Update 1401Revised 061114 - PDF document

1 Update #14-01Revised: 06/11/14 Cash Assi
Update #14-01Revised: 06/11/14 Cash Assistance Program for Immigrantspage 3-1 3.Basic Eligibility This chapter highlights the basic eligibility factors 3.1Requirements en/immigrant status, [Refer to “Ineligibility for , “SSI / SSP,” page 4-1 .] 3.1.1CAPI - Eligible To be eligible for •Be a non-citizen, (with the exceptiCAPI” recipients, zed U.S. Citizens,” page 3-4 ] •Be age 65 or over, blind, or disabled. •Reside in California, •Meet all SSI/SSP eligibility criteria, except for immigrant status, •Not have more income and •Complete the app “Application Process,” page 2-1 for more information.] 3.1.2CAPI - NOT Eligible A person is NOT eligible for CAPI if he or she: [Refer to zed U.S. Citizens,” page 3-4 ] •Is a resident of a pubison, or VA Hospital) for an Revised: 06/11/14Update #14-01 page 3-2Cash Assistance Program for ImmigrantsBasic Eligibility •Resides outside of the U. •Fails to file for all other possible benefits for which •Is a fleeing felon; or •Violates a

2 condition of probation or parole imposed
condition of probation or parole imposed under federal or state law. Note: w payments for convicted 3.2Immigration Status The immigration status/recipient must be reviewed at Intake cal eligibility. book, “USCIS Codes,” page 12-1 Forms,” page 13-1 of USCIS documentation and immigration status.] migrant’s status that could affect that individual’s eligibility for CAPI, the recipient must be notified to take the appropriate action. •If the change in status woulible for federal benefits, r SSI/SSP. The for Conditional CAPI and benefits under this program [Refer to “Conditional CAPI for Naturalized U.S. Citizens,” page 3-4 3.2.1Regular CAPI To be eligible for regularfits, a non-citizen must be: •A Qualified Alien lawf •An alien permanently resi [Refer to “Definitions,” page 1-3 Update #14-01Revised: 06/11/14 Cash Assistance Program for Immigrantspage 3-3 Date of Entry PRIOR TO August 22, 1996 QUALIFIED ALIENS who were lawfully residing in the United States prior to August

3 22, 1996 MUST BE Qualified Alien must m
22, 1996 MUST BE Qualified Alien must meet other immigration standards in efas the PRUCOL categories to be eligible for CAPI. Individuals in this group may be Date of Entry ON or AFTER August 22, 1996 To be eligible for regular (non-time-limited) CAPI, an immigrant who legally entered the United States on or after August 22, 1996 MUST BE SPONSORED and one of •The sponsor is deceased. Verification must be provided. [Refer to “Sponsorship,” page 2-8 .] •The sponsor is disabled. Medical verifica [Refer to “Sponsorship,” page 2-8 .] •The applicant/recipient is sponsor or the sponsor’s ions,” page 1-3, f PS or CPS) is MANDATORY. [Refer to “Sponsor Deeming Requirements,” page 3-4 , “Sponsorship,” page 2-8 3.2.2Extended CAPI hapter 111, Statutes of 20 Time-Limited CAPI eligibility. Since the term “time-limited” no longer describes this special CAPI eligibility, tly known as “Time-Limited ended CAPI” Period of Eligibility. Revised: 06/11/14Update #14-01 page 3-4Cash Assi

4 stance Program for ImmigrantsBasic Eligi
stance Program for ImmigrantsBasic Eligibility AB 429 contains the same provisions as established under AB 1111. In order for entered the United States on or after s all CAPI requirements •Do not have a sponsor, or •Have a sponsor who does sor restrictions for new entrants. Period of Eligibility ity for this particular group of new entrants begins on Note: AB 429 extended benefits indefinitely for immigrants that qualify under this category. 3.2.3Sponsor Deeming Requirements CAPI applicants and recipients is ten which affidavit of su Extended CAPI applicants and recipients starts from the date the sponsor executed the affidavit of support or the date of the immigrant’s arrival in the United States, whichever is later. Immigrants who quaaid code “6T.” equired, the Sponsor Worksheet (SOC 454) must 3.3Conditional CAPI for Naturalized U.S. Citizens and Welfare & ional CAPI benefits for Update #14-01Revised: 06/11/14 Cash Assistance Program for Immigrantspage 3-5 receiving CAPI ben

