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PA Bulletin, Doc. No. 02-1589f

[32 Pa.B. 4435]

[Continued from previous Web Page]

CHAPTER 187.  SUPPORT FROM RELATIVES NOT LIVING WITH THE CLIENT

SUPPORT PROVISIONS FOR CASH ASSISTANCE

§ 187.21. General policy.

   Legal bases for support requirements. The Support Law (62 P. S. §§ 1971--1977) provides authority to the courts to order or direct support to needy individuals from LRR upon petition from the needy individual or the Department. The Public Welfare Code (62 P. S. §§ 101--1503) requires the Department to grant assistance only to those individuals who apply for and meet all conditions of eligibility. By law, then, LRRs will be a potential resource to individuals applying for or receiving assistance. The Support Law (62 P. S. §§ 1971--1977), 23 Pa.C.S. §§ 4301--5104 and 7101--8415, and the Public Welfare Code (62 P. S. §§ 101--1503) mesh to make it mandatory to explore and develop the resource that an LRR may provide to an individual. Under the child support program, support collection and paternity determination services will also be made available upon request to individuals who are not applying for or receiving assistance. The domestic relations section in each county has been designated to process requests for support services.

§ 187.22. Definitions.

   The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:

   Arrears--Past due and unpaid support.

   BCSE--Bureau of Child Support Enforcement--The organizational unit in this Commonwealth responsible for supervising the State Plan for Child Support Enforcement under Title IV-D of the Social Security Act (42 U.S.C.A. §§ 651--669b).

   Budget group--One or more related or unrelated individuals who occupy a common residence or would occupy a common residence if they were not homeless and whose needs and eligibility are considered together in determining eligibility for cash assistance under one category of assistance.

   CAO--County assistance office--The local office of the Department responsible for the determination of eligibility for cash, Food Stamps and MA Programs.

   Cash assistance allowance--The monthly family size allowance, reduced by the net income of the budget group. The family size allowance is described under § 175.23(a) (relating to requirements).

   DRS--Domestic relations section--The division of a court of common pleas responsible for establishing and enforcing support orders.

   Domestic violence--One or more of the following:

   (i)  Physical acts that resulted in, or threatened to result in, physical injury to the individual.

   (ii)  Sexual abuse.

   (iii)  Sexual activity involving a dependent child.

   (iv)  Being forced as the caretaker relative of a dependent child to engage in nonconsensual sexual acts or activities.

   (v)  Threats of, or attempts at, physical or sexual abuse.

   (vi)  Mental abuse.

   (vii)  Neglect or deprivation of medical care.

   Establishing paternity--The process that determines the legal father of a child.

   LRR--Legally responsible relative--The spouse, including common-law, of the applicant or recipient of cash assistance, or the biological or adoptive parent of an unemancipated minor child for whom cash assistance is sought or received.

   Obtaining support--Establishing, modifying or enforcing a support order.

   Support--A judgment, decree or order whether temporary, final or subject to modification, imposed or imposable by a court or an administrative agency of competent jurisdiction for the support and maintenance of a child or spouse, or both, which provides for monetary support, health care, arrears or reimbursement, and which may include other relief.

   Unemancipated minor child--An individual who is under 18 years of age, or an individual 18 years of age or older but under 21 years of age, who has not graduated from high school, is not married and is in the care and control of a parent or caretaker.

§ 187.23. Requirements.

   (a)  Applicability. This chapter applies to applicants for and recipients of cash assistance if there is: The reported absence of a parent from the home of an unemancipated minor child; a putative father for an unemancipated minor child; or a spouse absent from the home. The absence of a parent from the home is determined according to the requirements under § 153.44(a) (relating to procedures).

   (b)  Cooperation requirements for child support. As a condition of eligibility for cash assistance, every applicant or recipient seeking or receiving cash assistance on behalf of an unemancipated minor child shall cooperate in establishing paternity of an unemancipated minor child with respect to whom assistance is sought and cooperate in obtaining support from an LRR for the unemancipated minor child, unless the applicant or recipient establishes good cause for failing to do so. Cooperation includes taking the following actions:

   (1)  Identifying the parents of an unemancipated minor child for whom assistance is sought or received, including appearing for scheduled genetic testing with the child and submitting to the testing.

