us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5

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us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5 — Page 5 · Axiom

FOOD AND NUTRITION SERVICES CERTIFICATION CLAIMS Requirements for Establishing Recipient Claims ____________________________________________________________________________________

5 Section 805 Change #1-2017 April 1, 2017

2. Establish a claim for the TFNS household if the FNS unit fails to report a move to another State and apply for and receive benefits in another State and the other State does not establish a claim.

3. Establish a claim for the TFNS household if the agency fails to remove a member of a TFNS case when it is reported that the individual has been added to another FNS unit in North Carolina in the same local agency or another local agency.

4. Establish a claim for the TFNS household if the agency fails to remove a member of a TFNS case when it is reported that the individual is receiving FNS in another state.

5. Establish an Agency Error Claim for the TFNS household when a member disqualified for an Intentional Program Violation is not removed from the budget.

F. Voluntary Quit Penalties

An individual required to report and subject to the penalty for voluntary quit is disqualified:

1. For the first violation, until the household member complies or for one month, whichever is later.

2. For the second violation, until the household member complies or for three months, whichever is later.

3. For the third or subsequent violation, until the household member complies or six months, whichever is later. It may be necessary to establish a claim for an individual who fails to report a voluntary quit timely which would have made the individual disqualified for one of the above time periods, unless the penalty can still be imposed timely.

G. Transfer Of Reserve Penalties

If the household fails to report or the agency fails to act on information that would have resulted in disqualification, the household is ineligible for the appropriate number of months only if this was a reportable change.

H. Households With Ineligible Individuals

Establish a claim when a household containing an ineligible member fails to report a change in situation that makes the member eligible to be included and their income and resources counted only if a reportable change. Ineligible members include an ineligible student, ineligible Able-bodied Adult Without Dependent (ABAWD), fleeing felon, and a probation/parole violator.

I. Households With Disqualified Individuals

Establish a claim when a household containing a disqualified member fails to report a change in income or reserve only if a reportable change. Disqualified individuals include

in view

Whole section

Encodings · 9

Encoded from this provision

us-nc/policy/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5

agency_error_claim_must_be_established_for_tfns_householdus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5 · derived

FNS 805, page 5, item 5

name: agency_error_claim_must_be_established_for_tfns_household
kind: derived
entity: Person
dtype: Judgment
period: Month
source: FNS 805, page 5, item 5
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: >-
            Establish an Agency Error Claim for the TFNS household when a member
            disqualified for an Intentional Program Violation is not removed
            from the budget.
versions:
  - effective_from: '2017-04-01'
    formula: >-
      household_is_tfns_household

      and
      member_disqualified_for_intentional_program_violation_not_removed_from_budget

first_voluntary_quit_penalty_minimum_monthsus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5 · parameter

FNS 805, page 5, F.1

name: first_voluntary_quit_penalty_minimum_months
kind: parameter
dtype: Count
source: FNS 805, page 5, F.1
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: For the first violation ... one month
versions:
  - effective_from: '2017-04-01'
    formula: '1'

recipient_claim_must_be_establishedus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5 · derived

FNS 805, page 5, items 2-5 and H-I

name: recipient_claim_must_be_established
kind: derived
entity: Household
dtype: Judgment
period: Month
source: FNS 805, page 5, items 2-5 and H-I
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: >-
            Establish a claim for the TFNS household if the FNS unit fails to
            report a move to another State
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: agency fails to remove a member of a TFNS case
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: Establish an Agency Error Claim for the TFNS household
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: >-
            Establish a claim when a household containing an ineligible member
            fails to report
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: >-
            Establish a claim when a household containing a disqualified member
            fails to report
versions:
  - effective_from: '2017-04-01'
    formula: |-
      (
        household_is_tfns_household
        and fns_unit_failed_to_report_move_to_another_state
        and fns_unit_applied_for_and_received_benefits_in_another_state
        and other_state_does_not_establish_claim
      )
      or (
        household_is_tfns_household
        and agency_failed_to_remove_member_reported_added_to_another_nc_fns_unit
      )
      or (
        household_is_tfns_household
        and agency_failed_to_remove_member_reported_receiving_fns_in_another_state
      )
      or (
        household_is_tfns_household
        and member_disqualified_for_intentional_program_violation_not_removed_from_budget
      )
      or (
        household_contains_ineligible_member
        and household_failed_to_report_change_making_ineligible_member_eligible
        and ineligible_member_change_is_reportable
      )
      or (
        household_contains_disqualified_member
        and household_failed_to_report_change_in_income_or_reserve_for_disqualified_member
        and disqualified_member_income_or_reserve_change_is_reportable
      )

second_voluntary_quit_penalty_minimum_monthsus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5 · parameter

