http://compliancewiki.lifewireless.com/api.php?action=feedcontributions&user=CPeditor&feedformat=atomComplianceWiki - User contributions [en]2024-03-28T14:21:40ZUser contributionsMediaWiki 1.33.3http://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5957California - CA2024-01-30T23:59:30Z<p>CPeditor: </p>
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<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
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'''State-Specific Eligibility Programs'''<br />
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*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
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'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
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See [[General Rules]] for more information. <br />
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== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
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* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
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== Acceptable Subsidy Proof Examples ==<br />
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'''CalFresh EBT Card'''<br />
[[File:EBT front.png]]<br />
* An image of the front of the card must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
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'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
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'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
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'''Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]][[File:Ca-molina healthnet medi-cal.gif]]<br />
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[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
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[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
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[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
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[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
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[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
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[[File:CA - humana d-snp med.png]]<br />
*Must display "D-SNP"<br />
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[[File:CA - healthy blue med.png]]<br />
*Must display "D-SNP"<br />
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'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Ca verifcation receipt.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
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[[File:Ca-medi-cal notice of action approval letter.png]]<br />
*Must be dated within the past year.<br />
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[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
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[[File:CA - LA County Medi-Cal AVES Cert.png]]<br />
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[[File:CA - LA County Medi-Cal Check.png]]<br />
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'''TANF'''<br />
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[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
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'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
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'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
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'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
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Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
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'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
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'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
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'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
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'''Low Income Energy Assistance Program (LIHEAP)<br />
[[File:Ca-heap.png]]<br />
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== Acceptable Income Proof Examples ==<br />
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'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
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'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
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'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
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'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
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== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
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[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
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'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
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'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
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[[File:CA - LA County Sheriff’s Department, Community Transition Unit’s Post Release Services.png]]<br />
*Acceptable in California ONLY<br />
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[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
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== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:Ca-molina_healthnet_medi-cal.gif&diff=5956File:Ca-molina healthnet medi-cal.gif2024-01-30T23:58:55Z<p>CPeditor: </p>
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<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=General_Rules&diff=5955General Rules2024-01-28T21:22:55Z<p>CPeditor: </p>
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<div>Anomalies should be left for review by compliance. <br />
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__TOC__<br />
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== Reviewing Proofs ==<br />
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'''Accept'''<br />
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Photo Identification Proof<br />
* Out of state identification if subsidy proof is in-state<br />
* Identification must be UNITED STATES government-issued (Federal or State) photo IDs. <br />
