CAPI
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49-045 Filing for Other Benefits
Release Date
10/07/2020
Section Heading
Purpose
To convert exisiting policy to new writing style only - No concept changes
Policy
A Cash Assistance Program for Immigrants (CAPI) applicant/participant must apply for all other benefits for which they may be potentially eligible for to be eligible or remain eligible for CAPI benefits. Other benefits include ongoing or one-time benefit payments such as Supplemental Security Income/State Supplementary Payment (SSI/SSP), Title II Social Security, Veterans’ benefits, annuities, pensions, retirement benefits, disability benefits, unemployment or workers compensation, Social Security benefits, or any other private pensions.
An applicant/participant who does not file for other benefits within 30 days of receiving the Eligibility Worker’s (EW) referral is not eligible or does not remain eligible for CAPI, unless the EW determines that a good reason exists for not filing within the 30-day period. Filing for other benefits also includes cooperating with the other agencies by providing all requested information and evidence.
Other Programs
A CAPI applicant/participant may be eligible for additional benefit programs, such as Medi-Cal, CalFresh, or In-Home Supportive Services, while applying for or receiving CAPI benefits. A CAPI applicant can potentially be eligible for General Relief while their CAPI application is pending.
The EW should advise the CAPI applicant/participant of their potential eligibility for the other programs and make the appropriate referrals, especially when reviewing the applicant’s/participant’s responses on the SOC 814, Statement of Facts Cash Assistance Program for Immigrants (CAPI), and SOC 804, Statement of Facts for Determining Continuing Eligibility for Cash Assistance Program for Immigrants (CAPI). The EW must ensure that the County Use only side for both forms are marked accordingly when referrals are made.
The SAWS 1, Coversheet to the Application for Cash Aid, Food Stamps, and/or Medi-Cal/34-County Medical Services Program (CMSP), may be used as a protective filing for either Medi-Cal or CalFresh, allowing the applicant to receive benefits beginning the day that their application, whether partially or fully completed, was submitted. However, the individual must still complete the application process for the other programs.
Background
Under the provisions of the 1998 Budget Act Implementation Bill for Social Services (Assembly Bill 2779, Chapter 329), some immigrants no longer eligible for SSI/SSP will now be eligible for CAPI. For CAPI eligibility, AB 2779 requires individuals to successfully complete an application process, meet the immigration status criteria of SSI/SSP in effect on August 21, 1996, meet all other current SSI/SSP eligibility criteria, and be ineligible for SSI/SSP solely due to their immigration status under Title IV of P.L. 104-193. CAPI applicants will have to meet eligibility requirements related to their age or disability, immigration status, income, resources, living arrangements, and pursuit of other potential benefits.
Definitions
Terms and Descriptions
In-Home Supportive Services (IHSS)
The program helps pay for services provided to low-income elderly, blind or disabled individuals, including children, so that they can remain safely in their own home. IHSS is considered an alternative to out-of-home care, such as nursing homes or board and care facilities. IHSS is a benefit of Medi-Cal. CAPI applicants/participants who apply for IHSS must also apply and be eligible to Medi-Cal.
Some of the services that can be authorized through IHSS include house cleaning, meal preparation, laundry, grocery shopping, personal care services (such as bowel and bladder care, bathing, grooming and paramedical services), accompaniment to medical appointments, and protective supervision for the mentally impaired.
The IHSS application telephone number is (888) 944-4477 or (213) 744-4477.
Qualified Alien
Any non-citizen who is:
- Lawfully admitted for Permanent Residence (LAPR).
- Granted Cuban/Haitian entrant status. (Section 501€ of the Refugee Education Assistance Act of 1980).
- A refugee who entered the United States under Section 207 of the Immigration and Nationality Acts (INA), The Immigration Reform and Control Act of 1986.
- Granted status as an asylee under Section 208 of the INA.
- A non-citizen whose deportation is being withheld under Section 243(h), or whose removal is being withheld under Section 241 (b)(3) of the INA.
- A non-citizen paroled into the United States for a period of at least one year under Section 212(d)(5) of the INA.
- A conditional entrant admitted to the United States under Section 203(a)(7) of the INA as in effect before April 1, 1980.
- A battered non-citizen, child of a battered spouse, or parent of a battered child with a petition pending under Section 204(a)(1)(A) or (B) or 244(a)(3) of the INA.
Supplemental Security Income (SSI)/State Supplemental Payment (SSP)
SSI/SSP refers to Federal (SSI) and State (SSP) funded program that provides cash assistance to aged, blind, and disabled residents of California.
Requirements
One of the CAPI eligibility requirements is ineligibility for SSI/SSP. When an EW makes the referral for SSI/SSP, a qualified alien (refer to 49-020: Immigration Status) applicant/participant must:
- File for SSI/SSP benefits; (Attachment A)
- Cooperate with the Social Security Administration (SSA) by providing all requested information and evidence;
- Have an SSI/SSP denial letter due to immigration status dated within six months of the CAPI application date; and
- Appeal the disability decision if they have been denied SSI/SSP because of a determination that he or she is not disabled.
An applicant/participant is eligible or remains eligible for CAPI benefits while the SSI/SSP claim or appeal of an immigration status or disability issue is pending, if they fully cooperates in the application and administrative appeal process of the SSA. An applicant/participant who does not file for SSI/SSP within 30 days of receiving the EW referral is not eligible or does not remain eligible for CAPI, unless the EW determines that a good reason exists for not filing within the 30-day period (refer to 49-030: Ineligibility for SSI/SSP). A CAPI applicant/participant who has PRUCOL (refer to 49-020_1: PRUCOL) immigration status is not required to file for SSI/SSP benefits.