5 efits. Cits begin the following month af
efits. Cits begin the following month after the recipient has reported his/her naturalization, the CAPI recipient must meet ALL 3.3.1Client Responsibilities The CAPI recipient must: •Remain otherwise eligible for CAPI, and •Request Conditional CAPI benefits by completing Conditional CAPI after Naturalization of reporting his/her immigration status change, and •File for SSI/SSP application within the application/appeal •Complete a new “Autsement of Interim Assistance Initial •Acknowledge that he/she is obligated to repay any overpayments should he/she Regardless of the status of he client can NOT be reinstated CAPI indefinitely. Example: Mr. Lee, who was receivints his naturalization some10/2007, requests Conditional CAPI and is referred to Social Security to apply for SSI/SSP. While waiting for his SSI application to be approved, Mr. Lee leaves the U.S. to visit relatives for 45 days. Mr. Lee has become ineligible for CAPI by being outside of be reinstated back on CAPI, R

6 evised: 06/11/14Update #14-01 page 3-6Ca
evised: 06/11/14Update #14-01 page 3-6Cash Assistance Program for ImmigrantsBasic Eligibility 3.3.2Eligibility Staff ResponsibilityWhen the Eligibility Worker (EW) is informed of a CAPI recipient’s naturalization status, the EW must NOT immediately steps belowACTIONUpdate the CalWIN lWIN al Demographics Detail]Status, and VerificationUpdate the following fields on the CalWIN IN /SSP Details] window: •Conditional CAPI Requested•Date•Signed/Completed SSP14 Date ned/Completed SOC 830 Date Update #14-01Revised: 06/11/14 Cash Assistance Program for Immigrantspage 3-7 3. Did client request Conditional CAPI? •Yes •CalWIN will generate proval Notice of Action (NOA), forms SOC 830 and SSP14 (se payments made by Social Security will be subject to Interim Assistance Reimbursement)•Client must complete both forms within 30 calendar days from when they informed the EW of naturalization. Conditional CAPI will be discontinued if both forms are not returned within 30 days and

7 CalWIN will generate the appropriate dis
CalWIN will generate the appropriate discontinuance NOA.•Client must be given a 2nd “Referral To/From Social Security (SCD 169) to apply for SSI/SSP within 30 calendar days of signing the SOC 830 (The first SCD 169 was denied due to immigration status).Conditional CAPI will be discontinued if the client does not provide verification of application for SSI/SSP and CalWIN will generate the appropriate discontinuance NOA. •No •CAPI benefits will be discontinued and CalWIN will generate the appropriate discontinuance NOA. 4. Run EDBC, evaluate Discrepancy for the appropriate months and authorize results. Enter the appropriate Effective Begin Date and select Conditional CAPI on [Collect Case Special Indicators] window. 6. Update the CalWIN [Maintain Case Comments] window. STEPACTION Revised: 06/11/14Update #14-01 page 3-8Cash Assistance Program for ImmigrantsBasic Eligibility Example: Mr. Lee, who is currently receiving Conaturalized U.S. reinstated back on Conditional CAPI indefinite

8 ly. Note: Current overpayment rules stil
ly. Note: Current overpayment rules still apply to any regular CAPI benefits received by the individual after [Refer to CAPI Handbook Chapter 13, “Overpayment,” page 13-2 .] Client is approved or •Update the following fields on the CalWIN [Collect SSI/SSP Details] screen: •Effective Begin Date•Receiving•Status•Result•Verification•Source•Status Date and •Result Date •Run EDBC to discontinue Conditional CAPI benefits. •Enter the appropriate Effective End Date on the [Collect Case Special Indicators] screen for Conditional CAPI. •Verify that CalWIN generates the appropriate discontinuance NOA to be mailed to client. STEPACTION Update #14-01Revised: 06/11/14 Cash Assistance Program for Immigrantspage 3-9 3.4Ineligibility for SSI/SSP To be initially eligible fofor SSI/SSP solely gration status. Ineligibility must be verified by one of the following: •An informal denial letter hs of the CAPI application date that statimmigration status. •A formal denial letter from the SSA issued

