NYC Benefits Eligibility Screening Guide 1.3.0
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Page Count: 63
Table of Contents
Table of Contents
Introduction
Rules Owners
Income Sources
Resource Types
Expense Types
S2_R001 - Child and Dependent Care Tax Credit
S2_R002 - Child Care (HRA)
S2_R003 - EarlyLearn NYC Child Care (ACS)
S2_R004 - Child Tax Credit - (DCA / IRS)
S2_R005 - Disability Rent Increase Exemption (DRIE) - (DOF)
S2_R006 - Earned Income Tax Credit (EITC) - (DCA / IRS)
S2_R007 - Supplemental Nutrition Assistance Program(SNAP) (Food Stamps) - (HRA)
S2_R008 - EarlyLearn NYC Head Start - (ACS)
S2_R009 - Comprehensive After School System of NYC (COMPASS NYC) - (DYCD)
S2_R010 - Cash Assistance- (HRA)
S2_R011 – Health Insurance Assistance - (HIA)
S2_R012 - School Tax Relief (STAR)
S2_R013 - Section 8 Housing - (NYCHA)
S2_R014 - Senior Citizen Homeowners’ Exemption (SCHE) - (DOF)
S2_R015 - Senior Citizen Rent Increase Exemption (SCRIE) - (DOF)
S2_R016 – Pre-K for All (Pre-K) - (DOE)
S2_R017 – Disabled Homeowners’ Exemption (DHE) - (DOF)
S2_R018 – Veterans' Property Tax Exemption - (DOF)
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S2_R019 – Home Energy Assistance Program (HEAP) - (HRA)
S2_R020 – SchoolFoods (School Meals) - (DOE)
S2_R021 – New York State Unemployment Insurance - (NYS Department of Labor)
S2_R022 – Women, Infants and Children (WIC) - (HRA)
S2_R023 – Summer Meals - (DOE)
S2_R024 – NYCHA Resident Economic Empowerment and Sustainability (REES) - (NYCHA)
S2_R025 – Senior Employment Services (SES) - (DFTA)
S2_R026 – Workforce1 - (SBS)
S2_R027 – Commodity Supplemental Food Program (CSFP) - (NYS DOH)
S2_R028 – Learn & Earn (formerly In-School Youth Employment Program - ISY) - (DYCD)
S2_R029 – Nurse-Family Partnership (for women/girls having their first baby) - (DOHMH)
S2_R030 – Summer Youth Employment Program (SYEP) - (DYCD)
S2_R031 – Family Planning Benefit Program (FPBP) - (NYS DOH)
S2_R032 – IDNYC - (HRA)
Appendix
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Introduction
This document provides general guidelines governing screening for 31 City, State, and Federal public
benefits and programs. They are interpreted and implemented as logic in the rules engine that governs
ACCESS NYC’s screening tool and for the NYC Benefits Eligibility API and returns results of potentially
eligible programs at the household level.
It’s important to understand the following:
● The results from these guidelines do not represent an eligibility determination and do not guarantee
eligibility in any program.
● To enroll in a benefit or program, a resident will need to submit an application through the
administering governmental agency, which will determine eligibility.
● The results from these guidelines do not prohibit anyone from applying for any benefits or
programs.
● These guidelines are subject to change at the discretion of the administering governmental agency.
The Mayor’s Office for Economic Opportunity makes reasonable efforts to produce updates on a
quarterly basis, but such updates are not guaranteed.
Rules Owners
Agencies contributing to these rules and guidelines
Agency
# of screening
programs
Program names
1
Human Resources Administration (HRA)
5
SNAP, Cash Assistance, HEAP, Health Insurance,
IDNYC
2
Department of Finance (DOF)
5
SCRIE, DRIE, DHE, SCHE, Veterans' Property Tax
Exemption
3
Department of Consumer Affairs (DCA )
3
EITC, Child Tax Credit, Child and Dependent Care
Tax Credit
4
Internal Revenue Service (IRS)
5
Department of Education (DOE)
3
Summer Meals, SchooFood, Pre-K for All
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6
Department of Youth and Community
Development (DYCD)
3
COMPASS, In-School Youth Employment Program
(Learn & Earn), SYEP
7
Administration for Children's Services
(ACS)
2
EarlyLearn Child Care, EarlyLearn Head Start
8
NYC Housing Authority (NYCHA)
2
Section 8, NYCHA Resident Economic Empowerment
and Sustainability (REES)
9
NYS Department of Health (NYS DOH)
3
WIC, Family Planning Benefit Program (FPBP),
Commodity Supplemental Food Program (CSFP)
10
NYS Department of Labor
1
NYS Unemployment Insurance
11
Department for the Aging (DFTA)
1
Senior Employment Services
12
Department of Health & Mental Hygiene
(DOHMH)
2
Nurse-Family Partnership
13
Department of Small Business Services
(SBS)
1
Workforce1
Total
13
31
All of the above
Income Sources
The following income sources are used on this screening document depending upon the program specific
rules:
Income Source
Wages, Salary, Tips
Self-employment Income
Investment Income (interest, dividends, and profit from selling stocks)
Withdrawals from Deferred Compensation (IRA, Keogh, etc.);
Unemployment
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Workers’ Compensation
Supplemental Security Income (SSI)
Social Security Disability Benefits
Social Security Dependent Benefits
Social Security Survivor’s Benefits
Social Security Retirement Benefits
Rental Income
Child Support (Received)
Alimony (Received)
Government or Private Pension
Boarder, Lodger
Cash Assistance Grant
Veterans Pension, Benefits
NYS Disability Benefits
Disability Related Medicaid
Gifts/Contributions (Received)
Resource Types
The following resource types may be included, depending upon the program specific rules:
Resource Types
Cash on Hand
Checking or Savings Accounts
Stocks or Bonds or Mutual Funds
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Expense Types
The following expense types may be included, depending upon the program specific rules:
Expense Type
Rent
Mortgage
Child Care
Child Support (Paid)
Dependent Care
Medical
Heating
Cooling
Third Party Health Insurance Premium
Utilities
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S2_R001 - Child and Dependent Care Tax Credit
These rules should be run for each household member individually.
1. Are there children under the age of 13 in the household and does the household member
have an expense type of Child Care or Dependent Care?
- If No to either question, go to #2
- If Yes, the household member “May Be Eligible” for the Child and Dependent Care Tax Credit.
DONE
2. All other household members
We are “Unable to Determine” the household’s potential eligibility for the Child and Dependent
Care Tax Credit. DONE
S2_R002 - Child Care (HRA)
Since 2009, there is no need to have separate screening rules on ANYC for Child Care HRA and ACS.
S2_R003 - EarlyLearn NYC Child Care (ACS)
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for Child Care. DONE
- If Yes, go to #2
2. Is the household member’s age less than 5?
AND does the head of household have a relationship of parent or step-parent to the child?
- If No, go to #3
- If Yes, determine the number of household members and count all income for:
▪ the child head of household
▪ the spouse of the head of household (if there is one)
▪ any other household members that are aged less than 18
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Check gross monthly income levels by household size.
# of People in
Household
Monthly Household
Income
Eligible
1
<=$1012
√
2
<=$2743
√
3
<=$3463
√
4
<=$4183
√
5
<=$4903
√
6
<=$5623
√
7
<=$6343
√
8
<=$7063
√
Source: Child Care Fee Schedule – Annually.(Effective July 2018)
- If the gross monthly income is less than or equal to the income levels for the household size,
the household member “May Be Eligible” for Child Care. DONE
- If the gross monthly income is greater than the income levels for the household size, we are
“Unable to Determine” the household member’s potential eligibility for Child Care. DONE
3. Is the household member blind or disabled and aged between 5 and 18?
AND does the head of household have a relationship of parent or step-parent to the child?
- If No, go to #4
- If Yes, determine the number of household members and count all income for:
▪ the child
▪ head of household
▪ the spouse of the head of household (if there is one)
▪ any other household members that are aged less than 18
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Check gross monthly income levels by household size.
# of People in
Household
Monthly Household
Income
Eligible
1
<=$1012
√
2
<=$2743
√
3
<=$3463
√
4
<=$4183
√
5
<=$4903
√
6
<=$5623
√
7
<=$6343
√
8
<=$7063
√
Source: Child Care Fee Schedule – Annually. (Effective July 2018).
- If the gross monthly income is less than or equal to the income levels for the household size,
the household member “May Be Eligible” for Child Care. DONE
- If the gross monthly income is greater than the income levels for the household size, we are
“Unable to Determine” the household member’s potential eligibility for Child Care. DONE
4. Is the household member’s age less than 5?
AND does the head of household have a relationship OTHER than parent or step-parent to
the child?
- If No, go to #5
- If Yes, sum the child’s income treat the household size as one. Check gross monthly income
levels by household size.
# of People in
Household
Monthly Household
Income
Eligible
1
<=$1012
√
Source: Child Care Fee Schedule – Annually. (Effective July 2018)
- If the gross monthly income is less than or equal to the income levels for the household size,
the household member “May Be Eligible” for Child Care. DONE
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- If the gross monthly income is greater than the income levels for the household size, we are
“Unable to Determine” the household member’s potential eligibility for Child Care. DONE
5. Is the household member blind or disabled and aged between 5 and 18?
AND does the head of household have a relationship OTHER of parent or step-parent to the
child?
- If No, go to #6
- If Yes, sum the child’s income treat the household size as one. Check gross monthly income
levels by household size.
