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[Title] Intra-Agency Barriers to Food Stamps: Maximizing Benefits for Elders and… [Author] David Pope [Year] 2006 [Publication Type] Field Reports [Community Focus] Advocates (including legal advocates), People with Disabilities, Seniors, SNAP/Food Stamp Recipients [Location] Boston, Domestic, Massachusetts [Description] Intra-Agency Barriers to Food Stamps: Maximizing Benefits for Elders and Persons with Disabilities in Massachusetts is a summary of suggestions from advocates on ways to improve enrollment… Read more [Affiliation] Emerson Fellow [Body] 
Intraagency Barriers Food Stamps Maximizing Benefits for Elders and Persons with Disabilities Massachusetts report David Pope Emerson National Hunger Fellow February the United States Department Agriculture spent upwards billion Stamp Program serving million hungry peoplei Considered first line defense against hunger food stamps are available wide range Americans from elders need grocery money parents healthy baby But significant barriers still exist many American households especially Introduction have traditionally exhibited low national rates stamp participation study USDA found that only eligible elderly individuals participated program compared singleparent familiesii fact some estimate members leaving without assistanceiii portion these may not participate because stigma perceived benefit levels but advocates maintain most barrier application process state agencies Because special health care dietary needs dangerous Recent figures indicate more than twothirds multiple problems like heart disease diabetes worsen insufficient dietiv government half sample population over reported having hypertension condition exacerbated inadequate nutritionv should surprise lowincome who necessary financial assistance buy nutritious foods face increased complications Many dietrelated lack awareness information programs service options recent living Greater Plymouth area one seven frequently bed while four had make tradeoffs between paying utilities heating fuel Over surveyed said they were interested receiving small percentage actually received benefits nine out ten indicated could unaware how apply whether qualifiedvi And receive sufficient enough purchase diets November Boston neighborhood Brigham Womens Hospital color maximum would additional appropriate those fat high fruits vegetables whole grain productsvii Indeed mentioned above did responded their monthly lasted average three weeksviii For rely solely nutritional diet Programs Perhaps any other its troubles can best illustrate management implementation various administer stampsix worst nationx This was written legal providers social workers mind reviews The suggestions herein summary mainly feedback ideas during meetings coalitions presentations conferences across late early two sections trace intraagency persons disabilities applying Social Security Administration Transitional Assistance third section explores recommend policy changes through case medical expense deduction SSA Office Nationwide Supplemental Income SSI categorically stampsxi maintains updated records payees recipients simpler Offices fail assist mandates employees called Claims Representatives take applications where all Laws also require offices encourage completing understanding processxii Legal consistently disregard obligations Instead assisting clients simply refer office Others obligation recipient pertains particular times redetermination continuing eligibility Advocates shadowed discovered informing right time These violate Act Manchaca Chater ruling which court maintained offer Since antihunger ramped campaign get improve applicants including Negotiating create onepage form asks pertinent questions relating receipt air conditioning fees increase Encouraging issue guidance pure Monitoring enrollment Freedom Information informal surveys completed Even encouragement Combined Application response dwindling among Nutrition Service FNS has allowed certain states combined automatically enrolls applicant andor Historically earn fixed incomes pay fewer shelter costs live subsidized housing rarely screened expenses Bay State CAP allows enroll uses simplified calculation ensuring income preclude agency initially then sends electronically data exchange processed success depends upon coordination Enrollment easy During reassessment eligibly required ask few easily them However serve confusing being enrolled Antihunger identified types asked about personal status question formulated applicationMay your today been working One troublesome scenario this already regular realize new exists answer want submit another hesitant difficulty requires verifications interviews second major relates fully explaining SSAs manual explain enrollmentxiii honor under federal law own identify number steps consider help