** NLAD STATES - ACCEPTABLE ID IS LIMITED TO: State Driver’s License, State ID, United States Passport, Voter ID (with photo ONLY), State-Issued Weapons Permit (with photo ONLY), U.S. military ID, U.S Veterans Administration ID, Native American Tribal ID, Permanent resident card<br />
** CALIFORNIA - ACCEPTABLE ID IS LIMITED TO: U.S. Drivers License, Certificate of U.S. citizenship or naturalization, U.S. Passport/U.S. Territory Passport, Foreign Passport, U.S. Government, Military, State, or Tribal-issued ID which includes date-of-birth and/or Social Security number and/or Tribal ID, Common Access Card (only if designated as Active Military or Active Reserve or Active Selected Reserve), Military Discharge Documentation which includes date-of-birth and/or Social Security number and/or Tribal ID, Northern Mariana Card, Permanent Resident Card, Permanent Resident Alien Card, Permanent Resident Re-Entry Permit, Temporary Resident Identification Card, Employment Authorization Card, Mexican Consular Card (Matricula Consullar - 2006, 2014, 2015, and later versions), Parolee Identification Card issued by California Department of Corrections and Rehabilitation Division of Adult Parole Operations, which is within one year of the date under picture<br />
** CA - Must have a valid expiration date listed <br />
* PR - If ID proof has only one last name, subsidy proof with two last names can be uploaded with ID proof <br />
* Must be original copy of identification document (no photocopies)<br />
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Subsidy Proof<br />
* All digits of a subsidy proof are required for SNAP and Medicaid Cards. Only the last 4 digits of account are required for any other subsidy proof<br />
* The proof is addressed to the applicant and the applicant appears to be the parent/guardian of the minors covered under subsidy<br />
* Has an issue date of less than one year ago<br />
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Address Proof <br />
*unexpired driver's license<br />
*utility bill<br />
*current income statement from an employer, paycheck stub, or W-2<br />
*prior year's state, federal or Tribal tax return<br />
*current mortgage or lease statement<br />
*unexpired government, state, or Tribal issued ID<br />
*government assistance program documents<br />
*statement of benefits from a qualifying program which contains name and address of subscriber<br />
*retirement/pension statement of benefits<br />
*an unemployment/workers' compensation statement of benefits<br />
*local, state, or federal government documentation sources<br />
*CALIFORNIA ONLY - bank statements, homeless shelter letter (must be signed by a manager and on shelter letterhead with the applicant’s full name and date of birth, stating that the applicant is currently residing at this address)<br />
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Social Security Proof<br />
*Social Security card or SSA-1099 (Social Security Benefit Statement)<br />
*W-2 from within the last 2 year<br />
*prior year's state, federal, or Tribal tax return<br />
*unexpired United States government, military, state, or Tribal issued ID, which includes Social Security Number<br />
*military discharge documentation which includes Social Security Number<br />
*unexpired weapons permit which includes Social Security Number<br />
*government assistance program document which includes Social Security Number<br />
*statement of benefits from a qualifying program which includes Social Security Number<br />
*unemployment/workers' compensation statement of benefits which includes Social Security Number<br />
*eligibility confirmation from state eligibility database or administrator which includes date of birth and/or last four digits of Social Security Number<br />
*PR ONLY - proof must include BOTH last names if the photo ID presented has both last names. If ID only has one last name, the SSN proof must have only one last name.<br />
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Proof of Life <br />
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To prove a consumer is living, they must first submit a copy of one of the following unexpired documents, which must include their date of birth and their SSN or Tribal ID number:<br />
*Government, military, state, or Tribal-issued ID<br />
*Military discharge documentation<br />
*Weapons permit<br />
*Government assistance program document<br />
*Statement of benefits from a qualifying program document<br />
*Unemployment or Workers’ compensation statement of benefits<br />
*Eligibility confirmation from state eligibility database with administrator<br />
*Consumers also have the option to submit two types of unexpired documentation. One document must include their date of birth and the other must have their SSN on it.<br />
The first document must be one of the following:<br />
*Driver’s license<br />
*Birth certificate<br />
*Certificate of Naturalization<br />
*Proof of citizenship<br />
*Permanent Resident or Permanent Resident Alien card<br />
*Passport<br />
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The second document must be one of the following:<br />
*W-2 from within the last 2 years<br />
*Prior year’s state, federal, or Tribal tax return<br />
*Social security card<br />
*SSA-1099<br />
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In addition to documentation with their first name, last name, date of birth, SSN (or Tribal ID), consumers must also submit documentation that proves recent life activity. <br />
Consumers must submit one of the following documents to prove recent life activity:<br />
*Current program eligibility or government assistance documentation<br />
*Current utility bill (phone and internet bills cannot be used as utility bills. Consumers can use water, electricity, and waste and removal bills).<br />
*Current income statement such as a paystub<br />
*Current mortgage or lease statement<br />
*Current retirement/pension statement of benefits<br />
*Current unemployment/Workers’ compensation statement of benefits<br />
*A notarized letter affirming the subscriber’s identity and alive status<br />
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'''Reject'''<br />
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Photo Identification Proof<br />
* Identification does not have a photo or photo is illegible<br />
* Work, college, and bank account ID’s are not acceptable<br />
* Passports and IDs issued by a foreign country or a consulate of a foreign country are not acceptable (ACCEPTABLE IN CALIFORNIA) <br />
* Name on account does not match name on ID, misspelled, or suffix is missing as it appears on ID<br />
* ID is expired<br />
* Not original copy of ID document (a photocopy)<br />
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Subsidy Proof<br />
* SNAP/Medicaid – entered wrong number/s (must match all numbers)<br />
* Selected wrong subsidy<br />
