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Financial Responsibility Codes

Revised October 28, 2007

Purpose:

Key Points of Financial Responsibility Codes Case Specific Examples Only Eligible Child Receives SSI SSI Recipient Categories of Financial Responsibility Codes Deemor / Allocator Codes Non-Member Codes Recipient Codes Financially Responsible Person Not Included in AU Because of Alien Status New Application Medical Application Multiple Sanctions / Ineligible Reasons Sponsored Alien Temporary Assistance for Needy Families (TANF)

Key Points of Financial Responsibility Codes Financial responsibility codes tell ACES which members of the assistance unit are financially responsible for other members.  ACES determines eligibility for assistance based on this information. ACES determines eligibility for assistance based on the program type, and medical coverage group established when the case is screened, and client data entered during the interview process. Some cases in ACES must include specific information so the system determines eligibility correctly.  The following includes program specific information you need to know when processing cases in ACES. ACES will not allow a financial responsibility code of RE - Recipient In Active Status - in two separate assistance units of the same type. Certain financial responsibility codes are set by the system and cannot be entered by the user. ACES displays an error message if the user tries to enter one of the following codes: DI = CA / MA Sanctioned RE = Recipient ID = Disqualified due to IPV RC = Recipient of Cash only ND = Non- IPV Disqualified RM = CA Ineligible Person Receiving MA Only FD = FS E & T Disqualified RN = CA Sanctioned Receiving MA Only / FAP OS = Active in another AU Certain assistance unit types can only have one member with the financial responsibility code of RE per assistance unit.  Two examples of this are MA S01 and MA P02. In each of these situations the head of household must be the individual that is categorically eligible, RE, for that assistance type. For eligibility to be determined correctly in each of the above situations the head of household for the assistance unit must be the person that is receiving SSI for the MA S01, and the pregnant woman in the MA P02.

Case Specific Examples ACES looks at eligibility for people in an AU based on the relationship and financial responsibility codes entered on the (STAT). Only Eligible Child Receives SSI When the only eligible child in an AF AU is receiving SSI code the child as an applicant, then enter the disability on the (DEM2) and SSI income on (UNER), and the system will change the child's FINL RESP code to SC and approve the adult. If the child is originally coded as [SC], ACES will deny the adult, as the system does not recognize that the AU includes a child. SSI Recipient When a case includes a SSI recipient, and an applicant or recipient of TANF it is important that the financial responsibility coding be accurate so that ACES determines eligibility for all programs correctly. On a new application, code the TANF applicant AND the SSI recipient as PN. When the SSI recipient is coded correctly, ACES will deny the SSI recipient using Reason Code 225 - Receiving SSI - and change the FINL RESP code to SI if the SSI recipient is an adult, or SC if the SSI recipient is a child. When the financial responsibility code is anything other than NM, ACES will correctly compute the amount of the TANF grant without the need for additional (SHEL) screens.

Categories of Financial Responsibility Codes Financial responsibility codes for ACES are divided into 3 categories: Deemor / Allocator Codes: Deemor / Allocator Codes tell the system to count the income of that individual according to the program logic formula established for that type of deemor / allocator. Deeming is performed by the system after total income and resources are entered for the deemor / allocator. Non-Member Codes: Non-Member Codes identify individuals who reside with an AU and are not financially responsible for anyone in the AU, therefore are not a part of the AU. An individual may be a non-member in a one AU but a deemor / allocator, or recipient in a related AU Recipient Codes: Recipient Codes tell the system that a client is applying for benefits in that AU. The income, resources, and needs of clients with recipient codes listed are counted by the system when determining eligibility.

Financially Responsible Person Not Included in AU Because of Alien Status The income and resources of persons not included in an assistance unit because of alien status may be available to the eligible household members. ACES supports this policy on income allocation as long as the case is coded correctly. For a new application, code the ineligible household member as an applicant and ensure that all citizenship information on the (DEM2) and (ALAS) is entered correctly. When the case is finalized, the FINL RESP code for the ineligible members will be changed by the system to UA for adult members and UC for children. Do not enter anything on the (DEEM)  for this type of case. See Income Eligibility and Budgeting.

New Application Enter a financial responsibility code of [PN] for all members listed on the (STAT) who are applying for assistance.  This includes a person receiving SSI when others in the AU are applying for TANF. Code all persons as PN. When all client demographic information has been entered ACES will approve the eligible members, deny the ineligible members, and determine the correct financial responsibility code for each. Enter [the appropriate financial responsibility code], based on household situation for any member listed on (STAT), living in the home but not applying for assistance. This includes any person living in the home or outside the home whose income and / or resources must be used to determine eligibility for the person applying for assistance. If there are persons living in the home who are not required to be included in the AU and who are not applying for assistance, do not enter them in ACES during screening.  These individuals are generally referred to as Non-Members. Document information about Non-Members and their situation / relationship to the applying AU members in the case narrative and (REMARKS) screen. ACES determines who to include in the AU and eligibility for those persons based on the relationship code and financial responsibility of each member to the head of household. The key point to the system determining correct eligibility and AU composition is financial responsibility coding on the (STAT).

Medical Application The financial responsibility coding of medical AUs with children is particularly important as it determines if the child will be included or excluded from the assistance unit, and how the child's or the parent's income and resources (if any) are counted in the benefit calculation. In an assistance unit with all adults, or adults and children all applying for medical benefits as part of the same assistance unit, use financial responsibility code PN. Based on the case circumstances the system may deny some of the members and trickle to a different medical coverage group than the one that was originally screened.  See Trickle and Sprout. Entering the financial responsibility code PN in the initial application ensures the system correctly sets the financial responsibility codes for both eligible and ineligible household members ensuring the correct eligibility calculation is done. This includes setting the deemor allocator codes.

Multiple Sanctions / Ineligible Reasons The chart below indicates the correct FINL RESP (financial responsibility) code to use when a client has two reasons to be sanctioned / ineligible. To use this chart: Find the financial responsibility code in the top row for one of the sanction reasons.  See Financial Responsibility Code Chart for the appropriate codes. Find the financial responsibility code for the other reason in the left-hand column. The correct financial responsibility code is listed where the column and row meet.   RC DI IP RN RM RE UA UC RC RC DI IP DI IP RC UA UC DI DI DI DI DI DI DI UA UC IP IP DI IP DI IP IP UA UC RN DI DI DI RN RN RN UA UC RM IP DI IP RN RM RM UA UC RE RC DI IP RN RM RE UA UC UA UA UA UA UA UA UA N/A N/A UC UA UC UC UC UC UC N/A N/A If the client has three or more ineligible / sanctioned reasons, you must determine which two financial responsibility codes have the highest priority.  The priority order when using the above chart is: 1st UA / UC 5th IP 2nd RC 6th RM 3rd DI 7th RE 4th RN

EXAMPLE Client is in non-cooperation with DCS - RC, is a fleeing felon - RM, and sanctioned because of non-cooperation with JOBS - RN. Of the three financial responsibility codes, RC and RN have the highest priority. Using the above chart, the client's new FINL RESP code will be DI.

Sponsored Alien When a sponsored alien is included in a household, the alien's sponsor must be included on the (STAT) with financial responsibility code AL - Alien Sponsor.  See Aliens. The alien's income and resources must be entered in ACES. ACES computes the sponsored alien's eligibility for assistance based on eligibility requirements of the program for which the alien is applying. See EA-Z Manual - Income - D. - Allocation and Deeming for WAC 388-450-0155 and  WAC 388-470-0060.

Temporary Assistance for Needy Families (TANF) For clients that are ineligible or meet one of the sanction reasons listed below, use this chart to determine their financial responsibility code. Financial Responsibility Codes Chart     Eligible for: Budgeting Method: Reason for Sanction Fin Resp Code Cash MAID Neither $90 from EI $90 from EI & Pay Stnd Ded Same as Finl Resp Code RE 50% from EI &Grant Stnd Diff Deduc Failed to Provide proof of Citizenship/Identity RC 120 RC X X Adult Parent of Minor Child's Child, Invalid Living Arrangement RC 264 RM   X     X     Child's Temp. Absence Exceeds 90 Days RC 259 RN   X   X       DCS Non-Cooperation RC 228 RC X         X   Drug-Related Felony RC 257 RM   X     X     Fleeing Felon RC 256 RM   X     X     Ineligible Spouse of AF-P Client RC 214 IP     X   X     Minor Invalid Living Arrangement RC 264 RN   X   X       Minor Not In School RC 265 RN   X   X       State Hopping RC 262 RN   X   X       TPL Non-Cooperation RC 266 RC X         X   Undocumented Alien Adult RC 202 UA     X       X Non-Citizen Adult, Lawfully Admitted Alien - Not Eligible Because of Program Restrictions RC 202 UA     X       X Undocumented Alien Child RC 202 UC     X       X Non-Citizen Child, Lawfully Admitted Alien - Not Eligible Because of Program Restrictions RC 202 UC     X       X Unlawful Practices RC 263 RN   X   X       Various Multiple Reasons misc. DI     X X       WorkFirst Sanctions RC 267 RC 268 RE X X       X

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Modification Date: October 28, 2007

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