   (i)  Failure of the mother to identify by name the father of an unemancipated minor child shall create a presumption of noncooperation which may be rebutted only by clear and convincing evidence.

   (ii)  If the applicant or recipient provides the names of two putative fathers subsequently excluded from paternity by genetic testing, the second exclusion shall create a presumption of noncooperation, which may be rebutted only by clear and convincing evidence.

   (2)  Keeping scheduled appointments with the Department or the DRS.

   (3)  Providing truthful and accurate information and documents requested by the Department or the DRS.

   (i)  When the whereabouts of a parent or putative father are unknown, the applicant or recipient will be required to take whatever steps are appropriate to the individual circumstances to locate the missing parent or putative father. This may include contacting relatives and friends for information about the whereabouts of the parent or putative father or giving consent to the CAO to contact other agencies, relatives and other individuals, or possible employers and similar resources.

   (ii)  The CAO will provide whatever help is appropriate to the individual circumstances of the applicant or recipient to assist in locating the missing parent or putative father and supplement the efforts of the applicant or recipient by checking appropriate governmental records.

   (iii)  Together, the CAO and the applicant or recipient will plan and agree on the specific steps to be taken to locate the missing parent or putative father. Assistance will be authorized or continued on the agreement of the applicant or recipient to take the specific steps within the time set for doing so.

   (4)  Signing and returning any forms requested by the Department or the DRS.

   (5)  Appearing as a witness and providing testimony at judicial and other hearings as requested by the DRS.

   (6)  Paying to the Department any support payment received directly from an absent parent after an assignment of support has been made.

   (c)  Cooperation criteria for spousal support. As a condition of eligibility for cash assistance, every applicant or recipient seeking or receiving cash assistance on behalf of himself and for whom there is an absent spouse shall cooperate in obtaining support unless the applicant or recipient establishes good cause for failing to do so. Cooperation includes the following:

   (1)  Naming the absent spouse.

   (2)  Keeping scheduled appointments with the Department or the DRS.

   (3)  Providing truthful and accurate information and documents requested by the Department or the DRS.

   (i)  When the whereabouts of a spouse is unknown, the applicant or recipient shall take whatever steps are appropriate to the individual circumstances to locate the missing spouse. This may include contacting relatives and friends for information about the whereabouts of the spouse or giving consent to the CAO to contact other agencies, relatives and other individuals or possible employers and similar resources.

   (ii)  The CAO will provide whatever help is appropriate to the individual circumstances of the applicant or recipient to assist in locating the missing spouse and supplement the efforts of the applicant or recipient by checking appropriate governmental records.

   (iii)  Together, the CAO staff and the applicant or recipient will plan and agree on the specific steps to be taken to locate the missing spouse. Assistance will be authorized or continued on the agreement of the applicant or recipient to take the specific steps within the time set for doing so.

   (4)  Signing and returning any forms requested by the Department or the DRS.

   (5)  Appearing as a witness and providing testimony at judicial and other hearings as requested by the DRS.

   (6)  Paying to the Department any support payment received directly from an absent spouse after an assignment of support has been made.

   (d)  Cooperation prior to authorization. Except as provided in paragraphs (3) and (4), every applicant or recipient of cash assistance shall cooperate in establishing paternity and obtaining support. The applicant or recipient shall:

   (1)  Appear before the DRS or other applicable division of the court of common pleas and provide to the CAO certification from the DRS of cooperation by the applicant or recipient of cash assistance in establishing paternity and in obtaining support.

   (2)  Cooperate with the procedures established for the county when a waiver of the personal appearance requirement is in place. The Secretary is authorized to waive the personal appearance requirement under paragraph (1) if another procedure would be as effective and efficient and a family court or DRS requests a waiver.

   (3)  In the case of a newborn, cooperate with the requirements under § 133.23(b)(4)(v) (relating to requirements).

   (4)  File a good cause claim. The cooperation requirements are waived from the time a good cause claim is filed until the CAO, court of common pleas or DRS makes a determination on the claim. If the CAO, court of common pleas or DRS determines that good cause exists, the cooperation requirements are waived as long as the good cause exists.