* Partial subsidy proof if necessary information to confirm name and/or subsidy account number is not visible<br />
* Name of benefit qualifying person and name on subsidy proof do not match<br />
* Subsidy proof is missing or proof is not a Lifeline-eligible subsidy program<br />
* Any proof with an expiration date that has expired<br />
* Has an issue date of more than one year ago<br />
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== Reason Codes ==<br />
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Please make sure to select the proper reason code:<br />
* Name Not Match – use if customer name is misspelled, does not include a suffix as it appears on ID proof, or the name of the benefit qualifying person is different from what appears on subsidy proof. If name on ID is different from customer name, use the reason code Photo ID Not Belongs to Customer.<br />
* Subsidy Proof Not Visible – use for partial subsidy proof that necessary information to confirm name and/or subsidy account number is not visible or if the subsidy proof is missing.<br />
* Subsidy Proof Not Acceptable – use if proof is not an acceptable eligibility program (e.g. Medicare)<br />
* Subsidy Proof Not Match Subsidy Selected – use if rep selected the wrong subsidy (e.g. Selected Medicaid and proof is a SNAP card)<br />
* Subsidy Ref Num Not Match – use if rep did not enter subsidy proof digits correctly<br />
* Subsidy Ref Num Already Used – use if the subsidy proof digits cannot be corrected due to already being in our system.<br />
* Eligibility Expired – use if the subsidy proof has a visible expired expiration date.<br />
* Photo ID Missing – use if the Photo ID is not included in upload.<br />
* Photo ID Not Visible – use if the customer name and/or photo is not visible.<br />
* Photo ID Not Acceptable – use if the ID does not contain a photo and/or name, not on the list of ACCEPTABLE IDs above, ID is expired.<br />
* Photo ID Not Belongs to Customer – use if the customer name does not match the name on the ID. If the name is misspelled or does not include a suffix as it appears on ID, use the reason code Name Not Match.<br />
* Income on Proof Not Match Income Entered – use if income entered for order does not meet the eligibility requirements to use 135% below poverty.<br />
* Name Entry Error, ID Proof Verified By Reviewer - PUERTO RICO ONLY - When a name entry error is encountered, compare the entry to the ID proof to determine if the error is due to an input mistake. Such mistakes include misspellings, letter omissions, incorrect name order (first name entered as last name and vice versa), and incorrectly combined names (Delacruz for De La Cruz). Names that are totally different and do not resemble the name on the ID proof whatsoever are still unacceptable (Name Not Match). <br />
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== Standard Eligibility Programs ==<br />
The standard eligibility programs that may be used as proof of subsidy are listed below. Except for Medicaid, only the last four digits of the subsidy number are required. <br />
* Supplemental Security Income (SSI)<br />
* Food Stamps/SNAP<br />
* Medicaid (not Medicare) - all numbers must be entered correctly<br />
* Federal Public Housing Assistance (FPHA)<br />
* Veterans Pension or Survivors Pension benefit <br />
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== Income Guidelines ==<br />
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When processing orders for individuals who are income-eligible (135% of Federal Poverty Level Guidelines), the subscriber must present documentation, such as a tax return, evidencing income from the previous full year’s time period. If the documentation relied on does not cover a full year, such as a current pay stub, the subscriber must present the same type of documentation covering three consecutive months within the previous twelve months.<br />
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Since most subscribers will not have the ability to present three months worth of pay stubs, it is imperative that field representatives inform subscribers of the other acceptable forms of documentation that cover a full year’s time period and may be more easily accessible and presentable.<br />
These forms of documentation include:<br />
* The prior year’s state, federal, or Tribal tax return <br />
* A Social Security statement of benefits <br />
* A Veterans Administration statement of benefits<br />
* A retirement/pension statement of benefits<br />
* An Unemployment/Workmen's Compensation statement of benefits<br />
* Federal or Tribal notice letter of participation in General Assistance<br />
* A divorce decree, child support award, or other official document containing income information for at least three months time<br />
<br />
'''2023 Income Levels - 135%'''<br />
{| border="1" <br />
|-<br />
! Household Size<br />
! Income Level<br />
|- <br />
|align="center" | 1 || align="center" | $19,683 <br />
|-<br />
|align="center" | 2 || align="center" | $26,622<br />
|-<br />
|align="center" | 3 || align="center" | $33,561<br />
|-<br />
|align="center" | 4 || align="center" | $40,500<br />
|-<br />
|align="center" | 5 || align="center" | $47,439 <br />
|-<br />
|align="center" | 6 || align="center" | $54,378<br />
|-<br />
|align="center" | 7 || align="center" | $61,317<br />
|-<br />
|align="center" | 8 || align="center" | $68,256<br />
|-<br />
| colspan="2" | For each additional person add $6,939 <br />
|}<br />
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== Common Situations ==<br />
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'''Social Security Benefits Income'''<br />
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If the proof clearly indicates that the recipient is receiving Social Security benefits income, and the name on the letter, photo ID, and account all match, the proof is acceptable. <br />
[[image:SSI_acceptable.JPG|500px|Please click on image for better resolution.]]<br />
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A letter from the Social Security Administration is '''not''' acceptable if it does not indicate that the letter's recipient is receiving Social Security benefits income. <br />
[[image:SSI_unacceptable.JPG|500px|Please click on image for better resolution.]]<br />
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'''Medicare'''<br />
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Medicare is not an acceptable proof. Medi'''''caid''''' is an income-based subsidy; Medi'''''care''''' is not based on income or other financial need. <br />
[[image:Medicare.JPG|500px|Please click on image for better resolution.]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5954California - CA2023-08-15T13:35:04Z<p>CPeditor: </p>
