Worker and Family Assistance:
Eligibility for Aid for Families With Dependent Children in Mahoning County, Ohio
HRD-77-107, Jun 17, 1977
A review of the certain procedures and practices of the Mahoning County Welfare Department in approving and reviewing eligibility for Aid to Families of Dependent Children (AFDC) and Medicaid revealed that there had been AFDC overpayments and potential Medicaid overpayments.
In about half of the cases in a sample of 17 cases, AFDC overpayments have resulted because unemployment compensation was not properly considered and deducted from the AFDC benefits. Unemployment compensation is considered by a declaration from the recipient, and a periodic check of a State listing matching recipients of AFDC and unemployment benefits. The matching program is a useful tool, but to be effective, the State must improve its efforts to provide accurate data, and the county must act upon the information provided, not always the case in the past. Ohio was found to grant Medicaid coverage exceeding that allowed by Federal law. AFDC recipients who thus automatically get Medicaid coverage, and who later become ineligible because of employment, are entitled to four additional months of Medicaid. However, Ohio computes this from the effective date of AFDC termination, often a month or more after the month of ineligibility.