DHCS MEDIL I 14-36: Using Modified Adjusted Gross Income and Express Lane Enrollment Aid Codes for Applications in the Pending Backlog (7/8/14)

In an effort to reduce the backlog of pending Medi-Cal applications, DHCS has issued this guidance to the counties on using MAGI and Express Lane Enrollment (ELE) aid codes as a manual workaround.

These aid codes are to be used when at least one member of the household has an active Medi-Cal or CalFresh aid code in MEDS and SAWS, and only when:

  1. At least one household member has been determined eligible or contingently eligible in CalHEERS and the entire case cannot be accepted into SAWS/MEDS because others in the household are still pending.
  2. The county file clears and determines the case as MAGI eligible, and CalHEERS responds that the case is pending due to data and/or technology issues with CalHEERS.

Counties cannot use this process to manually grant Medi-Cal eligibility for non-MAGI cases, limited/restricted scope cases, cases where no household member is on an active Medi-Cal/CalFresh aid code in MEDS/SAWS, or when the only eligible case members are TLICP children.

The state will send NOAs to beneficiaries granted eligibility through ELE aid codes based on this process.  Counties will send NOAs to those granted eligibility under MAGI aid codes.  All of these beneficiaries will receive intake packets.

 

ACIN I-33-14: CalFresh Overissuances (6/27/14)

Some post-FNS clarification on establishment and collection of CalFresh overissuances. To determine whether an overissuance is cost-effective to collect, the thresholds is determined based on the amount as of the date the overissuance is calculated.  Counties are to terminate any collections for OI’s that were above $35 when established.  (SB 1391 raises the cost effectiveness threshold to above $125, but only for households no longer on CalFresh.  If the OI is discovered and established, but before collection can start the family will no longer be on CalFresh, and the OI is 125 or less, no collection would occur.  [Download]

ACIN I-28-14: Collection Of CalFresh Overissuances (6/10/14)

A reminder to counties that when determining the amount of a CalFresh overissuance, the amount of the overissuance is based on the initial amount of the CalFresh benefit. In cases where there is an existing overissuance recouped by benefit reduction, the amount of a recoupment for another type of overissuance is based on the initial CalFresh benefit issued for the household, not from the adjusted benefit. Example provided.  [Download]

ACIN I-14-14E: errata: Work Incentive Nutritional Supplement (WINS) Food Supplment (5/30/14)

The errata changes some “must” to “should”, clarification on Transitional CalFresh eligibility is unchanged, but if the household income is over 200% FPL, they won’t get the WINS payment.  The errata also clarifies mid-period reporting: SAR reporters who report working to get the WINS payment should be informed of the overall negative impact the reporting may have on the benefits (benefits reduced for work income larger than WINS supplement, and not acted upon unless the reported was “Verified Upon Receipt”; if change reporters report income, it must be processed regardless of any allotment reduction.  Includes revised forms with clarifying language.  [Download]

ACL 14-54: Agricultural Act Of 2014 (Farm Bill): CalFresh Changes (5/29/14)

Implementing instructions regarding changes to the SNAP program that impact CalFresh.  Certain provisions require “immediate” implementation, while others cannot be implemented until the federal rulemaking process is completed.  Of note, there was a change to the “Heat and Eat” LIHEAP/SUA provisions…which are addressed in the budget trailer bill.  (States had to meet a higher contribution to allow all households to get the SUA.) Therefore, contingent upon approval of the Governor’s May Revision Budget, CWDs must provide the SUAS payment for all ongoing households which will benefit from receiving the SUAS payment with certification periods effective April, May, June, July, August, September and October 2014 no later than
November 30, 2014. Ongoing households, which will benefit from receiving the SUAS payment recertified on or after November 1, 2014 must be provided with the SUAS payment no later than the last day of the first month of their new certification period.

The Farm Bill also prohibits certain “recruitment, ” banning billboard, TV, and  radio ads that promote enrollment in the program.  [Download]