FNS 805, page 5, F.2

name: second_voluntary_quit_penalty_minimum_months
kind: parameter
dtype: Count
source: FNS 805, page 5, F.2
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: For the second violation ... three months
versions:
  - effective_from: '2017-04-01'
    formula: '3'

third_or_subsequent_voluntary_quit_penalty_minimum_monthsus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5 · parameter

FNS 805, page 5, F.3

name: third_or_subsequent_voluntary_quit_penalty_minimum_months
kind: parameter
dtype: Count
source: FNS 805, page 5, F.3
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: amount
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: For the third or subsequent violation ... six months
versions:
  - effective_from: '2017-04-01'
    formula: '6'

transfer_of_reserve_penalty_ineligibility_appliesus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5 · derived

FNS 805, page 5, G

name: transfer_of_reserve_penalty_ineligibility_applies
kind: derived
entity: Household
dtype: Judgment
period: Month
source: FNS 805, page 5, G
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: >-
            household is ineligible for the appropriate number of months only if
            this was a reportable change
versions:
  - effective_from: '2017-04-01'
    formula: |-
      transfer_of_reserve_change_is_reportable
      and (
        household_failed_to_report_information_that_would_have_resulted_in_disqualification
        or agency_failed_to_act_on_information_that_would_have_resulted_in_disqualification
      )

voluntary_quit_claim_may_need_to_be_establishedus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5 · derived

FNS 805, page 5, F.3

name: voluntary_quit_claim_may_need_to_be_established
kind: derived
entity: Person
dtype: Judgment
period: Month
source: FNS 805, page 5, F.3
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: >-
            It may be necessary to establish a claim ... unless the penalty can
            still be imposed timely.
versions:
  - effective_from: '2017-04-01'
    formula: |-
      individual_failed_to_report_voluntary_quit_timely
      and voluntary_quit_penalty_minimum_disqualification_months > 0
      and not voluntary_quit_penalty_can_still_be_imposed_timely

voluntary_quit_disqualification_appliesus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5 · derived

FNS 805, page 5, F

name: voluntary_quit_disqualification_applies
kind: derived
entity: Person
dtype: Judgment
period: Month
source: FNS 805, page 5, F
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: >-
            An individual required to report and subject to the penalty for
            voluntary quit is disqualified
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: until the household member complies or ... whichever is later
versions:
  - effective_from: '2017-04-01'
    formula: |-
      individual_required_to_report_and_subject_to_voluntary_quit_penalty
      and voluntary_quit_penalty_minimum_disqualification_months > 0
      and (
        not household_member_has_complied
        or not applicable_voluntary_quit_minimum_period_has_elapsed
      )

voluntary_quit_penalty_minimum_disqualification_monthsus-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5 · derived

FNS 805, page 5, F.1-F.3

name: voluntary_quit_penalty_minimum_disqualification_months
kind: derived
entity: Person
dtype: Count
period: Month
source: FNS 805, page 5, F.1-F.3
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: formula
        source:
          corpus_citation_path: >-
            us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
          excerpt: >-
            first violation ... one month ... second ... three months ... third
            or subsequent ... six months
versions:
  - effective_from: '2017-04-01'
    formula: >-
      if voluntary_quit_first_violation:
      first_voluntary_quit_penalty_minimum_months else: if
      voluntary_quit_second_violation:
      second_voluntary_quit_penalty_minimum_months else: if
      voluntary_quit_third_or_subsequent_violation:
      third_or_subsequent_voluntary_quit_penalty_minimum_months else: 0

▸rulespec code

Shown source

policies/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims

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Rules

agency_error_claim_must_be_established_for_tfns_household

Derived

source: FNS 805, page 5, item 5

- name: agency_error_claim_must_be_established_for_tfns_household
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: FNS 805, page 5, item 5
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: >-
              Establish an Agency Error Claim for the TFNS household when a member disqualified for
              an Intentional Program Violation is not removed from the budget.
  versions:
    - effective_from: '2017-04-01'
      formula: |-
        household_is_tfns_household
        and member_disqualified_for_intentional_program_violation_not_removed_from_budget

first_voluntary_quit_penalty_minimum_months

Parameter

source: FNS 805, page 5, F.1

- name: first_voluntary_quit_penalty_minimum_months
  kind: parameter
  dtype: Count
  source: FNS 805, page 5, F.1
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: For the first violation ... one month
  versions:
    - effective_from: '2017-04-01'
      formula: '1'

