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DMA ADMINISTRATIVE LETTER NO. 06-07, DAAS ADMINISTRATIVE LETTER NO. 07-16, FAMILY SUPPORT AND CHILD WELFARE, SERVICES FSCWS- 09-2007, DSS, ADMINISTRATIVE LETTER NO. FOOD AND, NUTRITION SERVICES AND ENERGY, PROGRAMS 05-2007, (VETERAN’S AFFAIRS MATCH)

DATE: September 04, 2007

SUBJECT: Veteran’s Affairs Match

DISTRIBUTION: County Directors of Social Services Medicaid/Work First/Special Assistance/Food and Nutrition Services Supervisors/Staff

NOTE: This letter obsoletes DMA Administrative Letter 34-2000, DSS Administrative letter No. Economic Independence (Work First and Food Stamps) 14-2000, and DSS Administrative No. Adult and Family Services 8-2000

I. BACKGROUND

II. VETERAN’S AFFAIRS MATCH

IV. CONFIDENTIALITY

CASE NAME:______________________________AID PROG/CAT:__________

CASE ID: _______________________ DATE: _______________________

WORKER NAME:_______________________________ DIST NUMBER:______

Please complete all entries that apply:

YES

NO

     

VA income reported, amount matched record

   

VA income reported, but amount is different

   

VA income not previously reported

   

Client provided evidence that the information on the report is incorrect.

   

Case terminated

   

Benefits for individual were reduced

   

Benefits for individual were increased

   

Please complete all entries that apply:

Amount Reduced

Amount Increased

     

Authorized to Deductible

   

Deductible to Authorized

   

Deductible increased

   

Deductible decreased

   

Increased PML

   

Decreased PML

   

AAF or SA check increased

   

AAF or SA check reduced

   

Food Stamp allotment increased

   

Food Stamp allotment decreased

   

TOTALS

$

$

To be completed by the worker for each case that appears on the VA match report.

ATTACHMENT I (REISSUED 09-07)

VA MATCH SUMMARY SHEET

COUNTY:_________________ AID PROG/CAT:____________

CONTACT PERSON:_____________________________

VA MATCH RPT DATE:________ DATE RPT COMPLETED:___________

Please enter total numbers of cases affected by each situation and total dollar figures in the dollar fields.

 

Total YES’S

Total NO’S

     

VA income reported, amount matched report

   

VA income reported, but amount is different

   

VA income not previously reported

   

Client provided evidence that the information on the report is incorrect

   

Case terminated

   

Benefits for individual were reduced

   

Benefits for individual were increased

   

 

Total Amt. Reduced

Total Amt. Increased

     

Authorized to Deductible

   

Deductible to Authorized

   

Deductible increased

   

Deductible decreased

   

Increased PML

   

Decreased PML

   

AAF or SA check increased

   

AAF or SA check reduced

   

Food Stamp allotment increased

   

Food Stamp allotment decreased

   

TOTALS

$

$

The Control Person should complete a summary sheet for each aid program/category with totals obtained from the Action Sheets completed by the workers.

ATTACHMENT II (REVISED 09-07)

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