Wisconsin Department of Children and Families
Wisconsin Works (W-2) Manual
184.108.40.206 ARP Eligibility Requirements
220.127.116.11 ARP Medical Information Requirements
18.104.22.168 ARP Placement/Payment Start Date
22.214.171.124 Child Support Requirements and Time Limits
126.96.36.199 ARP Case Management Requirements
188.8.131.52 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), sanctions for nonparticipation, etc. Pregnant teens younger than eighteen (18) years are not eligible for an ARP placement.
A pregnant woman who meets all of the following requirements must be placed in an At Risk Pregnancy (ARP) placement:
Meets W-2 financial and nonfinancial eligibility requirements, except the woman is not a custodial parenta parent who resides with the dependent child and has legal custody. of a dependant child who resides in the woman’s home;
Is in the third trimester of pregnancy, defined as the three months prior to the estimated delivery due date, which must be medically verified. (See 184.108.40.206);
Has a medically verified at risk pregnancy; and
Is unable to work as a result of the at risk pregnancy, and the inability to work due to the at risk pregnancy must be medically verified.
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)
The required medical information/verification for ARP must be provided on either:
Letter/memo from the physician on the physician’s letterhead that includes all of the information described below.
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.
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.
The start date for an ARP placement must be the latest of the following dates:
Date of W-2 eligibility;
Start date of the third trimester defined as three months prior to the medically verified estimated delivery due date; or
Date specified by the physician in the ARP medical information/verification as the start date of the patient’s inability to work due to her at risk pregnancy.
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.
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.
The end date for an ARP placement is the earliest of the following three dates:
When the ARP placement changes to a different W-2 placement, for example the placement change to a Caretaker of an Infant (CMC) placement when the woman’s child was born.
If an ARP participant regains custody of a dependent child, the ARP participant may be eligible for a W-2 Transition (W-2 T) placement.
When one or more of the five ARP eligibility requirements are no longer met. Examples include: the participant regained custody of her minor child; the participant got married; or the participant is no longer pregnant.
When CARES batch process ends the ARP placement; this in twenty (20) days after the estimated delivery due date.
This page last updated in Release # 13-02
Release Date: 05/15/13
Effective Date: 05/15/13