Aid Paid Pending

Definition

APP is the continuation of aid or services in the amount the claimant would have received if the proposed action was not taken. Benefits will continue in the amount authorized immediately prior to the notice of the adverse action.

Important: There are instances where APP does not apply such as the end of a CalFresh certification period or at initial application.

Aid Paid Pending Determinations

AOs must determine APP eligibility withing three days of the appeal assignment.

APP is granted in the following situations:	APP is not granted in the following situations:
An adequate and timely NOA was sent and the client files and appeal before the proposed action takes place.	An adequate and timely NOA was sent and the client files an appeal after the proposed action takes place.
An adequate NOA was not sent timely and the client files an appeal before the proposed action takes place.	At initial application.
The NOA was sent timely but is found to be inadequate.	Beyond the CalFresh Recertification.
A NOA was not sent.
The AO must document the APP determination on the “State Appeal Case Review”, (SCD 2376 A).

Example Example A CalFresh household with a recertification due 6/30/2022 filed an appeal on 6/10/2022 to avoid discontinuance. APP does not apply because the household must not be granted APP beyond the last month of a CalFresh Recertification period.

Sending Aid Paid Pending Instructions To Eligibility Staff

Once the AO determines APP must be applied a task is sent to eligibility staff to make the appropriate CalSAWS data entries and mail out the APP NOA.

Step	Who	ACTION
1	Appeals Officer	Completes the APP section on the “Fair Hearing Communication Form”, (SCD 2597) and forwards the form to ASB Clerical.
2	ASB Clerical	Enters APP flag into CalSAWS.
3	Eligibility Worker	Makes necessary CalSAWS data entries to apply APP on information provided by the AO on the SCD 2597 and mails out the APP NOA to the claimant.

APP NOAs must be manually generated for the following programs:

CSC 53 for CalWORKs
CSC 54 for CalFresh
CSC 55 for Medi-Cal

Claims Resulting from APP

The claimant unconditionally withdraws, or if the claim is denied or dismissed, any Aid Paid Pending becomes an overpayment for CalWORKs and an Inadvertent Household Error (IHE) overissuance for CalFresh, subject to adjustment and collections. Refer to the Overpayment Definitions and Forms chapter in the CalWORKs handbook and the Supplemental Payments and Claims chapter in the CalFresh handbook for more detailed guidance. For the Medi-Cal program, of the claimant unconditionally withdraws, if the claim is denied or dismissed Medi-Cal overpayment(s) are not processed.

Example Example The claimant files for an appeal prior to the reduction date and receives the same benefits in the upcoming SAR Payment Period as they received in the current SAR Payment Period. The claimant loses the appeal. For both Non Assistance and Categorically Eligible households the APP results in an Inadvertent Household Error overissuance. The overissuance counts for the Categorically Eligible household because it is due to a change in the net income.

Inter County Transfers Initiated With Active Aid Paid Pending