Transcript
STATE PLAN FOR ASSISTANCE TO CUBAN REFUGEES FLORIDA
The State Department of Public Welfare is given legal authorization to administer this program in Chapter 409 of the Florida Statutes, Section 409 .2, Subsection (1), “------------shall conduct, supervise and administer, or cause to be administered, within the state, all social welfare and relief work which is or will be carried on by the use of federal and state funds, and receive and distribute all commodities donated by the United States or any agency thereof for any such social relief---------”. Subsection (2), “ On behalf of the department the state board may accept sich duties in respect to public aid or social welfare as may be delegated to it by any agency of the federal government-------- and may act as agent of the federal government------- in the conduct and administration of public aid and social welfare activities and in the disbursement of the funds received from the federal government--------------”.
The State department of Public Welfare, in assuming responsibility for the administration of assistance and services for Cuban refugees will provide financial assistance, child welfare services and surplus commodities through it’s appropriate divisions.
FINANCIAL ASSISTANCE AND SERVICES
There will be a supervisor of the program in addition to social work staff, clerical staff and a disbursing officer. The number and qualifications of staff will be such as to assure adequate maintenance of a satisfactory client relationship, case recording, and acceptable statistical and accounting procedures. (See Attachments) Fiscal operations will be set up which will provide a basis of accountability for expenditures of both administrative and assistance funds. Statistical procedures will be established which will provide for accurate reporting.
Case Records-- The agency will maintain case records to substantiate its action with respect to services given and financial assistance provided. Such records in all cases will include a minimum of information to justify provision of financial assistance on an emergency basis. The records will include identifying information about the person making application, family composition, service requested, action taken by the agency on behalf of the family, and the basic facts used in establishing need and the amount of payment. (See Form CRA-1, attached.) In cases in which service, including assistance, is continued after the granting of the first emergency assistance, more detailed case recording will be maintained and will include plans for services to the family and the basis for continued need for financial aid.
All information will be handled in a confidential manner and confidentiality of case records will be maintained.
The following standards will be observed in administering the program:
Statement of Eligibility
A person to be eligible for assistance under the Cuban Refugee Program must be a refugee as defined by the federal government and must be in need of assistance. A
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person must register at the Cuban Refugee Emergency Center and must present the registration card provided by the Center before an application for assistance can be accepted.
Definition of Need
A client’s statement of need and resources shall be accepted at the time of original application for a grant. The first assistance grant shall be sufficient to meet the emergent situation and provide for the client’s need for a period of two weeks. The client will be instructed to return if his need continues after a period of two weeks. If a client again asks for assistance at the end of two weeks, assistance may be granted on a monthly basis.
Assistance Standard
Shelter- Shelter cost will be paid up to $65.00 per month. The client’s statement of responsibility for the amount of shelter cost will be accepted at the time of the original request for assistance. Rent receipts will be used to substantiate subsequent payments. The vendor will be required to provide the client’s right to occupancy. (See Form CRA-5,attached.) One copy of the receipt is to be returned to the agency.
Food - Food allowances will be made as follows:
Adult Child Under 12
$28.59 per month $22.00 per month
Personal Incidentals
Adult Child Under 12
$4.50 per month $3.00 per month
Clothing - The original two weeks assistance grant will include an amount for clothing to be determined by an appraisal with the client of clothing needs and the possible use of used clothing. The amount of grant for clothing may not exceed $25.00 per person. Subsequent grants may be made at three-month intervals if needed. ( The original allowance would provide one pair of shoes, two pairs of socks, two pairs of trousers or skirts, two men’s shirts or women’s blouses, two sets of underwear and a sweater.)
Household Incidentals - Since many of these persons will be attempting to establish themselves in a separate household away from relatives or to set up housekeeping, there shall be an original grant determined with the client through an examination of his plan for living arrangements. Where the client is planning to live in his own household unit, an original grant of $15.00 may for this item. An amount of $9.80 will be included in the monthly budget to cover the cost of fuel, refrigeration, lights and household incidents.
Special Circumstances Items - In some cases special expenditures will be required to help the client become self-supporting or to perform normal functions of home making. A grant may be made to cover the minimum cost of tools, prosthetic devices, ect., but only when the need has been verified and it has been determined that the client cannot obtain employment or cannot function without the requested item. The supervisor’s approval must be given for all such grants.
