County of San Diego Health and Human Services Agency HHSACash Assistance Program for Immigrants CAPI Program Guide Suspension Reinstatement Termination of and Reapplication for Benefits Number Page 991057 1 of 3 Revision Date March 1 2018 Background This section provides information regarding the suspension reinstatement and termination of CAPI payments and reapplication for these benefits This section is updated to provide clarification from the State on these regulations per AllCounty Letter ACL 1807 Purpose To provide the policy for suspension reinstatement and termination of and reapplication for CAPI benefits Policy 1 Suspension of Benefits Suspension is an interruption of CAPI benefits due to a recipients failure to satisfy one or more CAPI eligibility requirements It is always effective the first day of a month in which an individual no longer meets all eligibility requirements Enter a Case Comment of the period of suspense which is 12 consecutive months after the effective date of the suspension Overpayment collection procedures may apply see 99109 Send a Notice of Action NA 692 with Suspension checked along with the appropriate reason In the case of noncooperation list the specifics in the comments field 2 Reasons for Suspension Suspend benefits when the recipient Has income in the budget month which exceeds the appropriate payment standard in the payment month Fails to provide proof of application for SSISSP benefits or fails to take all necessary steps to obtain SSISSP Becomes eligible for SSISSP Fails to cooperate or provide requested information within 30 days of the workers written request for information or documentation Is a resident of a public institution for an entire calendar month Is no longer a California resident Has resources which exceed the allowable limit Is fleeing to avoid prosecution for a felony or is violating a condition of probation or parole Fails to file for all other possible benefits 3 Reinstatement of Benefits after Suspension An individual has 12 consecutive months after the effective date of the suspension to regain eligibility and have benefits reinstated without having to file a new application The individual must submit any required verifications except evidence of age disability or blindness to reestablish eligibility If the annual redetermination is due or was due during the suspension the redetermination must also be completed as part of the reinstatement process County of San Diego Health and Human Services Agency HHSACash Assistance Program for Immigrants CAPI Program Guide Suspension Reinstatement Termination of and Reapplication for Benefits Number Page 991057 2 of 3 Reinstate payments to such recipients effective the first day heshe meets all eligibility requirements Do not wait until the following month In these scenarios make a partial month CAPI payment to the recipient A proration chart is in Desk Aid 991057A Example The CAPI worker requests a CAPI recipient to apply for SSI in January 2018 The recipient does not comply with the requirement to apply for SSI within 30 days of the workers request to do so The worker suspends the CAPI case effective the first of March 2018 The recipient returns on March 3 with proof that they have applied for SSI on that date The worker must reinstate CAPI effective March 3 There may be situations when CAPI benefits must be reinstated retroactively Example 1 A recipient exceeds the resource limit for the month of September 2017 accordingly CAPI benefits are suspended In February 2018 the recipient provides evidence that since December 2017 the amount of his resources has remained under the resource limit When the worker finds that a suspended recipient has regained eligibility CAPI payments must begin immediately In this case reinstate benefits retroactively to December 2017 Example 2 The worker sent the recipient the annual redetermination paperwork with an interview appointment on March 3 2018 The appointment was on April 3 2018 On April 7 the worker found the recipient to be ineligible for benefits due to noncooperation with the redetermination process As a result of the recipients failure to attend the redetermination interview the worker issued a suspension notice effective May 1 2018 On July 15 2018 the recipient provided the worker with all of the information requested and attended a redetermination interview On July 25 the worker finds the recipient qualified to begin receiving benefits again Retroactively reinstate CAPI benefits as of May 1 When suspended CAPI benefits are reinstated send NOA NA 692 with Reinstatement of Suspended Benefits checked and fill in the date of reinstatement If the benefit amount is different from previously received also check Change in Benefits with the new payment amount Select the appropriate reason from the list 4 Termination of Benefits Termination means that a former CAPI recipients benefits have ended and may not be reinstated Termination requires an individual to file a new application to receive CAPI benefits Terminate or discontinue a CAPI case when the recipient Has had CAPI benefits suspended for 12 consecutive months Becomes a US citizen unless heshe requests Conditional CAPI after Naturalization Dies Under age 65 is no longer blind or disabled Asks to voluntarily terminate hisher CAPI benefits Send NOA 692 and check the Termination box Enter the date of termination and check the appropriate box from the list County of San Diego Health and Human Services Agency HHSACash Assistance Program for Immigrants CAPI Program Guide Suspension Reinstatement Termination of and Reapplication for Benefits Number Page 991057 3 of 3 5 Reapplication Require the recipient to file a new application to reestablish eligibility following termination The new application must use a new application number and date Procedure Follow the actions in the policies above for suspending reinstating terminating or when the individual reapplies for CAPI benefits Program Impacts Automation NA 692 Until the NA 692 is updated in CalWIN use the NA 692 in the Forms Repository to notify the recipient of suspension termination reinstatement or change in grant Suspension Set a Case Alert for 12 months from the suspension to send the NA 692 again to notify the recipient of termination if the case has not been reinstated Termination Send NA 692 to notify the recipient of the termination and that they must reapply if they want CAPI Reinstatement Until the reinstatement of CAPI aid is automated in CalWIN use the proration chart to determine the proper amount of aid for the first month from the date that aid is reinstated Issue aid via NSDI procedures Send NA 692 to notify the recipient of the reinstatement References MPP 49060 ACLs 9882 and 1807 Sunset Date This policy will be reviewed for continuance by March 31 2021 Approval for Release Rick Wanne Director Eligibility Operations