9010004 REDETERMINATION A This section provides information on the GR redetermination process General B The Redetermination interview is designed to accomplish the following Purpose objectives for GR cases To determine that the recipient continues to meet all eligibility requirements To complete all necessary forms and documentation required to establish ongoing eligibility A GR Redetermination Packet should include forms 1138 HHSA Coversheet 1138R HHSA Redetermination Statement of Facts Supporting General Relief Eligibility SAWS 2 Plus or the CalWIN Statement of Facts 1144H HHSA Affidavit of Homeless Living Situation or CSF 47 Shelter Cost Statement To complete a new Authorization for Reimbursement of Interim Assistance SSP 14 To explain all the rights responsibilities and requirements to the recipient including the right to a GR Hearing To discontinue all ineligible recipients and refer them to other programs or resources as appropriate GRPG Letter 77 1014 C Granted workers must follow the actions in the table below when Redeterminacompleting the GR Redetermination tion Process Step Action 1 Thoroughly review the GR case and any companion cases before sending the redetermination notice to the recipient to determine what type of verifications the recipient is required to provide at the redetermination interview These items shall be clearly identified for the recipient on Form 1139 HHSA Notice of GR Renewal Appointment Appendix C or CSC 35 Continued on next page 9010004 REDETERMINATION Continued C Redetermination Process continued Step Action 2 Complete the Statement of Facts during the redetermination interview 3 If the recipient has an SSI application or appeal pending in MEDS refer the recipient to SSI Advocacy and MediCal 4 Obtain recipients and workers signatures and date on a new Authorization for Reimbursement of Interim Assistance SSP 14 5 Homeless recipients who fail to complete the 1144H HHSA will be discontinued with timely notice 6 Recipients who provide fraudulent or inconsistent information will be referred to PAFD 7 Document all verifications provided and determine if additional items are needed to establish ongoing eligibility 8 Convert the case and advise the recipient of the appropriate program requirements if there has been a change in the employability status of the recipient 9 Evaluate if the recipient meets the criteria for Substance Abuse Services reasonable suspicion If yes complete form 1194 HHSA Documentation of Reasonable Suspicion and provide form 1189 GIN Substance Abuse Services Informational Notice Refer the recipient to an orientation 10 Do not change the GR recertification date to match any other programs timeline if the worker receives an alert to align the GR recertification date with another case recertification 11 Discontinue the case with timely and adequate notice if the recipient is now ineligible GRPG Letter 77 1014