   (e)  Assignment of support rights. Acceptance of cash assistance shall operate as an assignment to the Department, by operation of law, of the assistance recipient's rights to receive support, on the recipient's own behalf and on behalf of any family member with respect to whom the recipient is receiving cash assistance. The assignment shall be effective only up to the amount of assistance received. The assignment shall take effect at the time that the individual is determined to be eligible for assistance. Upon termination of assistance payments, the assignment of support rights shall terminate, provided that any amount of unpaid support obligations shall continue as an obligation to and collectible by the Department to the extent of any unreimbursed assistance consistent with Federal law.

§ 187.24. (Reserved).

§ 187.25. Notification to the applicant or recipient.

   (a)  Cash assistance sought or received for an unemancipated minor child. Before requiring cooperation under § 187.23(b) (relating to requirements), the CAO will provide oral and written notice of the cooperation requirements to the applicant or recipient. The oral and written notice will advise the applicant or recipient of the following:

   (1)  The potential benefits that the unemancipated minor child may derive from the cooperation of the applicant or recipient in establishing paternity and obtaining support.

   (2)  Cooperation is a condition of eligibility.

   (3)  Failure to cooperate without good cause will result in the reduction of the cash assistance allowance by 25%.

   (4)  The right to claim good cause, good cause circumstances, proving the good cause claim, and the good cause determination under § 187.27 (relating to waiver of cooperation for good cause).

   (5)  The CAO will waive the cooperation requirements when the CAO, the court of common pleas or the DRS determines that good cause exists.

   (6)  A finding of noncooperation of an applicant or recipient does not affect the LRR's duty to pay support.

   (b)  Cash assistance sought or received for a spouse. Before requiring cooperation under § 187.23(c), the CAO will provide oral and written notice to the applicant or recipient of the cooperation requirements and the right to claim good cause. The oral and written notice will advise the applicant or recipient of the information specified in subsection (a).

§ 187.26. Noncooperation.

   (a)  Determination of noncooperation by the CAO, court of common pleas or DRS. The CAO, court or DRS may make the determination of whether an applicant or recipient refused to cooperate without good cause. The court of common pleas of each county will have the option of hearing appeals from any determination of its DRS that an applicant or recipient has not cooperated in accordance with § 187.23 (relating to requirements). If the court declines to exercise the option to hold hearings on the appeals, the procedures in subsection (b) apply. If the CAO determines noncooperation without good cause, the procedures in subsection (c) apply. Subsection (c)(1) applies to applicants. Subsection (c)(2) applies to recipients. The procedures in subsection (c)(1) or (2) also apply when the court declines to hold the noncooperation hearing. If the court, after notice and an opportunity to be heard, determines that the applicant or recipient refused to cooperate without good cause, the Department will implement the court's order, as specified in subsection (d).

   (b)  If the court or the DRS determines that the applicant or recipient has failed to cooperate, without good cause, with § 187.23, the court or the DRS will provide notice of any noncooperation determination to the CAO along with notice of its decision to opt not to hold a hearing on noncooperation. Appropriate court personnel shall be made available to provide testimonial evidence by telephone testimony at the time and location set by the Department for the Departmental appeal hearing. Upon receipt of the notice from the court or the DRS, the CAO shall proceed in accordance with subsection (c)(1) or (2) depending upon whether the individual is an applicant for or recipient of assistance.

   (c)  If the CAO determines that the applicant or recipient has failed to cooperate, without good cause, with § 187.23, or upon receipt of a notice of a noncooperation determination by the court or DRS under subsection (b), the CAO will:

   (1)  In the case of an applicant:

   (i)  Provide notice to the applicant of the noncooperation determination, the basis for the noncooperation determination and the reduction of the cash assistance allowance by 25% effective upon authorization of assistance.

   (ii)  Provide notice to the applicant of the right to appeal to the Department's Bureau of Hearings and Appeals under Chapter 275 (relating to appeal and fair hearing and administrative disqualification hearings).

   (iii)  Authorize the cash assistance allowance reduced by 25% effective upon authorization of assistance.

   (iv)  Authorize the full cash assistance allowance if so ordered as a result of a decision rendered by the Bureau of Hearings and Appeals, as a result of a good cause claim initiated by the applicant, or as a result of the applicant cooperating with the support requirements.

