Gross Income Test
Total Countable Income - This amount is what we counted as your total income for the month. This includes all money that you would have received if you were not getting TANF. We count the money you worked for (before they take out taxes) and money you didn't work for (like child support, unemployment compensation, etc.).
Countable Income Limit - This standard comes from a chart DHS uses. The amount is set by the state.
We compared your income with the income limit. If your income is more than the income limit, you weren't eligible for a TANF cash benefit for that month. We will figure your overpayment. If your income is less than the income limit, we will use all the sections on this form.
Adjusted Income Information
Total Adjusted Income - This includes money where you are eligible for work deductions off your gross income reported correctly. We also use earned income you did not report correctly and money you received (not counting TANF) that you did not work for.
Adjusted Income Limit- This is the amount DHS uses to figure out how much your TANF grant should have been. The standard is set by the state. We compare your adjusted income to this standard to see how much you should have gotten.
If your overpayment happened because you did not report earned income, or reported it late, you may claim "good cause". If you had good cause for not reporting, you get credit for earned income deductions. This would make your overpayment amount less.
Payment Standard (PS)- This is the full TANF benefit if you had no other income.
Cooperation Incentive Payment (COI) - This is what you may have received in addition to your grant for cooperating with your Case Plan.
Cash Benefit the Client Should Have Received (CSHR) - We figured this by taking the Payment Standard plus the COI minus Total Adjusted Income. This equals "Cash the Client Should Have Received".
Cash Benefit Received - This is the amount of TANF you got plus any overpayments recovered.
Child Support Offset (CSO) - This is the amount of child support that DHS kept for the month. If the CSO is the same amount, or larger, than the CSHR amount, you were not eligible for TANF cash. We figured your overpayment in the Benefit Amount section. We will use the support that DHS kept to reduce your cash overpayment. If the CSO is less than CSHR, you were eligible for some cash from DHS for the month. We will subtract the TANF cash you should have received from the TANF cash you did receive to determine your overpayment for the month.
Under-issuance Amount - This is the amount you were eligible for but did not receive.
Over-issuance Amount - This is how much you received but were not supposed to.
If you have questions about how we figured your overpayment, please contact your worker.