# of People in
Household
Monthly Household
Income
Eligible
1
<=$1012
√
Source: Child Care Fee Schedule – Annually. (Effective July 2018)
- If the gross monthly income is less than or equal to the income levels for the household size,
the household member “May Be Eligible” for Child Care. DONE
- If the gross monthly income is greater than the income levels for the household size, we are
“Unable to Determine” the household member’s potential eligibility for Child Care. DONE
6. All other household members
- We are “Unable to Determine” the household member’s potential eligibility for Child Care.
DONE
S2_R004 - Child Tax Credit - (DCA / IRS)
1. Are any household members under the age of 17 in the household?
- If No, go to #2
- If Yes, the household “May Be Eligible” for Child Tax Credit. The message that displays on the
results screen should read “Household Members with a Dependent Child”. DONE
2. All other households
- We are “Unable to Determine” the household’s potential eligibility for Child Tax Credit. DONE
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S2_R005 - Disability Rent Increase Exemption (DRIE) - (DOF)
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for DRIE. DONE
- If Yes, go to #2
2. Is the primary applicant aged 18 or older?
AND does the household rent their primary residence?
AND is the primary applicant named on the lease or the rent order or have been granted
succession rights to the apartment?
AND does the household live in an apartment regulated by the Division of Housing and
Community Renewal (DHCR):
Rent Stabilized; Rent Controlled; HDFC Cooperative Shareholder apartment;
Mitchell-Lama Apartment; Section 213 Cooperative
AND does the primary applicant have an income type of:
Federal Supplemental Security Income (SSI); Federal Social Security Disability Insurance
(SSDI); U.S Department of Veterans Affairs Disability Pension or Compensation (Must be
military service-related disability pension or compensation); Disability Related Medicaid
(if the applicant has received either SSI or SSDI in the past).
- If No to any question, go to #3
- If Yes, sum all income sources for all household members. Check gross annual income is less
than or equal to $50,000.
Annual Household
Income
Eligible
<= $50,000
√
- If the household’s gross annual income is less than or equal to $50,000, the household “May
Be Eligible” for DRIE. DONE
- If the household’s gross annual income is greater than $50,000 we are “Unable to Determine”
the household’s potential eligibility for DRIE. DONE
3. All other households
We are “Unable to Determine” the household’s potential eligibility for DRIE. DONE
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S2_R006 - Earned Income Tax Credit (EITC) - (DCA / IRS)
1. Determine if the household member is one of the following: Head of Household, Head of
Household’s Spouse, or not Head of Household or Head of Household’s Spouse
2. Is the Head of Household married?
AND is the member the Head of Household or the Head of Household’s spouse
AND does the Head of Household or their spouse have an income type of:
Wages, Salary, Tips or Self-Employment Income
AND (is there a child under the age of 19 in the household
OR is there a student under the age of 24 in the household
OR is there a blind or disabled household member (not the Head of Household or the
Spouse))?
- If No to any question, go to #3
- If Yes, count the number of children and students that meet the age criteria above. Sum the
earned income sources (Wages, Salary, Tips and Self-Employment) for the head of household
and the spouse. Sum the investment income sources (Investment Income and Rental Income)
for the head of household and the spouse. Check annual earned income and investment
income levels by the number of children in the household.
# of Children
in Household
Annual Earned
Income
Annual Investment
Income
Eligible
1
<= $45,207
<= $3,450
√
More than 1
<= $50,597
<= $3,450
√
Updated: Jan. 2018
- If the Head of Household’s and spouse’s annual earned and investment income is less than or
equal to the income levels for the number of children/students in the household, the Head of
Household and the spouse “May Be Eligible” for EITC. DONE
- If the Head of Household’s and spouse’s annual earned or investment income is greater than
the income levels for the number of children/students in the household, we are “Unable to
Determine” if the Head of Household’s and the spouse’s potential eligibility for EITC. DONE
3. Is the Head of Household married?
AND is the member the Head of Household or the Head of Household’s spouse
AND is the Head of Household or their spouse at least age 25 and less than 65
AND does the Head of Household or their spouse have an income type of:
Wages, Salary, Tips or Self-Employment Income?
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- If No to any question, go to #4
- If Yes, sum the earned income sources (Wages, Salary, Tips and Self-Employment) and the
investment income sources (Investment Income and Rental Income) for the head of household
and the spouse. Check annual earned income is less than or equal to $20,600 and that the
annual investment income is less than or equal to $3,450.
# of Children
in Household
Annual Earned
Income
Annual Investment
Income
Eligible
0
<= $20,600
<= $3,450
√
Updated: Jan. 2018
- If the Head of Household’s and spouse’s annual earned and investment income is less than or
equal to the income levels, the Head of Household and the spouse “May Be Eligible” for EITC.
DONE
- If the Head of Household’s and spouse’s annual earned or investment income is greater than
the income levels, we are “Unable to Determine” if the Head of Household’s and the spouse’s
potential eligibility for EITC. DONE
4. Is the member the Head of Household
AND is the Head of Household unmarried
AND does the Head of Household have an income type of:
Wages, Salary, Tips or Self-Employment Income
AND (is there a child under the age of 19 in the household
OR is there a student under the age of 24 in the household
OR is there a blind or disabled household member (not the Head of Household))?
- If No to any question, go to #5
- If Yes, count the number of children and students that meet the age criteria above. Sum the
earned income sources (Wages, Salary, Tips and Self-Employment) for the head of household.
Sum the investment income sources (Investment Income and Rental Income) for the head of
household. Check annual earned income and investment income levels by the number of
children in the household.
# of Children in
Household
Annual Earned
Income
Annual Investment
Income
Eligible
1
<= $39,617
<= $3,450
√
More than 1
<= $45,007
<= $3,450
√
Updated: Jan. 2018
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- If the Head of Household’s annual earned and investment income is less than or equal to the
income levels for the number of children/students in the household, the Head of Household
“May Be Eligible” for EITC. DONE
- If the Head of Household’s annual earned or investment income is greater than the income
levels for the number of children/students in the household, we are “Unable to Determine” if the
Head of Household’s potential eligibility for EITC. DONE
5. Is the member the Head of Household AND is the Head of Household unmarried
AND is the Head of Household at least age 25 and less than 65
AND does the Head of Household have an income type of:
Wages, Salary, Tips or Self-Employment Income?
- If No to any question, go to #6
- If Yes, sum the earned income sources (Wages, Salary, Tips and Self-Employment) and the
investment income sources (Investment Income and Rental Income) for the head of household.
Check annual earned income and investment income levels.
# of Children
in Household
Annual Earned
Income
Annual Investment
Income
Eligible
0
<= $15,010
<= $3,450
√
Updated: Jan. 2018
- If the Head of Household’s annual earned and investment incomes are less than or equal to
the income levels, the Head of Household “May Be Eligible” for EITC. DONE
- If the Head of Household’s annual earned or investment income is greater than the income
levels, we are “Unable to Determine” if the Head of Household’s potential eligibility for EITC.
DONE
6. Is the household member someone other than the Head of Household and the Head of
Household’s spouse
AND is the household member at least age 25 and less than 65
AND does the household member have an income type of:
Wages, Salary, Tips or Self-Employment Income
AND (is there a child under the age of 19 in the household
OR is there a student under the age of 24 in the household
OR is there a blind or disabled household member (not the Head of Household, the
Spouse or the Household Member))?
- If No to any question, go to #7
- If Yes, count the number of children and students that meet the age criteria above. Sum the
earned income sources (Wages, Salary, Tips and Self-Employment) for the household member.
Sum the investment income sources (Investment Income and Rental Income) for the household
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member. Check annual earned income and investment income levels by the number of children
in the household.
# of Children
in Household
Annual Earned
Income
Annual Investment
Income
Eligible
1
<= $45,207
<= $3,450
√
More than 1
<= $50,597
<= $3,450
√
Updated: Jan. 2018
- If the household member’s annual earned and investment income is less than or equal to the
income levels for the number of children/students in the household, the household member
“May Be Eligible” for EITC. DONE
- If the household member’s annual earned or investment income is greater than the income
levels for the number of children/students in the household, we are “Unable to Determine” if the
household member’s potential eligibility for EITC. DONE
7. Is the household member someone other than the Head of Household and the Head of
Household’s spouse
AND is the household member at least age 25 and less than 65
AND does the household member have an income type of: Wages, Salary, Tips or
Self-Employment Income?
- If No to any question, go to #8
- If Yes, sum the earned income sources (Wages, Salary, Tips and Self-Employment) and the
investment income sources (Investment Income and Rental Income) for the household member.
Check annual earned income is less than or equal to $20,600 and that the annual investment
income is less than or equal to $3,450.
# of Children
in Household
Annual Earned
Income
Annual Investment
Income
Eligible
0
<= $ 20,600
<= $3,450
√
Updated: Jan. 2018
- If the household member’s annual earned and investment incomes are less than or equal to
the income levels, the household member “May Be Eligible” for EITC. DONE
- If the household member’s annual earned or investment income is greater than the income
levels, we are “Unable to Determine” if the household member’s potential eligibility for EITC.
DONE
8. All other households members
We are “Unable to Determine” the household member’s potential eligibility for EITC. DONE
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S2_R007 - Supplemental Nutrition Assistance Program(SNAP) (Food Stamps) - (HRA)
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for SNAP benefits. DONE
- If Yes, go to #2
2. Do all household members have an income source of Supplemental Security Income OR Cash
Assistance Grant?
- If No, go to #3
- If Yes, the household “May Be Eligible” for SNAP benefits. No income test is required. DONE
3. Is there a disabled or blind household member? (all household members are not disabled or blind)
OR Is there a household member aged 60 or older?
