Read fschap11.fm text version

CalFresh Handbook

page 11-1 Categorically Eligible (CE) Households

11. Categorically Eligible (CE) Households

11.1 Definition [63-102c(2)]

A CE household is considered eligible for CalFresh because ALL household members are authorized to receive Public Assistance (PA) cash benefits or General Assistance (GA). A PA household is defined as a household in which all members are receiving or authorized to receive CalWORKs benefits, including two-parent family benefits. The CalFresh household is considered to be CE for the length of time a CalWORKs Diversion payment is paid and intended for. Reminder: GA recipients are not Public Assistance (PA). [Refer to "Certification Periods," page 16-1.]

11.2 Zero Grant Cases [(63-102g1A), (63-102p10a)]

Households which are AUTHORIZED to receive CalWORKs or GA benefits are considered CE, regardless of whether they actually receive a payment. This includes households which receive a zero grant due to: · · · · Overpayment adjustment. Suspension. Net income equal to or in excess of the maximum PA grant. The grant falls below a GA minimum payment rate.

Update # 12-17

Revised: 05/10/13

page 11-2 Categorically Eligible (CE) Households

CalFresh Handbook

11.3 CE HH Determination [63-301.7]

Use the following chart to determine whether a household (HH) may be considered CE. [Refer to "PA HH Definition 63-504.121]," page 16-2.]

HH is CE if it includes ONLY those persons listed in the column below: CalWORKs recipients · Including Immediate Need only recipients GA recipients Native TANF recipients The following excluded persons: · SSI recipients · Ineligible students · Ineligible ABAWDs · Ineligible noncitizens · SSN disqualified persons · Anyone who is disqualified from CalFresh for failure to comply with work requirements Residents of an institution who are otherwise eligible for CalFresh, including residents of a: · Battered women's shelter · Drug or alcohol rehabilitation center · Home for the elderly or the disabled. HH is not CE if it includes even ONE of the persons/HHs listed in the column below: · Anyone disqualified for CalFresh due to an Intentional Program Violation (IPV) · Disqualified drug felon · Fleeing felon · CalWORKs HH fails to comply with quarterly reporting requirements · GA HH refuses to cooperate in providing information for eligibility determination or review · California Food Assistance Program (CFAP) recipient · RCA/ECA recipient · Cash Assistance Program for Immigrants (CAPI) recipient · State Adoptions Assistance Program (AAP recipient) · CalWORKs Reunification services recipient · Anyone who is sanctioned by CalWORKs for failure to comply with a work requirement, who remains CalFresh eligible due to qualifying for a CalFresh work exemption (e.g. child under six, working 30 hours per week, etc.) · Household in which an adult has timed off of federal TANF and the state CalWORKs program. · GA striker (as defined in 63-402.8) · GA client who knowingly transfers resources to qualify for CalFresh

Revised: 05/10/13 Update #11-02

CalFresh Handbook

page 11-3 Categorically Eligible (CE) Households

11.4 Joint Applications [63-301.63]

When a household applies for cash aid and CalFresh at the same time, CE status depends on the cash approval date. Use the chart below to determine whether a household is considered CE in the application month.

HH IS CE IN THE APPLICATION MONTH IF... CalWORKs is approved before or at the same time as CalFresh; or CalWORKs is approved within 30 days after the date of application for cash/CalFresh. GA GA is approved before or at the same time as CalFresh. HH IS NA IN THE APPLICATION MONTH, AND CE STATUS BEGINS IN THE CASH APPROVAL MONTH IF ... CalFresh are approved before CalWORKs is approved. (Issuance of presumptive CalWORKs is not considered approval of cash aid); or CalWORKs is approved more than 30 days after the date of application for cash/CalFresh. CalFresh are approved before GA is approved.

AID TYPE CalWORKS

11.5 Joint CalWORKs/CalFresh Application Examples

The chart below gives CE determination examples.

CalFresh/ CalWORKs CalFresh CalWORKs Application Approval Approval Date Date Date NON-ES & 3/21/04 ES-DENIED HHs 3/21/04 4/10/04 4/10/04 (Less than 30 days after app. date) 5/1/04 (More than 30 days after app. date)

Conversion To CE Date 3/21/04

Month Cert. Begins 3/04

Length Of Cert. Period 12 months

4/10/04

5/1/04 (NA/CalFresh for 3/04 and 4/04

3/04

12 months

Update # 12-17

Revised: 05/10/13

page 11-4 Categorically Eligible (CE) Households

CalFresh/ CalWORKs CalFresh CalWORKs Application Approval Approval Date Date Date ES3/10/04 APPROVED HHs 3/21/04 3/11/04 3/20/04 (Less than 30 days after app. date) 5/1/04 (More than 30 days after app. date)

CalFresh Handbook

Conversion To CE Date 4/1/04 (HH is not retroactively CE.) 5/1/04 (NA/CalFresh for 3/04 and 4/04

Month Cert. Begins 3/04

Length Of Cert. Period 12 months

3/23/04

3/04

12 months

11.6 Eligibility Factors Waived

Cash aid eligibility and verification fulfill some of the CalFresh eligibility factors for CE households. Follow the chart below to determine which CalFresh eligibility requirements are waived for a PA or GA CE household.

