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MISSISSIPPI

EA-356 to document the time spent in each activity on a daily basis. The MDHS-EA356 will provide the participant’s name and social security number, the reporting period, a list of the activities, along with the actual time spent in each activity daily, weekly totals for each

9110 [PROGRAM COMPONENTS: TANF WORK ACTIVITES DEFINED]

Revised 08-01-12 11-01-17

activity and the instructor’s/supervisor’s signature. The participant will submit a completed MDHS-EA-356 to case management each Monday for the previous week or as requested. The case manager will use the form to monitor weekly attendance, enter attendance data in JAWS and take any other case action(s) deemed necessary, e.g., randomly follow-up with instructor/supervisor to verify signatures, set-up a conciliation for unsatisfactory attendance, incomplete/inaccurate information or suspected fraud due to falsification of information, etc. Educational providers and contractors are responsible for providing daily supervision. The case manager will maintain contact with the provider while the participant is enrolled, as appropriate, but not less than monthly to verify attendance and satisfactory progress. Face-to-face contact with the participant must be scheduled as needed, but not less than monthly. Attendance data entered in JAWS must be supported by written documentation which must be filed in the participant’s case record or maintained in a central location that is accessible to appropriate staff.

The MDES interviewer will notify the MDHS case manager if any attendance problems occur which may cause the TWP participation to be conciliated. Incomplete/inaccurate information and suspected fraud due to falsification of information are also grounds for conciliation. Educational providers and contractors are responsible for providing daily supervision. The MDES interviewer will maintain contact with the provider while the participant is enrolled, as appropriate, but not less than monthly to verify attendance and satisfactory progress. Face-to-face contact with the participant must be scheduled as needed, but not less than monthly. Attendance data submitted by the MDES