Are there systemic administrative processes that can support individual screening techniques?
As an overall strategy, TANF agencies might consider having caseworkers, physicians, or medical review teams reexamine all those currently exempted due to disabilities or other medical exemptions. Second, they might review the circumstances of recipients who have left the TANF rolls and returned. Third, where caseload decline has been precipitous, they might review all those remaining to try to identify issues that could explain clients inability to leave and point to appropriate remedies. In each case, looking for issues that may be interrelated (such as diabetes, obesity, hypertension, and back pain) may help in understanding how employability is compromised and what accommodations could enable work. Fourth, states might explore modifications to their administrative data systems to help track families with disabilities, particularly those with exemptions, and others who leave the rolls. Programs should also consider the many windows of opportunity to make information about conditions
