1 There is also tremendous variation in caseload size and staffing capacity across jurisdictions. These factors may affect how locations organize staff and structure the application process.
2 Although not a focus of this study, the application and eligibility determination process are considerably simplified and shortened for emergency Medicaid and expedited food stamps.
3 The specialized Brooklyn Job Center opened in January 2002.
4 The specialized office must take an application for the initial services requested and then refer the applicant to the generic benefits office to complete the application and eligibility determination steps required for the additional programs. The eligibility determination period for the original benefits applied for begins on the date of the initial application.
5 Medicaid law and regulations require States to provide opportunities for children under age 19 and pregnant women to apply for Medicaid at locations other than local public assistance (i.e., welfare) agencies and in each facility designated as a disproportionate share hospital (DSH) and federally qualified health center, unless there is an approved alternative arrangement.
6 This is usually just a cursory review of the application, not a formal screening or intensive needs assessment.
7 In Dallas and New York City, finger imaging and photographing is required for both TANF and food stamp applicants.
8 7 CFR 273.2 and 42 CFR 435.906
9 Often applicants that will not be required to participate in ongoing work activities are not required to participate in the orientation.
10 The Seattle/Kent office added a group orientation after the July 2001 site visit.
11 Job search is typically enforced only for two-parent families in Sedalia.
12 TANF eligibility must be determined within 30 days; however, determinations may be made sooner than that.
13 As of December 2001, New York City was in the process of implementing a “paperless” office system and document imaging systems that will allow EVR investigators to electronically access documentation presented at the Job Centers.
14 If the applicant appears eligible for expedited food stamps, the Dallas office typically schedules the eligibility interview for that same day or early the next day.
15 English-speaking applicants who arrived in the office before 9:30 a.m. and completed the first page of the application for benefits were guaranteed a same day appointment; after 9:30 a.m., applicants were given application materials that they could send back via mail or return the next morning for an interview.
16 As noted elsewhere, the Kent/Seattle office has added a mandatory TANF orientation since the site visit.
17 The SCHIP program in Arlington and elsewhere in the State of Virginia was in a period of transition at the time of our site visit in September 2001, which involved shifting from a welfare-office based SCHIP program model to a private insurance SCHIP program model. Thus, we were not able to fully capture either the old or new SCHIP application process or gain a clear picture of the comparative advantages and disadvantages of these different application processes.
18 As of January 2002, the in-person interview for initial Medicaid applicants was waived for children, but not for adults.
19 The majority of Spanish speaking applicants continue to be served in local, non-specialized job centers.