Issue Alert - 10-01-01
| Date: | 01/05/2010 | |
| Program Area: | Family Independence Program (FIP) |
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| Issue Summary: |
DHS has revised its policy and procedures on exemptions (deferrals) from Jobs Education Training (JET) requirements for persons with disabilities; policy still has problems |
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| Persons Affected: | FIP applicants or recipients with disabilities, especially those who have cognitive or learning disabilities; chronic and uncontrolled mental illness, or physical problems limiting ability to do routine manual labor |
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| For More Information: |
Center for Civil Justice 320 S. Washington, 2nd Floor Saginaw, MI 48607 (989) 755-3120, (800)724-7441 Fax: (989) 755-3558 E-mail: info@ccj-mi.org
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Background
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Most adult FIP applicants and recipients (and some teens not in
school) must participate in work-related activities through the Jobs Education
and Training (JET) program. Under state
law, FIP applicants or recipients are exempt from participation in JET if they
are “suffering from a physical or mental impairment that meets federal
supplemental security income disability standards, except that no minimum
duration is required”. Under new
subsections effective April 2007 (when the penalties for noncompliance with JET
became much more damaging) the following individuals also are exempt: 1. An
individual with low intellectual capacity or learning disabilities that impede
comprehension and prevent success in acquiring basic reading, writing, and math
skills, including, but not limited to, an individual with an intelligence
quotient less than 80. (Coded by DHS as LI) 2. An
individual with documented chronic mental health problems that cannot be
controlled through treatment or medication. (Coded by DHS as CM) 3. An
individual with physical limitations on his or her ability to perform routine
manual labor tasks, including, but not limited to, bending or lifting, combined
with intellectual capacity or learning disabilities. (Coded
by DHS as PL) |
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| What's Happening? | ||
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DHS has
issued revised policy on deferrals from JET, effective January 1, 2010, which appears
to be an attempt to (finally) implement the statutory exemptions. Unfortunately, the policy does not clearly
set forth the rights and obligations of clients and the procedures to be
followed by DHS caseworkers and still does not ensure that clients will be
exempted if they meet the criteria for one of the three categories. DHS Central office has confirmed that caseworkers are
supposed to refer all cases involving possible deferral under these categories
to the DHS Medical
Review Team (MRT) for a decision on whether they qualify for a “Long Term
Incapacity” (coded as “IN”) deferral based on SSI disability standards,
EVEN IF THE CLIENT DOES NOT HAVE A DOCTOR’S STATEMENT SAYING THE CLIENT IS
UNABLE TO WORK. BEM 230A p. 12. (Note: DHS L Letter 09-02 announced that DHS stopped sending clients
to Michigan Rehabilitation Services for “consultation” before they are reviewed
by MRT.) At present, MRT will NOT look
at whether the client should be deferred under the LI, CM, or PL categories if
the client’s mental or physical condition does not meet SSI disability
standards. The caseworker must review
to see if LI,CM, or PL criteria are met after the MRT denies a deferral under
the In category. (This process may
change in the future.) DHS Central Office indicates the caseworker should automatically proceed with a review for a possible deferral under the LI/CM/PL categories if it appears the client should be deferred on one of those bases, although the policy seems to indicate the client must submit new or additional information after the MRT denies a deferral for long term incapacity (IN), BEM 230A p. 16 Under the
revised policy, caseworkers should assist clients in gathering
and should purchase necessary testing to verify exemptions under these
categories, BEM 230A p. 16. Advocates also should encourage
caseworkers to look follow the DHS policy on Accommodations under the Americans
with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act, which
has strong language (a) requiring DHS to offer assessment when screening shows
possible disabilities and (b) requiring DHS to treat any indication that a
client is having difficulty because of a disability as a request for
accommodation. See AHJ 1313 p. 6-9
(available online at http://www.mfia.state.mi.us/olmweb/ex/ahj/1313.pdf). The
revised policy also provides some standards and guidance regarding the types of
information needed to verify that individuals are exempt under the “new” categories.
For chronic mental illness, policy now requires verification provided by the
client indicating they are in treatment and/or on medication for a chronic
mental health issue. A psychiatrist must verify that the client is unable to
participate in any employment-related activities at this time. As a condition
of eligibility continued treatment must be reviewed at redetermination. BEM 230A p. 16. For learning disabilities or cognitive
impairments, policy states, IQ test
results use the full-scale IQ results. The test must state it is a valid
measure of the client’s mental skills. IQ testing results are always valid
after an individual turns age 16 years, 7 months. New verifications are not
required after age 16 years, 7 months as IQ levels do not change over time. · Indicat[e] they have a physical
limitation that hinders their ability to perform routine manual labor tasks,
and · Provid[e]
verification from an MD or a DO that states the client’s disability will last
longer than 90 days. The
revised policy sets forth activities that individuals exempted under these
categories must engage in. For persons
deferred based on chronic mental illness, continued participation in treatment
is required. For persons exempt based on
learning or cognitive disabilities, the client must actively participate in
either • School attendance or participation in a
community based literacy program or tutoring provided using Direct Support
Services (DSS) if available locally, or • FSS [Family Support Services] approved activities
including use of the state-wide counseling contract. |
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What Should Advocates Do?
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Help clients request exemption/deferral
from JET if they meet the criteria for exemption. |
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What Should Clients Do?
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Seek legal advice if you are assigned to JET and are unable to
successfully participate because of disabilities. Seek legal advice immediately if you are denied or terminated from
FIP. |
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Finding Help
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Most legal aid and legal services offices handle these types of cases, and they do not charge a fee.
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