- If No to all three questions, go to #4
- If Yes to any of the three questions, check gross monthly income minus Child Support (Paid) expense
by household size.
Household Member Aged 60 or Over
AND/OR
Household Member with Disability/Blind
200% of poverty level
# of People in
Household
Monthly Household
Income (200%)
Eligible
1
<= $ 2,010
√
2
<= $ 2,707
√
3
<= $ 3,403
√
4
<= $ 4,100
√
5
<= $ 4,797
√
6
<= $ 5,493
√
7
<= $ 6,190
√
8
<= $ 6,897
√
Each Additional
Person
$697
√
(SNAP table - step#3) Source Updated : Policy Directive #17-21-ELI-October 2017 changes in SNAP Standards
- If the household’s gross monthly income minus the Child Support (Paid) expense are less than or equal
to the levels for the household size, the household “May Be Eligible” for SNAP benefits. DONE
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- If the household’s gross monthly income minus the Child Support (Paid) expense are greater than the
levels for the household size, use the following Monthly SNAP Budget Calculation to determine net
income for the household and compare the net income to the table below.
Monthly SNAP Budget Calculation for SSI/Aged/Disabled
A Earned Income
Income 1
Monthly Gross Earned Income (Income Sources: Wages, Salary, Tips+ Self-Employment Income)
+ Net Monthly Income From Boarder/Lodger (Income Sources: Boarder/lodger)
Income 2
+ Unearned Income (All Income Sources, Except Wages, Salary, Tip;
- Monthly Child Support (paid)
Total Income
B Deductions
Total Earned Income from income 1 x 20%
+ Standard Deduction- Monthly
1-3 person household $160
4 person household $170
5 person household $199
6+ person household $228
+ Monthly Child/Dependent Care Cost
The sum of the reported child Care and Dependent Care Expense
+ Monthly Medical Expenses MINUS $35 (if less than zero, default to 0.)
Total Deductions
C Adjusted Income
= Total Income-Total Deductions
D Shelter Costs
Monthly Actual Rent or Mortgage Billed to Household (Expense Type: Rent/Mortgage)
+ Other Monthly Expenses (always default to 0)
+ $ 791 Monthly Utility Allowance
Total Shelter Costs
E Excess Shelter Deductions
Total Shelter Costs
- Adjusted Income DIVIDED BY 2
Excess Shelter Costs (If less than zero, default to 0.)
F Monthly Food Stamp Net Income
Adjusted Income
- Excess Shelter Cost
Monthly Net Food Stamp Income
***Compare to Net Monthly Income Limits***
(SNAP Budget Calculation – step #3)
Source Updated: Policy Directive #17-21-ELI-October 2017 changes in SNAP Standards
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Household Member Aged 60 or Over
AND/OR
Household Member with Disability
# of People
in Household
Monthly
Net Food
Stamp Income
Resources
Eligible
1
<= $ 1,005
<=$3,500
√
2
<= $ 1,354
<=$3,500
√
3
<= $ 1,720
<=$3,500
√
4
<= $ 2,050
<=$3,500
√
5
<= $ 2,399
<=$3,500
√
6
<= $ 2,747
<=$3,500
√
7
<= $ 3,095
<=$3,500
√
8
<= $ 3,444
<=$3,500
√
Each Additional
Person
$349
<=$3,500
√
(Net SNAP Income – step #3) NOTE: the above table is for 100% income limits
Source Updated: Policy Directive #17-21-ELI- October 2017 changes in SNAP Standards
- If the household’s monthly net SNAP income and resources are less than or equal to the
levels for the household size, the household “May Be Eligible” for Food Stamps. DONE
- If the household’s monthly net SNAP income or resources are greater than the levels for the
household size, we are “Unable to Determine” the household’s potential eligibility for SNAP.
DONE
4. Does the household incur dependent care costs?
- If No go to #5
- If Yes, check gross monthly income minus Child Support (Paid) expense by household size.
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Household Member Incurs Dependent Care Costs
200% of poverty level
# of people in
the Household
Monthly Household
Income (200%)
Eligible
1
<= $ 2,010
√
2
<= $ 2,707
√
3
<= $ 3,403
√
4
<= $ 4,100
√
5
<= $ 4,797
√
6
<= $ 5,493
√
7
<= $ 6,190
√
8
<= $ 6,887
√
Each Additional
Person
$697
√
Source Updated : Policy Directive #17-21-ELI-October 2017 changes in SNAP Standards
- If the household’s gross monthly income minus the Child Support (Paid) expense are less than
or equal to the levels for the household size, the household “May Be Eligible” for SNAP benefits.
DONE
- If the household’s gross monthly income minus the Child Support (Paid) expense are greater
than the levels for the household size, we are “Unable to Determine” the household’s potential
eligibility for SNAP benefits . DONE
5. All other Households (no disabled, no blind, no elderly)
Check gross monthly income minus Child Support (Paid) expense by household size.
NYC Benefits Eligibility Screening 1.3.0
Page 20 of 63
February 2019
NO Household Members
Aged 60 or Over OR with a Disability
( 150% table)
# of People
in Household
Monthly
Household Income
Eligible
1
<= $ 1,508
√
2
<= $ 2,030
√
3
<= $ 2,553
√
4
<= $ 3,075
√
5
<= $ 3,598
√
6
<= $ 4,120
√
7
<= $ 4,643
√
8
<= $ 5,165
√
Each Additional
Person
$523
√
(SNAP table - step#5)
Source Updated : Policy Directive #17-21-ELI-October 2017 changes in SNAP Standards
− If the household’s gross monthly income minus the Child Support (Paid) expense are less than
or equal to the levels for the household size, the household “May Be Eligible” for SNAP benefits.
DONE
− If the household’s gross monthly income minus the Child Support (Paid) expense are greater
than the levels for the household size, we are “Unable to Determine” the household’s potential
eligibility for SNAP benefits. DONE
NYC Benefits Eligibility Screening 1.3.0
Page 21 of 63
February 2019
S2_R008 - EarlyLearn NYC Head Start - (ACS)
While these rules should be run for each household member individually, the overall household
size and gross income will be used.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for Head Start. DONE
- If Yes, go to #2
2. Is the household member’s age between 2 and 5 years ?
- If No, go to #3
- If Yes, check gross monthly income levels by household size.
# of People in
Household
Monthly Household
Income
Eligible
1
<= $1,012
√
2
<= $1,372
√
3
<= $1,732
√
4
<= $2,092
√
5
<= $2,452
√
6
<= $2,812
√
7
<= $3,172
√
8
<= $3,532
√
Each Additional
Person
$360
√
Source: Head Start Family Income Guidelines for 2018 (last updated June 2018)
- If the household’s gross monthly income is less than or equal to the income levels for the
household size, the household member “May Be Eligible” for Head Start. DONE
- If the household’s gross monthly income is greater than the income levels for the household
size, we are “Unable to Determine” the household member’s potential eligibility for Head Start.
DONE
3. All other household members
We are “Unable to Determine” the household member’s potential eligibility for Head Start.
DONE
NYC Benefits Eligibility Screening 1.3.0
Page 22 of 63
February 2019
S2_R009 - Comprehensive After School System of NYC (COMPASS NYC) - (DYCD)
These rules should be run for each household member individually.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household member’s potential eligibility for
Comprehensive After School System of NYC (COMPASS NYC). DONE
- If Yes, go to #2
2. Is the household member a student aged between 5 and 21 years old?
- If No, go to #3
- If Yes, the household “May Be Eligible” for Comprehensive After School System of NYC
(COMPASS NYC). DONE
3. All other households members
- We are “Unable to Determine” the household member’s potential eligibility for Comprehensive
After School System of NYC (COMPASS NYC). DONE
NYC Benefits Eligibility Screening 1.3.0
Page 23 of 63
February 2019
S2_R010 - Cash Assistance- (HRA)
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for Cash Assistance.
DONE
- If Yes, go to #2
2. Are you or anyone in your household aged 60 or older? AND Are you or anyone else in your
household pregnant? AND (Are there children under 18 in the household? OR Are there
children aged 18 in the household that are full-time students? )
- If No to either question, go to #3
- If Yes to all three questions, check gross monthly income levels by household size against the
185% maximum monthly needs allowances calculation (Family, Shelter with Children, Energy,
Fuel for Heating Other than Natural Gas, Pregnancy). Also check the Cash Assistance
resource levels.
