Eligibility for Waiver Personal Care Services

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The California Department of Social Services (CDSS) has provided information regarding Medi-Cal Home and Community Based Alternative (HCBA) Waiver through the Waiver Personal Care Services (WPCS) program. CDSS also clarifies new roles that the counties must adhere to regarding information sharing and referrals through the waiver program.

The HCBA Waiver provides care management assistance to people at risk for institutional or nursing home placement. With HCBA, a multidisciplinary team of registered nurses and social workers provide care management services to waiver beneficiaries. The waiver covers direct and indirect care services, including WPCS. Under the HCBA waiver, recipients may get up to 24 hours of direct care. The Department of Health Care Services (DHCS) administers the HCBA waiver program by contacting the HCBA Waiver agencies.

HCBA Waiver Services include:

  •     Private home health services/nursing
  •     Case management
  •     Habilitation
  •     Home and Family respite
  •     Community transition services
  •     Environmental accessibility adaptations
  •     Waiver Personal Care Services (WPCS) 

County In-Home Supportive Services (IHSS) Staff must:

-Notify DHCS/Waiver Agency staff of services hours approved by the recipient, and

-Determine eligibility for IHSS hours for those not authorized for WPCS services.

County staff must also share case file information to help DHCS/Waiver Agencies determine the number of WPCS hours to approve. County staff may request that the Waiver Agency supplies a list of mutual recipients in their county.

To be considered for the Waiver Personal Care Services Program candidates apply for enrollment in the HCBA waiver. A receipt will be sent for the candidate’s application. Then a representative from DHCS or relevant HCBA waiver agency will schedule a first in-home assessment to see if the candidate qualifies. Individuals must be currently receiving IHSS and have a maximum of 283 IHSS hours to be eligible for WPCS for specific tasks not covered by IHSS hours.

County IHSS staff will assess the recipient annually to determine IHSS service needs. This reassessment must include updating DHCS/Waiver Agency staff regarding any changes in services to the recipient.  (ACL 21-154, December 30, 2021.)

 

CalWORKs questions and answers regarding changes to semi-annual reporting and annual recertification

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The California Department of Social Services (CDSS) has issued questions and answers regarding changes to the semi-annual reporting and annual recertification processes. CalWORKs assistance units may now provide information about income received during the 30 days prior to submitting the annual recertification.  Counties must determine the relevant period based on when the household or assistance unit submits their annual recertification or when the county sends a CW 2200 Request for Verification form.  If the assistance unit reports income and provides verification for a 30 day period, and that income is reasonably anticipated to continue, the county can use the information provided.  A paystub outside of the 30 day period is sufficient if it represents reasonably anticipated income.

Semi-annual reports (SAR 7) no longer must be signed no earlier than the first of the month to be considered complete.  The SAR 7 is now considered complete if the form is signed and dated by persons specified by CDSS, all questions and items are fully answered, and all required verification is provided, regardless of the date the it is signed.  If the signature and/or date is missing, then the SAR 7 is incomplete.  The date can be captured via electronic signature, or, if the county does not have electronic signature capability, by verbal attestation.

Automated calls can meet the personal contact for late or incomplete SAR 7 as long as the call provides information that leads to a worker, call center or provides a phone number that the recipient can call for assistance.  If the assistance unit does not have a working phone number, the county can use email or text if the client previously gave consent for electronic communication.  If that is unsuccessful, then the county must mail a written reminder no later than five days prior to the last calendar day of the submit month.  The county must document in the case record that it made an attempt to contact and collect information necessary for the report.

The policy for third party verification remains unchanged.  Counties can use information from The Work Number in the same manner as information provided by an employer.  (ACIN I-21-22, March 4, 2022.)

COVID-19 CalFresh emergency allotment for February, 2022

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California has been approved to issue an emergency allotment of CalFresh for February, 2022.  All households will receive at least the maximum CalFresh allotment.  Households eligible to receive the maximum allowable allotment based on household size are now eligible to receive an emergency allotment of $95 per month. Households who are not eligible to receive the maximum allowable allotment based on household size, but whose emergency allotment would be less than $95 per month to receive the maximum allotment, will receive additional CalFresh benefits to raise their emergency allotment to the $95 minimum.

The emergency allotment will be issued on March 20, 2022 for CalWIN counties and March 27, 2022 for CalSAWS counties.

Moving forward, emergency allotments may be approved by FNS on a month-to-month basis until the Secretary of Health and Human Services rescinds the public health emergency.  There will be a one-month phase out of emergency allotments after the public health emergency is rescinded.  (ACWDL, February 23, 2022.)

EDD language access

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The Employment Development Department (EDD) has agreed to several measures to increase language access.  EDD will continue to provide no-cost language interpreter services in any language; expand existing in-language phone lines that currently include Cantonese, English, Mandarin, Spanish and Vietnamese to include Armenian, Korean and Tagalog; and translate unemployment insurance documents for claimants into 15 non-English languages.

EDD is also building a multilanguage web portal, establishing a Language Access Office, and convening a multilingual advisory board. (News Release 22-11, February 28, 2022.)

Revision of SOC 473 CAPI form

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The California Department of Social Services has issued a revised SOC 473 form for screening of Cash Assistance Program for Immigrants (CAPI) Household Expenses and Contributions form.

Among other things, the new SOC 473 form:

Defines key terms for the CAPI program.

Screens for the Medicaid Medical Facility payment standard.

Screens for the out of home payment standard.

Screens for separate household status of people living in the same household as a CAPI applicant.

CDSS also clarified its policy regarding when a CAPI applicant is unable to obtain third-party verification.  When the applicant or recipient is unable to obtain required documentation from a third party, the county should obtain a written statement under penalty of perjury from the claimant stating that he or she does not have the requested information, naming the third party who does have the information, and that the applicant or recipient asked the third party for the information and the third party did not provide it.  When third parties fail to provide documentation requested by the county to determine CAPI eligibility, the county must accept the claimant’s sworn statement regarding payment of rent and rental liability.  (ACL 22-12, February 16, 2022, ACL 22-12E, August 17, 2022.)

Shared housing in the Housing Choice Voucher program

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The United States Department of Housing and Urban Development (HUD) has issued guidance regarding use of Housing Choice Vouchers (HCV) in shared housing.  Public Housing Authorities (PHAs) may allow shared housing.  PHAs must allow shared housing as a reasonable accommodation to allow the HCV program to be used by persons with disabilities.

Assisted families can share a unit with either HCV assisted persons or unassisted persons.  The owner of the property can reside in the unit but housing assistance cannot be paid on the owner’s behalf.  A resident owner cannot be related to the assisted family by blood or marriage except as a reasonable accommodation for a person with a disability.  If approved by the PHA, a live-in aid may reside with the family to care for a person with disabilities.

The entire unit must meet Housing Quality Standards to be approved for shared housing.

The payment standard for a family in shared housing is the lower of the PHA’s payment standard for the family unit size or the pro-rata share of the PHA’s payment standard for the shared housing unit size.  The Housing Assistance Payment in shared housing is the lower of the payment standard minus the total tenant payment or the gross rent minus the total tenant payment.  The utility allowance for an assisted family in shared housing is the pro-rata share of the utility allowance for the shared housing unit.  (PIH Notice 2021-05, January 15, 2021.)