The non-aged/disabled property limit was increased to $2,250; the aged/disabled remains at $3250. Given the Categorical Eligibility is applicable to all cases, this has no current impact on clients. [Download]
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
ACIN I-55-14: Disaster Supplemental Nutrition Assistance Program Income Eligibility Standards And Allotments – Disaster Guidance Attachment – Effective October 1, 2014 (9/11/14)
Releasing the new D-Snap income and deduction tables. [Download]
ACL 14-63: Households Eligible For CalFresh, But Entitled To No Benefits (9/16/14)
Instructions on the treatment of households with three or more members who are categorically eligible (CE) to CalFresh, but whose net income would not entitle them to receive any benefits. It is possible for the household to be gross income eligible, as a result of CE, but actually not entitled to receive benefits due to their level of net income. Reviews the initial month and subsequent month rules for 3+ HH’s as well as the rules for the smaller households. [Download]
DHCS MEDIL I 14-47: Deactivating Aid Code Programming in Medi-Cal Eligibility Data System (MEDS) and Statewide Automated Welfare System (SAWS) (9/19/14)
DHCS issued this MEDIL regarding aid code deactivation in the SAWS and MEDS systems. Pre-ACA programming will stay active in both systems until further notice. When all beneficiaries are transferred to MAGI aid codes, counties will receive instructions on the deactivation of the older aid codes.
ACL 14-58: CalWORKs): Five Percent Increase To The Maximum Aid Payment (MAP) Levels (9/22/14)
Information about the 5% increase to the CalWORKs Maximum Aid Payment, effective April 1, 2015. This policy change must be automated into the consortia systems by the effective date. If the MAP increase cannot be modified, CWDs must put a policy in place that will ensure CalWORKs recipients receive the MAP increase and are appropriately and timely notified of changes. The increase may change the income reporting threshold, and that change must also be noticed. [Download]
DHCS ACWDL 14-32: Medi-Cal Annual Redetermination Process for MAGI Beneficiaries (9/19/14)
DHCS has issued this letter to guide SAWS and counties on implemented annual redeterminations for 2015 for MAGI Medi-Cal beneficiaries.
First, counties are to review any ex parte information available to the county about the beneficiary or beneficiary’s immediate family members, including cases that are either open or closed within the last 90 days. If the ex parte review is sufficient to confirm eligibility, a redetermination form is not required. This information is entered into SAWS and sent to CalHEERS for a MAGI eligibility determination. For pre-ACA beneficiaries, counties will attempt to obtain RFTHI information ex parte. If CalHEERS confirms MAGI eligibility, SAWS will receive the result back with a NOA confirming eligibility.
If a beneficiary is found ineligible through ex parte review, the county will send a pre-populated redetermination form (MC 0216) from SAWS and given at least 60 days to complete and return it. Beneficiaries may complete this through many methods. Counties are to contact the beneficiary if they have not yet received the form. If the beneficiary fails to provide the requested information, county will issue a discontinuance NOA with a 90-day cure period.
When information from MC 0216 is received and entered into SAWS, CalHEERS will determine Medi-Cal eligibility. MAGI eligible will be sent a NOA for a new 12-month eligibility period. Those who are not MAGI eligible will go through the process described here. Where there isn’t enough information, counties will work with beneficiaries to gather the necessary information.