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<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
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'''State-Specific Eligibility Programs'''<br />
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*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
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'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]]<br />
* An image of the front of the card must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
[[File:CA - humana d-snp med.png]]<br />
*Must display "D-SNP"<br />
<br />
<br />
<br />
[[File:CA - healthy blue med.png]]<br />
*Must display "D-SNP"<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Ca verifcation receipt.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:Ca-medi-cal notice of action approval letter.png]]<br />
*Must be dated within the past year.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:CA - LA County Medi-Cal AVES Cert.png]]<br />
<br />
<br />
<br />
[[File:CA - LA County Medi-Cal Check.png]]<br />
<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
<br />
<br />
'''Low Income Energy Assistance Program (LIHEAP)<br />
[[File:Ca-heap.png]]<br />
<br />
<br />
<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
[[File:CA - LA County Sheriff’s Department, Community Transition Unit’s Post Release Services.png]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:CA_-_healthy_blue_med.png&diff=5953File:CA - healthy blue med.png2023-08-15T13:34:14Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:CA_-_humana_d-snp_med.png&diff=5952File:CA - humana d-snp med.png2023-08-15T13:33:27Z<p>CPeditor: CPeditor uploaded a new version of File:CA - humana d-snp med.png</p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5951California - CA2023-08-15T13:31:51Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]]<br />
* An image of the front of the card must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
[[File:CA - humana d-snp med.png]]<br />
*Must display "D-SNP"<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Ca verifcation receipt.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:Ca-medi-cal notice of action approval letter.png]]<br />
*Must be dated within the past year.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:CA - LA County Medi-Cal AVES Cert.png]]<br />
<br />
<br />
<br />
[[File:CA - LA County Medi-Cal Check.png]]<br />
<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
<br />
<br />
'''Low Income Energy Assistance Program (LIHEAP)<br />
[[File:Ca-heap.png]]<br />
<br />
<br />
<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
[[File:CA - LA County Sheriff’s Department, Community Transition Unit’s Post Release Services.png]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:CA_-_humana_d-snp_med.png&diff=5950File:CA - humana d-snp med.png2023-08-15T13:30:08Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5949California - CA2023-05-13T01:05:28Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]]<br />
* An image of the front of the card must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Ca verifcation receipt.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:Ca-medi-cal notice of action approval letter.png]]<br />
*Must be dated within the past year.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:CA - LA County Medi-Cal AVES Cert.png]]<br />
<br />
<br />
<br />
[[File:CA - LA County Medi-Cal Check.png]]<br />
<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
<br />
<br />
'''Low Income Energy Assistance Program (LIHEAP)<br />
[[File:Ca-heap.png]]<br />
<br />
<br />
<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
[[File:CA - LA County Sheriff’s Department, Community Transition Unit’s Post Release Services.png]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:CA_-_LA_County_Medi-Cal_Check.png&diff=5948File:CA - LA County Medi-Cal Check.png2023-05-13T01:04:23Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5947California - CA2023-05-13T01:03:02Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]]<br />
* An image of the front of the card must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Ca verifcation receipt.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:Ca-medi-cal notice of action approval letter.png]]<br />
*Must be dated within the past year.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:CA - LA County Medi-Cal AVES Cert.png]]<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
<br />
<br />
'''Low Income Energy Assistance Program (LIHEAP)<br />
[[File:Ca-heap.png]]<br />
<br />
<br />
<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
[[File:CA - LA County Sheriff’s Department, Community Transition Unit’s Post Release Services.png]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:CA_-_LA_County_Medi-Cal_AVES_Cert.png&diff=5946File:CA - LA County Medi-Cal AVES Cert.png2023-05-13T01:00:00Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5945California - CA2023-05-13T00:58:31Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]]<br />
* An image of the front of the card must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Ca verifcation receipt.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:Ca-medi-cal notice of action approval letter.png]]<br />
*Must be dated within the past year.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
<br />
<br />
'''Low Income Energy Assistance Program (LIHEAP)<br />
[[File:Ca-heap.png]]<br />
<br />
<br />
<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
[[File:CA - LA County Sheriff’s Department, Community Transition Unit’s Post Release Services.png]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:CA_-_LA_County_Sheriff%E2%80%99s_Department,_Community_Transition_Unit%E2%80%99s_Post_Release_Services.png&diff=5944File:CA - LA County Sheriff’s Department, Community Transition Unit’s Post Release Services.png2023-05-13T00:55:43Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5943California - CA2023-03-30T14:40:05Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]]<br />
* An image of the front of the card must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Ca verifcation receipt.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:Ca-medi-cal notice of action approval letter.png]]<br />
*Must be dated within the past year.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
<br />
<br />
'''Low Income Energy Assistance Program (LIHEAP)<br />
[[File:Ca-heap.png]]<br />
<br />
<br />
<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5942California - CA2023-01-09T18:55:10Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]][[File:EBT Back.jpg]]<br />