Method of Payment
Payment for food, sent personal incidents, clothing and household incidents will be given in the form of money payments to the client and will be paid by check. No monthly assistants warrant may exceed $100.00
Commodity Certification
All families granted financial assistance will also be certified for surplus commodities. ( See Form CRA-3, attached.)
Medical Care - Vendor Payments
Hospitalization will provide for acute illness or injury, including acute exacerbation of a chronic disease.
Hospitalization may not exceed thirty days per year. Hospitalization will also be provided for obstetrical cases not to exceed four days unless such care involves an acute condition requiring extended hospitalization. In such cases the hospitalization may not exceed thirty days per year.
The same standards for payment used in administering the Department’s hospitalization program will apply. However, procedures for this program will permit
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Payment directly to the hospital upon submission of an appropriate bill for a client certified by the Department as being eligible for Cuban Refugee Assistance.
Form CRA-4 will be used to authorize Hospitalization and to request payment. ( See Attachment)
II. CHILD WELFARE SERVICES
The State Department of Public Welfare will, as the agent of the Department of Health, Education and Welfare, provide Child Welfare Services for children who are Cuban refugees as defined by the federal government. Such services will be those that supplement, or substitute for, parental care and supervision.
Federal funds will be used for the cost of care for unaccompanied children. An unaccompanied child will be defined as a child from Cuba whose parent or relative cannot provide care and supervision for him or who is in need of foster care.
The Department will enter into contracts with licensed child placing agencies to purchase care for unaccompanied children with payments being made on a per capita per diem basis. Copies of such contracts as they are developed will be filed with the Children’s Bureau of the Department of Health, Education and Welfare.
The Department will itself also provide foster care for unaccompanied children as the need arises.
Funds will be used for only those children being cared for by a licensed or approved agency or facility or by the Florida State Department of Public Welfare.
A unit will be established in the Cuban Refugee Emergency Center in Miami and will be under the direct supervision of the state office. Federal funds will be used to employ a supervisor, child welfare and clerical staff.
III. COMMODITY DISTRIBUTION
The State Department of Public Welfare will, through its agreement with the United States Department of Agriculture, receive and distribute such federally donated commodities as are made available for use in any program involving food distribution to Cuban refugees, as defined by the federal government. Such distribution of food will be in addition to any grants in aid made available to these people under any existing plan.
Those persons who have registered at the Cuban and produce their registration card to the State Department of Public Welfare office handling assistance grants, may be certified by the state to receive commodities.
Since most of the donated foods require preparation before eating it is essential
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that reasonable facilities to cook,prepare, and preserve foods be made a condition or requirement for receipt of such food. Commodities will be distributed to the head of the family or household only, and based on the established distribution guide as provided herein, and for the number of persons only who are residing in the family unit in this country. Distribution per family unit will be on a monthly basis. The amount shown on the distribution guide may not be arbitrary increased but may be reduced as the individual situation warrants.
The amount distributed to each family unit will be recorded on a distribution card which will clearly show the name of the recipient, number of persons in the family unit, date distributed, and upon receipt of commodities, will be signed by the recipient.
The state agency will, with the use of federal funds, provide such necessary warehouse facilities to adequately and properly store carloads shipments of perishable and non- perishable federally donated commodities as made available by the United States Department of Agriculture; provide such transportation as need to transport commodities from place of storage to the distribution center; provide adequate space, facilities, supplies, and personnel to properly prepare and distribute such commodities to eligible Cuban refugees, at a point as close as possible to the place where certification of need is accomplished. Such records as needed to substantiate delivery and reflect the necessary accountability of commodities as required by state and federal regulations will be maintained in a permanent file, Confidentiality of information will be maintained at all times.
IV. FISCAL OPERATIONS
Funds received for Cuban relief will be deposited in a bank which meets the requirements of the Federal government. All disbursements will be made by checks properly supported and signed by the disbursing officer, or, in his absence, by either the Director of Finance or his assistant, all of whom will be bonded and properly designated as bank signatories for these funds.
Disbursements for assistance, except for hospitalization, will be authorized by the social workers and/ or supervisor, using “Authorization for CRA Assistance Payment, Form CRA-2, copley of which is attached. This form will be prepared in triplicates and forwarded to the disbursing officer. Upon receipt of Form CRA-2 the disbursing officer will have a check issued immediately and given to the redipint. Arrangements will be to furnish positive identification of recipients with each check to the depository bank to facilitate cashing thereof. Disbursements for hospitalization will be authorized by form CRA-4, copy of which is attached.
