TCVAP

Hearing representative responsibilities and privileges process

Posted on by

The California Department of Social Services (CDSS) has issued clarification about county hearing representative responsibilities before a hearing.  The county hearing representative initially impartially reviews the hearing request.  After the review, the hearings representative either orders the county to take corrective action or defends the action at hearing.  The county hearings representative also provides claimants with information about the hearing process, including preparing a position statement.

The county hearings representative ensues that aid paid pending is paid when appropriate, identifies the issues raised in the hearing request, reviewed the disputed action(s) based on available evidence and regulations, and determines whether the case can be resolved or should proceed to hearing.

The county hearings representative also must provide reasonable accommodations for claimant’s disabilities, and services for limited English proficient claimants, including using forms that have been translated and using an interpreter for communication with the claimant at no cost to the claimant.

If the hearings representative cannot identify the issues from the hearing request, the hearings representative should attempt to contact the claimant to discuss the case.  If the hearings representative cannot reach the claimant, the hearings representative should review the case file for 90 days prior to the hearing request to determine issues.  If the hearings representative still cannot determine the issues, the hearings representative should write a limited position statement for the hearing. If the issues are identified on the day of the hearing and the hearings representative and claimant cannot reach a resolution, the hearings representative can request postponement of the hearing.

If the hearings representative determines the county action is correct, the county hearings representative should contact the claimant to explain the basis for the county action.  The hearings representative cannot imply that the claimant cannot or should not proceed with the hearing.  The hearings representative can explain the claimant’s right to withdraw if the claimant states they do not want to proceed with the hearing, but the county hearings representative cannot request a withdrawal.

If the hearings representative determines the county action is incorrect, the county representative must contact the case worker to take corrective action.  The county hearings representative must also contact the claimant to resolve the case without a hearing.  If that resolution is a conditional withdrawal, the language of the conditional withdrawal must be specific regarding the duties of the county and claimant for the action to be corrected.  A conditional withdrawal that states the county will re-review its action is insufficient. Conditional withdrawals should be in writing.  The county must ensure that corrective action is completed within 30 days.  If the claimant still chooses to attend the hearing, the hearings representative must be prepared for the hearing.

The hearings representative should inform the claimant of their right to review the case file and provide that access in two business days.  If the hearings representative withholds documents from the claimant pursuant to a claim of privilege, the hearings representative must prepare and give to the claimant a form identifying the withheld documents and the basis of the claim of privilege or confidentiality.  Welfare fraud investigation information from an active investigation is confidential unless that information has been used or relied on by the county in making its decision to take administrative action.  When the claimant challenges a county claim of privilege or confidentiality, the administrative law judge will convene an in camera proceeding to adjudicate that claim.

Finally, CDSS has issued guidelines for the content and format of county position statements for hearings.  (ACL 17-102, September 29, 2017.)

CalWORKs and CalFresh file access rules

Posted on by

CDSS has issued instructions about access to county welfare department case files for CalWORKs, CalFresh, Trafficking and Crime Victim’s Assistance Program and Refugee Cash Assistance. The general rule is the client may inspect non-privileged, non-confidential documents in their case record, including the entire case narrative. Clients are not required to state why they want to inspect their case file. The only questions the county can ask are questions necessary to assist in identifying the information the client wants. The county cannot require a Public Records Act request for the client to see their case file.

Clients must be able to access their case file regardless of whether the file is maintained in paper or electronically, including documents stored separately from the county consortia automated systems. Documents can be provided by hard copy, read only access to systems with a hard copy of any requested documents, or by a pdf file. The county must provide if the client so requests.

If the client’s request includes documents that the county deems to be privileged or confidential, the county should redact the privileged or confidential information and provide the redacted documents to the client. If the documents cannot be redacted, the entire document can be withheld. Examples of potentially privileged or confidential information include whereabouts of an absent parent, child protective services information, and information about minor’s consent services. Medical records are also privileged, but as the holder of the privilege clients have access to their own medical records that are in the case file. The identity of an informant is also privileged, but must be disclosed if the informant will testify at a hearing.

If a document is redacted or withheld pursuant to a claim of privilege or confidentiality, the county must use the Response to Request to Inspect Case Record form to inform the client that documents are being withheld and why. CDSS recommends that counties establish an informal dispute resolution process to resolve these disputes. Case file access disputes can also be raised during administrative hearings.

For an administrative hearing, the county must allow a claimant to examine their case record during normal business hours. The county must provide the claimant with any and all information that can assist the claimant in preparing for the hearing. The county cannot charge for copies of CalFresh documents. For CalWORKs documents, the county can copy requested documents without charge or for a charge related to the cost of copying.

Claimants are entitled to access to fraud investigation files when the county has taken an administrative action based on the fraud investigation and the claimant has requested a hearing to challenge that action. The claimant can examine relevant, non-privileged, non-confidential documents from the fraud investigation file that the county used in making its decision to take the administrative action that is the subject of the hearing. ACL 16-02 (January 20, 2016).

Eligibility guidelines for Trafficking And Crime Victims Assistance Program

Posted on by

CDSS issued detailed guidelines for eligibility for the Trafficking And Crime Victims Assistance Program (TCVAP). In general, TCVAP is available to victims of human trafficking, domestic violence and other serious crimes who are not eligible for other state or federal programs. The program began operating in 2007. Because counties requested clarification about policies and procedures for the program, CDSS issued and made publically available program guidelines to supplement existing regulations, All County Letters and All County Information Notices about the program. ACIN I-07-15 (1/29/15).