   (2)  In the case of a recipient:

   (i)  Provide notice to the recipient of the noncooperation determination, the basis for the noncooperation determination, and the reduction of the cash assistance allowance by 25% 10 days after the date of the notice.

   (ii)  Provide notice to the recipient of the right to appeal to the Bureau of Hearings and Appeals under Chapter 275.

   (iii)  Authorize the reduction of the cash assistance allowance by 25% effective 10 days after the date of the notice, unless the recipient has invoked his right to a hearing and has filed an appeal within the 10-day period. If the recipient has invoked his right to a fair hearing within the 10-day period, cash assistance will not be reduced pending a decision in the hearing.

   (iv)  Initiate recovery of the assistance granted pending the fair hearing if the Department action is sustained.

   (d)  Determination of noncooperation by the court. A hearing or appeal with respect to the recommendation order of noncooperation directed by the court or DRS will be conducted by the court in accordance with the 231 Pa. Code (relating to rules of civil procedure).

   (1)  Upon receipt of a court order issued by a court of common pleas, the CAO will implement the order within 10 days of receipt. The CAO will:

   (i)  Provide notice to the applicant or recipient of the court order and the cash assistance allowance reduction by 25%.

   (ii)  Provide notice to the applicant or recipient of the right to appeal to the Bureau of Hearings and Appeals under Chapter 275 and that the right of appeal to the Bureau of Hearings and Appeals does not include appeal of a court order in which noncooperation has been determined by the court. The right to appeal in this instance to the Bureau of Hearings and Appeals under Chapter 275 is restricted to the calculation of the assistance allowance.

   (iii)  For an applicant, authorize the cash assistance allowance reduced by 25% effective upon authorization of assistance. For a recipient, the CAO will reduce the cash assistance allowance by 25% effective 10 days after the date of the notice, unless the recipient has invoked his right to a hearing and has filed an appeal within the 10-day period. If the recipient has invoked his right to a fair hearing within the 10-day period, the cash assistance allowance will not be reduced pending a decision in the hearing.

   (2)  If the court order directs the Department to rescind the sanction for noncooperation, the Department will implement the order immediately upon receipt.

§ 187.27. Waiver of cooperation for good cause.

   (a)  Good cause circumstances. Cooperation requirements may be waived for good cause. Good cause circumstances include the following:

   (1)  The child was conceived as a result of incest or rape.

   (2)  Legal proceedings for the adoption of the child are pending before a court.

   (3)  The applicant or recipient of cash assistance is currently being assisted by a public or licensed private social agency to resolve the issue of whether to keep the child or relinquish the child for adoption and the discussions have not progressed for more than 3 months.

   (4)  Action to establish paternity or obtain child or spousal support would make it more difficult for the individual or family member to escape domestic violence, as defined in § 187.22 (relating to definitions), or unfairly penalize the individual who has been victimized by the violence, or who is at risk of further violence.

   (b)  Proving the good cause claim. The applicant or recipient of cash assistance shall provide relevant verification.

   (1)  A good cause claim may be verified with the following types of evidence:

   (i)  A birth certificate or medical or law enforcement records which indicate that the child was conceived as the result of incest or rape.

   (ii)  Court documents or other records which indicate that legal proceedings for adoption are pending.

   (iii)  A written statement from a public or licensed private social agency that the applicant or recipient is being assisted by the agency to resolve the issue of whether to relinquish the child for adoption.

   (iv)  Medical records which indicate emotional health history and present emotional health status of the applicant or recipient or the child for whom support would be sought; or, written statements from a mental health professional indicating a diagnosis or prognosis concerning the emotional health of the applicant or recipient or the child for whom support would be sought. Supportive evidence submitted from a mental health professional will be defined as statements written by individuals who have obtained licensure or certification, if applicable, or have received a degree in defined areas of mental health including psychiatry, social work, psychology, nursing, occupational therapy or recreational therapy.

   (v)  Court, medical, criminal, child protective services, social services, psychological or law enforcement records which verify domestic violence, as defined in § 187.22.

   (vi)  Statements from individuals other than the applicant or recipient with knowledge of the good cause circumstances, including a domestic violence service provider, a medical, psychological or social service provider, a law enforcement professional, a legal representative, an acquaintance, friend, relative or neighbor of the claimant or other individual.

