DHCS ACWDL 14-27: Additional Express Lane Enrollment Guidance (6/16/14)

This letter clarifies questions about the CalFresh Express Lane Enrollment procedures for Medi-Cal, particularly about aid code 7S (those individuals eligible for Medi-Cal under pre-ACA rules).

  • Parents, guardians and caretakers relatives are to be put in aid code 7S as opposed to aid code 7U. These individuals will be eligible even if a child is not on CalFresh or Medi-Cal; the children only have to meet the age and residence requirements.
  • DHCS will transfer Medicare beneficiaries in Express Lane aid codes to aid code 7S.
  • Those who are found ineligible for CalFresh will be sent RFTHIs to determine Medi-Cal eligibility.

Additionally, the letter discusses discontinuance NOAs for Express Lane beneficiaries upon change of circumstances or expiration.  NOAs will be generated by SAWS, and beneficiaries will be referred for APTC/CSR determinations with a special enrollment period.

Finally, Express Lane enrolled individuals are eligible for retroactive months of coverage up to February 2014.  For determination of months before February, individuals will need to submit a RFTHI (for January 2014) or a full pre-ACA application (for December 2013 and before).

ACIN I-14-14: Work Incentive Nutritional Supplement (WINS) Food Supplement (3/28/14)

Information and instructions regarding the WINS program and its designated aid codes.  WINS is a food benefit which applies to CalFresh only Non-Assistance households, which are not getting CalWORKs, but who who meet the qualifications for TANF work participation hours through work, and have at least one child in the household who is under 18 years old. If eligible, the WINS benefit is automatically added to the household’s EBT card. WINS eligibility is determined for the household a) at application, b) when the household reports a change, or c) at recertification, and continues on a monthly basis for so long as the household remains eligible.  [Download]

ACL 14-26: CalWORKs And CalFresh Programs: Revised ‘Request For Verification’ Form (CW 2200) (3/14/14)

Since it “has come to CDSS’ attention that there are various forms” that the counties are using to request verification of client information, DSS has revised the recommended form previously issued, and mandated the use of the new form.  Counties must seek prior approval before modifying and using a county request.  Includes a summary of the verification requirements, by program. [Download]

Public Comment Period on Regulation Packages

  1. Semi-Annual Reporting (SAR) in the CalWORKs Program, ORD No. 0513-04
    The public comment period for this package closed on September 4, 2013 at 5:00 pm.
  2. Residential Care Facilities for the Elderly Hospice Care, Terminally Ill Persons, ORD No. 0713-07
    The public comment period for this package will close on April 9, 2014 at 5:00 pm.
  3. Adult Residential Facility, Hospice Terminally Ill, ORD No. 0713-08
    The public comment period for this package will close on April 9, 2014 at 5:00 pm.

ACL 14-20: CalFresh Waiver To Waive Interview Scheduling Requirements (2/27/14)

Instructions on the implementation of the latest FNS waiver: the two-year waiver permits “on-demand” telephone interviews at initial application and at recertification.  Counties have the option of implementing this, but if the county opts in, then “on-demand” will be the default process unless the client requests an in-person interview or if, at screening, the client appears eligible for Expedited services.   Counties can continue the current ability to allow households to complete a telephone interview without a scheduled appointment by calling the CWD or the CWD call center. [Download]