* An image of the front and back of the card (with the applicant’s signature) must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Ca verifcation receipt.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:Ca-medi-cal notice of action approval letter.png]]<br />
*Must be dated within the past year.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
<br />
<br />
'''Low Income Energy Assistance Program (LIHEAP)<br />
[[File:Ca-heap.png]]<br />
<br />
<br />
<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:Ca-heap.png&diff=5941File:Ca-heap.png2023-01-09T18:52:52Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5940California - CA2022-12-12T19:26:49Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]][[File:EBT Back.jpg]]<br />
* An image of the front and back of the card (with the applicant’s signature) must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Ca verifcation receipt.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:Ca-medi-cal notice of action approval letter.png]]<br />
*Must be dated within the past year.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:Ca_verifcation_receipt.gif&diff=5939File:Ca verifcation receipt.gif2022-12-12T19:24:25Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5938California - CA2022-10-31T13:58:33Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]][[File:EBT Back.jpg]]<br />
* An image of the front and back of the card (with the applicant’s signature) must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:Ca-medi-cal notice of action approval letter.png]]<br />
*Must be dated within the past year.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:Ca-medi-cal_notice_of_action_approval_letter.png&diff=5937File:Ca-medi-cal notice of action approval letter.png2022-10-31T13:55:41Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=Non-state-specific_Acceptable_Subsidy_Proofs&diff=5936Non-state-specific Acceptable Subsidy Proofs2022-09-27T20:02:18Z<p>CPeditor: </p>
<hr />
<div>'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year<br />
* CA ONLY - Must be dated within the past year and showing coverage through the current calendar year.<br />
<br />
[[Image:SSI2b.gif]]<br />
<br />
[[Image:Ssi-letter.gif]]<br />
*The bottom part of this letter is for Supplemental Security Income benefits. If the person receives the benefits, there will be payment amounts listed.<br />
<br />
[[File:CA-SSI letter.png]]<br />
<br />
<!--[[Nebraska - NE || Nebraska - NE--><br />
<br />
'''Social Security {SSA) Statement of Benefits (must be dated within the past year)''' <br />
<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
[[Image:SSI_formb.gif]]<br />
<br />
'''''OR'''''<br />
<br />
[[Image:SSI_letterb.gif]]<br />
<br />
'''''OR'''''<br />
<br />
[[File:Nss-new ssa letter.gif]]<br />
<br />
'''''OR'''''<br />
<br />
[[Image:Ssa-income_summary.gif]]<br />
<br />
'''''OR'''''<br />
<!--[[Image:Ssa_check.gif]]<br />
*Social Security check from the Department of Treasury<br />
<br />
'''''OR'''''<br />
<br />
[[Image:Bank.gif]]<br />
*Bank statement showing an SSA deposit from the Department of Treasury--><br />
<br />
[[Image:Ssa-letter.gif]]<br />
*The top part of this letter is for Social Security benefits. If the person receives the benefits, there will be payment amounts listed.<br />
<br />
'''''OR'''''<br />
<br />
[[File:Us-ssa printout.gif]][[File:Us-ssa printout2.gif]]<br />
*Both pages must be uploaded<br />
<br />
'''''OR'''''<br />
<br />
[[File:SSA 2022.gif]]<br />
<br />
<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility<br />
[[Image:SSIb.gif]][[File:Another ssdi status letter.gif]]<br />
<br />
<br />
<br />
<br />
<br />
'''Previous Year's Tax Return'''<br />
*Can be used to demonstrate low income eligibility. <br />
*Must be from the previous year.<br />
[[File:2015 tax return.gif]]<br />
<br />
<br />
<br />
<br />
<br />
'''IRS Wage and Income Transcript'''<br />
*Can be used to demonstrate low income eligibility. <br />
[[File:Irs income statement.gif]]<br />
[[File:Irs income statement 2.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Veteran's Pension or Survivor's Pension benefit'''<br />
<br />
[[Image:Va-statement.gif]]<br />
<br />
<br />
[[Image:Us-va_3.gif]]<br />
<br />
<br />
[[File:Va benefit letter summary.gif]]<br />
<br />
[[File:Va grant.gif]]<br />
[[File:Va grant 2.gif]]<br />
<br />
[[File:Va summary.gif]]<br />
<br />
<br />
<br />
<br />
'''Bureau of Indian Affairs - General Assistance Letter'''<br />
<br />
[[Image:Bia.gif]]<br />
<br />
<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''<br />
<br />
[[Image:FDPIR_(3).gif]][[Image:Ok-fdpir.gif]][[Image:Cherokee-fdpir.gif]][[Image:Tribal-ok-fdpir.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
[[File:Ok-fdpir choctaw tribe.gif]]<br />
*Both sides must be uploaded<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Insurance Benefits Statement'''<br />
*Can be used to demonstrate low income eligibility. <br />
*CLAIM TYPE: UI = Unemployment Insurance<br />
[[Image:Ui-voucher.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8 Verification Letter from Housing Authority'''<br />
<br />
[[Image:Sec8-ltr.gif]]<br />
*Must be on Housing Authority letterhead<br />
<br />
<br />
<br />
<br />
<br />
'''U.S. HUD Approval Letter (FPHA/Section 8)'''<br />
<br />
[[Image:Hud-sec_8.png]]<br />
[[File:Us-sec 8 letter.gif]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:SSA_2022.gif&diff=5935File:SSA 2022.gif2022-09-27T19:59:58Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5934California - CA2022-09-15T19:14:04Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]][[File:EBT Back.jpg]]<br />
* An image of the front and back of the card (with the applicant’s signature) must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
[[File:Magejpeg 0.jpg]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:Magejpeg_0.jpg&diff=5933File:Magejpeg 0.jpg2022-09-15T19:12:46Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=South_Carolina_-_SC&diff=5932South Carolina - SC2022-08-12T14:33:18Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Supplemental Nutrition Assistance Program (SNAP)/Food Stamps, Medicaid, Supplemental Security Income (SSI), Federal Public Housing Assistance (FPHA), Veteran's Pension or Survivor's Pension benefit. <br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
<!--'''Food Stamps Cards'''<br />
[[Image:SCSnap_card.gif]][[Image:Sc-old_ebt.gif]][[File:Sc-new_snap_card.gif]]<br />
<br />
'''Food Stamps Inquiry Letter'''<br />
[[Image:SC_FS.gif]]<br />
*Must include customer's name, "SNAP Issuance Day: #" must be visible, and cannot say "Denied" anywhere on it.--><br />
<br />
'''SNAP Case Profile Printout''' [[File:Sc-snap case file.gif]]<br />
