191 sections in this chapter.
R.26.1-1214 Accounting of Claims
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§ 1214. Accounting of Claims. (a) IRSS shall establish and maintain a system to account for all claims against households. This system shall insure a complete documentation of each claim from the time it is submitted as a complaint to its final disposition. (1) Claim File. Each c…
R.26.1-1215 Reporting of Disqualified Individuals
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§ 1215. Reporting of Disqualified Individuals. (a) Department to Report. The Department shall report to FNS those individuals disqualified for intentional program violation, individuals who signed consent agreements and 87 individuals disqualified based on court prosecution. This…
R.26.1-1216 Forms
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§ 1216. Forms. IRSS Form 1 Case Investigation IRSS Form 2 Request for Case Review IRSS Form 3 Advance Notice of Your Administrative Disqualification Hearing IRSS Form 4 Advise of Option to Sign a Waiver of Rights to an Administrative Disqualification Hearing. IRSS Form 5 Action T…
R.26.1-1301 Definition of Services
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§ 1301. Definition of Services. Adoption services can generally be defined as an option means and alternative for children who do not have the opportunity for a permanent home and familial relationship with their natural parents and wherein stable, nurturing, permanent family tie…
R.26.1-1302 Intent of the Law
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§ 1302. Intent of the Law. (a) According to 19 GCA § 4201 and Public Law 13-133, the purpose of the adoption law is: “to protect and promote the welfare of children, natural parents and adoptive parents and thereby promote the welfare of the Territory of Guam.” (b) The law, there…
R.26.1-1303 Adoption as Permanency Plan
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§ 1303. Adoption as Permanency Plan. A child shall be placed for adoption only upon a determination of either one of the following: (a) Parent(s) relinquishing or giving child up for adoption. (b) Court/agency determining that adoption is an appropriate goal to meet the physical …
R.26.1-1304 Assurances and Range of Services
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§ 1304. Assurances and Range of Services. (a) Services provided by the department shall thus: (1) Insure that the rights of the legal parents are respected. (2) Insure that the best interests of the child are protected. (3) Insure that the adoptive parents are able to provide sui…
R.26.1-1305 Pre-Placement Services
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§ 1305. Pre-Placement Services. The caseworker assigned to the parents of the child to be adopted shall be responsible for the following: (a) Counseling parent(s) to help them make a free and voluntary decision. (b) Counseling parent regarding the service alternatives to relinqui…
R.26.1-1306 Evaluative Study of the Child
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§ 1306. Evaluative Study of the Child. An evaluative study of the child’s needs and potentialities shall be conducted to: (a) Understand the child and assess the health, physical and personality characteristics, current development and special needs. (b) Determine whether the chi…
R.26.1-1307 Recruitment of Adoptive Parents
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§ 1307. Recruitment of Adoptive Parents. (a) The Agency shall recruit, study and approve adoptive applicants for children in need of adoption. (b) Information about the Department’s adoption program shall be provided by the intake worker to all who make such requests. (c) The Age…
R.26.1-1308 Selection of Adoptive Parents - Adoption Screening Committee
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§ 1308. Selection of Adoptive Parents - Adoption Screening Committee. (a) Purpose: The Adoption Screening Committee (ASC) has the responsibility of reviewing adoption applications and eventually selecting adoptive parents for each child legally available for adoption and/or given…
R.26.1-1309 Voluntary Termination of Parent- Child Relationship
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§ 1309. Voluntary Termination of Parent- Child Relationship. (a) A parent, or parents, may voluntarily consent to the relinquishment of a child and termination of their parental rights for the purpose of adoption. (b) Parent(s) requesting such services should be provided with cou…
R.26.1-1310 Preparation For Placement
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§ 1310. Preparation For Placement. (a) Placement of a child in an adoptive home shall be made only after the child and the adoptive parents are prepared for it. (b) The social worker shall prepare the following persons for placement: (1) The Child: Except for infants, preparation…
R.26.1-1311 Post-Placement Services or Removal
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§ 1311. Post-Placement Services or Removal. (a) After the child is placed in an adoptive home, there shall be a supervisory period of up to one (1) year prior to the consummation of the adoption, during which time the Department shall give supportive assistance to the adoptive pa…
R.26.1-1312 Court-Referred Adoption Studies
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§ 1312. Court-Referred Adoption Studies. 101 (a) Provision of Services: The Department shall accept orders from the court to conduct an adoption home study for a child who is already in an adoptive home but who was not placed by the Department, i.e. Independent Adoption. This inc…
R.26.1-1313 Annual Audit of Records of Adoption Agency
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§ 1313. Annual Audit of Records of Adoption Agency. (a) Within one hundred eighty (180) days of the enactment of this Section, and annually thereafter, the Guam Department of Public Health and Social Services shall audit the records of an agency which provides adoption services i…
R.26.1-1401 Program Requirements
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§ 1401. Program Requirements. To be eligible for coverage for the Maternal Child Health Program maternity care services, the client must be a resident of Guam who applies for and qualifies for services as determined by the MCH Program eligibility standards according to the follow…
R.26.1-1402 Income Asset Limitations
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§ 1402. Income Asset Limitations. The following chart indicates the monthly income and resource limitations of all immediate family members (husband, wife and children). Liquid resources shall include: cash on hand, check or savings account amount, stocks or bonds, shares in cred…
R.26.1-1403 Application
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§ 1403. Application. The client can apply anytime during her pregnancy. She is required to complete the information and data sheet as required by the MCH Program and consent for release of information on cases denied for MIP.…
R.26.1-1404 Eligibility Periods
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§ 1404. Eligibility Periods. Eligibility period shall cover the present prenatal period (starts on the first prenatal visit) to postpartum (6 weeks after delivery).
