open TANF cash assistance benefit. • 4 The family is eligible for the full TANF benefit effective the following month, when applicable.
(A) The worker refers to OKDHS Appendix C-1, Maximum Income, Resource, and Payment Standards, Schedule IX to determine the full monthly TANF benefit before computing the prorated benefit.
(B) The worker uses Appendix B, Prorated TANF and Food Benefit Payment, to compute the prorated benefit amount or the formula: 31 - application date x full monthly TANF benefit ¸ 30 = the prorated payment. The prorated payment is rounded down to the lower dollar amount.
(i) When the prorated benefit is less than $10, the family is not eligible for a money payment, but is eligible for SoonerCare (Medicaid) benefits for the entire month.
(ii) When the worker certifies food benefits in the TANF case at the same time or after the TANF certification for the month the TANF payment is prorated, the food benefit unearned income shows the TANF benefit before proration.
(iii) The computer-generated client notice shows the benefit amount for the initial month and following month.
INSTRUCTIONS TO STAFF 340:65-3-5
1. The worker must clearly document what circumstances caused the delay in Family Assistance/Client Services (FACS) case notes. Temporary Assistance for Needy Families (TANF) and State Supplemental Payment (SSP) delayed application rules are located in this Chapter. For other program specific procedures, refer to:
(1) Oklahoma Administrative Code (OAC) 340:50-9-4 for Supplemental Nutrition Assistance Program (SNAP); and
(2) OAC 340:40-3-1(a)(8) for Child Care Subsidy.ecific procedures, refer to:
2. Refer to OAC 340:65-3-5(5) for benefit proration.
3. When the applicant requests TANF benefits for an additional person prior to certification, the applicant is not required to complete a new application. The worker approves benefits for the person as if he or she was included when the application was filed. For example, the applicant applies for TANF on June 2, 2020, and requests benefits for an additional child on June 10, 2020. Since the application is pending on June 10, 2020, the worker adds the child to the TANF benefit effective the certification date.
4. (a) Refer to OAC 340:65-5-1(a)(3) and Instructions to Staff # 4 regarding household composition changes after certification.
(b) To approve benefits for the additional person, the worker:
(1) enters a change action in the FACS Eligibility Notebook Financial Eligibility tab for the next effective date;
(2) adds the person to the FACS Interview Notebook Household tab;
(3) adds countable income to the FACS Eligibility Notebook Income tab; and
(4) issues a supplement for the application month and, when necessary, the next month using the F17C transaction.
5. (a) The worker uses the F17C transaction to issue a TANF benefit for a prior month when food benefits are open and countable income is different for the prior month than for the current month. The F17C transaction is also used to issue TANF benefits for any months prior to the immediate prior month when food benefits are open and the unfinished issuance process cannot be used.
(b) When the F17C transaction is used, the worker sends Form 08MP038E, Client Notice of Action Taken, to notify the applicant of the TANF approval month(s) not listed on the certification notice as the F17C transaction does not issue a notice.
6. When a month of ineligibility occurs between application and the date the certification action is taken, the worker:
(1) uses the F17C transaction to issue any prior month benefits;
(2) sends Form 08MP038E to deny the ineligible month and inform the applicant of the retroactive certification; and
(3) certifies the TANF benefit in the FACS Financial Eligibility tab for the next effective month.
7. Refer to OAC 340:2-5 for fair hearing procedures.
8. Refer to OAC 340:10-2-2 when reopening the TANF benefit after a sanction.