Disbursements for salaries will be authorized by formDPW-2, administrative Payroll, copy of which is attached, certified by the State Welfare Director.
Disbursements for travel and per diem will be authorized by Form C-676, copy
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of which is attached, reimbursements to be made at the current state rates.
Disbursements for all other approved operating expenses and capital outlay will be supported by itemized invoices.
The books and records of account for these funds will be maintained in the office of the Director of Finance and Accounts, State Office. The disbursing officer will forward daily a copy of each check issued supported by the proper documents explained above.
Statistical Reports and Analyses- Proper statistical reports and analyses will be developed to provide all data that may be required by the federal Agency.
Certified for Commodities
CUBAN REFUGEE ASSISTANCE
Center File No. Case No. -Cr
Case Name
Women’s maiden name
Date
Family Member
date of entry
First Name
Maiden Name
Birthdate
Birthplace
Date of entry in U.S.A .
Man
Woman
Children
Additional persons in household (to be included in assistance grant):
Name
Birthday
Birthplace
Relationship to head
Date of entry in U.S.A.
Present Address
Living with relatives: Yes No
Landlord: Name
Address
CRA-1
Resources
(in U.S.A.)
Yes
No
If “yes,” list resources below:
Type
Value
Income
Yes
No
if” yes,” give complete details:
Source
Amount
Weekly
Monthly
Needs
Amount of Emergency
Date
Continued
Date Grant
Yes No
Grant
Issued
Need
Amount
Covers
Shelter
Clothing
Food Per.Inc.
HH Inc.
Other
Total
Hospitalization:
Name of Patient
Date of Cert.
Date of Care
FLORIDA STATE DEPARTMENT OF PUBLIC WELFARE
Authorization for CR Assistance Payment
Date County No. Case No. CR-
Name of Payee
The following payments are hereby authorized:
I Shelter
Warrant No. Amount
Name of Landlord
II BASIC ITEMS
Food Amount
Personal Incidentals Amount
Household Incidentals Amount
III SPECIAL NEEDS (Any of these must be authorized by supervisor)
Work Equipment Amount
Prosthesis Amount
Emergency Clothing Amount
Emergency House-
Keeping Supplies Amount
Other specify Amount
Total Amount
Approval of Supervisor
Warrant No. Total of Items II & III Grand Total
Authorized by
Received by Date
FORM NO. CRA-2
Form CRA-3
FLORIDA DEPARTMENT OF PUBLIC WELFARE
Date CR No.
To: Commodity Distribution Division
From: Cuban Refugee Administration
This is to certify that
Is eligible to receive federal commodities for persons.
Signature of worker
CARRY THIS CARD ON YOUR PERSON AT ALL TIMES. IT MUST BE RETURNED
EACH TIME FOR THE RECERTIFICATION OF ELIGIBILITY TO RECEIVE COMMODITIES
(BacK)
CERTIFICATION INFORMATION
Date No. Person In Family
Signature of Worker
APPLICATION AND AUTHORIZATION FOR HOSPITALIZATION UNDER CUBAN RELIEF
FLORIDA STATE DEPARTMENT OF PUBLIC WELFARE
SECTION A-PATIENT INFORMATION
Authorization No.
Patient’s Name
Sex
Age
Head of Family Group
SECTION B- STATEMENT OF ATTENDING PHYSICIAN(S)
This is to certify (1) that the patient is acutely ill or injured and (2) that I recommended admission under the Cuban relief Program.
Admitting Diagnosis
Estimated Length of Hospitalization
days
SECTION D-CLAIM FOR SERVICE
To be completed by the hospital immediately upon discharge of patient and forwarded to the State Department of Public Welfare, Cuban Refugee Center.
As and authorized Representative of
Hospital
City
Date Admitted
Date Discharged
Number of Days
Rate per day
Amount Due Hospital
I hereby certify that the above statement is true and correct; that the account is due; that no unlisted payment is due or has been received; and that there will be no additional charges.
Primary Discharge Diagnosis
In case of pregnancy with complications and it is necessary for recipient to be in hospital longer than 4 days, give explanation.
