Equitable relief for people with Medicare and Marketplace coverage

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Individuals who have Medicare Part A coverage are considered to meet minimum coverage requirements under the Affordable Care Act and are therefore ineligible to receive premium and cost-sharing assistance for Marketplace health insurance plans.  Individuals who have Medicare Part B coverage are eligible to receive premium and cost-sharing assistance for Marketplace health insurance plans.  The Social Security Administration states that individuals may not have known they were not eligible for premium and cost-sharing assistance for Marketplace health insurance plans if they had Medicare Part A coverage.  This may have caused individuals to not enroll in Medicare Part B, drop Part B or enroll late in Part B and be assessed a penalty.

The Social Security Administration allows individuals to request equitable relief from their failure to have Medicare Part B.  The Social Security Administration is phasing out this relief but has extended it until June 30, 2020.

To be eligible for equitable relief, individuals must have enrollment in premium-free Medicare Part A and meets one or more of the following: Part A entitlement date between July 2013 and June 2020; notified of retroactive Part A entitlement between October 1, 2013 and June 30, 2020 or special enrollment period ended between October 1, 2013 and June 30, 2020.  The beneficiary must also request Part B enrollment or premium surcharge rollback or removal, mention equitable relief or being enrolled in both a Marketplace plan Medicare Part A, and present proof of Marketplace enrollment for any period between January, 2014 and June 30, 2020.  (EM-16033 REV 7, October 25, 2019.)

New SSA-1696 authorized representative form

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The Social Security Administration has issued a new version of the SSA-1696 authorized representative form.  The new form includes two new supplements: SUP 1 Claimant’s Revocation of the Appointment of a Representative and SUP 2 Representative’s Withdrawal of the Acceptance of an Appointment.  The new form also allows registered authorized representatives to use their Representative Identification number instead of the claimant’s social security number.

All users must discontinue using the old SSA-1696 form.  New forms are not required for appointments that are already in effect.  (EM 20004, February 7, 2020.)

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$500 Home Visiting Initiative Material Goods Fund

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The California Department of Social Services (CDSS) has issued guidance for County Welfare Departments (CWDs) participating in the CalWORKs Home Visiting Program (HVP) regarding the use of the $500 material goods funds. Counties should coordinate with home visitors and CalWORKs staff to provide $500 for the purchase of material goods for each family served by HVP. This money may be spent on multiple items and at multiple times, but it is cumulative per case and does not reset.

The funds can be used on items related to the care, health, and safety of the child and family. It may be spent on food if the home visitor decides that it is an immediate need. The funds are not meant to be an incentive to participate, but as a mechanism to help vulnerable families. Counties and their subrecipients and contractors are reminded that these funds cannot be issued directly to participants or used to supplant services already provided through WTW supportive services.

All CalWORKs HVP participants in participating counties are eligible for the $500 material goods funds. If a parent or assisted caretaker relative is removed from the CalWORKS program but continues to participate in HVP, they would still be eligible for HVP services including the $500 material goods. If the custodial parents agrees, participation by the non-custodial parent can be counted for the home visiting initiative.  (ACIN I-4-20 , January 22, 2020.)

Advising CalFresh Work Registrants of Employment Services

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The California Department of Social Services (CDSS) has issued guidance regarding a new federal requirement for County Welfare Departments to inform all CalFresh work registrants (individuals subject to the general CalFresh work requirements) with no earned income of local employment services, including but not limited to CalFresh Employment and Training (E & T). This requirement is effective immediately.

Work registrants are required to register for work every twelve months, provide information to determine employment status, report to an employer when referred by the county welfare department, accept a bona fide offer of suitable employment, and not voluntarily quit a job of 30 hours or more a week or reduce work hours to fewer than 30 hours a week. There is currently no mandatory CalFresh E&T required of work registrants n California.

The county welfare department is responsible for the work registration process and must determine which individuals in the household are work registrants and note this information in the case record. CalFresh recipients are not required to take additional steps in the application or recertification process to complete the work registration process.

All CalFresh recipients are subject to work registration unless they qualify for an exemption. If an individual no longer qualifies for an exemption from work registration, they must be registered for work when reported. (ACL 20-10, February 6, 2020.)

CalFresh Student Eligibility Handbook

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The California Department of Social Services (CDSS) has released its CalFresh Student Eligibility Handbook.  The Handbook provides guidance regarding student eligibility for CalFresh including definition of a student, income exclusions for students, exceptions from the general rule that students are not eligible for CalFresh, programs to increase employability which in qualifies a student for an exemption from the student eligibility rule, and verification procedures.  (ACL 20-08, February 12, 2020.)

IHSS timesheet signature authorization requirements

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The California Department of Social Services (CDSS) has issued information regarding the timesheet signature authorization requirement.  An IHSS recipient or their legal representative can designate an authorized representative to sign a provider’s timesheet on their behalf.  For this purpose, a legal representative is a court-appointed guardian or conservator, or for a recipient who is a minor, the parent or other individual who is the legally authorized decision maker for the minor.

To do so, the recipient or their legal representative must complete the SOC 839 Form Part C.  Upon receipt of the SOC 839 form, the county must enter the timesheet signatory information into the CMIPS computer system.  (ACL 19-115, December 17, 2019.)