General Information

A redetermination of all circumstances affecting the eligibility of a CAPI client must be made at least once every 12 months. For a redetermination, the client is required to complete the “Statement of Facts Determining Continuing Eligibility for the Cash Assistance Program for Immigrants” (SOC 804), and other applicable forms. Refer to RRR Packet. The redetermination is the method by which the county monitors the continued eligibility of the clients. Using the SOC 804, the county ensures the correct grant amount is paid, and assists clients in meeting their financial and service needs as fully as possible. It also assists the clients in making maximum use of their resources and capabilities.

Redeterminations may be made more frequently than normal if unexpected changes in income, property or other circumstances occur which effect the eligibility or grant level of the client.

At the time of application and at least once every twelve months thereafter, the county is responsible for giving applicants and recipients complete explanations in writing regarding:

Ineligibility factors
Underpayments and overpayments
Their responsibility to report any changes within ten calendar days.

Redetermination Period

The redetermination period begins with the first day of the month that the initial payment was made (regardless of the date of application) or the last redetermination was initiated. It ends with the last day of the month prior to the date the current redetermination is initiated.

Interview

An interview is NOT required for completion of the annual RRR or eligibility, but may be required in order to clarify a questionable situation, or if requested by the client.

Travel Outside of the United States (U.S.)

If the CAPI client travels outside the U.S. during the 12 month redetermination period, an appointment MUST be made with the client to review the client’s passport. Copies of the passport are unacceptable. The EW MUST photocopy the original passport. In addition, copies of travel documents MUST be carefully reviewed.

An absence of up to 29 consecutive days does not affect CAPI eligibility. However, a CAPI recipient may be ineligible for one calendar month (i.e., February) even if he or she is absent for less than 30 consecutive days.

A CAPI client is ineligible for CAPI if he/she is out of the U.S. for 30 consecutive days or more. He/She is not considered to be back in the U.S. until he/she is in the U.S. for another 30 consecutive days; therefore is ineligible for CAPI during this waiting period.

Refer to Travel Outside of the United States.

Client Responsibility

Upon receipt of the RRR packet, the client is responsible for:

Completing and signing the SOC 804 to determine continuing eligibility, and
Returning all required forms and verifications to the worker by the specified due date.

Note: CAPI clients are elderly and disabled individuals. EWs must be extremely sensitive to their needs and/or ailments. As such, extensions for the client returning the packet MUST be granted to the extent possible. EWs must also offer the client assistance in completing the forms if it appears the client is unable to complete them and/or has no one to provide assistance.

Note: Only the client’s and spouse’s original signature is acceptable.

Living Arrangements

The “CAPI Statement of Household Expenses and Contributions” (SOC 453) MUST be completed for any client who is living in the HOA and receives a CAPI payment that is based on the reduced needs payment standard or is being charged with ISM as unearned income.

If a change of address or living situation was not previously reported, eligibility and payment amount must be redetermined for every affected month of the redetermination period. This may result in underpayments or overpayments. [MPP 49-035.521(b)].

Mandatory SSI/SSP Referral

The client must be given a MANDATORY referral to apply for SSI/SSP within 30 days at EVERY redetermination. The referral must be accompanied by a new “Authorization for Reimbursement of Interim Assistance Initial Claim or Posteligibility Case” (SSP 14).
Specify “CAPI” on the “Referral To/From Social Security” (SCD 169) or Speedletter 918. Advise the EW Supervisor if Social Security refuses to allow a CAPI client to file a new application.

Note: If the client is already receiving SSI/SSP benefits, the date of SSI/SSP eligibility must be verified and documented. CAPI eligibility MUST cease if the client is receiving SSI/SSP.

RRR Completion

For a RRR to be considered complete, the following MUST be done:

All required forms must be THOROUGHLY completed and signed,
All verifications must be received,
All appropriate CalSAWS entries must be completed, and
All forms and verifications must be scanned to Imaging.

CAPI Restoration With Less Than 12 Month Break in Aid

Whenever a CAPI case that has been suspended for less than 12 months is restored, a new SOC 804 MUST be taken regardless of whether or not the client’s circumstances have changed and/or the length of discontinuance.

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