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Technical Eligibility Factors for K-TAP

Technical Eligibility Factors for K-TAP. Rules That Apply to Everyone. Residency Each member must reside in Kentucky A child is ineligible when away from the home or expected to be away from the home in excess of 30 days. However, there are exceptions for the following good cause reasons:

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Technical Eligibility Factors for K-TAP

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  1. Technical Eligibility Factors for K-TAP

  2. Rules That Apply to Everyone

  3. Residency • Each member must reside in Kentucky • A child is ineligible when away from the home or expected to be away from the home in excess of 30 days. However, there are exceptions for the following good cause reasons: • For medical care • To attend school (boarding school, college, vocational school, or JOB CORPS) • Emergency foster care- limited to 30 days for the child. The parent may remain active on KTAP for up to 60 days. (MS 2338 C, 2 explains the work-around on this.) • Visit family/friends- SR maintains parental control. • Note: A K-TAP parent or child in a Long Term Care facility (LTC) may remain eligible for K-TAP for up to one year.

  4. Citizenship & • Alien Requirements • Each member must be a U.S. citizen or qualifying alien, in order to be included in the KTAP grant. • Applicants and clients must present proof of U.S. citizenship. • Aliens must verify their qualifying alien status.

  5. Enumeration • Each member must furnish a Social Security Number (SSN), or apply for one, if one has not already been issued • Client’s Statement accepted for SSN • If not meeting this requirement, the non-enumerated individual is shown as an ineligible member in the K-TAP case

  6. Standard Filing Unit • All siblings and parents must be included in the same KTAP case, if technically eligible and living in the same household. • There areexceptions to the rule! • This is covered in great detail during basic training in the computer lab!

  7. Rules That Apply to Children

  8. Age • Verification is required for age requirements • Child must be: • Under 18 years old, or • 18 years old, and in school full-time

  9. School Attendance • Any K-TAP child from 16 to 18 years old must be in regular full time school attendance, including home schooling • Verify by form PA 33D, and/or automated school report completed quarterly by school • If not meeting this requirement, the child’s needs are removed from the K-TAP grant • If there are no other children active on the K-TAP case, the entire K-TAP case is ineligible- explore eligibility for E or T Medicaid

  10. Living with Specified Relative • Child must be residing in the home of someone who meets the definition of a Specified Relative • This includes the natural or adoptive parents • If parents are not in the home, anyone that is related, either by blood or marriage • If related by marriage, the relationship will continue, even after the marriage has ended (as long as it ended after the birth of the K-TAP child)

  11. Deprivation • Child must be deprived of parental support due to the death, incapacity, unemployment, or continued absence, either voluntary or involuntary, of the natural or adoptive parent. • Deprivation is determined separately for each child • Deprivations must be verified • If not meeting this requirement, the child is not eligible • If there are no other children on the case, the entire K-TAP case is ineligible

  12. Rules That Apply to Adults

  13. Eligible Child in the Home • In order for the adult to be eligible, there must be a child in the home who is technically eligible for K-TAP • A child that receives SSI, State Supp. or Foster Care, who would otherwise be eligible for K-TAP, is considered an eligible child • If there is no child in the home, the entire case is ineligible

  14. Meet the Definition of • SR or SP • Adult must be related to the child, either by blood or marriage • Adult must be either: • The natural or adoptive parent of the K-TAP eligible child • If the parents are not in the home, another relative who assumes responsibility for the care of a child, without assuming financial obligation • If no relation exists, the entire K-TAP case is ineligible.

  15. Division for • Child Support(DCS) • The SR is required to cooperate with the Division for Child Support in all phases of support activity • There are exceptions to these requirements, if good cause is met • If an adult refuses/fails to cooperate, the adult is disqualified from K-TAP • The 25% reduction is also applied to the SNAP case.

  16. Kentucky Works Program • & Work Registration • Adults must comply with KWP and Work Registration requirements, unless exempt • If QP refuses to cooperate, the entire case is ineligible • If any other adult refuses to cooperate, they are sanctioned, and pro-rata reduction is applied to the case.

  17. Assessment • The assessment is completed to determine a work-eligible individual’s current level of employment. • A work-eligible person is a member or in a K-TAP case who is required to participate in KWP. • An adult or minor parent who is coded as the SR (M03) or SP (M04) and included in the grant. • A parent who lives with the K-TAP child but excluded due to a drug felony, probation/parole violator, or being a fleeing felon. • If the adult is exempt from KWP an assessment is not necessary.

  18. Third Party Liability (TPL) • Adult is required to assign rights to any third party payments received to the cabinet for any services that are available under Medical Assistance • This includes such things as health insurance, or an accident settlement for medical expenses paid by Medicaid Services • If adult refuses/fails to comply with TPL, they are disqualified from the case.

  19. Rules That Apply to Teen Parents

  20. Adult Supervised Setting An unmarried teen parent under age 18 must live with someone who meets the definition of SR, legal guardian, or approved adult supervised setting as approved by P&P.

  21. School Attendance • If under 18, teen parent must attend school full time • If under 18 and graduated, they will be required to participate in KWP • If teen parent is 18 or 19 years old, they may choose to either go to school or participate in another KWP activity to meet work requirements

  22. Division for Child Support • Teen parents are also required to cooperate with DCS in all phases of child support activity • There are exceptions to these requirements if good cause is met • If teen parent refuses/fails to cooperate, the teen parent is disqualified from K-TAP and MA • A 25% reduction is also applied to the SNAP case

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