R.26.1-1405 Issuance of MCH Program Authorization Card
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§ 1405. Issuance of MCH Program Authorization Card. An MCH Program Authorization Card will be issued to the prenatal patient. The authorization card will indicate the authorization period coverage and name of authorized physician.
R.26.1-1406 Selection of Physician
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§ 1406. Selection of Physician. The MCH Office will designate the attending physician from 109 a list of physicians contracted by the MCH Program. Selection of physician will be based on the next physician on the list. DEPARTMENT OF PUBLIC HEATH AND SOCIAL SERVICES GOVERNMENT OF …
R.26.1-1501 Memorandum of Understanding
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§ 1501. Memorandum of Understanding. For the purpose of legally entering a Memorandum of Understanding (MOU) authorizing the Department of Revenue and Taxation (DRT) to offset tax refund due the clients who owe the Department of Public Health and Social Services (DPH&SS) of over …
R.26.1-1601 Legal Authority
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§ 1601. Legal Authority
R.26.1-1602 Purpose
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§ 1602. Purpose. The Catastrophic Illness Assistance Program (CIAP) is designed and intended to assist families and individuals unable to afford the cost of medical treatment of a catastrophic illness. The purpose of these rules and regulations is to ensure that the intent of the…
R.26.1-1603 Definitions
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§ 1603. Definitions. (a) Applicant means the member of the household whose injury or illness has resulted in the expenditures for medical care for which assistance is sought. (b) Department means the Department of Public Health and Social Services. (c) Director means the Director…
R.26.1-1604 Types of Treatment
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§ 1604. Types of Treatment. (a) General. CIAP covers only medically necessary treatment of a catastrophic illness or injury, and only if that treatment is performed by licensed medical professionals in an approved medical facility. (b) Scope of Medical Coverage. CIAP covers all s…
R.26.1-1605 Eligibility
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§ 1605. Eligibility. (a) An application is eligible for CIAP if he or she is a resident of Guam, and (1) has incurred thirty thousand dollars ($30,000) or more in costs for hospitalization and medical care over and above any medical insurance, Medicare, or Medicaid coverage or (2…
R.26.1-1606 Income and Resource
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§ 1606. Income and Resource
R.26.1-1607 Household Liability
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§ 1607. Household Liability
R.26.1-1608 Application and Coverage
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§ 1608. Application and Coverage. (a) Application. An application form for CIAP must be filed with the Department. The applicant shall be responsible for the truth of all statements provided in the application. The application may be filed by the head of household, spouse, or som…
R.26.1-1609 Penalty for Fraudulent Actions
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§ 1609. Penalty for Fraudulent Actions. Any individual receiving assistance to which he is not entitled due to false declarations or misrepresentations shall be liable for repayment of paid medical claims incurred by any member of the household and may be prosecuted for misdemean…
R.26.1-1610 Effective Date
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§ 1610. Effective Date. These regulations shall apply to any applicant seeking assistance for medically related expenses incurred exclusively after October 1, 1992.
