WCER at Renewal

When determining an individual's compliance with WCER at renewal, the SSBS must first review whether the individual qualifies for an exemption. If the individual does not qualify for an exemption, the SSBS must review whether the individual has met the WCER through one or more qualifying activities in their look-back period. 

Look-Back Period

The look-back period for recipients includes all months after the individual's last eligibility determination and prior to but not including the current RE due month. 

Example:Example:The Medi-Cal renewal is due in March 2027; the individual's last renewal was due March 2026. The individual's look-back period is April 2026 through February 2027.  

Example:Example:The Medi-Cal renewal is due in September 2027; the individual's last renewal was due in March 2027. The look-back period is April 2027 through August 2027.    

 

There is no change to the verification process during a Medi-Cal renewal. The SSBS must follow the ex parte process and use all existing case information and electronic sources before requesting additional information from the individual.   

Not Meeting WCER at Renewal

If the individual has not met WCER during the renewal processing, the SSBS must issue an MC 355 allowing the individual 30 days to provide information showing they are either exempt from or are meeting WCER. 

 

There is no change to the 90-day cure period. If the individual provides information within the 90-day cure period showing they are exempt or are meeting WCER requirements, the discontinuance must be rescinded.

 

Reminder: Individuals leaving CalWORKs, parents in aid code M3 or children within the M5, P5, P7, P9 aid code series must be evaluated for TMC prior to being evaluated for WCER. If they are eligible for TMC, they will not be required to meet the WCER. 

Related Topics

Work and Community Engagement Requirement

Exemptions

Qualifying Activities

WCER at Application

Change in Circumstance and Transitions