You are on page 1of 9
Rosebud Sioux Srite tet rea Low Income Home Energy Assistance Program LIMBA? dey Director Sicangu Ovate nORSE LOOKING y ir BOOKREAPL P.O. Box 430 SINE RILLS Rosebud, South Dakota 57570 RECEPTIONS Phone 605/747-5273—Fax 605/747-5260 f DATA ENTRY CLERK RST LIHEAP FEDERAL/TRIBAL PROGRAM POLICIES & PROCEDURES I. PURPOSE a. To provide RST LIHEAP eligible houscholds with assistance for one of the following: © Propane * Electricity © Fuel oil © Wood © Fumace repair I. SCOPE a. This policy applies to all LIHEAP eligible households. . This policy describes the LIHEAP policies regarding utility assistance to eligible households. Ill, RESPONSIBILITIES of LIHEAP eligible houscholds when applying for assistance: 8, Must have complete application in order to request utility assistance. b. Must provide tribal abstract or tribal ID for Head of Household. ¢. ALL household members MUST have birthdates and social security numbers. 4. Must provide Income Verification (i.e., salaries, EBI/SNAP, Commodities, SSI, General Assistance, VA Benefits, etc.). €. Must provide electricity bill. £ Must provide a telephone number or message number, g, Must provide directions to their home. fh. Must provide 911E address (geographic location of home). i. Must provide current correct mailing address, J. Must provide verification of medical handicap/disability (i.e. signed Dr statement). The RST LIHEAP staff will make a “best effort” attempt to receive acknowledgment of information from each LIHEAP eligible households and document such in the household file. IV. NOTICE FOR RESPONSIBILITIES PRACTICES for RST LIHEAP eligible households: a. All applicants must provide social security numbers for all household members including head of houschold. Head of household must provide Tribal Identification and electricity account number. This prevents any duplication of services within the RST LIHEAP. ». The RST LIHEAP requires all eligible houscholds to provide verification of income (i.e., recent check stubs if employed, fixed/monthly income households must provide copy of checks or bank statement with name and deposit amount) and/or income verified through another social services RST LIHEAP Policies & Procedures — 9/2/16 entity (SWA, RST Commodity Office, Dept. of Social Services, etc.). This verification of income is stored in each household file. ¢. Information is verified by providing a release of information statement signed by the Head of Household. d._ Eligible houscholds will not receive assistance until all required information is provided to the RST LIHEAP. V. RST LIHEAP Eligible Household Rights Policy: a, RST LIHEAP eligible head of household has the right to access their household file as needed. b. Any amendments to RST LIHEAP eligible household file must be done in person or if done over phone LIHEAP staff will document and date. Documentation will be placed in household file. ible households have the right to expect confidentiality pertinent to their household information. d. RST LIHEAP Staff are required to sign a Confidentiality Agreement at the start of their employment with the RST LIHEAP. This ensures that all information given by eligible households are kept confidential. ¢. All certified applications are kept in a secure area, VI. RST FEDERAL LIHEAP Benefits Policy: a, The RST LIHEAP staff is required to determine if the household is eligible to LIHEAP Benefits by utilizing the federal income guidelines. b. The RST LIHEAP staff is also required to utilize the payment matrix for RST LIHEAP eligible households to calculate amount of benefit eligible to each household. ¢. All benefit amounts are determined and followed up with monthly monitoring to make sure all, households receive the correct amount of benefits by income determination. 4. Ifa household is dissatisfied with the decision made on the amount of their benefits, they should first contact the RST LIHEAP Director to be sure all the information required was submitted to correctly determine eligibility e. If there has been an error ot misunderstanding used to determine eligibility, the household has the right to appeal. There are 10 days from the date of the notice to request a fair hearing, A hearing will be scheduled at a time and place convenient for the household. f. The household will receive written notice of the final decision made on their appeal. VIL RST TRIBAL LIHEAP Benefits Policy: a. The RST LIHEAP staff is required to determin benefits by utilizing the federal income guidelines. b. Supplemental benefits include SWA/UAG and Casino funding. Each of these funding sources will assist each eligible household for a three-month period, January-March. c. The RST LIHEAP staff is also required to utilize the payment matrix for RST LIHEAP eligible households to calculate amount of benefit eligible to each household. the household is eligible to tribal LIHEAP VI. RST LIHEAP Work Force Training Policy: a. The RST LIHEAP implements on-site training for the staff to educate them on the proper process for detecting fraud and abuse. b. Staff meetings are held on a monthly basis to review any questions and concems the staff may have encountered and to prevent any future miscommunication with LIHEAP eligible households. RST LIHEAP Policies & Procedures — 9/2/16 ROSEBUD SIOUX TRIBE LOW INCOME HOME ENERGY ASSISTANCE PROGRAM LIHEAP PAYMENT MATRIX Fully vulnerable households Income Range Household Size ROPANI 1-3 4 7+ $ ~_- $3,000.00 [$ 4800] [$ 500.00] [$ 600.00 $ 3,001.00 - $ 5,000.00 $ 400.00 $450.00 $ 550.00 $5,001.00 - § 7,000.00 $ 300.00 | [$ 400.00 $500.00 $7,001.00 - § 9,000.00 $ 250.00 $ 450.00 $450.00 $9,001.00 - $17,000.00 $200.00 $ 400.00] [$ 400.00 $17,001.00 + $ 150.00 $ 350.00] |$ 350.00 ELECTRICT 41-3 4-6 7+ $ -__- $ 3,000.00 $ 480,00 ~~ $ 500.00 600.00 $3,001.00 - $ 5,000.00 $400.00 $450.00 “$550.00 $5,001.00 - “$7,000.00 “§ 300.00 ~$ 400.00 ~§ 500.00 7,001.00 - § 9,000.00 “$ 250.00 “$350.00 ~$ 450.00 9,001.00 “S$ 17,000.00 $200.00 “$300.00. “$400.00, 17,007.00 - $150.00 “$ 250.00 $ 350.00 OOD 1-3 4-6 7 s = $3,000.00 $490.00 $ 500.00 5 600.00 $3007.00. "$5,000.00" “s-40-00 $450.00 _$ 550.00 $5,001.00 - “$ 7,000.00 “§ 300.00 ~$ 400.00 ~$ 500.00 $__7,001.00 - “$9,000.00 “§ 250.00 “$350.00 ~$ 450.00 $ $ eA]

You might also like