Revised Minimum Data Elements Required for Certifiable FAMIS and CSE Systems Interface

Program Instruction

ACTION TRANSMITTAL

OCSE-AT-89-09

May 18, 1989

TO: IV-A and IV-D Agencies

SUBJECT: Revised Minimum Data Elements Required for Certifiable FAMIS and CSE Systems Interface

RELATED REFERENCE:45 CFR 235.70; 45 CFR 302.31(a); 45 CFR 302.32; 45 CFR 303.80(e); 45 CFR 303.80(f)

PURPOSE: To encourage more complete and accurate information exchange between the IV-A and IV-D programs.

BACKGROUND: The Family Support Administration (FSA) has been working to improve the interface between IV-A and IV-D. The success of both programs is dependent on the quality of cooperation and coordination between the two programs. The interface requirements in this Action Transmittal (AT) will assist greatly in promoting the effectiveness of both programs.

INSTRUCTIONS: The Child Support Enforcement System (CSES) and the Family Assistance Management Information System (FAMIS) must have the capacity to exchange routinely the data elements as outlined in this AT in order to obtain or continue to maintain certified status of the systems. The interface requirements have been condensed significantly and supersede the requirements in the FAMIS Update (FSA-FAMIS-88-01). States are encouraged to capture and report more information than what is identified in the list if they deem it necessary. Several new data elements have been added to this submittal. We have also identified data elements that the CSES must have the capacity to pass to FAMIS.

Certified FAMIS and Child Support Enforcement Systems that have been developed under enhanced funding which require changes due to the IV-A/IV-D interface requirements will be funded at the enhanced level and States will be required to submit a new Advanced Planning Document (ADP) for the modifications. States currently in the development of FAMIS and CSES will be required to submit an APD amendment for the interface modifications.

For States approved for regular match rate, funds will be available for IV-A systems at the IV-A rate and IV-D systems at the IV-D rate.

SUPERSEDED MATERIAL:FSA-FAMIS-88-01, dated August 1, 198, is superseded by this transmittal.

EFFECTIVE DATE: May 18, 1989

INQUIRIES TO: FSA Regional Administrators

Catherine Bertini

Acting Assistant Secretary

Attachments: IV-A/IV-D Referral Data Elements

IV-A/IV-D referral Data Elements Definitions

IV-A/IV-D REFERRAL DATA ELEMENTS

Applicant to Recipient:

Name ................................... x x

Address ................................ x

AFDC Case Identification Number ........ x x

Case Status (Open, Closed, Suspended) .. x

AFDC Grant Amount & Approval Date ...... x

Good Cause/Noncooperation .............. x x

Assignment of Rights ................... x

Absent Parent (AP):

Name ................................... x x

Social Security Number ................. x

Date of Birth .......................... x

Paternity Established: Yes/No ......... x

Social Security Number ................. x

Child no longer resides w/Recipient .... x

Health/Medical Insurance w/AP: Yes/No . x

a) Name of Carrier ............... x

b) Policy Number ................. x

Support Obligation:

Date Support Amount Estab./Modified .... x

Court Order Number ..................... x

Amount of Support Ordered/Modified ..... x x

Payment Frequency (Monthly, Weekly) .... x x

Payments Made .......................... x x

a) through Court/IV-D agency

b) directly to Recipient:

1) monies retained by recipient

2) " turned over to Court/IV-D

Date of Last Payment/Collection ........ x x

Amount of Last Payment/Collection ...... x x

Excess Amount Distributed to Recipient . x

Date Excess Distributed to Recipient ... x

IV-A/IV-D REFERRAL DATA ELEMENT DEFINITIONS

DATA ELEMENTS

Applicant/Recipient

Name

Address

AFDC CASE Identification No.

Case Status

AFDC Grant Amount

Good cause/

Noncooperation

Assignment of Rights

Absent Parent (AP):

Name

Social Security Number

Date of Birth

Last Known Address

Living with Recipient: Yes/No

Child No Longer resides With Recipient: Yes or No

Health/Medical Insurance w/AP: Yes/No

Name of carrier

Policy Number

Support Obligation

Date Support Established/Modified

Court Order Number

Amount of support Ordered/Modified

Payment Frequency

Payments Made To:

Date of Last Payment/Collection

Payment/Collection

Excess Amount Distributed to Recipient

Date Excess Distributed to Recipient

DEFINITIONS

First, middle, maiden and last name of individual responsible for, or having temporary or legal custody of, a dependent child

Place of residence of custodial parent

The identification assigned to the record reflecting all members of the case

Identifies the current status of the case (i.e. open; closed; pending; etc.)

Identifies the date upon which the IV-A application was approved for a grant

Indicates whether the applicant has good cause for not providing information on the absent parent or whether the applicant is not cooperating

An eligibility requirement for AFDC whereby the applicant/recipient must assign to the State all support rights he or she may have in their behalf or in behalf of a dependent child

Identifies the first, middle and last name of the individual who is absent from the home and is legally or allegedly responsible for providing financial support for a dependent child

Identifies the social security number of the absent parent

Identifies the date of birth of the absent parent

Identifies the last known address of the absent parent

Indicates if absent parent is living with applicant/recipient

Identifies the name and address of the last known employer of the absent parent

Indicates if the absent parent had medical insurance coverage for the dependent child

Identifies the carrier of the medical insurance available to the child(ren)

Identifies the policy number of the medical insurance available to the child(ren)

Identifies the date on which the support order was entered or modified

Identification number assigned by the court which relates to the support order

Indicates the amount the court ordered the absent parent to pay

Indicates the frequency with which the obligation is due (i.e. weekly, biweekly, semimonthly, monthly)

Indicates whether payments are made through the court/IV-D agency or directly to the recipient and if made to the recipient were the monies retained or turned over to the court/IV-D agency

Indicates the date the last support payment was received by the applicant or collected by the IV-D agency

Indicates the amount of the last support payment made to the applicant or collected by the IV-D agency

Indicates if an amount in excess of the support order was received and distributed to the recipient

Indicates the date the excess amount was distributed to the recipient