7.4.6     At Risk Pregnancy (ARP)

7.4.6.1  ARP Eligibility Requirements
7.4.6.2  ARP Medical Information Requirements
7.4.6.3  ARP Placement/Payment Start Date
7.4.6.4  Child Support Requirements and Time Limits
7.4.6.5  ARP Case Management Requirements
7.4.6.6  Ending ARP Placement/Payment

 

The ARP placement is for a pregnant woman in her 3rd trimester who is diagnosed with an At Risk Pregnancy.  The participant receives a monthly payment of $673.  A pregnant woman in an ARP placement must not be subject to requirements of W-2 employment positions, such as Employability Plans (EPs).  Pregnant teens younger than eighteen (18) years are not eligible for an ARP placement. 

 

7.4.6.1  ARP Eligibility Requirements

A pregnant woman who meets all of the following requirements must be placed in an At Risk Pregnancy (ARP) placement:

The following W-2 nonfinancial eligibility criteria do not apply to ARP Eligibility:
“Have made a good faith effort, as determined by the W-2 agency on a case-by-case basis, to obtain employment and have not refused any bona fide offer of employment, including a job quit, within 180 calendar days immediately preceding application.”  (See W-2 Manual Section 2.2.1, #8)

Example:  Sophia is seven months pregnant with her first child and has never been married.  Sophia’s doctor recently ordered Sophia to bed rest for the remainder of her pregnancy to treat problems in Sophia’s medical conditions that developed from Sophia’s pregnancy.  Sophia contacted the local W-2 agency for assistance.  The W-2 agency provided Sophia with information about W-2 and ARP, and Sophia indicated she wanted to apply.  While Sophia is on bed rest, the FEP contacted Sophia by phone and went to Sophia’s home to complete Sophia’s W-2 application.  The FEP determined Sophia is eligible for W-2, except without custody of a minor child which is not a W-2 requirement for an ARP placement.  The FEP gave Sophia an ARP Medical Information/Verification Form for Sophia to provide for her doctor’s completion and return to the W-2 agency.  The W-2 agency already had filled in the form with:

Based on the information from Sophia’s doctor in the completed form, and the information Sophia already had provided to the W-2 agency, the FEP placed Sophia in an ARP placement.

 

7.4.6.2  ARP Medical Information Requirements

The required medical information/verification for ARP must be provided on either:

The required medical information/verification must be provided by the patient’s physician based on the physician’s medical examination of the patient. The physician’s specialty area must be one of the following:  General Medical; Family Medicine; or Obstetrics.

The physician’s signed statement on either the ARP Medical Information/Verification Form or on the physician’s letterhead must be completed no earlier than thirty (30) days prior to the beginning of the pregnant woman’s third trimester of pregnancy.  Medical information/verification completed earlier must be resubmitted and updated by the physician within the required time frame. 

Example 1:  Christa is pregnant with her first child and is currently on bed rest because her pregnancy is high risk.  She is in her first trimester when she applies for W-2, Christa is placed in a CMP placement.  It is possible that her medical condition could change between her first trimester and her third trimester when she may become eligible for an ARP placement.  Therefore, Christa has to obtain an updated medical information/verification no earlier than thirty (30) days prior to the beginning of her third trimester of pregnancy to be eligible for the ARP placement.  

 

ARP medical information must include all of the following:

 

1.             Patient’s full name;

2.             Patient’s date of birth;

3.             Patient’s estimated delivery date (which must be provided by the patient’s physician);

4.             Physician’s statement that the patient is in an at risk pregnancy (which the patient’s physician must provide based on the physician’s determination of an at risk pregnancy);

5.             Physician’s statement of the cause/reason for the physician determining the patient’s pregnancy is an at risk pregnancy;

6.             Physician’s statement that the patient is unable to work due to the patient’s at risk pregnancy;

7.             Start date for the patient being unable to work due to the at risk pregnancy;

8.             Any other comments (by the physician);

9.             Physician’s specialty area (which must be General Medicine, Family Medicine or Obstetrics);

10.         Physician’s National Provider Identifier (NPI);

11.         Physician’s signature;

12.         Physician’s name legibly printed;

13.         Date of the physician’s signature (must be no earlier than thirty (30) days prior to the beginning of the woman’s third trimester of pregnancy); and

14.         Physician’s contact information:  e-mail address; phone number; fax number; and office address.

Note:  The W-2 agency may verify a National Provider Identifier (NPI) based on a medical provider’s name or may verify a medical provider’s name based on an NPI by accessing the NPI Registry website at: https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistryHome.do

The W-2 agency must date stamp the ARP Medical Information/Verification Form or the physician’s letter with the date when the W-2 agency received the document.

 

7.4.6.3  ARP Placement/Payment Start Date

The start date for an ARP placement must be the latest of the following dates:

 

7.4.6.4  Child Support Requirements and Time Limits

ARP payments do not require cooperation with child support or the assignment of Child Support payments. ARP placements do not count towards the TANF 60 months time limits because it is considered short term assistance under TANF regulations. 

If an ARP participant transitions to another placement, the child support rules and requirements for that placement should be implemented when the participant changes placements.

 

7.4.6.5  ARP Case Management Requirements

The W-2 agency must contact ARP participants at least once a month.  These contacts must be initiated by the W-2 agency.  The contacts may occur in-person or by phone depending on the needs of the ARP participant. 

The purpose of the monthly contact is to discuss the ARP participant’s needs.  The W-2 agency must provide W-2 services or refer the participant to other agencies/services to meet her needs.  For example, discussion with the ARP participant may reveal that periodic visiting nurse services may be helpful, and then the W-2 worker would follow-up with a referral for those services. 

 

7.4.6.6  Ending ARP Placement/Payment

The end date for an ARP placement is the earliest of the following three dates:

 


This page last updated in Release # 12-03
Release Date:  04/04/12
Effective Date:  04/04/12