MONTHLY NEEDS ALLOWANCES
# of
People
in
Househol
d
Family
**
Shelter
with
Children
**
Shelter
without
Children
Energy
**
Fuel for
Heating
Other
than
Natural
Gas
**
Pregnancy
**
Other
Total
Needs
Allowances
**
185% Gross
Income
Calculation
1
$158.00
$ 277.00
$0.00
$25.10
$70.00
$50.00
$0.00
$580.10
$1,073.19
2
$252.00
$ 283.00
$0.00
$39.50
$70.00
$50.00
$0.00
$694.50
$1,284.83
3
$336.00
$ 400.00
$0.00
$53.00
$70.00
$50.00
$0.00
$909.00
$1,681.65
4
$433.00
$ 450.00
$0.00
$68.70
$73.00
$50.00
$0.00
$1,074.70
$1,988.20
5
$534.00
$ 501.00
$0.00
$84.70
$77.00
$50.00
$0.00
$1,246.70
$2,306.40
6
$617.00
$ 524.00
$0.00
$97.20
$82.00
$50.00
$0.00
$1,370.20
$2,534.87
7
$702.00
$ 546.00
$0.00
$109.70
$88.00
$50.00
$0.00
$1,495.70
$2,767.05
8
$787.00
$ 546.00
$0.00
$122.20
$93.00
$50.00
$0.00
$1,598.20
$2,956.67
Each
Additional
Person
$85.00
$0.00
$0.00
$12.50
$0.00
$0.00
$0.00
$97.50
$180.38
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
(Last reviewed by agency: Sept. 2018 )
NYC Benefits Eligibility Screening 1.3.0
Page 24 of 63
February 2019
Maximum needs
Allowances x 185%
# of People
in Household
Monthly Household
Income
Resources
Eligible
1
<=$1,073.19
<= $3,000
√
2
<=$1,284.83
<= $3,000
√
3
<=$1,681.65
<= $3,000
√
4
<=$1,988.20
<= $3,000
√
5
<=$2,306.40
<= $3,000
√
6
<=$2,534.87
<= $3,000
√
7
<=$2,767.05
<= $3,000
√
8
<=$2,956.67
<= $3,000
√
Each Additional
Person
<=$180.38
<= $3,000
√
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
- If the household’s resources are below the guidelines and the gross monthly income is less
than or equal to the 185% maximum needs allowances calculation for the household size, the
household “May Be Eligible” for Cash Assistance. DONE
- If the household’s resources are higher than the guidelines or the household’s gross monthly
income is greater than the 185% maximum needs allowances calculation for the household
size, we are “Unable to Determine” the household’s potential eligibility for Cash Assistance.
DONE
NYC Benefits Eligibility Screening 1.3.0
Page 25 of 63
February 2019
3. Are you or anyone in your household aged 60 or older? AND (Are there children under 18 in
the household? OR Are there children aged 18 in the household that are full-time students? )
- If No to either question, go to #4
MONTHLY NEEDS ALLOWANCES
# of
People
in
Household
Family
**
Shelter with
Children
**
Shelter
without
Children
Energy
**
Fuel for
Heating
Other
than
Natural
Gas
**
Pregnancy
Other
Total
Needs
Allowances
**
185% Gross
Income
Calculation
1
$158.00
$277.00
$0.00
$25.10
$70.00
$0.00
$0.00
$530.10
$980.69
2
$252.00
$283.00
$0.00
$39.50
$70.00
$0.00
$0.00
$644.50
$1,192.33
3
$336.00
$400.00
$0.00
$53.00
$70.00
$0.00
$0.00
$859.00
$1,589.15
4
$433.00
$450.00
$0.00
$68.70
$73.00
$0.00
$0.00
$1,024.70
$1,859.70
5
$534.00
$501.00
$0.00
$84.70
$77.00
$0.00
$0.00
$1,196.70
$2,213.90
6
$617.00
$524.00
$0.00
$97.20
$82.00
$0.00
$0.00
$1,320.20
$2,442.37
7
$702.00
$546.00
$0.00
$109.70
$88.00
$0.00
$0.00
$1,445.70
$2,674.55
8
$787.00
$546.00
$0.00
$122.20
$93.00
$0.00
$0.00
$1,548.20
$2,864.17
Each
Additional
Person
$85.00
$0.00
$0.00
$12.50
$0.00
$0.00
$0.00
$97.50
$180.38
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
- If Yes to both questions, check gross monthly income levels by household size against the
185% maximum monthly needs allowances calculation (Family, Shelter with Children, Energy,
Fuel for Heating Other than Natural Gas). Also check the Cash Assistance resource levels.
NYC Benefits Eligibility Screening 1.3.0
Page 26 of 63
February 2019
Maximum Needs
Allowances x 185%
# of People
in Household
Monthly Household
Income
Resources
Eligible
1
<=$980.69
<= $3,000
√
2
<=$1,192.33
<= $3,000
√
3
<=$1,589.15
<= $3,000
√
4
<=$1,859.70
<= $3,000
√
5
<=$2,213.90
<= $3,000
√
6
<=$2,442.37
<= $3,000
√
7
<=$2,674.55
<= $3,000
√
8
<=$2,864.17
<= $3,000
√
Each Additional
Person
<=$180.38
<= $3,000
√
Source: 2017 Guide to Budgeting (Form W-203K) and Public Assistance Budget Computation (Form W-648)
- If the household’s resources are below the guidelines and the gross monthly income is less
than or equal to the 185% maximum needs allowances calculation for the household size, the
household “May Be Eligible” for Cash Assistance. DONE
- If the household’s resources are higher than the guidelines or the household’s gross monthly
income is greater than the 185% maximum needs allowances calculation for the household
size, we are “Unable to Determine” the household’s potential eligibility for Cash Assistance.
DONE
4. Are you or anyone in your household aged 60 or older? AND Are you or anyone else in your
household pregnant?
- If No, go to #5
- If Yes, check the gross monthly income levels by household size against the 185% maximum
monthly needs allowances calculation (Family, Shelter with Children, Energy, Fuel for Heating
Other than Natural Gas, Pregnancy). Also check the Cash Assistance resource levels.
NYC Benefits Eligibility Screening 1.3.0
Page 27 of 63
February 2019
MONTHLY NEEDS ALLOWANCES
# of
People
in
Househ
old
Family
**
Shelter
with
Children
**
Shelter
without
Children
**
Energy
**
Fuel for
Heating
Other
than
Natural
Gas
**
Pregnancy
**
Other
Total
Needs
Allowances
**
185%
Gross
Income
Calculation
1
$158.00
$277.00
$0.00
$25.10
$70.00
$50.00
$0.00
$580.10
$1,073.19
2
$252.00
$283.00
$0.00
$39.50
$70.00
$50.00
$0.00
$694.50
$1,284.83
3
$336.00
$400.00
$0.00
$53.00
$70.00
$50.00
$0.00
$909.00
$1,681.65
4
$433.00
$450.00
$0.00
$68.70
$73.00
$50.00
$0.00
$1,074.70
$1,988.20
5
$534.00
$501.00
$0.00
$84.70
$77.00
$50.00
$0.00
$1,246.70
$2,306.40
6
$617.00
$524.00
$0.00
$97.20
$82.00
$50.00
$0.00
$1,370.20
$2,534.87
7
$702.00
$546.00
$0.00
$109.70
$88.00
$50.00
$0.00
$1,495.70
$2,767.05
8
$787.00
$546.00
$0.00
$122.20
$93.00
$50.00
$0.00
$1,598.20
$2,956.67
Each
Additional
Person
$85.00
$0.00
$0.00
$12.50
$0.00
$0.00
$0.00
$97.50
$180.38
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
NYC Benefits Eligibility Screening 1.3.0
Page 28 of 63
February 2019
Maximum Needs
Allowances x 185%
Eligible
# of People
in Household
Monthly Household
Income
Resources
1
<=$1,073.19
<= $3,000
√
2
<=$1,284.83
<= $3,000
√
3
<=$1,681.65
<= $3,000
√
4
<=$1,988.20
<= $3,000
√
5
<=$2,306.40
<= $3,000
√
6
<=$2,534.87
<= $3,000
√
7
<=$2,767.05
<= $3,000
√
8
<=$2,956.67
<= $3,000
√
Each Additional
Person
$180.38
<= $3,000
√
Source: 2017 Guide to Budgeting (Form W-203K) and Public Assistance Budget Computation (Form W-648)
- If the household’s resources are below the guidelines and the gross monthly income is less
than or equal to the 185% maximum needs allowances calculation for the household size, the
household “May Be Eligible” for Cash Assistance. DONE
- If the household’s resources are higher than the guidelines or the household’s gross monthly
income is greater than the 185% maximum needs allowances calculation for the household
size, we are “Unable to Determine” the household’s potential eligibility for Cash Assistance.
DONE
5. Are you or anyone in your household aged 60 or older? (no pregnant women or children)
- If No, go to #6
- If Yes, check gross monthly income levels by household size against the 185% maximum
monthly needs allowances calculation (Family, Shelter without Children, Energy, Fuel for
Heating Other than Natural Gas). Also check the Cash Assistance resource levels.
NYC Benefits Eligibility Screening 1.3.0
Page 29 of 63
February 2019
MONTHLY NEEDS ALLOWANCES
# of
People
in
Househ
old
Family
**
Shelt
er
with
Child
ren
Shelter
without
Children
**
Energy
**
Fuel for
Heating
Other than
Natural
Gas
**
Preg
nanc
y
Other
Total
Needs
Allowances
**
185% Gross
Income
Calculation
1
$158.00
$0.0
0
$215.00
$25.10
$70.00
$0.00
$0.00
$468.10
$865.99
2
$252.00
$0.0
0
$250.00
$39.50
$70.00
$0.00
$0.00
$611.50
$1,131.28
3
$336.00
$0.0
0
$286.00
$53.00
$70.00
$0.00
$0.00
$745.00
$1,378.25
4
$433.00
$0.0
0
$312.00
$68.70
$73.00
$0.00
$0.00
$886.70
$1,640.40
5
$534.00
$0.0
0
$337.00
$84.70
$77.00
$0.00
$0.00
$1,032.70
$1,910.50
6
$617.00
$0.0
0
$349.00
$97.20
$82.00
$0.00
$0.00
$1,145.20
$2,118.62
7
$702.00
$0.0
0
$403.00
$109.70
$88.00
$0.00
$0.00
$1,302.70
$2,410.00
8
$787.00
$0.0
0
$403.00
$122.20
$93.00
$0.00
$0.00
$1,405.20
$2,599.62
Each
Additional
Person
$85.00
$0.0
0
$0.00
$12.50
$0.00
$0.00
$0.00
$97.50
$180.38
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
NYC Benefits Eligibility Screening 1.3.0
Page 30 of 63
February 2019
Maximum Needs
Allowances x 185%
# of People
in Household
Monthly Household
Income
Resource
s
Eligible
1
<=$865.99
<= $3,000
√
2
<=$1,131.28
<= $3,000
√
3
<=$1,378.25
<= $3,000
√
4
<=$1,640.40
<= $3,000
√
5
<=$1,910.50
<= $3,000
√
6
<=$2,118.62
<= $3,000
√
7
<=$2,410.00
<= $3,000
√
8
<=$2,599.62
<= $3,000
√
Each Additional
Person
$180.38
<= $3,000
√
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
- If the household’s resources are below the guidelines and the gross monthly income is less
than or equal to the 185% maximum needs allowances calculation for the household size, the
household “May Be Eligible” for Cash Assistance. DONE
- If the household’s resources are higher than the guidelines or the household’s gross monthly
income is greater than the 185% maximum needs allowances calculation for the household
size, we are “Unable to Determine” the household’s potential eligibility for Cash Assistance.
