- (a) Activity-related expenses are payments made to assist current transitional employment assistance (TEA) participants with expenses that may arise during a documented work activity.
(b)
- (1) Payment or reimbursement up to a cumulative amount of two hundred dollars ($200) may be made for expenses related to a participation in TEA work activities, i.e., multiple expenses may add up to two hundred dollars ($200).
- (2) Prior to approving the payment or reimbursement, the Program Eligibility Specialist must review the current case and verify that the participant is eligible for assistance and has not already exceeded the two hundred-dollar limit.
- (3) If the participant has exceeded the two hundred-dollar cumulative limit, the Program Eligibility Specialist will advise the participant about other options available in the area.
(c)
- (1) The two hundred-dollar cumulative limit may be exceeded on a case-by-case basis as determined at the local office level.
- (2) If the reimbursement will exceed the two hundred-dollar limit, the local office manager must submit written justification prior to keying to WISE by faxing the TEA-187, Billing/Routing Sheet, along with written justification to the attention of the Temporary Assistance for Needy Families Policy Unit of the Department of Human Services.
- (d) Note. The two hundred-dollar cumulative limit will reset if the TEA case closes and is later reopened. Example: Mrs. Washington received two hundred dollars ($200) in activity-related expenses to purchase uniforms in July 2007. She closed her TEA case in December 2007 and reopened in March 2008. Mrs. Washington may receive activity-related expenses up to two hundred dollars ($200) because her case reopened.
(e)
- (1) Examples of items for which payment/reimbursement may be made are listed below.
- (2) The Program Eligibility Specialist may approve an item for reimbursement at his or her discretion.
- (3) Even though an item is listed, this should not be the sole reason for approving the reimbursement.
(f)
(1) Some activity-related expenses include, but are not limited to:
- (A) Uniforms;
- (B) Shoes;
- (C) Criminal background checks in relation to work site or employment;
- (D) Drug test in relation to work site or employment;
- (E) Driver’s license fees; and
- (F) Tires.
- (2) Note. Layaway deposits are not reimbursable.
(g)
- (1) The Program Eligibility Specialist may approve medical items not covered by Medicaid if necessary for the participant to engage in employment.
(2) State funds may be used to pay for dental services such as:
- (A) Fillings;
- (B) Extractions; and
- (C) Root canals.
(3) State funds may also be used to:
- (A) Pay for eye exams; and
- (B) Obtain corrective lenses or contacts.
- (4) The Program Eligibility Specialist must determine that the service is needed in order for the participant to engage in employment.
- (5) The code ST (State Medical) will be used to authorize these services.
- (6) Note. Eyeglasses, dentures, and employee-required exams such as drug testing and physicals are paid through WISE using the MS code (Medical Services).
(h) The Program Eligibility Specialist will document in the approved case management system the following information:
- (1) Reason for expense;
- (2) Amount for expense; and
- (3) Provider to be paid.
(i)
- (1) The participant must provide proof, e.g., invoice, bill, etc., to verify the cost of the needed items.
- (2) Once the required information is provided, the Program Eligibility Specialist will authorize the payment by keying in all appropriate information to the RSRP screen.
- (j) If paying a provider directly, the provider will complete the TEA-1400, Provider Agreement, if not already on file, the TEA-187, Billing/Routing Sheet, and provide company invoice before payment can be authorized.
- (k) The Program Eligibility Specialist will complete the TEA-1427, Provider Service Authorization, to authorize expense or service.