9 within 6 montapplication date that stati
within 6 montapplication date that statimmigration status; •Verification that immigration status.); or •“Referral To/From Social Security Reminder: bursement of Interim Assistance Initial Payment or attached to the SCD 169 referred to SSA. determination is pending with Social Security Administapplicant will either be found eligible for SSI/SSP or denied due to not being disabled; which are immigration status. SSI Reimbursement stance benefits paid as Interim Assistance while t [Refer to “Interim Assistance(IAR),” page 14-1 .] Revised: 06/11/14Update #14-01 page 3-10Cash Assistance Program for ImmigrantsBasic Eligibility 3.4.1CAPI Applicants with Expired SSI/SSP Benefits Refugees and other humanitarian immigrants (including withholding of deportaitian Entrants, Amerasians, and victims of human trafficki 110-328), which became effectiv008, eligible SSI/SSP recipients onal years. However, the ibility provided by the P.L. 110-328 has expired on d Asylees,” page 11-6 Eligibility Wo

10 rkers (EWs) mur all CAPI applicants whos
rkers (EWs) mur all CAPI applicants whose •Termination of SSI/SSP benefits [Refer to “Ineligibility for SSI/SSP,” page 3-9 ] •Disability status and reexs to disabled clients). Handbook Chapter 3, “Disability,” page 3-11 for more info.] 3.5Age 3.5.1Age 65 and Over A person 65 years of age or older may qualify for CAPI based on age. A disability Handbook Chapter 2, “Age,” page 2-7, for acceptable verification.] Age 65 and Disabled If an applicant age 65 or older indicates that he or she levels of appeal. CAPI benefits may be paid while the disability evalapplication requirements. Update #14-01Revised: 06/11/14 Cash Assistance Program for Immigrantspage 3-11 3.5.2Age 18 - 64 benefits are paid. Handbook Chapter 3, “Blindness / Disability,” page 3-11, for more information] 3.5.3Minors Children under the age of 18 may be eligible for CAPI if they are blind or disabled and meet the other non-medical eligibility conditions. Age must verified. “Age,” page 2-7, for acceptable verific

11 ation.] 3.6Blindness / Disability 3.6.1B
ation.] 3.6Blindness / Disability 3.6.1Blindness To qualify as blind, a person must be found “statutorily disability standards. Statutory bluity of 20/200 or less in Note: Work or the ability to perform substantial gainful activity (SGA) is not a factor in 3.6.2Disability To qualify as disabled, a person mustsubstantial gainful activity (SGA) due to a physical or mental impairment which can cted to last for a Revised: 06/11/14Update #14-01 page 3-12Cash Assistance Program for ImmigrantsBasic Eligibility ion (DDSD) will makeeligibility based on medical documentation provided. The DDSD process for CAPI is the same as for Me “Procedure,” page 30-2. Note: NOT needed if client’s die medical condition has Update #14-01Revised: 06/11/14 Cash Assistance Program for Immigrantspage 3-13 Types of CAPI DDSD Evaluation There are two types of disability evaluations for CAPI: 1.Regular Disability applicants who are under 65 years old. Disability must be established before CAPI benefits can

12 be approved. A determination establishe
be approved. A determination established for one of the following programs is acceptable verification of blindness or disability for CAPI: •Title II Social Security, •Supplemental Security Income/State Supplementary Program (SSI/SSP), or If there is no existing verification of a physical or mental disability from Title II Social Security, SSI/SSP, or Medi-C Note: is age 65 or over, CAPI benefits may be paid on the ng, if all eligibility is met. 2.Sponsor-Deeming Disability signed the “Affidavit of Support” (I-134). If DDSD determines that the sponsored noncitizen becomes blind or disabled AFTER admission to the United States, deeming of sponsor’s income disability evaluations even if there is a current DDSD determination and client’s Handbook Chapter 11, “Disability Determination Service Division (DDSD) Referral,” page 11-15 .] 3.6.3Presumptive Disability disability decision from DDSD. A Presumptive Disability determination may only be pient meets a specific di •Amputation

