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Suspension, Reinstatement, Termination and Reapplication of CAPI Benefits
Suspension
When a CAPI recipient no longer meets eligibility requirements, the CAPI benefits get discontinued/suspended and may remain in this status for a maximum of twelve (12) months. CAPI recipients mus be notified in writing of the adverse change. Notice Of Action, CAPI Notice of Change - NA 692 must be sent timely.
CAPI benefits may be discontinued/suspended for a wide variety of reasons. Below are some examples:
- Income in the budget month exceeds the appropriate payment standard in the payment month.
- Resources exceed allowable limits.
- Recipient fails to provide proof of application for Supplemental Security Income (SSI) benefits within 30 days of county referral or fails to take all necessary steps to obtain SSI.
- Recipient becomes eligible for SSI/SSP benefits.
- Recipient is outside the United States for 30 consecutive days.
- Recipient is a resident of a public institution for an entire calendar month.
- Recipient fails to cooperate or provide requested information within the allotted time.
Reinstatement Of Discontinued/Suspended CAPI Benefits
CAPI recipients who request reinstatement within 12 months of the discontinuance/suspension of CAPI benefits do not need to file a new CAPI application. However, they must submit the required verification to re-establish eligibility. Reinstatement of CAPI benefits is processed by continuing EW.
Reinstated CAPI payments must be effective on the first day that the recipient meets eligibility requirements and benefits must be prorated as appropriate. In cases where the payments can not be issued until the first of the following month, the prorated benefits must be added to the following month’s CAPI payment.
NA 692 must be sent to the recipient no later than the date on which the first reinstated CAPI payment is made. See examples below.
A recipient exceeds his resource limit for the month of September 2017and CAPI benefits are suspended effective September 30, 2017.
In February 2018, the recipient provides evidence that, since December 2017, the amount of his resources has remained under the applicable resource limit.
The EW determines that the suspended recipient has regained eligibility., reinstate the CAPI program and process payment retroactively to December 2017.
A CAPI recipient fails to return the RRR packet for April and CAPI benefits are suspended effective May 1. On July 15, the recipient provided the county with all of the information it had requested. On July 25, the EW process the RRR and finds that the recipients continues to meet eligibility. The CAPI benefits are retroactively reinstated as of May 1.
Termination
CAPI cases must be Terminated at the end of the twelfth month of being in discontinued/suspended status. Former CAPI recipients must be notified in writing that the time limit for re-establishing eligibility has passed. Notice of Action NA 692 must be sent timely before the end of the twelfth month.
At annual redetermination, a CAPI recipient reports that she left the country within the year to visit her daughter in India for approximately 3 weeks. The EW request verification of the length of time that the client was away from the United States and schedules an appointment for her to come back in two weeks with her stamped passport. The client fails to come to the appointment and to provide verification. The EW sends an SCD 50 as a reminder of the verification needed. The client does not respond to the SCD 50 by the due date and her benefits are Suspended with NOA NA 962. The client does not contact the county. Twelve months after the suspension took effect, a second NOA NA 692 must sent to the client to inform her that her CAPI eligibility has been terminated.
Note: CAPI NOA NA 692 will be automatically sent by the system by the fifth working day of the twelfth month.
Reminder: Other than the period of suspension ending, termination of CAPI will only be used in the following situations: the client requests benefits to stop, the client is deceased, the client becomes a US citizen, or the client is under age 65 and is no longer blind or disabled.
Reapplication
A terminated CAPI recipient may reapply for CAPI at any time. Reapplication following termination requires filing of a new CAPI application and assignment. New application forms are required and a new protected application date applies.
In the previous scenario, the client appears at the District Office with her passport, two months after the county issues the notice of termination. Although she has now cooperated with the EW’s request, benefits can no longer be reinstated. The EW must inform the client that her case has been closed because too much time has passed and that she may reapply by completing a new SOC 814 and starting the CAPI application process over.
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