County of San Diego Health and Human Services Agency HHSA County Medical Services CMS Program Guide Reimbursement Agreement Number Page 0607 1 of 1 Background Applicantsbeneficiaries whose monthly net nonexempt income is above 165 up to and including 350 FPL are given the opportunity to apply for CMS under the CMS Hardship Program Refer to Article 13 for CMS Hardship regulations As a condition of eligibility an applicant applying for CMS benefit under the CMS Hardship Program must sign an Agreement to Reimburse the County of San Diego Policy A Agreement to Reimburse Welfare Institutions Code WIC Section 1740017410 and San Diego County Administrative Code Section 238 authorizes the County to set up repayment account for all claims paid on behalf of a CMS Hardship beneficiary B Collection Activities HHSA will refer CMS Hardship cases to the Office of Revenue Recovery ORR to pursue appropriate collection activities and proceedings to recover CMS cost Other Program Impact None References None Sunset Date This policy will be reviewed for continuance by 04302019 Release Date 04042016