maximize Seek permission rephrase correct must corrected posing May elder receives advantages SSIfood higher level ease applicantrecipient See Attachment Would you better Fully describe reinforce accepting negative responses arise confusion associated ensure understand automatic interview proofs They advise applicantsrecipients provide know Ask standard amounts household pays less flat default cannot extends selfdeclare dollars rent month trapped lower Medical Expense Deduction person deduct nonreimbursed excess countable allotment managers DTA allowable Unfortunately overlook completely ignore underutilized deducted benefitsxiv amount substantially raise When Managers correctly example woman alone collects her manager screens different overthecounter aspirin bus fare dentists addition forms verification collateral contact drug store large possible deductible diverse procedures screen There coherent scope Unlike requirements regulations align promulgated neither include twentyfirst century nor revised newsletters included discussions properly trained following demonstrates change within aware updates DTAs formal policies Mass Law Reform Institute Managerial staff Field Operations Memo newsletter What follows here combination research correspondence recommendations clarify expand Chauncy Street Suite PHONE FAX wwwmlriorg January Phuoc Cao Director Policy Washington Dear writing begin discussion ways use seeking Commissioner Wagner noted his October testimony fraction AUs advantage Extensive documented critical good nutrition importance address capacity Congressional conducted numerous workshops organizations personally spoken dozens entitled calculated While greatly there either off getting contacted voiced concern clearly needed securing Few remember Manager claimed uninsured claim disallowed incurred understood transportation services counter medications Cody Scott James Ohls Reaching Out Elderly Evaluation Elder Demonstration Models Vol Mathematica Research Inc March Older Key Indicators WellBeing Federal Interagency Forum AgingRelated Statistics Government Printing Issuance field operations memo detailing Especially important highlighting alternative ancillary such postage communicate readily assume Toward end drafted annotated issued throughout country chart same client oriented screening given contain consideration endorsed similar tool developed Vermont promising practice Available wwwfnsusdagovfspgovernmentpromisingpracticesprescreeninghtm file future reminder BEACON enhancement scheduled incorporate into website brochure describes Attached flyer prepared direct mailing local Council Aging Independent Living centers Finally extend appreciation outlined allowing Medicare Part participants partial extra MPDDP participant correction wanted Pages incorrectly paid bills outofpocket bill rather instruct billed otherwise becomes due regardless when unit intends emphasis added CMR helpful Hotline Focus clarifying insisting proof payment very much appreciate opportunity discuss proposal convenience MLRI fellowship will ending mid next weeks Thank Sincerely Lauren Arms Patricia Baker Improvement Coalition Proposed Expanding Use Deductions deductions utilize Purpose purpose highlights medicallyrelated incur typically covered MassHealth private insurance III Important Tips related Alternative therapies provided licensed practitioner acupuncture chiropractic faith based healing therapeutic massage Dental dentures dental adhesives Insulin antacids prescribed herbal remedies treatments Private mileage rate currently cents per mileas well public transportationfor trips includes rehabilitative therapy pharmacy pick prescriptions supplies Costs handling mail order longdistance phone calls communication equipment deaf hard hearing Health adult diapers incontinence pads Purchase durable renovations home accessibility vehicles nonmedical conditioners dehumidifiers Characteristics Household Oct Farm Bill stated analysis our caseload indicates disabled All copays deductibles premiums recently described evaluated result ongoing sure inquire Unpaid prior certification period averaged remaining Anticipated estimated current Related Expenses Screen Transportation obtain treatment appointments supply business limited actual cost train subway rental car individual taxi cab driver using vehicle privately owned member mile retrofitting Remember Verification exceed normally charged Example Mary Smith drives once week prescription drugs round trip drive miles She physical therapist Smiths weekly equals questionable worker verify Deductible Kentucky fill medicine aides eye glasses sickroom OMTL Indiana driven prove Transitions vol June WAC medically modifications mobility repairs remodeling people ramps handrails Ohio Certification Handbook distance location pharmacist maps online map databases Mapquest Tom Jones neighbor him doctors every