Calculating CalFresh Overissuances

The California Department of Social Services (CDSS) has issued guidance regarding calculating CalFresh overissuances. This guidance supersedes ACL 15-95 for CalFresh overissuances.

When determining the amount of a CalFresh overissuance, counties must recreate the circumstances of the case, that is they must calculate the amount of the overissuance by determining the difference between the amount of benefits the household should have received and the amount the household actually received. The county must not consider income changes that the household was not required to report unless the change would result in increased benefits.

Households are required to report income that exceeds the Income Reporting Threshold, that is 130 percent of the Federal Poverty Level.  This reporting is required at any time, including between semi-annual reports.  Households that are eligible for CalFresh with income between 131 and 200 percent of the Federal Poverty Level are not required to report income changes between semi-annual reports.

In determing whether a household has exceeded 130 percent of the Federal Poverty Level, the county must use the household’s actual gross income.  Counties cannot use the conversion factor (4.3 times weekly earnings) to determine if a recipient has missed a required report of income over the Income Reporting Threshold.

If a household misses a required report of income over the Income Reporting Threshold, the county must recalculate the monthly allotment for the months in which the household income exceeded the Income Reporting Threshold, and establish any appropriate overissuances.

Counties are required to review information they receive from the Income Eligibility Verification System (IEVS).  When the county receives an IEVS match and determines there is a potential discrepancy between the match and the income the household reported, the county must ask for information from the household to verify the IEVS match.  If the household does not respond, the county can use the Work Number or another third party payroll source to verify the IEVS match.  Counties can only request verification related to an IEVS discrepancy that shows the client may have missed a mandatory report of income over the Income Reporting Threshold.

When reconciling IEVS matches, counties must consider prospective budgeting rules, including whether the income could have been reasonably anticipated at the time of the previous semi-annual report or annual recertification.

If benefits should have been different based on income verified after an IEVS match, the county must recalculate the monthly allotment for the months in which the household income exceeded the Income Reporting Threshold, and establish any appropriate overissuances.

When calculating the amount of an administrative error overissance, the county must apply the earned income deduction.  When calculating the amount of an advertent household error or Intentional Program Violation overissance, the county must not apply the earned income deduction.  (ACL 24-23, March 29, 2024.)

Civil rights complaint language

The California Department of Social Services (CDSS) has updated its appeal language for civil rights complaints. There are three main changes to the appeal language. The first of these changes increases the amount of time CalFresh complainants have to file civil rights appeals to the United States Department of Agriculture (USDA) to 90 days from the previously set 30 days.

The next two changes were implemented because of the Supreme Court’s decision in Bostock v. Clayton County which established that discrimination based on sexual orientation or gender identity is also considered discrimination based on sex. The second change establishes that complainants may appeal Cal Fresh complaints to USDA based on  gender identity and sexual orientation. It has also added reprisal or retaliation for prior civil rights activity as a protected category. The third change establishes that complainants may file discrimination complaints with the United States Department of Health and Human Services (HHS) based on  pregnancy, sexual orientation, and gender identity.

Counties must use the provided language from the USDA when informing people of their right to appeal to the USDA. Additionally, the requirements to inform of the right to appeal to CDSS or the USDA do not apply when the complainant fails to participate or withdraws the complaint and no County Welfare Department (CWD) decision was made. However, complainants must be informed of their right to file their complaint with the HHS. Mail or email can be used to inform complainants of complaint outcomes.  (ACL 23-98, November 27, 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.)

 

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.)

California Food Assistance Program overissuances

The California Department of Social Services (CDSS) has issued guidance about new policies for overissuances in the California Food Assistance Program (CFAP).  CFAP provides state funded food benefits for certain non-citizens who are ineligible for CalFresh because of their immigration status.  Effective October 1, 2025, CFAP will expand to cover persons age 55 or older regardless of their immigration status.

Beginning October 1, 2025, for mixed households, that is, households with some members who receive CalFresh and other who receive CFAP, CalFresh and CFAP overissuances must be calculated, established, and collected separately from each other.  Counties must create separate recovery accounts, and must send separate overissuance notices for each program.  Counties must apply the current overissuance collection threshold to each claim.  Collection will be at the appropriate rate (5% or $10 for administrative errors, 10% for inadvertent household errors) for the CalFresh and CFAP claims individually.

Effective October 1, 2025, benefit reduction to collect an overissuance must correspond to the program.  CalFresh benefits will not be used to recoup a CFAP overissuance and visa versa.  If a household that has collection by benefit reduction changes from CalFresh to CFAP or visa versa, the household must sign a new repayment agreement to change the source of recoupment.

Effective October 1, 2025, counties must submit CFAP overissuances to the Franchise Tax Board for collection.  However, if the current or former CFAP household member does not have a Social Security Number or an Individual Taxpayer Identification Number (ITIN), counties do not submit the overissuance to the Franchise Tax Board.  (ACL 23-73, September 6, 2023.)

Full child support pass-through for former CalWORKs recipients child only CalWORKs cases

The California Department of Social Services (CDSS) has issued guidance regarding full pass through of collected child support for CalWORKs recipients child only CalWORKs cases.

Effective January 1, 2024, or when automation is completed, whichever is later, all child support collected must be passed through to former recipients and to CalWORKs recipients where only the children receive benefits (known as K1 and 3F families).  Any pass through payments that cannot be delivered to former CalWORKs recipients for six months will be used to recoup CalWORKs paid to the former recipient.  The former recipient family can make a claim with the Local Child Support Agency for the recouped funds within 12 months of the payment being sent for recoupment.

Also effective January 1, 2024, or when automation is completed, all support payments received in child only CalWORKs cases do not count as income for purposes of CalWORKs eligibility.

Child support payments received by a CalFresh or California Food Assistance household, including child support pass through payments, are counted as unearned income when determining CalFresh eligibility and benefit amount.

Child support payments are considered unearned income of the child when determining eligibility for Supplemental Security Income and Cash Assistance Program for Immigrants.  Any unspent child support payments count as a resource for Supplemental Security Income and Cash Assistance Program for Immigrants.  (ACL 23-93, November 6, 2023, and ACL 23-93E, December 27, 2023.)