<br />
<br />
<br />
<br />
'''Food Stamps (FS) Benefit History Printout''' [[File:Sc-fs benefit history.gif]]<br />
<br />
'''Medicaid Cards'''<br />
<!--[[Image:Partners_for_health.gif]][[Image:Partners_for_health_2.gif]][[Image:Sc-med-2.gif]][[Image:Sc-med-3.gif]][[Image:Totatl-sc.gif]][[Image:Unison-sc.gif]]-->[[Image:Sc-bcbs.gif]][[Image:Sc-bluechoice-med.gif]]<!--[[Image:Sc-1st_choice.gif]]-->[[Image:Sc-advicare.gif]]<!--[[Image:Sc-c_i_p.gif]][[Image:Sc-med-id.gif]][[Image:Sc-hc_checkup.gif]][[File:Sc-1st_choice_med.gif]][[File:Sc-molina_med_hc.gif]][[File:Sc-blue_choice_med.png]][[File:Sc-atc_med.gif]][[File:Sc-1st_choice_med2.gif]][[File:Sc-hc_prime_med.gif]]-->[[File:Sc-hc atc med.gif]]<br />
<br />
<br />
<br />
<br />
'''Medicaid Verification Form''' [[File:Sc-med verification form.gif]]<br />
<br />
<br />
<br />
<br />
'''Medicaid Award Letter'''<br />
[[Image:Sc-med-award_2.gif]]<br />
<br />
<br />
<br />
<br />
'''Section 8 Letter'''<br />
[[File:Sc-sec 8 letter.png]]<br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[Image:SCDL_2.jpg]][[Image:SCDL_3.jpg]][[Image:Scwaeponsb.jpg]][[Image:Sc-older_dl.gif]][[File:Sc-gov_id.png]][[File:Sc, us - dod id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:Sc-med_verification_form.gif&diff=5931File:Sc-med verification form.gif2022-08-12T14:32:14Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=South_Carolina_-_SC&diff=5930South Carolina - SC2022-08-12T14:31:51Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Supplemental Nutrition Assistance Program (SNAP)/Food Stamps, Medicaid, Supplemental Security Income (SSI), Federal Public Housing Assistance (FPHA), Veteran's Pension or Survivor's Pension benefit. <br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
<!--'''Food Stamps Cards'''<br />
[[Image:SCSnap_card.gif]][[Image:Sc-old_ebt.gif]][[File:Sc-new_snap_card.gif]]<br />
<br />
'''Food Stamps Inquiry Letter'''<br />
[[Image:SC_FS.gif]]<br />
*Must include customer's name, "SNAP Issuance Day: #" must be visible, and cannot say "Denied" anywhere on it.--><br />
<br />
'''SNAP Case Profile Printout''' [[File:Sc-snap case file.gif]]<br />
<br />
<br />
<br />
<br />
'''Food Stamps (FS) Benefit History Printout''' [[File:Sc-fs benefit history.gif]]<br />
<br />
'''Medicaid Cards'''<br />
<!--[[Image:Partners_for_health.gif]][[Image:Partners_for_health_2.gif]][[Image:Sc-med-2.gif]][[Image:Sc-med-3.gif]][[Image:Totatl-sc.gif]][[Image:Unison-sc.gif]]-->[[Image:Sc-bcbs.gif]][[Image:Sc-bluechoice-med.gif]]<!--[[Image:Sc-1st_choice.gif]]-->[[Image:Sc-advicare.gif]]<!--[[Image:Sc-c_i_p.gif]][[Image:Sc-med-id.gif]][[Image:Sc-hc_checkup.gif]][[File:Sc-1st_choice_med.gif]][[File:Sc-molina_med_hc.gif]][[File:Sc-blue_choice_med.png]][[File:Sc-atc_med.gif]][[File:Sc-1st_choice_med2.gif]][[File:Sc-hc_prime_med.gif]]-->[[File:Sc-hc atc med.gif]]<br />
<br />
<br />
<br />
<br />
'''Medicaid Award Letter'''<br />
[[Image:Sc-med-award_2.gif]]<br />
<br />
<br />
'''Section 8 Letter'''<br />
[[File:Sc-sec 8 letter.png]]<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[Image:SCDL_2.jpg]][[Image:SCDL_3.jpg]][[Image:Scwaeponsb.jpg]][[Image:Sc-older_dl.gif]][[File:Sc-gov_id.png]][[File:Sc, us - dod id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:Sc-fs_benefit_history.gif&diff=5929File:Sc-fs benefit history.gif2022-08-12T14:30:36Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=South_Carolina_-_SC&diff=5928South Carolina - SC2022-08-12T14:30:17Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Supplemental Nutrition Assistance Program (SNAP)/Food Stamps, Medicaid, Supplemental Security Income (SSI), Federal Public Housing Assistance (FPHA), Veteran's Pension or Survivor's Pension benefit. <br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
<!--'''Food Stamps Cards'''<br />
[[Image:SCSnap_card.gif]][[Image:Sc-old_ebt.gif]][[File:Sc-new_snap_card.gif]]<br />
<br />
'''Food Stamps Inquiry Letter'''<br />
[[Image:SC_FS.gif]]<br />
*Must include customer's name, "SNAP Issuance Day: #" must be visible, and cannot say "Denied" anywhere on it.--><br />
<br />
'''SNAP Case Profile Printout''' [[File:Sc-snap case file.gif]]<br />
<br />
'''Medicaid Cards'''<br />
<!--[[Image:Partners_for_health.gif]][[Image:Partners_for_health_2.gif]][[Image:Sc-med-2.gif]][[Image:Sc-med-3.gif]][[Image:Totatl-sc.gif]][[Image:Unison-sc.gif]]-->[[Image:Sc-bcbs.gif]][[Image:Sc-bluechoice-med.gif]]<!--[[Image:Sc-1st_choice.gif]]-->[[Image:Sc-advicare.gif]]<!--[[Image:Sc-c_i_p.gif]][[Image:Sc-med-id.gif]][[Image:Sc-hc_checkup.gif]][[File:Sc-1st_choice_med.gif]][[File:Sc-molina_med_hc.gif]][[File:Sc-blue_choice_med.png]][[File:Sc-atc_med.gif]][[File:Sc-1st_choice_med2.gif]][[File:Sc-hc_prime_med.gif]]-->[[File:Sc-hc atc med.gif]]<br />
<br />
<br />
<br />
<br />
'''Medicaid Award Letter'''<br />
[[Image:Sc-med-award_2.gif]]<br />
<br />
<br />
'''Section 8 Letter'''<br />
[[File:Sc-sec 8 letter.png]]<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[Image:SCDL_2.jpg]][[Image:SCDL_3.jpg]][[Image:Scwaeponsb.jpg]][[Image:Sc-older_dl.gif]][[File:Sc-gov_id.png]][[File:Sc, us - dod id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=South_Carolina_-_SC&diff=5927South Carolina - SC2022-08-12T14:29:57Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Supplemental Nutrition Assistance Program (SNAP)/Food Stamps, Medicaid, Supplemental Security Income (SSI), Federal Public Housing Assistance (FPHA), Veteran's Pension or Survivor's Pension benefit. <br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
<!--'''Food Stamps Cards'''<br />
[[Image:SCSnap_card.gif]][[Image:Sc-old_ebt.gif]][[File:Sc-new_snap_card.gif]]<br />
<br />
'''Food Stamps Inquiry Letter'''<br />
[[Image:SC_FS.gif]]<br />
*Must include customer's name, "SNAP Issuance Day: #" must be visible, and cannot say "Denied" anywhere on it.--><br />
<br />
'''SNAP Case Profile Printout'''[[File:Sc-snap case file.gif]]<br />
<br />
'''Medicaid Cards'''<br />
<!--[[Image:Partners_for_health.gif]][[Image:Partners_for_health_2.gif]][[Image:Sc-med-2.gif]][[Image:Sc-med-3.gif]][[Image:Totatl-sc.gif]][[Image:Unison-sc.gif]]-->[[Image:Sc-bcbs.gif]][[Image:Sc-bluechoice-med.gif]]<!--[[Image:Sc-1st_choice.gif]]-->[[Image:Sc-advicare.gif]]<!--[[Image:Sc-c_i_p.gif]][[Image:Sc-med-id.gif]][[Image:Sc-hc_checkup.gif]][[File:Sc-1st_choice_med.gif]][[File:Sc-molina_med_hc.gif]][[File:Sc-blue_choice_med.png]][[File:Sc-atc_med.gif]][[File:Sc-1st_choice_med2.gif]][[File:Sc-hc_prime_med.gif]]-->[[File:Sc-hc atc med.gif]]<br />
<br />
<br />
<br />
<br />
'''Medicaid Award Letter'''<br />
[[Image:Sc-med-award_2.gif]]<br />
<br />
<br />
'''Section 8 Letter'''<br />
