County of San Diego Health and Human Services Agency HHSAGeneral Relief Program Guide GRPG PreApplication Number Page 902504 1 of 2 Revision Date December 1 2021 A BackgroundThis section provides information regarding the preapplication procedures for obtaining medical verification for the General Relief GR Program PurposeThis section has been reformatted and references to Low Income Health Program LIHP have been removed Policy B Statement Concerning Employability All applicants identified as potentially eligible for GR and who indicate they are unable to perform the work project shall be required to complete a statement concerning the applicants employability C Unable to Perform Work Project When the preapplication Human Services Specialist HSS identifies an applicant as potentially eligible for GR and the applicant indicates that they are unable to perform a work project the preapplication HSS shall follow the action in the table below Step Action 1 Require the applicant to complete and sign the 1165 HHSA Applicants Statement of Employability form The 1165 HHSA is to be imaged in the case file 2 Give the applicant the option of having the County schedule and pay for a General Relief Employability Evaluation GREE appointment for them or going to a private provider Applicants that choose to go to a private provider will be responsible to pay for any costs incurred If the applicantThen the applicant shall be given chooses to have the County pay a GREE appointment for the employability evaluation go to a private provider an 1145 HHSA or CSF 24 and advised that the completed 1145 HHSA or CSF 24 must be returned at the time of the intake interview The verification checklist must indicate that an employability evaluation is a required item to return for the intake interview D County Medical Services CMS Referrals CMS helps indigent adult county residents get medical care With the implementation of the Affordable Care Act ACA applicants should be eligible for MediCal and must be referred to apply for MediCal if they are not already receiving it A need for CMS benefits should be very rare County of San Diego Health and Human Services Agency HHSAGeneral Relief Program Guide GRPG PreApplication Number Page 902504 2 of 2 Procedures None Program ImpactsNone References County Policy Sunset Date This policy will be reviewed for continuance by November 30 2024 Approval for Release Rick Wanne Director SelfSufficiency Services