gives provides statement details makes CommunicationPostage add blind vision loss permits Incidental Longdistance Postage shipping Ongoing Special telephones amplifiers warning signals repair replacement TTY typewriter devises accept communications receipts listed package Jane Doe supplier confirm shipment medication Later she back request method shows sticker suppliers box copy itemized telephone both OvertheCounter Medications Care Supplies Regional Letter DeductionPostage Prescription Drugs August incidental lodging CFR dix North Carolina Virginia typewriters Regulations Herbal supplements routine foot creams powders shoe inserts skin ointments Diapers liners Lancet lancet devices diabetics Magnetic pain relief Batteries Henry doctor prescribes ibuprofen magnetic bracelets wrist arm spends disposable extrastrength brings manage Practitioners Treatments practitioners Examples Acupuncturists Naturopaths Massage therapists Christian Science healers Other nontraditional alterative herbs requirement regarding licensure Jason Browns acupuncturist alleviate Brown Volume Page insulin etc accordance Texas approved qualified professional iii allow medicallyneeded items statelicensed statecertified Wisconsin chiropractors acupuncturists sessions travel Equipment Accessibility Renovations Some alterations homes spaces Lowered countertops Grab bars Wheelchair Chair lifts Shower seats Transfer benches boards conditions purifiers Nonmedical invoice indicating acceptable Fred Bowman monitor environment chronic lives does cooling system Freds conditioner summer months give purchasing Note Heating SUA incurs electricity running Although primary responsibility providing shall unable requests Title Disability ADA denied accommodate disability renting considered definition secure reminded affirmatively recertification Enclosed elicit even apparent Offering provider Allowing collect selfdeclarations Providing interpreters Sign Language telecommunication Again unpaid reimbursed party unless delay deny reimbursement uncertainly unlikely claiming NOT type incurring plan changed since last Worker Responsibilities reasonable accommodation bii uncertain Tennessee Manual instructs Under statements made inconsistent known previous reverified Nor Allowable Statement source self declaration Medicinepills bottle label Itemized Insurance showing VII Calculation Onetime option requesting onetime difference each That remains balance Doctors visit Laboratory Bills purchaserental eyeglasses Hearing Pastdue South Dakota medicinepill bottles nurses homemakers New Hampshire Oregon select onemonth Supplement Any outstanding nonreimbursable notice collection used calculating show payments prediction what expects base professions extent coverage budget prospectively remainder chooses advised determining Dec provision past determine Look STATE SCOPE VERIFICATIONS CALCULATION CITATION Allows prosthetics purchasingrenting Also maintaining animal specially seeing dogs guide housekeeper monkeys quadriplegics via Family Services Individual Client Eligibility System httpwwwingovfssafamiliespdfpdf revenue tax pharmacies charge keep charges telephonic aids teletypewriter dentist aide Emphasis timely reporting Cabinet Operational httpmanualschfskygovdcbs_manualsDFSvoliivoliitocdoc chiropractor spiritual sex clinical pastoral counselor psychologist Human Sec httpwwwdhhsstatenhusFSM_htmNEWFSMHTM amplifies handicapped feet artificial limbs Requires total httpinfodhhsstatencusolmmanualsdsseimanFSshtmP_ computer printouts companies Explanation EOB DSS enter Medicaid pending lawsuits Stability httpjfsohiogovOFampdffoodprogramsmanualpdf authorized midwife physician skilled optometrist wwwstatesdussocialFoodStampsManualindexhtm AND obtained count credit card Instructs httpwwwstatetnushumanservfsmanpdf children adults Works httpwwwdadsstatetxusHandbooksArchivesTexasWorkstwPartAAtwaasp verified specific httpwwwdssvirginiagovfilesdivisionbpfspolicymanualppdf prevailing community allowance impaired item long naturopathic nonstandard covers wheelchairs walkers grab wheelchair lowered Administrative Code httpappslegwagovwacdefaultaspxcitefulltrue West Resources Maintenance httpwwwwvdhhrorgbcfpolicyimmnew_manualIMManualManual_PDF_FilesChapter_ch_pdf mailorder loans principal FoodShare httpwwwemhandbookswigovfshPolicy_Fileshtm Screening Form MEDICAL DEDUCTIONS SCREENING FORM COMPLETED THE MANAGER Name ______________________________ SSN TRANSPORATION FOR MEDICALLYRELATED TRIPS USE FOLLOWING LIST RECORD MILEAGE Public Feeweek _________ ________ Tripsweek Bus____ Subway____ Milesweek Car_________ milesweek Train____ Shuttle____ Taxi_________ feeweek Taxi____ Reimbursed mileweek Other____ COMMUNICATION ANDOR POSTAGE COSTS CHECKLISTS SCREEN POSSIBLE
Congressional Hunger Center » Subject Areas » Domestic Federal Nutrition Programs
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