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Health Supplements and Programs
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- Decisions, Reconsideration and Appeal
- Family Maintenance Program (FMP)
Persons With Persistent Multiple Barriers (PPMB)
PPMB Adjudication After Recipient Exits CaseloadAugust 30, 2004
What if the recipient has provided all the documentation necessary for a PPMB review and then exits assistance or is found ineligible for another reason. Can they still be adjudicated for ongoing PPMB assistance?
If a decision is determined before the recipient exits, the PPMB Adjudicator will still advise the client of the decision.
If a decision has not been determined and the file closes, the Adjudicator will make a comment, to review the documentation and adjudicate upon reapplication if the documentation is still recent. Materials may need to be updated if the documentation is not recent. (i.e., Medical Report, Appendix 1 of the Checklist, etc.).
PPMB Effective DateAugust 30, 2004
When a recipient is found eligible for PPMB, when does the PPMB rate take effect?
Recipients approved for PPMB are eligible for the additional rate and supplements starting the month after the decision is made, as per Section 26(3) of the EA Regs. These can not be provided retroactively. For example if a recipient is found eligible for PPMB on August 5, the additional rate and supplements would be effective September 1. Their new rate would be reflected in their cheque for September issued at the end of August.
12 out of 15 Requirement Not MetAugust 30, 2004
What if a recipient who asked to apply for PPMB does not meet the 12 months of assistance in the last 15 months? Can the EAW deny PPMB?
PPMB Adjudicators must approve or deny all requests for PPMB. If an EAW believes that a recipient does not meet the PPMB criteria, they can explain the PPMB criteria to the recipient. If the recipient still wants to apply for PPMB, then the EAW must gather all relevant information, including a Medical Report – PPMB (HR2892) and forward the PPMB package to the PPMB Adjudicator for a decision.
Medical ReportAugust 16, 2004
If a client has a medical condition, which may interfere with employment, which medical report should be used?
A client with a score of under 15 on the Employability Screen whose only barrier appears to be a drug or alcohol, medical health or temporary medical condition should be assessed first for Expected to Work – Medical Condition using the Medical Report – Employability (HR3069). If the client appears to meet the criteria for a Person with Persistent Multiple Barriers (PPMB) or is requesting to apply for PPMB, the Medical Report – PPMB (HR2892) should be used. [see Related Link – Persons with Persistent Multiple Barriers]
Medical Condition Not MetJuly 26, 2004
What if a recipient who asked to apply for PPMB, submits a Medical Report that clearly shows that they do not have a medical condition that seriously impedes or precludes employment. Can the EAW deny PPMB?
PPMB Adjudicators must approve or deny all requests for PPMB. If an EAW believes that a recipient does not meet the PPMB criteria, they can explain the PPMB criteria to the recipient. If the recipient still wants to apply for PPMB, then the EAW must forward the PPMB package to the PPMB Adjudicator for a decision.
Medical Report Not CompleteAugust 16, 2004
What steps should be taken if a medical practitioner does not complete all sections of the Medical Report – Persons with Persistent Multiple Barriers (HR2892)? Is this an issue for the EAW or PPMB Adjudicator?
If an EAW notices that a medical practitioner has not completed all sections of the Medical Report, they can ask the recipient to take the form back to the medical practitioner, as eligibility for PPMB can not be determined if all information is not provided. In cases where the recipient refuses and requests to proceed with applying for PPMB, the EAW should forward the PPMB package to the PPMB Adjudicator for decision.
PPMB 12 out of the Past 15 Months RequirementDecember 1, 2003
A person has had an open file for 12 out of the past 15 months but has not received assistance for each of the months within this 12 month period. Does this person meet the PPMB requirement of having received assistance for at least the past 12 out of the last 15 consecutive months?
The regulations state that the client must be a recipient of income assistance, hardship assistance, or disability assistance for at least 12 out of the past 15 months. This means that recipients must have received support and shelter for the past 12 out of the last 15 months. This automatically excludes a person who did not receive assistance for any number of months within the last 15 months. Having an open file does not constitute “receiving assistance”.