13 of two limbs. Revised: 06/11/14Update #1
of two limbs. Revised: 06/11/14Update #14-01 page 3-14Cash Assistance Program for ImmigrantsBasic Eligibility •Amputation of a leg at the hip. •Allegation of total deafness. •Allegation of total blindness. •Allegation of bed confinemenwheel chair, walker or crutches, due to a long-sta •Allegation of a stroke (cerebral vascular past and continued marked diffic •Allegation of cerebral palsy, muscular dystrophy, or muscle atrophy and marked difficulty in walking (e.g. use of braces •Allegation of Down’s Syndrome. •Allegation of a severe ment Note: “Mental Deficiency” means mental retardation.This category pertains to as a result of mental retardation. •A child is age six months (e.g. hospital admission summary) show •Human Immunodeficiency Virus (HIV) infection (accompanied by a medical-source statement regarding manifestations of illness). •A child is age six monthsavailable evidence (e.g. hospital a gestational age at birth. •A physician or knowledgeable hospice official confirms a

14 n individual is receiving terminal canc
n individual is receiving terminal cancer. client meets all other Update #14-01Revised: 06/11/14 Cash Assistance Program for Immigrantspage 3-15 CAPI payments based on Presumptive Eligibility must NOT be made for longer Note: CAPI benefits based on a overpayments if the CAPI client is ul 3.7Income and Resources To be eligible, an individual’s or couple’s countable inis determined by subtracting the countable incopayment rate. Future Use,” page 5-1 .] The resource limit is $2,000 for an individual, and $3,000 for a couple. A house is exempt if the applicant / recipient is living in it. [Refer to “Residency,” page 6-1 .] le member’s individually 3.8Eligibility for Other Benefits To be eligible for CAPI, applicants/recipients must file for any other benefits for which they may be eligible. Other benefits inmited to SSI/SSP, Title II Social Security, Veterans’ benefits, disability benefits, workers’ or Revised: 06/11/14Update #14-01 page 3-16Cash Assistance Program for Immigr

15 antsBasic Eligibility 3.8.1SSI/SSP igibl
antsBasic Eligibility 3.8.1SSI/SSP igible for Supplemental Security Income / State Supplementary immigrant status. All CAPI applicants are required to appl Additionally, some individuals status and, therefore, becom period. When potential eligibility to SSI/SSP is tion of eligibility. •If an individual is determinfor SSI/SSP at Intake, the benefits can be issued. If otherwise elInterim Assistance pending approval of CAPI and/or SSI/SSP. •If an individual is determined to be potentially eligible for SSI/SSP after receiving CAPI, he/she will be required to apply for SSI/SSP. If the CAPI recipient requests for Naturalized U.S. Citizens,” page 3-4 , he/she must apply for SSI/SSP within 30 calendar days of signing the case being discontinued for ram requirements. Once twith all SSI/SSP requirements or have benefits discontinHowever, aid can continue while the •If SSI/SSP is APPROVED, CAance benefits paid as Interim Assistance while reimbursed. [Refer to “Interim Assistance/Reimbur

16 sement (IAR),” page 14-1 .] 3.8.2Medi-Ca
sement (IAR),” page 14-1 .] 3.8.2Medi-Cal r and receive Medi-Cal, if otherwise Medi-Cal eligible. It is recommended that an individual appl. The CAPI application form, MC 210, and Medi-Cal. CAPI payments are considered as other public assistance Update #14-01Revised: 06/11/14 Cash Assistance Program for Immigrantspage 3-17 3.8.3In Home Supportive Services (IHSS) If the individual appears to need Medi-Cal recipients. 3.8.4Food Stamps A CAPI individual may be eligible for Food Stamps when he/she meets Food Stamp eligibility criteria. A separate Food Stamp application is required, unless the an existing Food Stamp housisting Food Stamp household mueligible member of that Food Stamp meets eligibility requirements. CAPI payments must be included in the Food Stamp budget as non-exempt income receives Food Stamps. 3.8.5General Assistance (GA) There is no General Assistance eligibility for a CAPI recipient. However, GA Interim Assistance may be issued, ance paid while th 3.8.6CalWORKs

