Author: Stephen Goldberg

CAPI state interim assistance reimbursement authorization

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The California Department of Social Services (CDSS) has issued instructions regarding recovery of state interim assistance to Cash Assistance Program for Immigrants (CAPI) applicants while their applications are pending or during suspense periods prior to reinstatement of CAPI benefits.  The state interim assistance program allows counties to recover General Assistance or General Relief, and other types of cash or in-kind assistance paid to individuals while their CAPI application is pending from a retroactive CAPI award.  Counties may not recover state interim assistance reimbursement for payments or in-kind benefits financed wholly or partially with federal funds.  In addition to General Assistance or General Relief, state interim assistance can include food, clothing, shelter, personal and hygiene supplies or transportation passes.

To recover state interim assistance, the applicant must sign the SOC 455 form and CAPI benefits are granted.  The SOC 455 form is valid for only one year.  The county must also send a written notice of action NA 693 when recovering state interim assistance.

State interim assistance is separate from interim assistance recovery from SSI benefits, which is done through the Social Security Administration and requires signing of the SSP 14 form.  (ACIN I-24-19, April 8, 2019.)

Reasonable accommodations for blind and visually impaired IHSS applicants and recipients

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The California Department of Social Services (CDSS) has provided additional information about reasonable accommodations for blind and visually impaired In-Home Supportive Services (IHSS) applicants and recipients.  This information is in addition to previous information and forms and notices in ACL 15-60 and other alternative format forms and notices.

Counties must offer reasonable accommodations in the form of alternative formats and auxiliary aids to IHSS applicants or recipients who identify as blind or visually impaired at the initial assessment, reassessment and whenever there is a change in circumstances.  Counties must offer reasonable accommodations to applicants or recipients who exhibit or mention problems with reading or seeing.  Counties must offer format options and the ability to update format preferences.  Counties must record these accommodations in the CMIPS computer system.

Both blind and visually impaired persons can now use the telephone timesheet system.

CDSS has done training for counties and has fact sheets for social workers about reasonable accommodations for blind or visually impaired persons.

Blind or visually impaired persons can also use the electronic timesheet system using a screen reader.  The electronic timesheet forms are now available in accessible formats.

CDSS updated its list of IHSS forms in accessible formats.  That list is included with the ACL.  CDSS also included data about format preferences including large print, audio CD, Braille, and data CD.

CDSS will create a report of all IHSS applicants or recipients who are identified as blind or visually impaired but do not have a format preference documented in CMIPS.  When the report is release, counties must contact each of those applicants or recipients to determine their format preference and document that preference in CMIPS.  (ACL 19-36, April 12, 2019.)

CalFresh and CalWORKs electronic notices

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The California Department of Social Services (CDSS) had a waiver from the federal government authorizing e-notices.  CDSS implemented e-notices for CalWORKs using the same rules as CalFresh.  Now the federal government no longer requires a waiver for and has made e-notices a state option for CalFresh. (See United States Department of Agriculture AN 18-05.)

California will continue to use the same rules for e-notices that are in ACL 13-61.  E-notices continue to be a county option.  However, for counties to use e-notices, the county must: 1) not include identifying information in text messages; 2) receive household consent to send e-notices and establish security protocols to protect confidential client information sent electronically; 3) provide an initial email and paper notice confirming that the household as opted-in to e-notices; 4) provide e-notices through a secure online portal; 5) send an email when a new e-notice is available; 6) ensure that every e-notice has the same information as the corresponding paper notice; 7) not send state hearings or treasury offset notices by e-notice; 8) allow opt-out of e-notice at any time; 9) document when an e-notice is returned and then communicate with the household by paper notice; and 10) ensure that all e-notices are available to quality control reviewers.

Counties must provide paper copies of all notices to clients on request.

The types of notices that can be send electronically include notice of missed interview, notice of denial, notice of required verification, notice of approval, notice of expired certification, notice of change to benefits and overpayment or overissuance notices.

Households must be informed of the option to receive e-notices at application and recertification.

Counties can now send text messages to inform clients of the availability of a new e-notice.  A text messages must be send in conjunction with an email informing the client that an e-notice is available.  The text message sends a link to a secure online portal.

Counties must still comply with regulations regarding timeframes for notices and information.  For CalWORKs, counties must still attempt personal contact prior to terminating benefits for not submitting a semi-annual report or annual recertification and note that attempt in the case file.

For CalWORKs time on aid and welfare-to-work notices, each adult in the assistance unit must consent to receive notices electronically.  For other notices, the caretaker relative must consent.  (ACL 19-39, May 3, 2019.)

