DPSS ePolicy

Administrative Release 

Number: 5797         Date: February 2, 2021    

If a Participant is No Longer Eligible for CAPI Benefits, Then...

The Eligibility Worker (EW) must:

1. Suspend the participant’s CAPI benefits on CalSAWS;
   
   
2. Send the NA 692, Notice of Change Cash Assistance Program for Immigrants (CAPI), to the participant as a notice of suspension;
   
   
3. Determine if an overpayment/underpayment occurred. Recover the overpayment or repay the underpayment, as applicable (refer to 49-072 Overpayment); and
   
   
4. Document the case journal.

If a Participant Met All the CAPI Eligibility Requirements Within the 12-Month Suspension Period, Then...

The EW must: 

1. Reinstate the CAPI benefits effective the first day that the participant meets all eligibility requirements (refer to 49-010, Eligibility for Cash Assistance Program for Immigrants) and do not wait until the following month; 
   
   
2. Issue a partial-month CAPI payment to the participant if they met their eligibility after the 1st of the month.  Add prorated benefits to participant’s reinstated CAPI benefits (refer to CAPI Proration Chart in the Attachments for Internal Use section); 
   
   
3. Issue retroactive benefits to the participant, as applicable (refer to examples 1 and 2 in the Examples section); and 
   
   
4. Document the case journal.  

If a Case Case Remains in Suspended Status for 12 Consecutive Months After Effective Date of Suspension, Then...

The EW must: 

1. Terminate the CAPI case;
   
   
2. Send a second NA 692 as a notice of termination; and 
   
   
3. Document the case journal. 

If a Previous CAPI Participant Reapplies for CAPI After Termination of Their CAPI Case, Then...

The Case Opening Clerk must:

1. Assign the same case number from the CAPI case that was terminated.  This new date of application after the termination will be the new protected application date, unless there is a favorable appeal decision on the part of the previous CAPI participant;

The EW must:

1. Process as a new CAPI application.   
   
   Note:  An applicant is not entitled to retroactive benefits covering their period of ineligibility (refer to example 3 in the Examples section).   

NA 692, Notice of Change Cash Assistance Program for Immigrants (CAPI)

SOC 814, Statement of Facts Cash Assistance Program for Immigrants (CAPI) 

Example 1 

A participant exceeds their resource limit for the month of September 2020; accordingly, CAPI benefits are suspended effective October 2020.  In February 2021, the participant provides evidence that, since December 2020, the amount of their resources has remained under the applicable resource limit.  When the EW finds that a suspended participant has regained eligibility, CAPI payments must begin immediately.  In this case, benefits should be reinstated retroactively to December 2020.  

Example 2 

The EW sent the participant a redetermination packet on March 3.  The participant is required to complete the paperwork and return it to the EW by April 3.  On April 7, the EW found the participant to be ineligible for benefits due to non-cooperation with the redetermination requirements.  Because of the participant’s failure to return the redetermination paperwork on April 3, the EW issued a suspension notice effective May 1.  On July 15, the participant provided the EW with all the information they had requested.  On July 25, the County finds the participant qualified to begin receiving CAPI benefits again.  The participant’s CAPI benefits will be retroactively reinstated as of May 1. 

Example 3 

At annual redetermination, the EW reviews Mrs. Stewart’s immigration status and determines that she is a “qualified alien.” Accordingly, the EW refers her to the local Social Security Administration (SSA) field office with instructions to apply for SSI/SSP within 30 days.   Mrs. Stewart fails to visit SSA and, after 30 days, the EW sends a NA 692 to inform her that her CAPI benefits have been suspended.  Mrs. Stewart does not file for a State hearing and does not contact the EW.  Twelve months after the suspension took effect, the EW sends Mrs. Stewart a second NA 692, this time indicating that her CAPI eligibility has been terminated. 

Two months after the EW issues the notice of termination, Mrs. Stewart appears at the Department of Public Social Services district office with an informal notice from SSA indicating that she has been denied SSI/SSP solely due to her immigration status. Although she has now cooperated with the EW’s request, it is too late to reinstate her CAPI benefits.  The EW must inform Mrs. Stewart that her case has been terminated 12 consecutive months after the effective date of the suspension has passed and that she may reapply by completing a new SOC 814 and starting the CAPI application process over.   She is not entitled to retroactive benefits covering her period of ineligibility due to non-cooperation with the County.  If Mrs. Stewart completes a new SOC 814, this is a new application with a new application number and a new protected application date.

Creating a Recovery Account

Complete the required fields and click the Save and Continue radio button.

Re-opening Suspended Cases

Access the terminated case through the Case Summary page.

Expand the Program section and click on the View Details radio button.

Click the Edit radio button.

Click the Reapply radio button.

Complete the required fields and click the Save and Return radio button.

The case should now show a pending status.

ACL No. 18-07, Suspension, Reinstatement and Termination of and Reapplication for Cash Assistance Program for Immigrants (CAPI) Benefits; Transmission of Updated CAPI NA 692 Notice of Change, dated January 19, 2018

Manual of Policies and Procedures 49-060.2

NA 692, Notice of Change Cash Assistance Program for Immigrants (CAPI) (12/07)

Administrative staff may contact the GR Special Projects & SSI Advocacy Policy Section at (562) 908-6732.

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