17 CalWORKs parents or children may be eli
CalWORKs parents or children may be eligible for CAPI. However, companion CalWORKs cases will be maintained in the District Office. [Refer to CAPI Eligibility for CalWORKs] 3.9CAPI Eligibility for CalWORKs Clients d and who meets the CAPI eligibility criteria in CAPI. Revised: 06/11/14Update #14-01 page 3-18Cash Assistance Program for ImmigrantsBasic Eligibility Example 1: CalWORKs for herself stration (SSA) with a “Referral To/From gn an “Authorization for Reimbursement of Interim Assistance Initiaigibility Payment” (SSP14). Reminder: igibility requirements is ineligible for SSI/SSP solely due to his or her immigration status PRIOR to the The GA/CAPI Worker must advise the CalWORKs WorkCalWORKs. Otherwise, CalWe the mother is the payee cash assistance in another case and will fafor the CalWORKs case. CAPI benefits will overloverlap. Two ar (1) CAPI payments are made the mont (2) DDSD approval must be received prior to approving CAPI. The Disability onset date is needed to det

18 ermine the date CAPI will be approved. T
ermine the date CAPI will be approved. The mother’s share of tagainst the CAPI grant and does not count the $20 General Exclusion for unearned income . The Mother’s share is deing what the tota it would be without her. The difference is her share. Example 2 2 persons = $121. This is the Mrs. Lu’s share that wil grant for the overlapping ant as income and start effective the month the Update #14-01Revised: 06/11/14 Cash Assistance Program for Immigrantspage 3-19 Note: does not apply. Ensure that the The following process must be taken to Stage•Processes the application with the and completes all forms for •Sends the client to SSA with the Sed SCD 169 must status. Information must be entered in the Collect Individual SSI/SSP Detail window of the Collect Individual Demographics Detail window.•Ensures DDSD packet is compled and returned. When DDSD is approved and/or on file the Disability onset date is needed to determine the date CAPI will be approved and must b

19 e entered in CalWIN on the Collect DED R
e entered in CalWIN on the Collect DED Referrals and Results Detail window.•Verifies CalWORKs total grant for the months when CAPI will overlap with CalWORKs and enters into CalWIN Display Unearned Income Summary window.•Count the clients CalWORKs share against the CAPI grant as earned income (i.e., what the total grant is and what it would be without him/her, the difference is him/her’s share).•When entering overlapping budget information the $20 General Exclusion for unearned income does not apply because CalWORKs is federally funded income based on need.•Approves CAPI in CalWIN when all eligibility is cleared. •Contacts the CalWORKs District office to report first CAPI payment and CAL Case load Alert. •Documents all actions taken in the ain Case Comments window.CalWIN will discontinue the CalWOR individual because CalWIN identifies the mother receiving CAPI cash assistance in another case and will fail the mother and reduce the cash grant f

20 or the CalWORKs case. •Ensures that
or the CalWORKs case. •Ensures that CalWIN stops countin the CalWORKs grant as income and start counting the $20 General Exclusion for unearned income effective the month the recipient is no longer receiving CalWORKs. CalWORKs •Ensures that a proper Discontinuance tice is sent to the discontinued •Ensures that the Medi-cal iscontinued and not terminated. Revised: 06/11/14Update #14-01 page 3-20Cash Assistance Program for ImmigrantsBasic Eligibility 3.10Penalties for Fraud 3.10.1False or Misleading Statements ed by law, a person is ineligible for CAPI for the appropriate period described below if he or she, for use in amount of CAPI benefits: •Makes, or causes to be made, a statement or representation of a material fact •Knowingly (or should be knowingly) omits a material fact; or •Makes such a statement with 3.10.2Period of Ineligibility statement or is guilty of e preceding par •Six (6) consecutive months for the fi •12 consecutive months for •24 consecutive mon