Elimination of IHSS provider eligibility requirements for minor recipients

The California Department of Social Services (CDSS) has issued guidance regarding the end of In Home Supportive Services (IHSS) provider eligibility requirements for minor recipients.  Previously, minors could only hire a non-parent IHSS provider if their parents were not available to be providers.  In addition, parents could only be providers for their minor children if there were no other suitable providers, and the parent was prevented from full-time employment because of the need to care for the child.  Effective 60 days after December 21, 2023 (the date of the release of this ACL) these limits on parent providers are eliminated.

The limits on providers for minors still apply to minor recipients in the Personal Care Services Program.  Counties should ensure that minor applicants who want a parent provider are enrolled in the Community First Choice Option, the IHSS Plus Option, or the IHSS Residual program.  Counties should transfer qualifying minor recipients from the Personal Care Services Program to the Community First Choice Option upon request of the recipient or at the next scheduled reassessment, whichever is first.  Minor recipients who are institutionally deemed and enrolled in the Personal Care Services Program may hire a non-parent provider without limitation.

Other rules for IHSS remain unchanged.  Service assessment rules for minors are unchanged.  Minors remain ineligible for domestic services, heavy cleaning, yard hazard abatement, and teaching and demonstration. Provider enrollment rules are unchanged.  Provider overtime rules and exemptions are unchanged. (ACL 23-106, December 21, 2023.)

 

 

IHSS and nonmedical out-of-home care, and unmet need

In Home Supportive Services (IHSS) is available to persons who cannot remain in their own home without services.  Persons who receive SSI can get an additional payment if they are in a non-medical out-of-home living arrangement.

Individuals who receive the SSI non-medical out-of-home care rate are considered not to be living in their own home and are not eligible for IHSS.

IHSS applicants who are eligible for both IHSS and the SSI non-medical out-of-home care rate can choose whether they want IHSS or the SSI non-medical out-of-home care rate. Counties must inform people of this choice.

If an IHSS applicant states that they are not receiving the SSI non-medical out-of-home care rate, but the MEDS system says they are, the applicant must get a letter from the Social Security Administration stating that they do not get the SSI non-medical out-of-home care rate.  The applicant must also complete the SOC 810 form stating that they told the Social Security Administration that they have been discharged from a facility.

When evaluating for IHSS, county social workers must assess for all IHSS services, and must document any unmet need in the case file, identify other resources to meet the unmet need, and refer applicants to those programs at no cost.  (ACL 23-108, December 27, 2023.)

CAPI COLA

Effective January 1, 2024, Cash Assistance Program for Immigrants benefits will increase by 3.2 percent.  This increase is because of the Social Security and SSI 3.2 percent cost of living adjustment (COLA) and the amount of CAPI benefits is linked to the amount of SSI benefits.

The COLA increase will also increase the presumed value of in-kind support and maintenance, the allowance for ineligible children in deeming situations, the sponsor’s allocation in sponsor deeming situations, and the allowance for parents in parent-to-child deeming situations.  (ACIN I-66-23, November 9, 2023.)

Impact of Social Security COLA on CalWORKs and CalFresh

Effective January 1, 2024, Social Security and SSI benefits will increase by a 3.2 percent cost of living adjustment (COLA).  For new  CalWORKs and CalFresh applications, the new Social Security and SSI amounts will be considered reasonably anticipated income beginning for January, 2024.

For CalWORKs Assistance Units and CalFresh households in their final month of their semi-annual reporting period, counties must reasonably anticipate the increase in Social Security and SSI.

The amount of the Social Security COLA is considered to be known to the county, and must be acted upon mid-period.  This means that benefits must be adjusted to reflect the new Social Security and SSI amounts effective January 1, 2024.

If the county cannot change the CalWORKs or CalFresh amount to reflect the Social Security COLA, counties must decrease the benefit amount after it gives timely and adequate notice.  In that case, January benefits will need to be recalculated and there may be overpayment or overissuance.

Although SSI payments are exempt for CalWORKs, counties must still update income information.  (ACIN I-64-23, October 30, 2023.)

 

Assessing IHSS applicants when being discharged from out of home placement

The California Department of Social Services (CDSS) has issued a reminder to counties regarding completing preliminary assessment of In Home Supportive Services (IHSS) eligibility for applicants and recipients who are being discharged from hospitals, medical institutions, or non-medical out-of-home placements.

IHSS applicants can be preliminarily assessed and services authorized prior to discharge from the out-of-home placement.  The social worker can help the applicant apply for IHSS while they are in the out-of-home care facility and they must determine what services the applicant will need when they return home.

When there is a referral for an IHSS applicant in an out-of-home facility, counties must complete the assessment in the out-of-home facility.  Counties can get permission from the applicant to work with the facility’s discharge planner or other personal to coordinate documentation for IHSS eligibility.  Counties should prioritize the most vulnerable applicants.

The county must conduct a second needs assessment to determine final service needs when the applicant returns to their own home.

Existing IHSS recipients must inform the county when they are admitted to a hospital or other out-of-home care facility in order to determine services that will not be provided while the recipient is in the facility.  When an IHSS recipient is discharged from an out-of-home care facility and the recipient reports they have additional needs when they return home, the county must do a reassessment.  This reassessment may include working with the facility discharge planner, the recipient’s doctor, or other personnel who are helping with discharge.

Counties should provide all needed IHSS documents to the applicant/recipient prior to discharge.  Counties can email these documents.  With permission, counties can provide the IHSS documents to facility staff.  Counties can work with facility staff to assist in completing documentation.  Discharge paperwork can be accepted instead of the IHSS SOC 873 certification form.  If discharge is to another county, the counties must work with each other.