Signed
Title
Date
SECTION E- APPROVED FOR PAYMENT
Initialed by State Officer representative
Disbursing Officer
Date
FORM CRA-4
EXPLANATION
IMPORTANT- THE HOSPITAL MUST SUBMIT ITS CLAIM FOR REIMBURSEMENT WITHIN 30 DAYS OF THE DISCHARGE OF THE PATIENT. AFTER DATE THE FLORIDA DEPARTMENT OF PUBLIC WELFARE WILL NOT BE RESPONSIBLE FOR PAYMENT.
(1) This is a four page form with pre inserted carbon. A typewriter should be used in completing it. Signatures should be written heavily, preferably, with a ballpoint pen.
(2) participating physicians, M.D.’s or D.O.’s licensed in Florida (CH. 401.02(7) ) and participating hospitals may secure these forms from the Florida State Department of Public Welfare located at the Cuban Refugee Relief Center.
(3) INSTRUCTIONS FOR COMPLETED THIS FORM:
Authorization No.: To be inserted by the Authorizing Authority of the Department of Public Welfare at the time hospitalization is authorized, beginning with No.1.
SECTION A - PATIENT INFORMATION: To be completed by either the referring, admitting, or treating physician and/ or the hospital admitting the patient, depending upon the circumstances of the patient’s admission,
Head of Family Group - This is the person who is considered the head or person responsible for the family group.
SECTION B- STATEMENT OF ATTENDING PHYSICIAN: To be completed by physician responsible for the patient.
SECTION C - CERTIFICATION OF ELIGIBILITY: To be completed by the State Welfare Department. Remaining days of entitlement - 30 days of hospitalization within the preceding 12 months.
SECTION D - CLAIM FOR SERVICES: to be completed by hospital personnel on discharge of the patient. In computing the number of days of hospitalization the day admitted may be counted but not the day of discharge. The rate per day charge will be the rate established for the hospital by the State Board of Health and used in computing claims for public assistance recipients.
SECTION E - APPROVED FOR PAYMENT: Initialed by State Office Representative. The State Office will review and initial the claim for approval.
Disbursing Officer - Date - When the claim has been properly prepared and approved the disbursing officer will sign and make payment to the hospital.
(4) ROUTING OF APPLICATION FORM:
Upon completion of sections A & B the hospital will send all four copies to the Florida State Department of Public Welfare, Cuban Refugee Relief Center.
The Department of Public Welfare will prepare Section C - Certification of Eligibility and return all four copies to the hospital.
When the patient is discharged the hospital will prepare Section D - Claim for Service, retain copy No.4 and submit copies 1,2 and 3 to the Florida State Department of Public Welfare, Cuban Refugee Center.
The State Office will process the claim, retain copy No. 1 and 2 to the disbursing Officer who will issue payment to the hospital. The disbursing Officer will retain copy No.1 and No. 2 will be placed in the recipient’s case file.
FLORIDA STATE DEPARTMENT OF PUBLIC WELFARE ( Cuban Relief)
TO: State Department of Public Welfare
I have received $
From
For payment of rental for the period of time from
Through
Signature of Landlord
Address
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Form CRA- 20
STATE DEPARTMENT OF PUBLIC WELFARE
CUBAN REFUGEE DISTRIBUTION
FAMILY DISTRIBUTION GUIDE FOR FEDERALLY COMMODITIES
( In Units per month except as noted)
Commodity Unit Persons in family unit
Beans, Dry Pounds
Butter pounds
Corn Meal 5 cents Bag
Eggs, Dried 13 oz.can
Flour, White 10 cents Bag
Lard* 1cents Can
Milk, Dry 41/2 PKG.
Peanut Butter #5 Can
Pork and gravy 29 oz. Can
Rice Pound
a/3 months supply
b/2 months supply
C.1 months supply
d/ 7 months supply
e/ 4 months supply
These rates will not be exceeded but may be decreased as the situation warrants.
* Rates shown for lard are dependent upon the type of package for distribution
Form CRA - 21
FLORIDA DEPARTMENT OF PUBLIC WELFARE COMMODITY DISTRIBUTION RECORD
Name of certified head of family
CR Number
Distribution Point
Date of initial certification
Month
February
March
April
May
June
July
August
September
October
November
December
January