CE HH CalFresh ELIGIBILITY REQUIREMENT Gross and Net Income Tests Social Security Number (SSN) Residence Resources Sponsored Noncitizen Information PA Waived Waived Waived Waived Waived GA Waived Not waived. Obtain SSN or proof of application. Waived Waived, except resource transfers. Waived, except information needed to determine benefit level. Obtain: · Verification of gross income of the sponsor and spouse. · Number of persons in the SPONSOR'S CalFresh HH. · The total number of noncitizens sponsored by this sponsor who also receive CalFresh.

Revised: 05/10/13

Update #11-02

CalFresh Handbook

page 11-5 Categorically Eligible (CE) Households

11.7 Overissuances

An overissuance claim shall not be filed against a CE household unless the overissuance is due to a change in: · Net income (based on income or deductions), or · Household size, or · Failure to provide or apply for a SSN for a GA recipient. CE household status cannot be rescinded, even if a household is later determined to have been ineligible for PA or GA. [Refer to "Supplemental Payments/Claims," page 26-1 for further information.]

11.8 Modified Categorical Eligibility (MCE)

The California Department of Social Services (CDSS) implemented the MCE program to increase participation in CalFresh. Santa Clara County established the MCE program effective July 1, 2009, for intake and continuing Non-Assistance CalFresh (NACF) households who have a child under the age of 18 and, except for resources, meet all other CalFresh eligibility Effective February 1, 2011, the MCE program is expanded to ALL NACF households, who meet all other eligibility requirements. On 04/24/2013, the California Department of Social Services (CDSS), provided clarifications on the maximum income requirement that Elderly and Disabled Households must meet in order to be considered eligible for MCE. The maximum gross income that a household can have in order to have MCE conferred through receipt of the Temporary Assistance for Needy Families (TANF) Maintenance of Effort (MOE)-funded "Family Planning-PUB 275" is as follows: · 200% FPL for Elderly/Disabled households · 130% FPL for all other households.

Update # 12-17 Revised: 05/10/13

page 11-6 Categorically Eligible (CE) Households

CalFresh Handbook

It is essential that the case be documented indicating that the income requirement (130% or 200% FPL) for the TANF-funded service is satisfied before MCE can be conferred. Receipt of the PUB 275 does not, in itself, confer MCE to a household. Note: Resource verification is not required for MCE. Cases conferred MCE eligible will not be denied or discontinued when verification of the resources is not provided. The following are examples of MCE determination for non-Elderly/Disable Households.

Intake Non-Assistance CalFresh Applications

Example: A CalFresh applicant (non-Elderly/Disabled) completes an application packet (or completes an online application). Included in the application packet (or on a linked web-site) is the PUB 275 (Family Planning brochure). During the intake interview, it is determined that the household has gross income that does not exceed 130% of the FPL for its household size. Therefore, because the household has received the PUB 275, it can be considered to be MCE eligible because the gross income did not exceed the maximum allowable for the TANF-funded service. Example: A CalFresh applicant (non-Elderly/Disabled) completes an application packet (or completes an online application). Included in the application is the PUB 275. During the intake interview, it is determined that the household has gross income that exceeds 130% of the FPL for its household size. Therefore, even though the household has received the PUB 275, it cannot be considered to be MCE eligible because the gross income exceeds the maximum allowable for the TANF-funded service. The income requirement (130% of FPL) for the TANF-funded service must be satisfied before MCE can be conferred. Continuing Cases Example: It is discovered that a continuing CalFresh case (that previously received or had on-line access to the PUB 275) has gross income exceeding the income requirement for MCE (130% or 200% of the FPL). The household is no longer considered eligible for the TANF-funded service, and is no longer MCE eligible.

