Public Sector

Government Assistance

Streamlined decision system that determines program eligibility based on income thresholds, household size, age factors, and special circumstances.

This template can be edited in GoRules BRMS

Solution

This eligibility determination system evaluates applicants for government assistance programs using multiple qualification factors. It first analyzes household financial status by comparing annual income against tiered thresholds that vary based on household size, ensuring appropriate support levels for different family configurations. The system then factors in age requirements, differentiating between adult assistance programs and specialized youth support options for eligible teenagers.

When standard eligibility criteria aren't met, the system automatically evaluates special circumstances including disability status, veteran status, and caregiver responsibilities to identify alternative program options. For qualifying applicants, the system determines the appropriate assistance level (full or partial) and enhances benefits packages when special circumstances apply. This creates a personalized program recommendation that maximizes support while ensuring compliance with government assistance guidelines.

How it works

The decision graph evaluates eligibility through a two-stage process:

  1. Income Eligibility Assessment: Analyzes annual income against household-size-adjusted thresholds with three distinct tiers:

    • Small households (1-2 members): Full assistance up to $15,000, partial from $15,001-$25,000
    • Medium households (3-4 members): Full assistance up to $30,000, partial from $30,001-$50,000
    • Large households (5+ members): Full assistance up to $45,000, partial from $45,001-$65,000
  2. Special Circumstances Evaluation: Identifies qualifying conditions:

    • For applicants who don't qualify based on income, checks for disability, veteran status, or caregiver roles to grant specialty program access
    • For income-eligible applicants with special circumstances, enhances their program benefits with additional support services
    • Assigns specific program types based on combined eligibility factors, creating personalized assistance packages

The system returns a final determination with assigned program type and eligibility status.

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