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Division of Welfare and Supportive Services A-2040.1 Eligibility and Payments Manual ASSESSMENTS 13 Nov 01 MTL 13/05 Assessment Prior to Approval of TANF Benefits 2040 ASSESSMENT FORM INSTRUCTIONS

2040.1 Assessment Prior to Approval of TANF Benefits

The questions on the Pre-Screening Assessment have been formulated to gather specific types of information; however, the questions are not to be considered all- inclusive. The interviewer is expected to ask additional questions based on the client’s responses and circumstances. Below is a chart showing the type of information sought as part of the Pre-Screening Assessment. The Pre-Screening Assessment must be completed prior to approval for benefits, authorization for support benefits, and assignment of pre-eligibility activities.

QUESTION CONSIDER What type of help do you need?

Document the participant’s response. Has the participant identified the need for financial assistance, medical assistance or referrals to community resources? Description of current living situation. Document the participant’s response: house, apartment, shelter, homeless, boarding with friends/relatives, rent, own, location of services, condition, etc. Financial Situation Document the participant’s responses. Type of income and details of that income (who, when, how much, etc.): child support, Social Security, employment, etc. Education Level High School diploma? GED? College or trade school? STARS consideration- under age 20 and interested in HS diploma or GED; learning disability?

If STARS or learning disabled, refer to a social worker for further assessment. Do you have any of the following issues?

Medical, mental health, pending SSI/SSD? Does the disability limit ability to work or train?

If mental health issues are currently a barrier to employment, refer the individual to a social worker for further assessment.