DONE
6. Are you or anyone else in your household pregnant? AND (Are there children under 18 in the
household? OR Are there children aged 18 in the household that are full-time students? )
- If No to either question, go to #7
NYC Benefits Eligibility Screening 1.3.0
Page 31 of 63
February 2019
- If Yes to both questions, check gross monthly income levels by household size against the
185% maximum monthly needs allowances calculation (Family, Shelter with Children, Energy,
Fuel for Heating Other than Natural Gas, Pregnancy). Also check the Cash Assistance
resource levels.
MONTHLY NEEDS ALLOWANCES
# of
People
in
Household
Family
**
Shelter
with
Children
**
Shelter
without
Children
**
Energy
**
Fuel for
Heating
Other
than
Natural
Gas
**
Pregnancy
**
Other
Total
Needs
Allowances
**
185%
Gross
Income
Calculation
1
$158.00
$277.00
$0.00
$25.10
$70.00
$50.00
$0.00
$580.10
$1,073.19
2
$252.00
$283.00
$0.00
$39.50
$70.00
$50.00
$0.00
$694.50
$1,284.83
3
$336.00
$400.00
$0.00
$53.00
$70.00
$50.00
$0.00
$909.00
$1,681.65
4
$433.00
$450.00
$0.00
$68.70
$73.00
$50.00
$0.00
$1,074.70
$1,988.20
5
$534.00
$501.00
$0.00
$84.70
$77.00
$50.00
$0.00
$1,246.70
$2,306.40
6
$617.00
$524.00
$0.00
$97.20
$82.00
$50.00
$0.00
$1,370.20
$2,534.87
7
$702.00
$546.00
$0.00
$109.70
$88.00
$50.00
$0.00
$1,495.70
$2,767.05
8
$787.00
$546.00
$0.00
$122.20
$93.00
$50.00
$0.00
$1,598.20
$2,956.67
Each
Additional
Person
$85.00
$0.00
$0.00
$12.50
$0.00
$0.00
$0.00
$97.50
$180.38
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
NYC Benefits Eligibility Screening 1.3.0
Page 32 of 63
February 2019
Maximum Needs
Allowances x 185%
# of people
in Household
Monthly Household
Income
Resources
Eligibl
e
1
<=$1,073.19
<= $2,000
√
2
<=$1,284.83
<= $2,000
√
3
<=$1,681.65
<= $2,000
√
4
<=$1,988.20
<= $2,000
√
5
<=$2,306.40
<= $2,000
√
6
<=$2,534.87
<= $2,000
√
7
<=$2,767.05
<= $2,000
√
8
<=$2,956.67
<= $2,000
√
Each Additional
Person
<=$180.38
<= $2,000
√
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
- If the household’s resources are below the guidelines and the gross monthly income is less
than or equal to the 185% maximum needs allowances calculation for the household size, the
household “May Be Eligible” for Cash Assistance. DONE
- If the household’s resources are higher than the guidelines or the household’s gross monthly
income is greater than the 185% maximum needs allowances calculation for the household
size, we are “Unable to Determine” the household’s potential eligibility for Cash Assistance.
DONE
7. Are you or anyone else in your household pregnant?
- If No, go to #8
- If Yes, check the gross monthly income levels by household size against the 185% maximum
monthly needs allowances calculation (Family, Shelter with Children, Energy, Fuel for Heating
Other than Natural Gas, Pregnancy). Also check the Cash Assistance resource levels.
NYC Benefits Eligibility Screening 1.3.0
Page 33 of 63
February 2019
MONTHLY NEEDS ALLOWANCES
# of
People
in
Househol
d
Family
**
Shelter
with
Children
**
Shelter
without
Children
**
Energy
**
Fuel for
Heating
Other
than
Natural
Gas
**
Pregnancy
**
Other
Total
Needs
Allowances
**
185% Gross
Income
Calculation
1
$158.00
$277.00
$0.00
$25.10
$70.00
$50.00
$0.00
$580.10
$1,073.19
2
$252.00
$283.00
$0.00
$39.50
$70.00
$50.00
$0.00
$694.50
$1,284.83
3
$336.00
$400.00
$0.00
$53.00
$70.00
$50.00
$0.00
$909.00
$1,681.65
4
$433.00
$450.00
$0.00
$68.70
$73.00
$50.00
$0.00
$1,074.70
$1,988.20
5
$534.00
$501.00
$0.00
$84.70
$77.00
$50.00
$0.00
$1,246.70
$2,306.40
6
$617.00
$524.00
$0.00
$97.20
$82.00
$50.00
$0.00
$1,370.20
$2,534.87
7
$702.00
$546.00
$0.00
$109.70
$88.00
$50.00
$0.00
$1,495.70
$2,767.05
8
$787.00
$546.00
$0.00
$122.20
$93.00
$50.00
$0.00
$1,598.20
$2,956.67
Each
Additional
Person
$85.00
$0.00
$0.00
$12.50
$0.00
$0.00
$0.00
$97.50
$180.38
Source: 2017 Guide to Budgeting (Form W-203K) and Public Assistance Budget Computation (Form W-648)
NYC Benefits Eligibility Screening 1.3.0
Page 34 of 63
February 2019
Maximum Needs
Allowances x 185%
# of People
in Household
Monthly Household
Income
Resources
Eligible
1
<=$1,073.19
<= $2,000
√
2
<=$1,284.83
<= $2,000
√
3
<=$1,681.65
<= $2,000
√
4
<=$1,988.20
<= $2,000
√
5
<=$2,306.40
<= $2,000
√
6
<=$2,534.87
<= $2,000
√
7
<=$2,767.05
<= $2,000
√
8
<=$2,956.67
<= $2,000
√
Each Additional
Person
<=$180.38
<= $2,000
√
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
- If the household’s resources are below the guidelines and the gross monthly income is less
than or equal to the 185% maximum needs allowances calculation for the household size, the
household “May Be Eligible” for Cash Assistance. DONE
- If the household’s resources are higher than the guidelines or the household’s gross monthly
income is greater than the 185% maximum needs allowances calculation for the household
size, we are “Unable to Determine” the household’s potential eligibility for Cash Assistance.
DONE
8. Are there any children under 18 in the household? OR Are there children aged 18 in the
household that are full-time students?
- If No, go to #9
NYC Benefits Eligibility Screening 1.3.0
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February 2019
- If Yes, check the gross monthly income levels by household size against the 185% maximum
monthly needs allowances calculation (Family, Shelter with Children, Energy, Fuel for Heating
Other than Natural Gas). Also check the Cash Assistance resource levels.
MONTHLY NEEDS ALLOWANCES
# of
People
in
Househol
d
Family
**
Shelter
with
Children
**
Shelter
without
Children
Energy
**
Fuel for
Heating
Other
than
Natural
Gas
**
Pregnancy
Other
Total
Needs
Allowances
**
185% Gross
Income
Calculation
1
$158.00
$277.00
$0.00
$25.10
$70.00
$0.00
$0.00
$530.10
$980.69
2
$252.00
$283.00
$0.00
$39.50
$70.00
$0.00
$0.00
$644.50
$1,192.33
3
$336.00
$400.00
$0.00
$53.00
$70.00
$0.00
$0.00
$859.00
$1,589.15
4
$433.00
$450.00
$0.00
$68.70
$73.00
$0.00
$0.00
$1,024.70
$1,859.70
5
$534.00
$501.00
$0.00
$84.70
$77.00
$0.00
$0.00
$1,196.70
$2,213.90
6
$617.00
$524.00
$0.00
$97.20
$82.00
$0.00
$0.00
$1,320.20
$2,442.37
7
$702.00
$546.00
$0.00
$109.70
$88.00
$0.00
$0.00
$1,445.70
$2,674.55
8
$787.00
$546.00
$0.00
$122.20
$93.00
$0.00
$0.00
$1,548.20
$2,864.17
Each
Additional
Person
$85.00
$0.00
$0.00
$12.50
$0.00
$0.00
$0.00
$97.50
$180.38
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
NYC Benefits Eligibility Screening 1.3.0
Page 36 of 63
February 2019
Maximum Needs
Allowances
x 185%
# of People
in Household
Monthly Household
Income
Resources
Eligible
1
<=$980.69
<= $2,000
√
2
<=$1,192.33
<= $2,000
√
3
<=$1,589.15
<= $2,000
√
4
<=$1,859.70
<= $2,000
√
5
<=$2,213.90
<= $2,000
√
6
<=$2,442.37
<= $2,000
√
7
<=$2,674.55
<= $2,000
√
8
<=$2,864.17
<= $2,000
√
Each Additional
Person
<=$180.38
<= $2,000
√
Source: 2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
- If the household’s resources are below the guidelines and the gross monthly income is less
than or equal to the 185% maximum needs allowances calculation for the household size, the
household “May Be Eligible” for Cash Assistance. DONE
- If the household’s resources are higher than the guidelines or the household’s gross monthly
income is greater than the 185% maximum needs allowances calculation for the household
size, we are “Unable to Determine” the household’s potential eligibility for Cash Assistance.