Revised: 05/10/13

Update #11-02

CalFresh Handbook

page 11-7 Categorically Eligible (CE) Households

For Change-Reporting Households, a notice of action must be sent within 10 days of the date the change was reported and terminate the case no later than the end of the month for which the timely notice was issued. Example: A household reported an increase in earned income on October 12. A notice of action is sent to the household on October 20 stating the household would be terminated on October 31 because their gross income for the household was over the threshold and their MCE status was removed. The individual case record must first document that the household's gross income exceeded the limit for the TANF-funded service (PUB 275) and that MCE status no longer exists, even if the PUB 275 was provided to the household. For Quarterly Reporting (QR), a notice of action must be sent within 10 days of the date the change was reported and terminate the case no later than the end of the month for which the timely notice was issued. It is critical that the case record reflects that MCE eligibility no longer exists, and that the household's CalFresh eligibility has ended, in that chronological order. The household cannot be terminated for exceeding the gross income limit for CalFresh until the MCE status has been removed. Example: A QR household's payment quarter is January through March. The household reports an increase in income on February 7 which makes the household ineligible for MCE because the gross income for the household has been exceeded for its size. The household must be sent a notice of action stating the case will be terminated as of February 28/29 because their gross income for the household was over the threshold and their MCE status was removed. The following are examples of MCE determination for Elderly/Disable Households: Example: An elderly/disabled household has $4000 in countable resources and has a gross income under 200% FPL for its size. The PUB 275 is provided and the HH is MCE eligible. Since MCE is conferred, the resources are not considered for CF eligibility, even if the resources exceed the limit of $3,250. The household is CalFresh eligible. Example: An elderly/disabled household has $2,500 in countable resources and has a gross income exceeding the 200% FPL. Since the household's gross is over 200% FPL, the HH is not considered to be MCE eligible. However, since this HH is not subject to the gross income test under CalFresh regulations, the fact that the HH's income is over 200% FPL does not make the HH ineligible for CF. The eligibility must be reviewed as a regular Elderly/Disabled HH. Since the household's resources are under the limit, the household is eligible for CalFresh, if otherwise eligible

Update # 12-17 Revised: 05/10/13

page 11-8 Categorically Eligible (CE) Households

CalFresh Handbook

Example: An elderly/disabled household has $5,000 in countable resources and has a gross income exceeding the 200% FPL. The household is not considered to be eligible for MCE because the income is over the 200% FPL. Since the resources are also over the resource limit, the household is not eligible for CalFresh.

11.8.1

Minimum Allotment

MCE household's of one or two persons, with net income exceeding the limits for the HH size, are entitled for $16 minimum allotment just as traditional CE households are. Example 1: A household of one or two persons completes an application. Included in the application packet is the PUB 275. During the intake interview, it is determined that the household has gross income that does not exceed 130% of the FPL (or 200% FPL for E/D HH) for its household size. Therefore, because the household has received the PUB 275, it can be considered to be MCE eligible as the gross income does not exceed the maximum allowable for the TANF-funded service. During the determination of the household's benefit allotment, it is determined that the household's net income exceeds the maximum amount allowable for its household size. Households of one or two persons that have been conferred MCE status will be entitled to the minimum CalFresh benefit ($16) even though the household's net income exceeds the maximum amount allowable for their household size. Example 2: A household of three or more persons completes an application. Included in the application packet (or on a linked web-site) is the PUB 275. During the intake interview, it is determined that the household has gross income that does not exceed 130% of the FPL (or 200% FPL for E/D HH) for its household size. Therefore, because the household has received the PUB 275, it can be considered to be MCE eligible as the gross income does not exceed the maximum allowable for the TANF-funded service. During the determination of the household's benefit allotment, it is determined that the household's net income exceeds the maximum amount allowable for its household size. Households of three or more persons that have been conferred

Revised: 05/10/13 Update #11-02

CalFresh Handbook

page 11-9 Categorically Eligible (CE) Households

MCE status will be entitled to the allotment amount indicated in the table of benefit issuance by household size even if the household's net income exceeds the maximum amount allowable

11.8.2

Expedited Service

The resources of an MCE HH are still considered when determining eligibility for Expedited Service. However, once regular CalFresh benefits are approved, resources are exempt IF the household is conferred MCE eligibility.

11.8.3

"Family Planning-PUB 275"

In California, 130% of the Federal Poverty Level (FPL) has been established as the maximum gross income that a household can have in order to have MCE conferred through receipt of the PUB 275 (for Elderly and Disabled Households, the maximum gross income is 200% FPL). Receipt of the PUB 275 exempts all resources in the determination of eligibility for households who meet all other CalFresh eligibility requirements. Receipt of the PUB 275 does not, in itself, confer MCE to a household.

11.8.4

Case Narration

Case Narration on MCE determination is essential Workers must document in the Maintain Case Comments window, the determination of MCE in the following chronological order. · Household meets or does not meet the gross income requirement (130% FPL or 200% FPL for E/D households). · The date the PUB 275 was provided to the HH and the method used to provide the form (i.e. mailed to client, handed to client at face-to-face interview or mailed to client for a face-to-face interview waiver), and · MCE determination results (conferred or not conferred).

11.8.5

Transitional CalFresh

When a CalWORKs HH discontinues for excess resources, eligibility for Transitional CalFresh is established. When the HH is recertified for regular CalFresh benefits, a new MCE determination must be done.

Update # 12-17

Revised: 05/10/13

page 11-10 Categorically Eligible (CE) Households

CalFresh Handbook

Revised: 05/10/13

Update #11-02

Information

fschap11.fm

10 pages

Report File (DMCA)

Our content is added by our users. We aim to remove reported files within 1 working day. Please use this link to notify us:

Report this file as copyright or inappropriate

1062318