[[File:Sc-sec 8 letter.png]]<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[Image:SCDL_2.jpg]][[Image:SCDL_3.jpg]][[Image:Scwaeponsb.jpg]][[Image:Sc-older_dl.gif]][[File:Sc-gov_id.png]][[File:Sc, us - dod id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=South_Carolina_-_SC&diff=5926South Carolina - SC2022-08-12T14:29:28Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Supplemental Nutrition Assistance Program (SNAP)/Food Stamps, Medicaid, Supplemental Security Income (SSI), Federal Public Housing Assistance (FPHA), Veteran's Pension or Survivor's Pension benefit. <br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
<!--'''Food Stamps Cards'''<br />
[[Image:SCSnap_card.gif]][[Image:Sc-old_ebt.gif]][[File:Sc-new_snap_card.gif]]<br />
<br />
'''Food Stamps Inquiry Letter'''<br />
[[Image:SC_FS.gif]]<br />
*Must include customer's name, "SNAP Issuance Day: #" must be visible, and cannot say "Denied" anywhere on it.--><br />
<br />
'''SNAP Case File Printout'''[[File:Sc-snap case file.gif]]<br />
<br />
'''Medicaid Cards'''<br />
<!--[[Image:Partners_for_health.gif]][[Image:Partners_for_health_2.gif]][[Image:Sc-med-2.gif]][[Image:Sc-med-3.gif]][[Image:Totatl-sc.gif]][[Image:Unison-sc.gif]]-->[[Image:Sc-bcbs.gif]][[Image:Sc-bluechoice-med.gif]]<!--[[Image:Sc-1st_choice.gif]]-->[[Image:Sc-advicare.gif]]<!--[[Image:Sc-c_i_p.gif]][[Image:Sc-med-id.gif]][[Image:Sc-hc_checkup.gif]][[File:Sc-1st_choice_med.gif]][[File:Sc-molina_med_hc.gif]][[File:Sc-blue_choice_med.png]][[File:Sc-atc_med.gif]][[File:Sc-1st_choice_med2.gif]][[File:Sc-hc_prime_med.gif]]-->[[File:Sc-hc atc med.gif]]<br />
<br />
<br />
<br />
<br />
'''Medicaid Award Letter'''<br />
[[Image:Sc-med-award_2.gif]]<br />
<br />
<br />
'''Section 8 Letter'''<br />
[[File:Sc-sec 8 letter.png]]<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[Image:SCDL_2.jpg]][[Image:SCDL_3.jpg]][[Image:Scwaeponsb.jpg]][[Image:Sc-older_dl.gif]][[File:Sc-gov_id.png]][[File:Sc, us - dod id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:Sc-snap_case_file.gif&diff=5925File:Sc-snap case file.gif2022-08-12T14:28:25Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=Main_Page&diff=5924Main Page2022-07-18T14:09:04Z<p>CPeditor: </p>
<hr />
<div><big>'''Welcome to the Life Wireless Compliance Portal!'''</big><br />
<br />
Consult the [http://meta.wikipedia.org/wiki/MediaWiki_User%27s_Guide User's Guide] for information on editing pages and using the wiki software.<br />
<br />
This site will serve as an internal resource to access all Life Wireless Compliance documentation provided to internal Life Wireless personnel.<br />
<br />
This site should be used as a reference tool when questions arise or assistance is needed in the performance of day-to-day job duties as performed by the<br />
Life Wireless Compliance Support Team.<br />
<br />
To contact the Compliance Support Team with questions, please email: '''compliance@lifewireless.com'''<br />
<br />
<br />
----<br />
<big>'''Identity and Subsidy Proofs'''</big><br />
<br />
[[General Rules]]<br />
<br />
[[Non-state-specific Acceptable Identity Proofs]]<br />
<br />
[[Non-state-specific Acceptable Subsidy Proofs]]<br />
<br />
[[Commonly Encountered UNACCEPTABLE Subsidy and Identity Proofs]]<br />
<br />
[[Acceptable Proofs of Military Service]]<br />
<br />
[[State ID Name Placement Order]]<br />
<br />
<!--[[Nebraska - NE || Nebraska - NE--><br />
<br />
{| style="width:75%" border="0"<br />
'''NLAD/National Verifier States'''<br />
|-<br />
| [[Arizona - AZ]]<br />
| [[Arkansas - AR]]<br />
| [[Colorado - CO]]<br />
| [[Georgia - GA]]<br />
|-<br />
| [[Illinois - IL]]<br />
| [[Indiana - IN]]<br />
| [[Iowa - IA]]<br />
| [[Kansas - KS]]<br />
|-<br />
| [[Kentucky - KY]]<br />
| [[Louisiana - LA]]<br />
| [[Maine - ME]]<br />
| [[Maryland - MD]]<br />
|-<br />
| [[Michigan - MI]]<br />
| [[Minnesota - MN]]<br />
| [[Mississippi - MS]]<br />
| [[Missouri - MO]]<br />
|-<br />
| [[Nevada - NV]]<br />
| [[New York - NY]]<br />
| [[North Dakota - ND]]<br />
| [[Ohio - OH]]<br />
|-<br />
| [[Oklahoma - OK]]<br />
| [[Pennsylvania - PA]]<br />
| [[Puerto Rico - PR]]<br />
| [[Rhode Island - RI]]<br />
|-<br />
| [[South Carolina - SC]]<br />
| [[Tennessee - TN]]<br />
| [[Utah - UT]]<br />
| [[Vermont - VT]]<br />
|-<br />
| [[Virgin Islands - VI]]<br />
| [[Washington - WA ]]<br />
| [[West Virginia - WV]]<br />
| [[Wisconsin- WI]]<br />
|}<br />
<br />
<br />
<br />
'''Non-NLAD/National Verifier States'''<br />
<br />
[[California - CA]]<br />
<br />
[[Texas - TX]]<br />
<br />
<br />
[[NLAD Error Message Explanations]]<br />
<br />
<br />
----<br />
<!--<big>'''Compliant Activation Site Setups'''</big><br />
<br />
[[General Compliant Activation Site Setup]]<br />
<br />
[[States with Special Activation Site Material Requirements]]--><br />
<br />
[[PR Medicaid Cards Acceptable Prior to Release of USAC Acceptable Documentation Guidelines]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5923California - CA2022-04-04T19:14:19Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]][[File:EBT Back.jpg]]<br />
* An image of the front and back of the card (with the applicant’s signature) must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parolee ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5922California - CA2022-04-04T19:13:49Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]][[File:EBT Back.jpg]]<br />
* An image of the front and back of the card (with the applicant’s signature) must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parole ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parole ID''' [[File:CDCR ID.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:CDCR_ID.gif&diff=5921File:CDCR ID.gif2022-04-04T19:12:15Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=General_Rules&diff=5920General Rules2022-03-14T20:41:32Z<p>CPeditor: </p>
<hr />
<div>Anomalies should be left for review by compliance. <br />
<br />
__TOC__<br />
<br />
== Reviewing Proofs ==<br />
<br />
<br />
'''Accept'''<br />
<br />
Photo Identification Proof<br />
* Out of state identification if subsidy proof is in-state<br />
* Identification must be UNITED STATES government-issued (Federal or State) photo IDs. <br />