   (vii)  Verification of good cause based on domestic violence. The CAO and applicant or recipient will complete this form for all good cause claims based on domestic violence in accordance with one of the following circumstances:

   (A)  To accompany acceptable verification as specified in subparagraph (iv), (v) or (vi) that an applicant or recipient has provided.

   (B)  To grant good cause upon written consent of the applicant or recipient based on verification of the good cause claim provided by a third party on the form.

   (C)  To grant good cause for up to 6 months when an applicant or recipient affirms she is at risk of domestic violence and unable to safely obtain other evidence to verify the claim of domestic violence within the established time frames for providing verification.

   (2)  When the applicant or recipient of cash assistance initiates a claim of good cause, the CAO, court or the DRS may provide assistance with obtaining verification. If requested by the applicant or recipient, the CAO, court or DRS will provide assistance in securing the needed evidence by advising how to obtain specific documents that may be available and by undertaking to obtain specific documents the applicant or recipient is not able to obtain. The CAO may not contact the putative father or noncustodial parent to verify good cause based on a claim of domestic violence.

   (3)  An applicant or recipient shall provide verification of the good cause claim, as specified under paragraphs (1)(iv)--(vii)(A) and (B), within 30 days from the date the claim is made, except when the applicant or recipient cannot otherwise provide verification of the good cause claim as specified in paragraph (1)(vii)(C).

   (i)  In the case of an applicant, assistance will be authorized no later than 30 days following application when the applicant is claiming good cause and verification is not readily available or pending from a third party.

   (ii)  In the case of a recipient, the CAO will continue assistance if verification is not provided within 30 days and the delay is due to a third party.

   (c)  Good cause determination. The CAO, court or the DRS will make a determination within 45 days from the day the claim was initiated by the applicant or recipient of cash assistance. The CAO, court or the DRS may approve additional days for the determination to be completed.

   (1)  If the CAO makes a determination on a good cause claim, the CAO will notify the applicant or recipient of cash assistance in writing of the final determination regarding the claim of good cause and the basis therefor and of the right to appeal under Chapter 275. If the good cause claim is denied, neither the Department nor the Bureau of Child Support Enforcement will attempt to establish paternity or obtain support for at least 30 days after the individual has been informed orally and in writing of the denial of the good cause claim.

   (2)  If the court of common pleas or DRS makes a determination on a good cause claim, the DRS will notify the applicant or recipient of cash assistance and the CAO of the final determination and the basis therefor and of the right to appeal under Chapter 275.

   (3)  When the CAO, court of common pleas or the DRS approve a waiver of the cooperation requirement based on a claim of good cause, the DRS will not attempt to establish paternity or obtain support.

   (4)  When good cause is determined to exist, the CAO will review the circumstances upon which the good cause determination is based, at least every 6 months.

   (i)  If the good cause waiver was granted based on verification, no additional verification is required if circumstances have not changed since approval of the initial waiver.

   (ii)  If the good cause waiver was granted based on the recipient's affirmation under subsection (b)(1)(vii)(C), and she is unable to provide verification as specified in subsection (b)(1)(iv)--(vi) and (vii)(A) and (B), the CAO will make a determination of good cause based on a current assessment of the recipient's circumstances. This assessment will be completed by an individual with domestic violence training and substantiated by completion of the verification of good cause based on the domestic violence form under subsection (b)(1)(vii).

CHAPTER 281.  TIME-OUT BENEFITS

Sec.

281.1Policy.
281.2Definitions.
281.3Eligibility requirements.
281.4Limitations.
281.5Ineligibility for time-out.

§ 281.1. Policy.

   To the extent State funding is available, and consistent with State and Federal law, families otherwise eligible for TANF benefits under Chapter 141 (relating to general eligibility provisions) are eligible to receive time-out benefits. The receipt of these benefits does not count towards the 60-month TANF time limit in § 141.41(d) (relating to policy).

§ 281.2. Definitions.

   The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates otherwise:

   Kinship caregiver--A nonparental specified relative, as defined in § 151.42 (relating to definitions).

   MPP--Maximizing Participation Project--A program to assist individuals to remedy medical conditions, functional limitations and good cause situations that preclude the individual from complying with RESET requirements.