R.26.1-1611 Severability
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§ 1611. Severability. If any part or section of these regulations is declared to be invalid by a court of law or administrative tribunal for any reason the rest of these rules and regulations shall not be affected thereby and shall remain valid and enforceable. ARTICLE 7 GENERAL …
R.26.1-1701 General Assistance
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§ 1701. General Assistance. (a) Authority. The General Assistance Payment is administered island-wide by the Department of Public Health and Social Services, Division of Public Welfare, Bureau of Economic Security, Government of Guam. The same agency administers the federally fun…
R.26.1-1702 Application Process
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§ 1702. Application Process. (a) Request for Application for Assistance. 125 (1) Right to Apply. Each individual shall have the opportunity to apply for assistance and receive an application form without delay. An applicant may be assisted by other individuals in the various aspe…
R.26.1-1703 Eligibility Criteria
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§ 1703. Eligibility Criteria. An individual shall be considered for General Assistance after he/she has applied for the federally funded Public Assistance programs and has been determined to be ineligible. (a) Citizenship Requirements. A recipient must be a U.S. citizen or an Ali…
R.26.1-1704 Fair Hearing
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§ 1704. Fair Hearing. (a) Availability of Hearings. (1) An opportunity for a hearing shall be granted to any applicant who requests a hearing because his or her claim for financial assistance or medical assistance is denied or is not 141 acted upon with reasonable promptness. (2)…
R.26.1-1705 Need Standard
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§ 1705. Need Standard. (a) Overview. Public Law 20-76 “AN ACT TO REVISE THE STANDARDS OF ASSISTANCE” authorizes the Department of Public Health and Social Services to implement the revisions recommended in the Standards of Assistance Study issued by the Department in June, 1983. …
R.26.1-1706 Recoupment and Correction of Payments
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§ 1706. Recoupment and Correction of Payments. Recoupment of overpayment and correction of underpayments are applied uniformly throughout the Territory of Guam. The recovery of an overpayment can be waived when it can be reasonably assumed that the cost to collect will exceed the…
R.26.1-1801 Introduction
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§ 1801. Introduction. The purpose of this manual is to provide the Bureau of Economic Security (BES) staff with requirements and procedures for determining eligibility and authorizing assistance in the administration of Public Assistance Programs under Guam’s Public Assistance St…
R.26.1-1802 Discrimination Complaint and Resolution Procedures
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§ 1802. Discrimination Complaint and Resolution Procedures. The Department of Public Health and Social Services (DPH&SS) as the administrative entity for the Social Services Programs including Food Stamp Program (FSP), Public Assistance (PA), Women, Infant and Children (WIC) Prog…
R.26.1-1803 Systematic Alien Verification for Entitlement (SAVE)
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§ 1803. Systematic Alien Verification for Entitlement (SAVE). (a) Background. On November 6, 1986, the Immigration Reform and Control Act of 1986 (IRCA), Public Law 99-603 was signed into law. Section 121 of this legislation provides for verification of alien status through the I…
R.26.1-1804 Fair Hearing
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§ 1804. Fair Hearing. (a) Notification of Right to Request for a Hearing. The household shall be informed in writing of its right to a hearing during program orientation, interviews, and when its eligibility/benefit is denied, reduced or terminated, or during a denial or delay of…
R.26.1-1805 Needs Standards
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§ 1805. Needs Standards. (a) Overview. Whereas, Public Law 20-76, “AN ACT TO REVISE THE STANDARDS OF ASSISTANCE” authorizes the 180 Department of Public Health and Social Services to implement the revisions recommended in the Standards of Assistance Study issued by the Department…
R.26.1-1806 Income and Eligibility Verification System (IEVS)
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§ 1806. Income and Eligibility Verification System (IEVS). (a) Introduction. The Deferred Reduction Act of 1984 (P.L. 98-369) requires establishments of an Income and Eligibility Verification System (IEVS) for agencies that administer Public Assistance, Medicaid, and Food Stamp (…
R.26.1-1807 Disqualification for Intentional Program Violation (IPV)
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§ 1807. Disqualification for Intentional Program Violation (IPV)
R.26.1-1821 Introduction
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§ 1821. Introduction. The purpose of this manual is to provide instruction on actions to be taken by Bureau of Economic Security (BES) staff in the Administration of Public Assistance Programs under Guam’s Public Assistance State Plan. This manual is intended to provide direction…
R.26.1-1822 The Application Process
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§ 1822. The Application Process. (a) Requests for Application for Assistance. (1) Right to Apply. Each individual shall have the opportunity to apply for assistance and receive an application form without delay. Any applicant may be assisted by other individuals in the various as…
R.26.1-1823 Recoupment and Correction of Payments. Recoupment of overpayment and correction of underpayments are applied
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§ 1823. Recoupment and Correction of Payments. Recoupment of overpayment and correction of underpayments are applied uniformly throughout the Territory of Guam. The recovery of an overpayment can be waived when it can be reasonably assumed that the cost to collect will exceed the…