Effective July 1, 2015, the CalWORKs Minimum Basic Standard of Adequate Care (MBSAC) increased by 2.54%. The MBSAC is the maximum amount of income an assistance unit can have, after income deductions, and be eligible for CalWORKs. The increase is the cost of living increase required by Welfare and Institutions Code Section 11453. This cost of living increase also increased the Income-In-Kind (IIK) level by 2.54%. These increases also apply to Refugee Cash Assistance, Entrant Cash Assistance and Trafficking and Crime Victims Assistance Program benefits. The California Department of Social Services issued a chart showing the new MBSAC and IIK amounts.
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
School attendance penalty repealed
Effective January 1, 2015, the school attendance penalty for children under age 16 is repealed. Previously, if a child under age 16 was not regularly attending school, the CalWORKs household was penalized by removing all adults in the assistance unit from the grant. AB 2383 amended Welfare and Institutions Code Section 11253.5 to repeal this penalty. As a result, county welfare departments can no longer require families to provide proof of school attendance.
If a 16 or 17 year old is deemed a chronic truant by the school district or a county School Attendance Review Board (SARB), then the needs of that child are not considered in determining the family’s CalWORKs grant. Exceptions to this rule include when there is good cause for non-attendance, when any member of the household is eligible for the family stabilization program and when the child, parent or caretaker is complying with requirements from a SARB, probation department or district attorney. A child whose needs are not considered in computing the family’s grant is eligible for services that may lead to school attendance and can sign a welfare-to-work plan to attend school (with no minimum number of participation hours for that plan).
Penalties imposed prior to January 1, 2015 on children under age 16 should have been lifted effective January 1, 2015. Counties were directed to review all cases of school attendance penalties for 16 and 17 year olds.
Sanctioned adults are eligible for stage 1 child care
Following substantial advocacy by the Child Care Law Center, CDSS has clarified that adults in CalWORKs sanction status can be eligible for Stage 1 child care. Under MPP Section 42-721.41, sanctioned adults are eligible for child care when the client is in the process of curing a sanction or during the months in sanction the client is working or participating in a county-approved program activity, which are activities in the assigned as part of the a welfare-to-work plan or activities necessary to accept or retain employment. Sanctioned adults in a cure plan remain in Stage 1 child care. Sanctioned adults performing an approvable activity should be assessed for transfer to Stage 2 child care.
CDSS also reiterated that clients in sanction status can request to cure the sanction by entering into a plan to cure the sanction and performing the activity stated on the cure plan up to a maximum of 30 days, whichever is shorter.
IHSS 7% reduction restored
Effective July 1, 2015, the IHSS 7% reduction is restored. The 7% reduction was part of the settlement in the Oster v. Ligthbourne litigation and was codified in Welfare and Institutions Code Sections 12301.01 and 12031.02. In SB 97, (Budget Act, Section 57, Part 6) the legislature suspended the reduction for one year, from July 1, 2015 to June 30, 2016. In a special legislative session later this year, the legislature will attempt to determine funding sources for making the restoration of the 7% reduction permanent.
Notices of the possibility that the 7% reduction would be restored were scheduled to go out in mid-June. The notices say that restoration was a possibility because the restoration legislation had not yet passed.
The IHSS computer system called CMIPS II is supposed to automatically create a new IHSS authorization with the restored hours added, and to automatically updated provider hours. The ACL warns that there may be an issue assigning the hours when a recipient has multiple providers and if the recipient wants hours divided differently between multiple providers, the recipient needs to file a SOC 838 form with their county.
Medi-Cal plans must offer certified nurse midwife services
Medi-Cal managed care plans are required to provide access for certified nurse midwife services to Medi-Cal beneficiaries. Beneficiaries may seek out CNM services from outside the plan when the plan is unable to provide such services within network. DHCS APL 15-017 (6/30/15).
New Medi-Cal guidelines for Hepatitis C treatments
This week, DHCS issued new guidance to Medi-Cal managed care plans about new treatment guidelines for recent FDA-approved treatments for Hepatitis C. The updated policy, effective July 1, 2015, looked at recent medical evidence and practice guidelines to determine who would be eligible for treatment.
DHCS APL 15-016 (6/29/15); Treatment Policy for the Management of Chronic Hepatitis C