If the applicant has a provider for when they return home, the social worker should confirm whether they have gone through the provider enrollment process, and if not provide information about how to do that.  If the applicant does not have a provider, the social worker should connect the applicant with the County’s Provider Registry.  (ACIN I-62-23, December 7, 2023.)

California Food Assistance Program expansion

The California Department of Social Services (CDSS) has issued policy regarding expansion of the California Food Assistance Program (CFAP) to cover persons age 55 or older regardless of their immigration status beginning October 1, 2025.

CFAP provides food benefits to some persons who would be eligible for CalFresh except for their immigration status. Examples of persons eligible for CFAP are Lawful Permanent Residents who have not resided in the United States for 5 years or worked at least 40 quarters, Parolees, Conditional Entrants, and Abused/Battered Noncitizens.

Examples of persons age 55 or over who will be eligible for CFAP after the expansion are undocumented persons, Temporary Protected Status holders, Deferred Action for Childhood Arrivals (DACA) (when they reach age 55), Immigrant and non-immigrant Visa holders, Non-immigrants who are out of status, and Parolees who are ineligible for CalFresh.

CFAP policies align with CalFresh unless otherwise stated.

Currently, noncitizens can opt out of applying for CalFresh.  That process will remain the same, and household members who opt out are excluded from both CalFresh and CFAP.

CFAP recipients are eligible for five months of transitional benefits in the same way as CalFresh recipients are eligible for Transitional CalFresh.  For CFAP, that benefit is called Transitional CFAP.

For purposes of eligibility for Disaster CalFresh, CFAP recipients are treated the same way as any other persons who are not eligible for CalFresh.  CFAP recipients must apply for Disaster CalFresh.

CFAP recipients are eligible for replacement benefits under the same criteria as CalFresh households.

Student eligibility rules are the same for CalFresh and CFAP.

CalFresh sponsor deeming rules apply to CFAP except that for CFAP sponsor deeming applies only for 3 years following the date of signing of the sponsor’s affidavit of support.  Immigrants who are victims of abuse by their sponsor or sponsor’s spouse are exempt from sponsor deeming.

Waivers and/or demonstration projects from the federal government about CalFresh also apply to CFAP.

CFAP households can appoint authorized representatives to apply for benefits, complete required reporting, and/or use the EBT card to buy food.

CFAP applicants are not required to have a Social Security Number.  Noncitizens who do not answer whether or not they have Social Security Number are considered excluded household members.

Counties must request verification of immigration status for CFAP applicants from the federal SAVE system.  If the applicant does not have a verifiable immigration status in SAVE, or has an immigration status that is ineligible for CalFresh, the county evaluates the case for CFAP eligibility.

Effective October 1, 2025, work registration and Able Bodied Adults Without Dependents rules do not apply to CFAP.

Effective October 1, 2025, CFAP recipients who do not comply with CalWORKs Welfare to Work will no longer evaluated for a corresponding CFAP sanction.

When a household applies for CalFresh, any household members who are ineligible solely because of immigration status must be evaluated for CFAP.

The rules for verification are the same for CFAP as for CalFresh. Counties must use electronic verification methods to the greatest extent possible.

Receipt of CalFresh or CFAP is not considered when determining whether someone is a public charge.

Noncitizens must be residents of California to be eligible for CFAP.

All CalFresh rules regarding residents of shelters and institutions apply to CFAP.

For households that have both CalFresh and CFAP recipients, the CFAP amount is calculated by 1) calculating what the household would receive if all included members were eligible for CalFresh, 2) calculate the CalFresh allotment with the CFAP recipients treated as nonhousehold members or excluded household members, and 3) subtracting 1 and 2 to determine the CFAP amount.

When determining the amount of CalFresh benefits, count resources but not income or deductible for: Lawful Permanent Residents, Asylees; Parolees; people under withholding of deportation or removal; people who are aged, blind, or disabled and are admitted for temporary or permanent residence; and special agricultural workers admitted for temporary residence.  For these populations, any payment made by the excluded noncitizen to any member of the CalFresh household is counted as income.

For all other persons who are ineligible for CalFresh because of immigration status, count all but a prorated share of income and deductible expenses for the CalFresh household.

Applicants can apply for benefits under the CFAP expansion beginning September 1, 2025.  An informing notice will be sent to CalFresh and CFAP household with previously excluded household members age 55 or older at least 30 days prior to implementation of the CFAP expansion.  Counties must offer to add any newly eligible noncitizen household members at recertifications due in September, 2025.  Households may begin to request to add a previously excluded household member in September, 2025.  A new application is not required to add a newly eligible noncitizen to an existing CalFresh of CFAP household.

Beginning in September, 2025, if the county has contact with a household that contains excluded noncitizens, the county may offer to add any newly eligible noncitizens effective October 1, 2025. Counties must add newly eligible noncitizens mid-period on request.  Counties must add a previously excluded household member at semi-annual report.

Ongoing households may have changes in immigration status that impact eligibility for CalFresh or CFAP.  Change in immigration status is not a mandatory midperiod report.  Changes in immigration status that are reported mid-period are evaluated in the same way as any other mid-period report, that is, they are processed only if they will increase benefits.

For households that are receiving Transitional Nutrition Benefits or Supplemental Nutrition Assistance benefits, a new CalFresh application for recertification is required when there is a change in household composition.  However, adding a new CFAP eligible member to the household mid-period or at semi-annual report does not change the household’s Supplemental Nutrition Assistance benefit.  A household’s Supplemental Nutrition Assistance benefit does not change when a household members changes from CalFresh to CFAP.  (ACL 23-57, June 29, 2023.)