DONE
9. All other households (no household members aged 60 or older, no pregnant women, no
children)
- If Yes, check the gross monthly income levels by household size against the 185% maximum
monthly needs allowances calculation (Family, Shelter without Children, Energy, Fuel for
Heating Other than Natural Gas). Also check the Cash Assistance resource levels.
NYC Benefits Eligibility Screening 1.3.0
Page 37 of 63
February 2019
MONTHLY NEEDS ALLOWANCES
# of
People
in
Househol
d
Family
**
Shelter
with
Children
Shelter
without
Children
**
Energy
**
Fuel for
Heating
Other
than
Natural
Gas
**
Pregnancy
Other
Total
Needs
Allowances
**
185% Gross
Income
Calculation
1
$158.00
$0.00
$215.00
$25.10
$70.00
$0.00
$0.00
$468.10
$865.99
2
$252.00
$0.00
$250.00
$39.50
$70.00
$0.00
$0.00
$611.50
$1,131.28
3
$336.00
$0.00
$286.00
$53.00
$70.00
$0.00
$0.00
$745.00
$1,378.25
4
$433.00
$0.00
$312.00
$68.70
$73.00
$0.00
$0.00
$886.70
$1,640.40
5
$534.00
$0.00
$337.00
$84.70
$77.00
$0.00
$0.00
$1,032.70
$1,910.50
6
$617.00
$0.00
$349.00
$97.20
$82.00
$0.00
$0.00
$1,145.20
$2,118.62
7
$702.00
$0.00
$403.00
$109.70
$88.00
$0.00
$0.00
$1,302.70
$2,410.00
8
$787.00
$0.00
$403.00
$122.20
$93.00
$0.00
$0.00
$1,405.20
$2,599.62
Each
Additional
Person
$85.00
$0.00
$0.00
$12.50
$0.00
$0.00
$0.00
$97.50
$180.38
Source:2017 Guide to Cash Assistance Budgeting (Form W-203K) and Cash Assistance Budget Computation (Form W-648)
NYC Benefits Eligibility Screening 1.3.0
Page 38 of 63
February 2019
Maximum Needs
Allowances x 185%
# of People
in Household
Monthly Household
Income
Resources
Eligible
1
<=$865.99
<= $2,000
√
2
<=$1,131.28
<= $2,000
√
3
<=$1,378.25
<= $2,000
√
4
<=$1,640.40
<= $2,000
√
5
<=$1,910.50
<= $2,000
√
6
<=$2,118.62
<= $2,000
√
7
<=$2,410.00
<= $2,000
√
8
<=$2,599.62
<= $2,000
√
Each Additional
Person
$180.38
<= $2,000
√
Source: 2017 Guide to Budgeting (Form W-203K) and Public Assistance Budget Computation (Form W-648)
- If the household’s resources are below the guidelines and the gross monthly income is less
than or equal to the 185% maximum needs allowances calculation for the household size, the
household “May Be Eligible” for Cash Assistance. DONE
- If the household’s resources are higher than the guidelines or the household’s gross monthly
income is greater than the 185% maximum needs allowances calculation for the household
size, we are “Unable to Determine” the household’s potential eligibility for Cash Assistance.
DONE
NYC Benefits Eligibility Screening 1.3.0
Page 39 of 63
February 2019
S2_R011 – Health Insurance Assistance - (HIA)
These rules should be run for the household.
1. All Households ‘May Be Eligible’ for Health Insurance assistance. DONE
S2_R012 - School Tax Relief (STAR)
These rules should be run for the household.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for STAR. DONE
- If Yes, go to #2
2. Is the primary residence owned?
- If No, go to #4.
- If Yes, go to #3.
3. Is owner #1 or owner #2 aged 65 or older as of the current year?
If No, the household “May Be Eligible” for School Tax Relief (Basic STAR). DONE
If Yes, sum all income sources for owner #1 and owner #2. Check gross annual income against
the level below.
Annual Household
Income
Eligible
<= $86,000
√
- If the owner’s gross annual income is less than or equal to $86,000, the household “May Be
Eligible” for School Tax Relief (Enhanced STAR). DONE
- If the owner’s gross annual income is greater than $86,000 and less than or equal to
$500,000, the household “May Be Eligible” for School Tax Relief (Basic STAR). DONE
4. All other households
NYC Benefits Eligibility Screening 1.3.0
Page 40 of 63
February 2019
We are “Unable to Determine” the household’s potential eligibility for School Tax Relief (STAR).
DONE
S2_R013 - Section 8 Housing - (NYCHA)
These rules should be run for the household.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for Section 8. DONE
- If Yes, go to #2
2. Is the head of household age 18 or older?
- If No, go to #3.
- If Yes, use the household size and gross income for all household members to determine if the
household may be eligible for Section 8.
# of People in
Household
Annual Household
Income
Eligible
1
<= $26,900
√
2
<= $30,700
√
3
<= $34,550
√
4
<= $38,400
√
5
<= $41,450
√
6
<= $44,550
√
7
<= $47,600
√
8
<= $50,700
√
Update is work in progress (there is an updated income table effective April 2018)
- If the household’s gross monthly income is less than or equal to the income level for the
household size, the household “May Be Eligible” for Section 8. DONE
- If the household’s gross monthly income is greater than the income level for the household
size, we are “Unable to Determine” the household’s potential eligibility for Section 8. DONE
3. All other households members
We are “Unable to Determine” the household’s potential eligibility for Section 8. DONE
NYC Benefits Eligibility Screening 1.3.0
Page 41 of 63
February 2019
S2_R014 - Senior Citizen Homeowners’ Exemption (SCHE) - (DOF)
These rules should be run for the household.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for SCHE. DONE
- If Yes, go to #2
2. Is owner #1 or owner #2 aged 65 or older
AND does the household own their primary residence?
- If No to either question, go to #3
- If Yes, sum all income sources for owner #1 and owner #2. Check gross annual income
against the level below.
Annual Household
Income
Eligible
< = $58,399
√
Source: DOF’s website SCHE eligibility requirement section (Updated Dec. 2017)
- If the owner’s gross annual income is less than or equal to $58,399, the household “May Be
Eligible” for SCHE. DONE
- If the owner’s gross annual income is greater than $58,399, we are “Unable to Determine” the
household’s potential eligibility for SCHE. DONE
3. All other households
- We are “Unable to Determine” the household’s potential eligibility for SCHE. DONE
NYC Benefits Eligibility Screening 1.3.0
Page 42 of 63
February 2019
S2_R015 - Senior Citizen Rent Increase Exemption (SCRIE) - (DOF)
These rules should be run for the household.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for SCRIE. DONE
- If Yes, go to #2
2. Is the primary applicant aged 62 or older?
AND does the household rent their primary residence?
And is the primary applicant named on the lease or the rent order or have been granted
succession rights to the apartment?
AND does the household live in the following apartment types regulated by the Division of
Housing and Community Renewal (DHCR):
Rent Stabilized or Rent Controlled; Mitchell-Lama Apartment; Rent Regulated Hotel
Unit; HDFC Cooperative Shareholder apartment , Section 213 Cooperative
- If No to any question, go to #3
- If Yes, sum all income sources for all household members (excluding income source of Gifts -
Received). Check gross annual income is less than or equal to $50,000.
Annual Household
Income
Eligible
<= $50,000
√
- If the household’s gross annual income is less than or equal to $50,000, the household “May
Be Eligible” for SCRIE. DONE
- If the household’s gross annual income is greater than $50,000, we are “Unable to Determine”
the household’s potential eligibility for SCRIE. DONE
3. Does the primary applicant spends more than one-third of monthly household income on
rent?
- If Yes, the household “May Be Eligible” for SCRIE.
- If No, go to #4
4. All other households
- We are “Unable to Determine” the household’s potential eligibility for SCRIE. DONE
NYC Benefits Eligibility Screening 1.3.0
Page 43 of 63
February 2019
S2_R016 – Pre-K for All (Pre-K) - (DOE)
These rules should be run for each household member individually.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for UPK. DONE
- If Yes, go to #2
2. Is the household at least 4 years old in the current year ?
- If No, go to #3
- If Yes, the household member “May Be Eligible” for Pre-K. DONE
3. All other household members
- We are “Unable to Determine” the household member’s potential eligibility for Pre-K. DONE
NYC Benefits Eligibility Screening 1.3.0
Page 44 of 63
February 2019
S2_R017 – Disabled Homeowners’ Exemption (DHE) - (DOF)
These rules should be run for the household.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for DHE. DONE
- If Yes, go to #2
2. Is owner #1 or owner #2 disabled or blind
OR (does owner #1 or owner #2 have an income type of:
Supplemental Security Income or Social Security Disability Benefits)
AND does the household own their primary residence?
- If No to either question, go to #3
- If Yes, sum all income sources for owner #1 and owner #2. Check gross annual income
against the level below.
