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Subject: Families First Application Process

Policy 23.01 Date of Last Review: 06/26/2024 Effective Date: 07/01/2024 Date of Next Review: 06/26/2027 RDA: SW22 Page 5 of 7 5. Renegotiate the Personal Responsibility Plan as outlined in Policy 23.07 Families First Personal Responsibility Plans. Note: The eligibility and case management system will require that all eligibility factors be verified. Unless the information is questionable or has changed at the time of the interview, accept the previous verification and the statement of the customer for the verification other than those listed above. Customers Who Appear to be Eligible for SSI When the Families First customer appears to be potentially eligible for Supplemental Security Income (SSI), the customer will be asked whether an application for SSI has been filed. If an application for SSI has not been filed, a brief explanation of the program will be provided to the customer. 1. The customer will be included in the AU and, if they choose to apply for SSI and become eligible, they will be removed from the AU at the time eligibility for SSI is attained. 2. If the customer wishes to relinquish SSI and be included in the Families First AU, the eligibility counselor will explain the differences in benefits. If the individual chooses to be in the Families First AU, the eligibility counselor will ask the individual to talk to a Social Security Office representative. When the State Data Exchange (SDX) verifies that the individual no longer receives SSI, the individual may be added to the Families First AU. Supporting Documents HS-0169 FA Application for Assistance-English HS-0169 FA Assistance Application Addendum-English HS-0169sp FA Assistance Application-Spanish HS-0169sp FA Assistance Application Addendum-Spanish HS-0169a FA Assistance Application and Addendum-Arabic HS-0169s FA Assistance Application and Addendum-Somali HS-0169sw FA Assistance Application and Addendum-Swahili HS-3026 FA Renewal Application-English HS-3026sp FA Renewal Application-Spanish Family Assistance Online Application Families First Application Process Procedures Families First Rights and Responsibilities 23.06 Families First Drug Testing Policy 23.04 Families First Resource Eligibility 23.05 Families First Income Eligibility 23.07 Families First Personal Responsibility Plans