CalFresh treatment of nonrecurring lump sum income

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The California Department of Social Services (CDSS) has issued clarification regarding treatment of nonrecurring lump sum income for the purpose of determining CalFresh eligibility.  Nonrecurring lump sum payments are excluded from the household’s income.  Such payments include lump sum Social Security disability, retirement or survivors benefits, lump sum Supplemental Security Income benefits, income tax refunds or lump sum insurance settlement payments.  The nonrecurring lump sum payment is considered a resource in the month received.

Most CalFresh households are not required to meet the resource limit because of modified categorical eligibility.  For the households that are subject to the resource limit, such as elderly and disabled households with income above 200 percent of the federal poverty level, a nonrecurring lump sum payment is included in the month received when determining whether a household meets the resource limit.  However, the determination of whether a household is within the resource limit is only made when processing a recertification or semi-annual report.

Counties cannot consider nonrecurring lump sum payments as income when determining whether an overissuance occurred.  However, an overissuance may occur if a household subject to the resource limit receives a nonrecurring lump sum but does not report it on a semi-annual report or recertification.  (ACIN I-12-19, April 22, 2019.)

Good cause for voluntary quit and negation of good cause

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The California Unemployment Insurance Appeals Board (CUIAB) has issued P-B-514 regarding good cause for voluntary quit and negation of good cause.  The case involves good cause for voluntary quit for verbal harassment and negation of good cause for failing to pursue remedial measures.

The decision first finds that the claimant was subjected to verbal abuse that was insulting, denigrating and intended to humiliate the claimant, and that the claimant was constantly belittled without justification in the workplace.  CUIAB held a reasonable person would find the treatment unacceptably harsh and abusive.  CUIAB continued that this treatment affected the claimant’s physical and mental well-being, and that overall there was an unacceptably harsh work environment.  Based on those findings, CUIAB held that the claimant had good cause to voluntarily quit her employment.

The decision continues that, although failure to give the employer an opportunity to resolve the situation negates good cause, there was not negation in this case.  The burden of proof is on the employer to show negation.  Failure of the employer to respond to an employee’s efforts to resolve a work-related issue relieves the employee of the obligation to make further inquiries or requests prior to leaving the job.

In this case, the claimant complained to human resources several times but did receive a response, and the no action was taken on the complaints.  Employer efforts to resolve a complaint may take significant time and an employee may be expected to be patient if they are informed of those efforts.  In this case, however, the employer did essentially nothing and did not respond to the claimant’s complaints.  As a result, the employer did not sustain its burden to show that the claimant negated good cause for her voluntary quit.  P-B-514 (April 18, 2018).

Review and hearing process for Treasury Offset Program collections

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The California Department of Social Services (CDSS) has issued guidance regarding administrative review and state hearing process for debts submitted to the Treasury Offset Program (TOP) for collection.  TOP is a system to collect federal debts, including CalFresh overissuances (but not CalWORKs overpayments), from federal payments, including federal income tax refunds.

Counties must send a notice to clients before the debt is submitted to TOP.  The client has 60 days from receipt of the TOP pre-offset warning notice to request a county administrative review.  If this request is made within 60 days of receipt of the TOP pre-offset warning notice, the debt cannot be submitted to TOP.  If the request for administrative review is submitted after the 60-day timeframe, the TOP process continues pending the hearing but the client will be refunded any intercepted funds if the county rules in favor of the client.  If the county determines that the debt is not eligible for TOP submission, the debt must be deleted from the TOP system.

Clients are entitled to inspect and copy county record related to the debt prior to the administrative review.  The county must mail copies of the records to clients as a if needed as a reasonable accommodation.

The county review must include confirming that the overissuance notice was adequate and language compliant, that a demand letter/notice was sent including a due date, for inadvertent household and administrative errors, ensure that collection is within the three year statute of limitations, verify that the client was given the opportunity to appeal, verify that no responsible party is an active member of a CalFresh household and verify the balance of the claim and any collections received or payment agreements.  The county must complete its review and issue a decision within 30 days of receiving the client’s request.

If the client disagrees with the county administrative review decision, the client can request review by the federal Food and Nutrition Service within 30 days of the county administrative review decision.  The client is not entitled to a state administrative hearing to challenge the county administrative review decision.

If a client requests a state administrative hearing within 90 days of the date of the overissuance notice of action, the debt is not eligible for TOP and counties must ensure the debt is not submitted to TOP.  For hearing requests filed between 90 and 180 days of the overissuance notice of action, the TOP process continues unless the administrative law judge finds jurisdiction.  For hearing requests filed after 180 days of the date of the overissuance notice of action, intercepted funds will be refunded if the client wins the hearing.

If the client loses the administrative hearing the client can request rehearing.  If the rehearing request is granted within 180 days of the delinquency date, the TOP process must be suspended.  If more than 180 days have passed, intercepted funds will be refunded if the client prevails in a rehearing.  (ACL 19-22, March 25, 2019.)