Annual Household
Income
Eligible
<=$58,399
√
Source: DOF’s website DHE eligibility requirement section (Updated Dec. 2017)
- If the owner’s gross annual income is less than or equal to $58,399, the household “May Be
Eligible” for DHE. DONE
- If the owner’s gross annual income is greater than $58,399, we are “Unable to Determine” the
household’s potential eligibility for DHE. DONE
3. All other households
- We are “Unable to Determine” the household’s potential eligibility for DHE. DONE
NYC Benefits Eligibility Screening 1.3.0
Page 45 of 63
February 2019
S2_R018 – Veterans' Property Tax Exemption - (DOF)
These rules should be run for the household.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for Veterans’
Exemption. DONE
- If Yes, go to #2
2. Is owner #1 or owner #2 a veteran
AND does the household own their primary residence?
- If No, go to #3
- If Yes to both questions, the household “May Be Eligible” for Veterans’ Exemption. DONE
3. All other households
- We are “Unable to Determine” the household’s potential eligibility for Veterans’ Exemption.
DONE
NYC Benefits Eligibility Screening 1.3.0
Page 46 of 63
February 2019
S2_R019 – Home Energy Assistance Program (HEAP) - (HRA)
These rules should be run for the household.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for HEAP. DONE
- If Yes, go to #2
2. Does the household have a residence type of ‘Housing Authority’ and not have an expense
type of ‘Heating’?
- If Yes, we are “Unable to Determine” the household’s potential eligibility for HEAP. DONE
- If No, go to #3.
3. Does the household have a residence type of ‘Hotel’?
- If Yes, we are “Unable to Determine” the household’s potential eligibility for HEAP. DONE
- If No, go to #4.
4. Use the household size and gross income to determine if the household may be eligible for
HEAP.
The following income should be excluded from the gross income calculation:
Wages, Salary, Tips and Self-employment Income for member less than 18
NYC Benefits Eligibility Screening 1.3.0
Page 47 of 63
February 2019
# of People in
Household
Monthly
Household
Income
Eligible
1
<= $2,391
√
2
<= $3,127
√
3
<= $3,863
√
4
<= $4,598
√
5
<=$5,334
√
6
<= $6,070
√
7
<= $6,208
√
8
<= $6,346
√
9
<= $6,483
√
10
<= $6,621
√
11
<= $6,918
√
Each Additional
Person
$540
√
Effective: 11/13/2018
(Note: Income levels only upto 8 household members are implemented on ANYC)
- If the household’s gross monthly income is less than or equal to the income level for the
household size, the household “May Be Eligible” for HEAP. DONE
- If the household’s gross monthly income is greater than the income level for the household
size, we are “Unable to Determine” the household’s potential eligibility for HEAP. DONE
NYC Benefits Eligibility Screening 1.3.0
Page 48 of 63
February 2019
S2_R020 – SchoolFoods (School Meals) - (DOE)
(NOTE: It is confirmed by the agency liaison that all students are able to receive free meals in
school regardless of their family’s economic situation. The table rules are not needed for NYC’s
School Child Nutrition Program. 8/22/2018)
These rules run for each household member individually.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for School Meals.
DONE
- If Yes, go to #2
2. Is the household member’s age between 0 - 21 AND is the household member a student?
- If No, we are “Unable to Determine” the household member’s potential eligibility for School
Meals. DONE
- If Yes, the household member “May Be Eligible” for School Meals. DONE
S2_R021 – New York State Unemployment Insurance - (NYS Department of Labor)
These rules should be run for each household member individually.
1. Is the household member currently unemployed
AND did the household member work within the last 18 months?
- If No to either questions, go to #2
- If Yes to both questions, the household member “May Be Eligible” for Unemployment
Insurance. DONE
2. All other household members
- We are “Unable to Determine” the household member’s potential eligibility for Unemployment Insurance.
DONE
NYC Benefits Eligibility Screening 1.3.0
Page 49 of 63
February 2019
S2_R022 – Women, Infants and Children (WIC) - (HRA)
These rules should be run for each household member individually.
1. Is the household member a “Foster-Child” of the Head of Household?
- If No question, go to #2
- If Yes, Go to Section A
2. Is the household member pregnant?
- If No question, go to #3
- If Yes, Go to Section B
3. Is the household member’s age less than 5?
- If No question, go to #4
-If Yes, Go to Section B.
4. All other household members
- We are “Unable to Determine” the household member’s potential eligibility for WIC. DONE
Section A
1. Is the household member pregnant?
- If No, go to #2
- If Yes, check if the household member’s monthly income is less than or equal to $2,538.
# of People
in Household
Member’s
Monthly Income
Eligible
2
<= $ 2,538
√
Last Updated: May 2018
- If the member’s gross monthly income is less than or equal to the income levels, the member
“May Be Eligible” for WIC. DONE
- If the member’s gross monthly income is greater than the income levels, we are “Unable to
Determine” the member’s potential eligibility for WIC. DONE
2. Is the household member’s age less than 5?
- If No, go to #3
- If Yes, check if the household member’s monthly income is less than or equal to $1,872.
# of People in
Household
Member’s
Monthly Income
Eligible
1
<= $ 1,872
√
Last Updated: May 2018
NYC Benefits Eligibility Screening 1.3.0
Page 50 of 63
February 2019
- If the member’s gross monthly income is less than or equal to the income levels, the member
“May Be Eligible” for WIC. DONE
- If the member’s gross monthly income is greater than the income levels, we are “Unable to
Determine” the member’s potential eligibility for WIC. DONE
3. All other household members
- We are “Unable to Determine” the household member’s potential eligibility for WIC. DONE
Section B
1. Determine the household size.
- Increase the household size by the number of pregnant women in the household who do not
have a Foster-child relationship to the Head of Household. (i.e. one pregnant woman, increase
by one; two pregnant women, increase by two; etc.)
- Subtract the number of Foster Children from the household size.
2. Determine the household income by adding income for all household members,
excluding household members that have a “Foster-Child” relationship type to the Head
of Household.
3. Check gross monthly income levels by household size.
# of People
in Household
Monthly
Household Income
Eligible
1
<= $ 1,872
√
2
<= $ 2,538
√
3
<= $ 3,204
√
4
<= $ 3,870
√
5
<= $ 4,536
√
6
<= $ 5,202
√
7
<= $5,868
√
8
<= $6,534
√
Each Add'l
Person
+$666
√
Source: Agency received federal WIC Income eligibility guidelines (updated May 2018 (Effective through June 30, 2019)
- If the household’s gross monthly income is less than or equal to the income level for the
household size, the household member “May Be Eligible” for WIC. DONE
- If the household’s gross monthly income is greater than the income level for the household
size, we are “Unable to Determine” the household member’s potential eligibility for WIC. DONE
NYC Benefits Eligibility Screening 1.3.0
Page 51 of 63
February 2019
S2_R023 – Summer Meals - (DOE)
These rules should be run for each household member individually.
1. Is the household member aged less than 19?
- If No, go to #3
- If Yes, the household member “May Be Eligible” for Summer Meals. DONE
2. All other household members
- We are “Unable to Determine” the household member’s potential eligibility for Summer Meals.
DONE
S2_R024 – NYCHA Resident Economic Empowerment and Sustainability (REES) - (NYCHA)
These rules should be run for each household member individually.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household member’s potential eligibility for REES.
DONE
- If Yes, go to #2
2. Does the household rent their primary residence and have a residence type of ‘Housing
Authority’?
- If No, we are “Unable to Determine” the household member’s potential eligibility for REES.
DONE
- If Yes, go to #3
3. Is the household member 18 or older?
- If No, we are “Unable to Determine” the household member’s potential eligibility for REES.
DONE
- If Yes, the household member “May Be Eligible” for REES. DONE
NYC Benefits Eligibility Screening 1.3.0
Page 52 of 63
February 2019
S2_R025 – Senior Employment Services (SES) - (DFTA)
These rules should be run for each household member individually.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household member’s potential eligibility for SES.
DONE
- If Yes, go to #2.
2. Is the household member 55 years old or older?
- If No, we are “Unable to Determine” the household member’s potential eligibility for SES.
DONE
- If Yes, go to #3.
3. Is the household member currently unemployed?
- If No, we are “Unable to Determine” the household member’s potential eligibility for SES. DONE
- If Yes, go to #4.
4. Is the household member disabled? OR
Is the household member NOT the Head of Household or the Spouse of the Head of
Household?
- If No, go to #5.
- If Yes, calculate the household member’s gross income.
Include the following income sources in the gross income calculation for that household
member:
- Alimony (Received)
- Border or Lodger
- Child Support (Received)
- Government or Private Pension
- Investment Income (interest, dividends, and profit from selling stock)
- Rental Income
- Self-employment Income
- 75% of Social Security Retirement benefits
- 75% of Social Security Survivor benefits
- Wages, Salary, Tips
- Withdrawals from Deferred Compensation (IRA, Keogh, etc.)
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# of People in
Household
Monthly Household
Income
Eligible
1
<= $1,264.58
√
Updated: Feb 2018
- If the household member’s gross income is less than or equal to the income level for the
household size, the household member “May Be Eligible” for SES. DONE
- If the household member’s gross income is greater than the income level for the household
size, we are “Unable to Determine” the household member’s potential eligibility for SES.
DONE
5. Is the household member the Head of Household or the spouse of the Head of Household?
- If No, we are unable to determine the household member’s eligibility for SES. DONE
- If Yes, determine the number of household members by counting:
▪ the Head of Household
▪ the spouse of the Head of Household (if there is one)
Include the following income sources in the gross income calculation for the Head of
Household and the spouse of the Head of Household (if there is one):
- Alimony (Received)
- Border or Lodger
- Child Support (Received)
- Government or Private Pension
- Investment Income (interest, dividends, and profit from selling stock)
- Rental Income
- Self-employment Income
- 75% of Social Security Retirement benefits
- 75% of Social Security Survivor benefits
- Wages, Salary, Tips
- Withdrawals from Deferred Compensation (IRA, Keogh, etc.)
