Background:
The Disability Financial Assistance Program (DFA) is a state
and county-funded program which provides cash assistance to persons who meet
DFA program requirements and who are ineligible for any financial assistance
program supported in whole or in part by federal funds (e.g., Ohio Works First
(OWF), Supplemental Social Security Income (SSI) or Social Security Disability
Insurance (SSDI)). No federal
regulations govern the administration of the DFA program. In accordance with Section 812.40 of the Ohio
Revised Code, the DFA program is being repealed; State funding will no longer
be available and the program will end effective December 31, 2017.
New Policy:
Effective July 1,
2017, the guidance provided below shall supersede any existing rule, policy
guidance or training material issued by the Ohio Department of Job and Family
Services (ODJFS).
Any new application (or reapplications) for DFA received
on or after July 1, 2017 must be denied.
A denial notice must be issued to the applicant.
- Any
DFA recipient who has a pending application for SSI or SSDI with the Social
Security Administration, and who has ever received a denial of SSI or SSDI at
the reconsideration appeal level on or before July 1, 2017 shall be terminated
effective 7/31/2017 with prior notice of adverse action and fair hearing
rights.
- Any
DFA recipient who does not have a pending application for SSI or SSDI
with the Social Security Administration, and who has ever received an initial denial
of SSI or SSDI on or before July 1, 2017 shall be terminated effective July 31,
2017 with prior notice of adverse action and fair hearing rights.
- Any
DFA recipient who receives a denial of SSI or SSDI at the reconsideration
appeal level after July 1, 2017 shall be terminated with prior notice of
adverse action and fair hearing rights.
- Any
DFA recipient who does not have an application for SSI or SSDI pending with the
Social Security Administration on or before September 30, 2017, shall be
terminated with prior written notice of adverse action with fair hearing
rights.
- Any
DFA recipient still in receipt of benefits on December 1, 2017, shall be
terminated effective December 31, 2017.
Recipients shall be provided prior written notice of the termination.
Implementation:
In order to ease the administrative burden to the county
agencies, ODJFS has automated as much of the new policy requirements as
possible. However, some of the new
requirements do not lend themselves to automation and will require action from
the county agencies to terminate some DFA benefits and deny
applications/reapplications.
Implementation of the new policy will take place in the following phased
approach:
ODJFS Actions:
- On July 8, 2017, ODJFS will auto-terminate
DFA recipients who meet the criteria for termination on July 31, 2017.
- In
early August 2017, ODJFS will mail a notice to all remaining DFA recipients
informing them that if they do not currently have an application for SSI or
SSDI pending, they must have one pending on or before September 30, 2017; and
that the failure to do so will result in a termination of DFA. The notice will also inform recipients that
if their SSI or SSDI applications are denied at the reconsideration appeal
level, they will be terminated from DFA.
Lastly, the notice will explain that the program will be ending on
December 31, 2017, and no benefits will be issued after December 2017.
- Beginning
in August 2017, ODJFS will provide county agencies with monthly reports that
will identify DFA recipients who appear to have received a denial of SSI or
SSDI at the reconsideration appeal level after July 1, 2017; and a one-time report
in October, that will identify recipients who did not have an SSI or SSDI
application pending on or before September 30, 2017.
- On
December 2, 2017, ODJFS will auto-terminate all remaining DFA recipients,
effective December 31, 2017.
County Agency
Actions:
- The
county agency shall accept DFA applications or reapplications received on or
after July 1, 2017, then the application will be denied with a system-generated
reason code of 523. For applications
pending on or before June 30, 2017, the county agency shall process the
application in accordance with the pre-July 1 guidance and authorize benefits
until they meet the new July 2017 termination criteria described above. The
county agency must provide prior written notice of the termination and fair
hearing rights.
- Beginning
in August, when a monthly report from ODJFS indicates a recipient meets
termination criteria for having received an SSI/SSDI application denial at
reconsideration, the county agency shall confirm the denial at reconsideration
on the CRISE screens “DESX” or “SVE1”, or by contacting SSA. If confirmed, the county agency shall
terminate the DFA with reason code 599 and provide prior written notice of the
adverse action and fair hearing rights.
- In
early October, when ODJFS sends a report indicating DFA recipients who do not
have an SSI/SSDI application pending on or before September 30, 2017. The county agency shall confirm there is no
pending application on the CRISE screen “DESX” or by contacting SSA. If confirmed, the county agency shall
terminate DFA with reason code 500 and provide prior written notice of the
adverse action and fair hearing rights.
- If
after July 1, 2017, a DFA recipient has a continuing disability review (CDR)
scheduled to be completed prior to December, the county agency shall not
initiate or complete the CDR. The
recipient shall continue to receive DFA (without a CDR) until he or she is
either denied at reapplication, or meets one of the new termination criteria.
Attached to this Letter is a Desk Guide for use by county
agencies.