Dependency and 12 out of the Past 15 Months RequirementDecember 1, 2003
One of the eligibility requirements for PPMB is the need to have received assistance for at least 12 out of the past 15 months. If a recipient was a dependent spouse for a number of months and then applies on his or her own, would the time as the dependent spouse count towards the 12 months?
Yes, the requirement is for the person to have received income assistance, disability assistance or hardship assistance for at least 12 of the past 15 consecutive months. As a dependent spouse, the individual would have been in receipt of assistance.
12 out of the Past 15 Months RequirementDecember 1, 2003
Would a person who has received assistance for the past 12 months in another province be considered to have met the 12 out of the past 15 months criteria?
No, the recipient must meet the criteria stated within the Employment and Assistance Act, which is to have received assistance for at least 12 of the past 15 months of one of the following:
- income assistance or hardship assistance under the EA Act
- disability assistance or hardship assistance under the Employment and Assistance for Persons with Disabilities Act
Number of BarriersJuly 26, 2004
How many barriers to employment does a recipient need to have to be eligible for PPMB?
There is no specific number of barriers. A combination of the following are taken into account:
- the recipient’s score on the Employability Screen
- whether the individual has taken all reasonable steps to overcome the barriers
- the impact of the recipient’s medical condition on employability
Where the only barrier is a medical condition, it may be a sufficient barrier on its own if it precludes employment.
Medical Report - Persons with Persistent Multiple BarriersAugust 16, 2004
Why does the Medical Report – Persons with Persistent Multiple Barriers (HR2892) not have a similar title to the Employment and Assistance for Persons with Disabilities Application (HR0080) that identifies it as an application?
The Medical Report – Persons with Persistent Multiple Barriers (HR2892) is not an application. It is the form used to confirm one of the PPMB criteria. In fact, there is no application for PPMB. Determining if someone is eligible for PPMB is based on a process that includes the following:
- identifying any barriers (Employability Screen)
- determining the severity of the barriers and how they affect the recipient’s employability (Client Employability Profile)
- confirming medical information (Medical Report – Persons with Persistent Multiple Barriers)
- ensuring that the recipient has taken all steps that the minister considers reasonable to overcome their barriers to employment (Appendix 1 of the PPMB Checklist)
Payment for Completing the Medical ReportAugust 16, 2004
How do doctors bill the Medical Services Plan (MSP) for completing the Medical Report – Persons with Persistent Multiple Barriers (HR2892)?
Fees for medical practitioners completing the Medical Report are paid through the MSP. Physicians bill MSP directly. The ministry is not responsible for the billing or payment process for the Medical Report.
PPMB and Earnings ExemptionApril 1, 2007
Must both adults in a family unit be eligible for PPMB to receive the PPMB earnings exemption?
No. Only one adult member of a family unit must be eligible for PPMB in order for both adults to receive additional assistance and supplements. The family unit is eligible for the earnings exemption and either or both adults may claim exempt earnings up to the maximum for the family unit.
PPMB and Employment ProgramsApril 2, 2012
Do recipients with PPMB have access to the Employment Program of British Columbia (EPBC)?
Recipients who are eligible for PPMB may have access to EPBC services, as well as non-ministry programs and services to address their barriers to employability.
Recipients are only eligible for PPMB after they have taken all steps to overcome their barriers to employment.
PPMB ReviewsDecember 1, 2003
Some recipients have barriers that will permanently preclude employment. Why does the ministry review eligibility for PPMB every 2 years?
PPMB is to be reviewed at least once every two years to ensure the recipient’s situation has not changed and to determine if there are any new resources that may assist the recipient. The frequency with which each file is reviewed is determined on a case-by-case basis. If it is determined that the recipient’s barriers continue to preclude employment, the recipient’s PPMB will continue.