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# of people in
the Household
Monthly
Income
Eligible
1
<= $1,264.58
√
2
<= $1,714.58
√
3
<= $2,164.58
√
4
<= $2,614.58
√
5
<= $3,064.58
√
6
<= $3,514.58
√
7
<= $3,964.58
√
8
<= $4,414.58
√
For each
additional
person, add
$450
√
Last Updated Feb. 2018
(NOTE: Agency provided the rate up to 8 household members although rules details implements up to 2
people.)
- If the household’s gross income is less than or equal to the income level for the household
size, the household member “May Be Eligible” for SES. DONE
- If the household’s gross income is greater than the income level for the household size, we are
“Unable to Determine” the household member’s potential eligibility for SES. DONE
S2_R026 – Workforce1 - (SBS)
These rules should be run for each household member individually.
1. Is the household member 18 or older?
- If No, we are “Unable to Determine” the household member’s potential eligibility for
Workforce1. DONE
- If Yes, the household member “May Be Eligible” for Workforce1. DONE
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S2_R027 – Commodity Supplemental Food Program (CSFP) - (NYS DOH)
1. Determine the household size.
Is the household member aged 60 or older?
Check gross monthly income levels by household size.
# of People in
Household
Monthly
Household Income
Eligible
1
<=$ 1,316
√
2
<=$ 1,784
√
3
<=$ 2,252
√
4
<=$ 2,720
√
5
<= $ 3,188
√
6
<= $ 3,656
√
7
<= $ 4,124
√
8
<= $ 4,592
√
Each Additional
Person
+ $ 468
√
Updated Sept. 2018 (Source: https://www.health.ny.gov/prevention/nutrition/csfp/income_guidelines.htm)
- If the household’s gross monthly income is less than or equal to the income level for the
household size, the household member “May Be Eligible” for CSFP. DONE
- If the household’s gross monthly income is greater than the income level for the household
size, we are “Unable to Determine” the household member’s potential eligibility for CSFP.
DONE
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S2_R028 – Learn & Earn (formerly In-School Youth Employment Program - ISY) - (DYCD)
These rules should be run for each household member individually.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household member’s potential eligibility for ISY.
DONE
- If Yes, go to #2
2. Is the household member’s age between 14 and 21 years AND Is the household member a
student AND Does the household have an income source of ‘Cash Assistance Grant’
- If No, go to #3
- If Yes, the household member “May Be Eligible” for ISY. DONE
3. Is the household member’s age between 14 and 21 years AND Is the household member a
student AND Is the household member disabled?
- If No, go to #4
- If Yes, the household member “May Be Eligible” for ISY. DONE
4. Is the household member’s age between 14 and 21 years AND Is the household member a
student AND Is the household member a ‘Foster Child’ of the head of household?
- If No, go to #5
- If Yes, the household member “May Be Eligible” for ISY. DONE
5. Is the household member’s age between 14 and 21 years AND Is the household member a
student AND Is the household member pregnant?
- If No, go to #6
- If Yes, the household member “May Be Eligible” for ISY. DONE
6. Is the household member’s age between 14 and 21 years AND Is the household member a
student? AND Is the member a ‘Child’ or ‘Step-Child’ of the Head of Household?
- If No, go to #7
- If Yes, determine the household size by only counting the following members:
▪ head of household
▪ the spouse of the head of household (if there is one)
▪ children of the head of household (child or step-child)
- Then determine the household total income by counting all income for the following members:
▪ head of household
▪ the spouse of the head of household (if there is one)
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▪ children of the head of household (child or step-child)
- For these household members, exclude the following income sources from the gross income
calculation:
▪ Child Support (Received)
▪ Cash Assistance Grant
▪ Social Security Survivor’s Benefits
▪ Supplemental Security Income (SSI)
▪ Unemployment Benefits
# of People in
Household
Annual Household
Income
Eligible
1
$11,670.00
√
2
$18,336.00
√
3
$25,168.00
√
4
$31,071.00
√
5
$36,664.00
√
6
$42,885.00
√
7
$49,106.00
√
8
$55,327.00
√
Each
Additional
Person
$6,221.00
√
- If the gross monthly income is less than or equal to the income levels for the household
size, the - household member “May Be Eligible” for ISY. DONE
- If the gross monthly income is greater than the income levels for the household size, we
are “Unable to Determine” the household member’s potential eligibility for ISY. DONE
7. Is the household member’s age between 14 and 21 years AND Is the household member a
student? AND Is the member NOT a ‘Child’ or ‘Step-Child’ of the Head of Household?
- If No, go to #8
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For this household member, exclude the following income sources from the gross income
calculation:
▪ Child Support (Received)
▪ Cash Assistance Grant
▪ Social Security Survivor’s Benefits
▪ Supplemental Security Income (SSI)
▪ Unemployment Benefits
# of People
in Household
Annual Household
Income
Eligible
1
<= $11,670
√
- If the gross monthly income is less than or equal to the income levels for the household size,
the household member “May Be Eligible” for ISY. DONE
- If the gross monthly income is greater than the income levels for the household size, we are
“Unable to Determine” the household member’s potential eligibility for ISY. DONE
8. All other household members
- We are “Unable to Determine” the household member’s potential eligibility for ISY. DONE
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S2_R029 – Nurse-Family Partnership (for women/girls having their first baby) - (DOHMH)
These rules should be run for each household member individually.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for NFP. DONE
- If Yes, go to #2
2. Is the household member pregnant?
- If No, go to #3
- If Yes, increase the household size by one (to account for the unborn child) and check if the
household member’s monthly income is less than or equal to $2,960.
# of People
in Household
Monthly Household
Income
Eligible
2
<= $2,960
√
3
<= $3,733
√
4
<= $4,606
√
5
<= $5,280
√
6
<= $6,053
√
7
<= $6,826
√
8
<= $7,599
Last Updated 02/2016
- If the household member’s gross monthly income is less than or equal to the income level for
the household size, the household member “May Be Eligible” for NFP. DONE
If the household member’s gross monthly income is greater than the income level for the
household size, we are “Unable to Determine” the household member’s potential eligibility for
NFP. DONE
3. All other households members
- We are “Unable to Determine” the household member’s potential eligibility for NFP. DONE
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S2_R030 – Summer Youth Employment Program (SYEP) - (DYCD)
These rules should be run for each household member individually.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household member’s potential eligibility for SYEP.
DONE
- If Yes, go to #2
2. Is the household member’s age between between 14 and 24?
- If Yes, the household member is potentially eligible for SYEP. DONE
- If No, we are unable to determine eligibility for SYEP. DONE.
S2_R031 – Family Planning Benefit Program (FPBP) - (NYS DOH)
While these rules should be run for each household member individually, the overall household
size and gross income will be used.
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for any New York City
Public Health Insurance program. DONE
- If Yes, go to #2
1. Is the household member enrolled in Medicaid ?
- If No, go to #3
- If Yes, we are “Unable to Determine” the household’s potential eligibility for any New York City
Public Health Insurance program. DONE
2. Is the household member pregnant?
- If No, continue to step 4.
- If yes “Unable to Determine” the household’s potential eligibility for the Family Planning Benefit
program. DONE
3. Is the household member under 10 or over 64 years of age?
- If No, continue to step 5.
- If yes “Unable to Determine” the household’s potential eligibility for the Family Planning Benefit
program. DONE
4. If household member is not pregnant and aged 10 to 64 check gross monthly income by
household size.
- For calculating the household size if there is a pregnant household member increase
household size by the number of pregnant women in the household (i.e. one pregnant woman,
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increase by one; two pregnant women, increase by two; etc.) before continuing. There is no
need to step through the rules for the unborn child (only the household size is increased).
# of People in
Household
Monthly
Household Income
Eligible
1
$ 2,257
√
2
$ 3,059
√
3
$ 3,862
√
4
$ 4,665
√
5
$ 5,468
√
6
$ 6,271
√
7
$ 7,073
√
8
$ 7,876
√
Each Additional
Person
+$ 803
√
Source: Preliminary Federal Poverty Guidelines 2018 spreadsheet. (Last updated Oct/2018)
S2_R032 – IDNYC - (HRA)
1. Does the household live in New York City?
- If No, we are “Unable to Determine” the household’s potential eligibility for IDNYC. DONE
- If Yes, proceed to 2.
2. Is any other household member 10 years old or older?
- If No, we are “Unable to Determine” the household member’s potential eligibility for IDNYC.
- If Yes, household member “May be eligible” for IDNYC. DONE
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Appendix
“DONE” - When eligibility rules state “DONE” at the end of eligibility step, it means that the rule
doesn't check anything else or it doesn’t look any further to check eligibility with in the specific step.
Gross Income - total pay before taxes or other deductions.
Head of household - is the person who can represent everyone in your family and pays most of
the family’s expenses. If you pay more than half the cost for your home this year, you are the head
of household.
Household - is composed of one or more people who live together. For SNAP, it applies for people
who eat and prepare meals together.
May be eligible - it is not guaranteed but most probably so.
Primary residence - principal and permanent place of residence.
One can have only one primary residence but may own more than one property. A
registered legal address (on New York State (NYS) driver license or non-driver license New
York City identification card, on Income Taxes or voters registration) is considered your
primary residence.
Unable to Determine - iit is unable to know or decide what will be the outcome.
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