This letter instructs counties to use the existing SAWS negative case action functions when discontinuing pre-ACA cases for failure to provide the RFTHI or other requested information. The letter also reminds counties that the RFTHI form is only a means to collect information and does not have to be completed for a beneficiary to comply with the annual redetermination requirement.
Summaries of select CalWORKs, CalFresh, Health and Housing Regulations
DHCS MEDIL I 14-32: Inter-County Transfer (ICT) of former Low Income Health Program (LIHP) Cases in Aid Code L1 (6/11/14)
DHCS issued this letter to provide guidance to counties regarding the transfer of L1 Aid Code cases (former LIHP cases) through the described workaround process. This workaround is necessary because SAWS does not yet support L1 aid code cases. Cases where a Medi-Cal beneficiary reports a change in county of residence do not require an eligibility review. Instead, the receiving county will assist the transferring beneficiary with enrolling in a new local plan (as needed).
ACL 14-35: One Percent Restoration In IHSS Recipients’ Total Authorized Monthly Service Hours Pursuant To Senate Bill (SB) 67 (4/27/14)
Implementing the Oster settlement, reducing the 8% IHSS cut down to a 7% cut. [Download]
ACL 14-30: CalWORKs : Inter-County Transfer (ICT) Procedures, Revised CW 215 Form (5/2/14)
CDSS modified some Inter-County Transfer (ICT) processes, pursuant to AB 1612, and sent along a new ITC form to go with it. The sending county is to send the application (SAWs 1 and 2) and the new county is not to require the individual to reapply, unless the change in circumstances is such that a determination of continuing eligibility cannot be made without it. Rather, the new county is to just seek updated information. The ICT does not result in the change of the redetermination/renewal process. If a family moves out of the county during either of the last two months of the
redetermination/recertification period, the sending county and receiving county will need to complete the redetermination/recertification in sufficient time to avoid its expiration during the ICT process. The sending county may complete the redetermination/recertification and then transfer the case to the receiving county, or the receiving county may complete it [Download]
ACL 14-28: Expansion Of The Definition Of Relative For The Federal KIN-GAP Program (3/25/14)
Information and instructions regarding the expansion of the definition of a relative for federal Kin-Gap, established by AB 1712. [Download]
DHCS MEDIL I 14-31: Pregnancy Changes in Circumstance Workaround (6/4/14)
This letter from DHCS provides a workaround for MAGI beneficiaries who report a change in circumstance due to pregnancy. A woman in one of the new adult coverage groups (M1, M2) who reports a change in circumstance due to pregnancy will remain in her current coverage group aid code; this policy applies to all MAGI aid codes.
Counties are not to accept any transactions from CalHEERS that move a woman from an M1 to M4 aid code into any of the pregnant woman coverage group aid codes when a woman reports her pregnancy. If CalHEERS attempts to do that, counties should change the case to show not pregnant to keep the beneficiary in the same aid code. Counties are to document use of this workaround and pregnancy due date until the design gap is fixed.