** NLAD STATES - ACCEPTABLE ID IS LIMITED TO: State Driver’s License, State ID, United States Passport, Voter ID (with photo ONLY), State-Issued Weapons Permit (with photo ONLY), U.S. military ID, U.S Veterans Administration ID, Native American Tribal ID, Permanent resident card<br />
** CALIFORNIA - ACCEPTABLE ID IS LIMITED TO: U.S. Drivers License, Certificate of U.S. citizenship or naturalization, U.S. Passport/U.S. Territory Passport, Foreign Passport, U.S. Government, Military, State, or Tribal-issued ID which includes date-of-birth and/or Social Security number and/or Tribal ID, Common Access Card (only if designated as Active Military or Active Reserve or Active Selected Reserve), Military Discharge Documentation which includes date-of-birth and/or Social Security number and/or Tribal ID, Northern Mariana Card, Permanent Resident Card, Permanent Resident Alien Card, Permanent Resident Re-Entry Permit, Temporary Resident Identification Card, Employment Authorization Card, Mexican Consular Card (Matricula Consullar - 2006, 2014, 2015, and later versions), Parolee Identification Card issued by California Department of Corrections and Rehabilitation Division of Adult Parole Operations, which is within one year of the date under picture<br />
** CA - Must have a valid expiration date listed <br />
* PR - If ID proof has only one last name, subsidy proof with two last names can be uploaded with ID proof <br />
* Must be original copy of identification document (no photocopies)<br />
<br />
Subsidy Proof<br />
* All digits of a subsidy proof are required for SNAP and Medicaid Cards. Only the last 4 digits of account are required for any other subsidy proof<br />
* The proof is addressed to the applicant and the applicant appears to be the parent/guardian of the minors covered under subsidy<br />
* Has an issue date of less than one year ago<br />
<br />
Address Proof <br />
*unexpired driver's license<br />
*utility bill<br />
*current income statement from an employer, paycheck stub, or W-2<br />
*prior year's state, federal or Tribal tax return<br />
*current mortgage or lease statement<br />
*unexpired government, state, or Tribal issued ID<br />
*government assistance program documents<br />
*statement of benefits from a qualifying program which contains name and address of subscriber<br />
*retirement/pension statement of benefits<br />
*an unemployment/workers' compensation statement of benefits<br />
*local, state, or federal government documentation sources<br />
*CALIFORNIA ONLY - bank statements, homeless shelter letter (must be signed by a manager and on shelter letterhead with the applicant’s full name and date of birth, stating that the applicant is currently residing at this address)<br />
<br />
Social Security Proof<br />
*Social Security card or SSA-1099 (Social Security Benefit Statement)<br />
*W-2 from within the last 2 year<br />
*prior year's state, federal, or Tribal tax return<br />
*unexpired United States government, military, state, or Tribal issued ID, which includes Social Security Number<br />
*military discharge documentation which includes Social Security Number<br />
*unexpired weapons permit which includes Social Security Number<br />
*government assistance program document which includes Social Security Number<br />
*statement of benefits from a qualifying program which includes Social Security Number<br />
*unemployment/workers' compensation statement of benefits which includes Social Security Number<br />
*eligibility confirmation from state eligibility database or administrator which includes date of birth and/or last four digits of Social Security Number<br />
*PR ONLY - proof must include BOTH last names if the photo ID presented has both last names. If ID only has one last name, the SSN proof must have only one last name.<br />
<br />
Proof of Life <br />
<br />
To prove a consumer is living, they must first submit a copy of one of the following unexpired documents, which must include their date of birth and their SSN or Tribal ID number:<br />
*Government, military, state, or Tribal-issued ID<br />
*Military discharge documentation<br />
*Weapons permit<br />
*Government assistance program document<br />
*Statement of benefits from a qualifying program document<br />
*Unemployment or Workers’ compensation statement of benefits<br />
*Eligibility confirmation from state eligibility database with administrator<br />
*Consumers also have the option to submit two types of unexpired documentation. One document must include their date of birth and the other must have their SSN on it.<br />
The first document must be one of the following:<br />
*Driver’s license<br />
*Birth certificate<br />
*Certificate of Naturalization<br />
*Proof of citizenship<br />
*Permanent Resident or Permanent Resident Alien card<br />
*Passport<br />
<br />
The second document must be one of the following:<br />
*W-2 from within the last 2 years<br />
*Prior year’s state, federal, or Tribal tax return<br />
*Social security card<br />
*SSA-1099<br />
<br />
In addition to documentation with their first name, last name, date of birth, SSN (or Tribal ID), consumers must also submit documentation that proves recent life activity. <br />
Consumers must submit one of the following documents to prove recent life activity:<br />
*Current program eligibility or government assistance documentation<br />
*Current utility bill (phone and internet bills cannot be used as utility bills. Consumers can use water, electricity, and waste and removal bills).<br />
*Current income statement such as a paystub<br />
*Current mortgage or lease statement<br />
*Current retirement/pension statement of benefits<br />
*Current unemployment/Workers’ compensation statement of benefits<br />
*A notarized letter affirming the subscriber’s identity and alive status<br />
<br />
<br />
'''Reject'''<br />
<br />
Photo Identification Proof<br />
* Identification does not have a photo or photo is illegible<br />
* Work, college, and bank account ID’s are not acceptable<br />
* Passports and IDs issued by a foreign country or a consulate of a foreign country are not acceptable (ACCEPTABLE IN CALIFORNIA) <br />
* Name on account does not match name on ID, misspelled, or suffix is missing as it appears on ID<br />
* ID is expired<br />
* Not original copy of ID document (a photocopy)<br />
<br />
Subsidy Proof<br />
* SNAP/Medicaid – entered wrong number/s (must match all numbers)<br />
* Selected wrong subsidy<br />
* Partial subsidy proof if necessary information to confirm name and/or subsidy account number is not visible<br />
* Name of benefit qualifying person and name on subsidy proof do not match<br />
* Subsidy proof is missing or proof is not a Lifeline-eligible subsidy program<br />
* Any proof with an expiration date that has expired<br />
* Has an issue date of more than one year ago<br />
<br />
== Reason Codes ==<br />
<br />
Please make sure to select the proper reason code:<br />
* Name Not Match – use if customer name is misspelled, does not include a suffix as it appears on ID proof, or the name of the benefit qualifying person is different from what appears on subsidy proof. If name on ID is different from customer name, use the reason code Photo ID Not Belongs to Customer.<br />
* