Release 87: Effective October 1, 2017

State Family Pre-SSI Program -
F.   Participation, Cooperation and Re-Engagement


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Program participants, including both parents in a two-parent household, are required to participate in activities deemed necessary by the department. These may include family stability activities, medical-related activities, employment-related activities and activities related to the SSI process.

SFPSS program participants have access to the entire range of activities offered to TANF participants, and may in fact benefit from work-related activities.

The worker and disability analyst will develop an individualized case plan in partnership with the SFPSS participant.

In the event a participant is not cooperating with their individual case plan, the situation will need to be reviewed. This review is referred to as the "Re-Engagement" process.

The re-engagement will be led by the worker in partnership with the disability analyst. They will consult with qualified and appropriate medical professionals during the re-engagement process.

The re-engagement process is used to determine if the participant had good cause for not cooperating with their individualized case plan.

Good cause is what the department considers as valid reasons or circumstances that keep a participant from cooperating with elements of their individualized case plan. It is the participant's responsibility, with the assistance of the department, to provide evidence to establish good cause for noncooperation and to work with the SFPSS program staff to try to resolve problems that interfere with cooperation. It is important to determine whether the participant is unable or unwilling to cooperate with their case plan.

  1. Good cause for noncooperation with activities
  2. Good cause for noncooperation with activities include:

  3. Good cause for missing appropriate medical appointments
  4. Good cause for missing appropriate medical appointments (including mental health and substance treatment, SFPSS program appointments and appointments required by the Social Security Administration) includes:

  5. Good cause for noncooperation with substance abuse or mental health treatment
  6. A participant who is identified in need of mental health or substance abuse treatment must cooperate and follow through with the treatment program requirements. The treatment services must be provided to the participant at no cost. Participants may have good cause for missing scheduled appointments or activities because of the circumstances specified under item above. Also, good cause exists if a domestic violence victim fails to cooperate with a treatment plan when the batterer is also receiving treatment from the same provider.

  7. Good cause for not pursuing assets
  8. A participant may have good cause for not pursuing assets if any of the following is true:

  9. What is noncooperation?
  10. Noncooperation exists when a participant fails to complete the assigned activities as specified on their individualized case plan, which was developed in partnership with the department, without good cause. The assigned activities may include cooperating with family stability requirements, cooperating with activities in pursuit of SSI/SSDI, cooperating with medical appointments, cooperating with alcohol and substance abuse or mental health treatment program requirements, pursuing available assets, etc.

    Additionally, participants who are in the SFPSS program are considered not cooperating if they fail to do the following without good cause:

  11. What is re-engagement?
  12. Re-engagement is a process intended to determine good cause for failure to cooperate with necessary activities assigned by the SFPSS program, and to help participants and potential participants resolve disputes and misunderstandings. This includes disputes about case plans, SFPSS program support service payment amounts, irregular attendance at assigned activities, missed appointments and failure to participate in an activity.

    Re-engagement is an opportunity offered to participants and not a required activity. It can be requested by the client, the department or a community partner. It is conducted by the case manager; disability analyst; and qualified, appropriate professional. It can be conducted by a face-to-face meeting or phone call between the participant and the conciliator or conciliation team.

    Re-engagement includes informing the participant of their rights and responsibilities under the SFPSS program and informing them of the potential for removal from the program and return to the TANF/JOBS program. It may also include establishing good cause, modifying an individualized case plan or taking other remedial actions.

    Re-engagement may end under any of the following conditions:

    Re-engagement must end before a decision notice is sent. All re-engagement efforts and activities must be documented in TRACS using the Re-Engagement Page. Unresolved issues can be addressed through the hearing process only after the decision notice has been sent.

    The department is required to review all noncooperation for known or unknown disability issues prior to applying a disqualification. This is to be accomplished by a team consisting of the case manager, disability analyst and appropriate medical professionals. This process must be recorded on the TRACS Re-Engagement Page.

  13. SFPSS Re-engagement Review Process
    1. The SFPSS program arranges re-engagement meeting to discuss noncooperation.

    2. The SFPSS program staff (worker, disability analyst, appropriate medical professional) will use the following to determines if there is "good cause":

      1. Review all evidence for good cause explained in items 1 (PSS F.1), 2 (PSS F.2), 3 (PSS F.3), and 4 (PSS F.4) of this section.

      2. Review known disability issues for cause of noncooperation.

      3. Review results of formal evaluations or assessments to determine if an aspect of a previously unknown medical, mental health, learning disability, cognitive, addiction issue, etc., caused the noncooperation.

      4. Review accommodations and modifications for the following:

        1. Were all needed accommodations or modifications offered to the participant?

        2. Did the participant accept the accommodations or modifications?

        3. Were the accommodations or modifications appropriate?

        4. Are there alternative accommodations or modifications to consider?

    3. If the SFPSS program staff review determines "good cause," the participant will remain in the SFPSS program. They will return to the TANF program as a JOBS-eligible participant and be engaged in a JOBS case plan.

    4. If the SFPSS program staff review determines there was "no good cause" for the noncooperation, the participant will be removed from the SFPSS program. They will return to the TANF program as a JOBS-eligible participant and be engaged in a JOBS case plan.

    5. Document all findings in TRACS using the Re-Engagement Page. Remember that certain A&D and mental health information narrated in TRACS needs to be placed in the A&D/MH narrative.

    Remember, the participant has the right to ask for a hearing if a decision to remove them from the program was determined by the SFPSS staff review.

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