Verification Docs
Refer to 49-030: Ineligibility for SSI/SSP.
Procedures
Administrative Release
Number: 5856 Date: October 7, 2020
Applying for SSI/SSP
The CAPI EW is required to determine which advocacy activities would most likely help a CAPI applicant/participant become eligible for SSI/SSP, and to provide those activities.
Responsible Staff and Activity
Eligibility Worker Must:
- Refer an applicant/participant who they believe to be eligible for SSI/SSP to file for SSI/SSP regardless of any previous determinations by the SSA.
- Refer the applicant/participant who they believe to be eligible for another benefit (Title II Social Security, Veterans’ benefits, annuities, pensions, retirement benefits, disability benefits, unemployment or workers compensation, Social Security benefits, or any other private pensions) to file for that benefit and provide proof of the filing.
- Refer the applicant/participant to their corresponding SSA office (Attachment A) or one of the Community Organizations listed on the “Discontinuance of the CAPI SSI Advocacy Program” flyer (Attachment B).
- Assist an applicant/participant in sending completed SSI packets to the corresponding SSA office, as necessary. Questions can also be directed to the Countywide Benefits Entitlement Services Team (CBEST) staff in the district offices to further assist the applicant/participant.
- Submit completed forms to SSI and disability packets to State Disability Determination Services Division (DDSD) (refer to 49-025: Age and Disability).
- Act as a liaison with SSA and the DDSD to ensure that all SSI related requirements are met for SSI approval.
- Make themselves available to answer general questions related to the CAPI applicant’s/participant’s SSI/SSP disability claim.
If SSA Issues a Non-Medical Denial to an Applicant/Participant, Then...
The EW must make their own determination regarding SSA's decision (refer to 49-025: Age and Disability and 49-030: Ineligibility for SSI/SSP).
If SSA's Decision is Believed to Be Correct, Then...
The applicant/participant should not be referred to appeal the decision.
If SSA's Decision is Believed to Be Incorrect, Then...
The EW must make a referral to appeal the decision (Attachment B).
Encouraging Applicants to Apply for Medi-Cal Benefits
District office staff must offer all CAPI applicants the opportunity to apply for Medi-Cal benefits. All applications for Medi-Cal should be processed following existing guidelines.
If an Applicant/Participant Decides to Apply for Medi-Cal, Then...
Medi-Cal should be checked on the SAWS 1 or EW must provide the Single Streamlined Application (SSApp) to the applicant and ask them to complete. (refer to Forms Instruction: SAWS 1). The applicant is not required to complete another SAWS 1.
If the CAPI Application is Denied or Withdrawn, Then...
The EW must ensure that the Medi-Cal application is processed by encouraging the applicant to complete the SSApp.
If the Applicant/Participant Completed the SSApp, Then...
The EW must either determine Medi-Cal eligibility or refer the case to a Medi-Cal Intake EW.
Note: In this case, the applicant must be informed (verbally or in writing) that their Medi-Cal application will be assigned to another EW who will process the application by telephone and/or mail. The applicant is not required to come into the district office again.
Forms
Examples
N/A
System Screens
N/A
References
Obsolete Docs
N/A
Contact
Administrative staff may contact the GR Special Projects & SSI Advocacy Section at (562) 908-6732.
Revision Date
N/A
Attachments for Internal Use
Attachments
Attachment A
Social Security Administration Offices
900 S. Garfield Avenue
Alhambra, CA 91801
230 E. Spruce Avenue
Inglewood, CA 90301
2216 W. Beverly Boulevard
Montebello, CA 90640
1420 W. Olive Avenue
Burbank, CA 91504
4957 Paramount Boulevard
Lakewood, CA 90712
12440 E. Imperial Hwy Suite 170
Norwalk, CA 90650
20439 Nordhoff Street
Chatsworth, CA 91311
42225 10th Street W. Suite A
Lancaster, CA 93534
14500 Roscoe Blvd Suite 207
Panorama City, CA 91402
9168 De Soto Street
Chatsworth, CA 91311
44451 N. 20th Street
W. Lancaster, CA 93534
104 N. Mentor Avenue
Pasadena, CA 91106
171 E. Compton Boulevard
Compton, CA 90220
2005 Long Beach Boulevard
Long Beach, CA 90806
960 W. Mission Boulevard
Pomona, CA 91766
9351 Telstar Avenue
El Monte, CA 91731
611 W. 6th Street
Los Angeles, CA 90017
456 San Fernando Mission Blvd
San Fernando, CA 91340
225 W. Broadway Suite 600
Glendale, CA 91204
12429 Avalon Boulevard
Los Angeles, CA 90061
322 E. Thousand Oaks Blvd Suite 110
Thousand Oaks, CA 91360
710 S. Central Avenue
Glendale, CA 91204
3840 Crenshaw Boulevard
Los Angeles, CA 90008
20000 Mariner Avenue Suite 150
Torrance, CA 90503
1165 E. Route 66
Glendora, CA 91740
11500 W. Olympic Blvd Ste 300
Los Angeles, CA 90064
27200 Tourney Road Suite 320
Valencia, CA 91355
1122 N. Vine Street
Hollywood, CA 90038
215 N. Soto Street
Los Angeles, CA 90033
501 S. Vincent Avenue Suite 201
West Covina, CA 91790
6303 Rugby Avenue
Huntington Park, CA 90255
1122 W. Washington Boulevard Ste 200
Los Angeles, CA 91103
7200 Greenleaf Ave Suite 200
Whittier, CA 90602
4000 Wilshire Boulevard
Los Angeles, CA 90015
SSA Toll-free number 1-800-772-1213