   RESET--Road to Economic Self-Sufficiency Through Employment and Training Program--As defined in § 165.2 (relating to definitions).

   Time-out--Cash assistance provided to a family under this chapter.

   Victim of domestic violence--An individual who has been subjected to domestic violence, as defined in § 187.22 (relating to definitions).

§ 281.3.  Eligibility requirements.

   (a)  A family is eligible to receive time-out benefits if the head of household or spouse of head of household is one of the following:

   (1)  A working individual. An individual who is participating in work and work-related activities for at least the number of hours specified in subparagraphs (i)--(iv), or who is meeting the Federal definition of ''engaged in work'' as specified in section 407 of the Social Security Act (42 U.S.C.A. § 607(c)), whichever provides for the greater number of hours of work.

   (i)  Working in paid employment 30 hours per week.

   (ii)  Working in self-employment 30 hours per week.

   (iii)  Working in paid employment at least 20 hours per week and engaging in additional hours of approved work-related activity so that the total hours of work plus approved work-related activity equals or exceeds 30.

   (iv)  For a two-parent family, working in paid employment a combined total of 55 hours per week.

   (2)  An early engager. An individual who completed the job search required under § 165.31(b) (relating to RESET participation requirements) and who meets one of the following conditions:

   (i)  Began an approved employment and training activity for at least 30 hours per week during the first 12 months of receiving cash assistance, and continues to participate in the activity for at least 30 hours per week.

   (ii)  Enrolled in a postsecondary educational activity defined as full time by the institution during the first 12 months of receiving cash assistance, and is maintaining satisfactory progress, as defined by the institution.

   (3)  An exempt volunteer. An individual who is exempt from RESET participation requirements due to a verified physical or mental disability under § 165.21(c)(1) (relating to exemptions from RESET participation requirements), and voluntarily participates in MPP, as defined in § 281.2 (relating to definitions). For continued eligibility for time-out, an exempt volunteer shall comply with MPP.

   (4)  A kinship caregiver. A kinship caregiver, as defined in § 281.2, who meets the following conditions:

   (i)  Has received at least 24 months of cash assistance for the caretaker and a related minor dependent child or has care and control of a related minor dependent child as a result of a court-ordered placement by county children and youth social services, as defined in § 3130.5 (relating to definitions).

   (ii)  Is not receiving TANF for the kinship caregiver's own children.

   (iii)  Is meeting RESET participation requirements, as specified in § 165.31, unless the individual is exempt or has good cause for not meeting those requirements.

   (b)  A family is eligible to receive time-out if a family member is a victim of domestic violence, as defined in § 281.2.

§ 281.4. Limitations.

   (a)  Twelve-month time limit. The family's time-out under § 281.3(a)(1)--(3) (relating to eligibility requirements) is limited to 12 months in the lifetime of the head of household or spouse of head of household.

   (b)  Combined periods. A family may receive time-out under more than one paragraph in § 281.3(a)(1)--(3). The months need not be sequential. The combined periods of § 281.3(a)(1)--(3) may not exceed 12 months in the lifetime of the head of household or spouse of head of household.

   (c)  Victims of domestic violence. Time-out received under § 281.3(b) is limited to 12 months in the lifetime of the head of household or spouse of head of household. The family may receive an additional 12 months of time-out under § 281.3(a)(1)--(3) if the head of household or spouse of head of household meets the requirements of § 281.3(a)(1), (2) or (3).

   (d)  Special exemption from time limits for kinship caregivers. A kinship caregiver may continue to receive time-out as long as the eligibility requirements of § 281.3(a)(4) are met.

   (e)  Sunset date. This chapter will sunset on July 1, 2004.

§ 281.5. Ineligibility for time-out.

   (a)  Appeal rights. An individual may appeal the denial or termination of time-out benefits under Chapter 275 (relating to appeal and fair hearing and administrative disqualification hearings).

   (b)  Ending time-out. If the individual fails, without good cause, to comply with requirements for time-out, or no longer qualifies for time-out under § 281.4 (relating to limitations), time-out benefits for the family will end. In that event, and to the extent the family otherwise qualifies for TANF, TANF assistance will resume.

[Pa.B. Doc. No. 02-1589. Filed for public inspection September 13, 2002, 9:00 a.m.]



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