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DEPARTMENT FOR AGING AND REHABILITATIVE SERVICES AUXILIARY GRANT PROGRAM NON-FINANCIAL REQUIREMENTS 07/19 CHAPTER C, PAGE 19 The individual’s statement on the application that he/she is not a fugitive felon or parole violator will be accepted if it is not questionable. If his statement is questionable or if he/she states he/she is a fugitive felon or parole violator or if a third party reports that he/she is, verify his status through the appropriate law enforcement agency. 4.2.1. Individual is a Fugitive Felon 4.2.1.1.Initial Application Send a “Notice of Action” to deny the AG application and determine Medicaid eligibility based on the Medicaid Manual. 4.2.1.2.Redetermination/Change Send a “Notice of Proposed Action (for AG)” and close the AG case. Determine Medicaid eligibility based on the Medicaid Manual. 5. Social Security Number The individual must provide a valid Social Security number (SSN) or must provide proof of application for a Social Security number. 5.1. Verification • The individual’s Social Security number will be verified through the SVES system. Retain a copy of the SVES report in the case record. • Proof of application for a Social Security number will be verified by contact with SSA or by receipt of SSA Form SSA-2853. Note: Some information can be verified using SOLQ. Verify with SVES if information is not in SOLQ.

6. Level Of Care Assessment (Screening) 6.1. Adult Foster Care Home (AFCH) Assessment • The family service specialist in the local department of social services shall assess the adult to determine the need for adult foster care home (AFCH) placement. A DMAS-96 is required for AG.