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APPENDIX U UNDERSTANDING A STATE EMERGENCY RELIEF DECISION NOTICE Understanding the DHS-1419, State Emergency Relief Decision Notice SERVICE REQUESTED For a household to qualify for MEAP services, they must receive a DHHS SER crisis assistance payment for one or more of the following energy services: • Heat- Natural Gas/Wood/Other • Heat – Deliverable Fuel • All Electric Household • Non-Heat Electricity • Heat Deposit/Reconnect Fees • Non-Heat Electric Deposit/Reconnect Fees

DHS PAYS This is the maximum payment DHHS will issue. If the client pays more than their required copayment, the DHHS payment will be reduced.

YOUR PAYMENT This is the cumulative amount the client must pay in order for the SER payment to be issued. As noted in the Decision Notice, DHHS must have proof that the client payment(s) has been made by the required date in order for the payment(s) to be approved. Note: When a client copay is required, DHHS will refer to the request as being “pseudo-certified” or “pseudo authorized”. This means the payment amount has conditionally been approved but will not be made unless the client copay requirement has been satisfied.

TOTAL This is the total amount required to resolve the crisis for the 30 day period.

DATES COVERED The Dates Covered field identifies the SER 30 Day period. The first date of the 30-day period is the application date; the end date is the last day that the client has to provide verification that a required copayment has been made.

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Page 74

Official source

74 | P a g e

APPENDIX U UNDERSTANDING A STATE EMERGENCY RELIEF DECISION NOTICE Understanding the DHS-1419, State Emergency Relief Decision Notice SERVICE REQUESTED For a household to qualify for MEAP services, they must receive a DHHS SER crisis assistance payment for one or more of the following energy services: • Heat- Natural Gas/Wood/Other • Heat – Deliverable Fuel • All Electric Household • Non-Heat Electricity • Heat Deposit/Reconnect Fees • Non-Heat Electric Deposit/Reconnect Fees

DHS PAYS This is the maximum payment DHHS will issue. If the client pays more than their required copayment, the DHHS payment will be reduced.

YOUR PAYMENT This is the cumulative amount the client must pay in order for the SER payment to be issued. As noted in the Decision Notice, DHHS must have proof that the client payment(s) has been made by the required date in order for the payment(s) to be approved. Note: When a client copay is required, DHHS will refer to the request as being “pseudo-certified” or “pseudo authorized”. This means the payment amount has conditionally been approved but will not be made unless the client copay requirement has been satisfied.

TOTAL This is the total amount required to resolve the crisis for the 30 day period.

DATES COVERED The Dates Covered field identifies the SER 30 Day period. The first date of the 30-day period is the application date; the end date is the last day that the client has to provide verification that a required copayment has been made.