recipient_claim_must_be_established

Derived

source: FNS 805, page 5, items 2-5 and H-I

- name: recipient_claim_must_be_established
  kind: derived
  entity: Household
  dtype: Judgment
  period: Month
  source: FNS 805, page 5, items 2-5 and H-I
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: >-
              Establish a claim for the TFNS household if the FNS unit fails to report a move to
              another State
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: agency fails to remove a member of a TFNS case
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: Establish an Agency Error Claim for the TFNS household
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: Establish a claim when a household containing an ineligible member fails to report
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: Establish a claim when a household containing a disqualified member fails to report
  versions:
    - effective_from: '2017-04-01'
      formula: |-
        (
          household_is_tfns_household
          and fns_unit_failed_to_report_move_to_another_state
          and fns_unit_applied_for_and_received_benefits_in_another_state
          and other_state_does_not_establish_claim
        )
        or (
          household_is_tfns_household
          and agency_failed_to_remove_member_reported_added_to_another_nc_fns_unit
        )
        or (
          household_is_tfns_household
          and agency_failed_to_remove_member_reported_receiving_fns_in_another_state
        )
        or (
          household_is_tfns_household
          and member_disqualified_for_intentional_program_violation_not_removed_from_budget
        )
        or (
          household_contains_ineligible_member
          and household_failed_to_report_change_making_ineligible_member_eligible
          and ineligible_member_change_is_reportable
        )
        or (
          household_contains_disqualified_member
          and household_failed_to_report_change_in_income_or_reserve_for_disqualified_member
          and disqualified_member_income_or_reserve_change_is_reportable
        )

second_voluntary_quit_penalty_minimum_months

Parameter

source: FNS 805, page 5, F.2

- name: second_voluntary_quit_penalty_minimum_months
  kind: parameter
  dtype: Count
  source: FNS 805, page 5, F.2
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: For the second violation ... three months
  versions:
    - effective_from: '2017-04-01'
      formula: '3'

third_or_subsequent_voluntary_quit_penalty_minimum_months

Parameter

source: FNS 805, page 5, F.3

- name: third_or_subsequent_voluntary_quit_penalty_minimum_months
  kind: parameter
  dtype: Count
  source: FNS 805, page 5, F.3
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: amount
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: For the third or subsequent violation ... six months
  versions:
    - effective_from: '2017-04-01'
      formula: '6'

transfer_of_reserve_penalty_ineligibility_applies

Derived

source: FNS 805, page 5, G

- name: transfer_of_reserve_penalty_ineligibility_applies
  kind: derived
  entity: Household
  dtype: Judgment
  period: Month
  source: FNS 805, page 5, G
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: >-
              household is ineligible for the appropriate number of months only if this was a
              reportable change
  versions:
    - effective_from: '2017-04-01'
      formula: |-
        transfer_of_reserve_change_is_reportable
        and (
          household_failed_to_report_information_that_would_have_resulted_in_disqualification
          or agency_failed_to_act_on_information_that_would_have_resulted_in_disqualification
        )

voluntary_quit_claim_may_need_to_be_established

Derived

source: FNS 805, page 5, F.3

- name: voluntary_quit_claim_may_need_to_be_established
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: FNS 805, page 5, F.3
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: >-
              It may be necessary to establish a claim ... unless the penalty can still be imposed
              timely.
  versions:
    - effective_from: '2017-04-01'
      formula: |-
        individual_failed_to_report_voluntary_quit_timely
        and voluntary_quit_penalty_minimum_disqualification_months > 0
        and not voluntary_quit_penalty_can_still_be_imposed_timely

voluntary_quit_disqualification_applies

Derived

source: FNS 805, page 5, F

- name: voluntary_quit_disqualification_applies
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: FNS 805, page 5, F
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: >-
              An individual required to report and subject to the penalty for voluntary quit is
              disqualified
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: until the household member complies or ... whichever is later
  versions:
    - effective_from: '2017-04-01'
      formula: |-
        individual_required_to_report_and_subject_to_voluntary_quit_penalty
        and voluntary_quit_penalty_minimum_disqualification_months > 0
        and (
          not household_member_has_complied
          or not applicable_voluntary_quit_minimum_period_has_elapsed
        )

voluntary_quit_penalty_minimum_disqualification_months

Derived

source: FNS 805, page 5, F.1-F.3

- name: voluntary_quit_penalty_minimum_disqualification_months
  kind: derived
  entity: Person
  dtype: Count
  period: Month
  source: FNS 805, page 5, F.1-F.3
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: formula
          source:
            corpus_citation_path: us-nc/manual/dhhs/fns/fns-805-requirements-for-establishing-recipient-claims/page-5
            excerpt: >-
              first violation ... one month ... second ... three months ... third or subsequent ...
              six months
  versions:
    - effective_from: '2017-04-01'
      formula: >-
        if voluntary_quit_first_violation: first_voluntary_quit_penalty_minimum_months else: if
        voluntary_quit_second_violation: second_voluntary_quit_penalty_minimum_months else: if
        voluntary_quit_third_or_subsequent_violation:
        third_or_subsequent_voluntary_quit_penalty_minimum_months else: 0