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June 2021

R01—EMS R01—ImpaCT

8010.20

HUSKY C Recipients of Refugee Cash Assistance (CN)

• Evaluate all other available cash programs prior to grant • Receiving RCA RCA zero awards due to benefit being less than $10 Use AFDC income and asset limits

Do not deem sponsors’ income unless actually contributed to EDG

Eligible for 8 months, beginning with the first month individual entered U.S. R02--EMS R02—ImpaCT

8010.35

HUSKY C Increased Earnings Extension (CN)

• Ineligible for RCA due to new employment or increased earnings

Sprouts from R01 No income or asset limit Expires the earliest of:

End of 8th month in U.S.

R03—EMS R03—Code not used in ImpaCT

8010.20

RCA Eligible Non-Recipient (CN)

• Evaluate for Husky A and Husky D eligibility prior to granting this coverage group • Contact CO prior to grant • Eligible for RCA, but choose to receive only medical benefits Use AFDC income and asset limits

Do not deem sponsors’ income unless actually contributed to EDG Eligible for 8 months, beginning with the first month individual entered U.S.

** Do not grant or renew any F07, F12, F25, F95, G02, G07, P01, P02, P95, R03 or R04 AUs

R04—EMS R04—Code not used in ImpaCT

8010.20

Refugee Newborns (CN)

• Evaluate for Husky A and Husky D eligibility prior to granting this coverage group • Contact CO prior to grant • A newborn child whose mother is qualified for and receiving RCA or RMA at time of child’s birth • Such children are deemed to have filed an application and been found eligible • This coverage group must be screened via Add-A-Program • Use R04 when child is not eligible for any other coverage group or if lacking verifications to put in any other group (i.e. F12)

Only income and asset rules for mother’s coverage group. Child is automatically eligible

Code newborn as “PN” all others as “NM” in EMS. Make sure mother’s AU is active before finalizing R04 Eligible until the earliest of the following: - Child leaves mother’s home - Child turns one - Mother loses RMA eligibility

** Do not grant or renew any F07, F12, F25, F95, G02, G07, P01, P02, P95, R03 or R04 AUs R95/R99—EMS R95/R99—ImpaCT

2540.24 2540.57

HUSKY C Refugee MA (MN)

• Evaluate for Husky A and Husky D eligibility prior to granting this coverage group • Contact CO prior to grant • EDGs not eligible for RCA due to income or assets over AFDC limits • EDG will cascade to this coverage group if not CN

Use FMA income and asset limits for appropriate family size

Do not deem sponsors’ income unless actually contributed to AU/EDG Eligible for 8 months, beginning with the first month individual entered U.S.