Page 4

Effective Date: 10/1/23 – 9/30/26 ☐ Initial Submission Date: 12/31/2023 ☒ Revision Date: 04/15/2024 Page: 4 SECTION A

PART II WORK REQUIREMENTS 33 PART III WORK ACTIVITIES 34 PART IV SAFEGUARDING INFORMATION 38 PART V TEEN-PREGNANCY PREVENTION 39 PART VI STATUTORY RAPE 40

SECTION B

PART I TREATMENT OF FAMILIES MOVING INTO THE STATE 42 PART II TREATMENT OF NON-CITIZENS 43 PART III OBJECTIVE CRITERIA 44 PART IV WORK OPTION 46 PART V EMPLOYMENT IN LONG-TERM CARE AND ELDER CARE 47 PART VI DOMESTIC VIOLENCE, SEXUAL HARASSMENT, ASSAULT, STALKING 48 PART VII DENIAL OF ASSISTANCE BASED ON ABSENCE FROM THE HOME 49

SECTION C

STATE PLAN CERTIFICATIONS 51

ADDENDUM A

TEMPORARY FAMILY ASSISTANCE PAYMENT STANDARDS 53

ADDENDUM B

NOTICES FOR PUBLIC REVIEW AND COMMENT 54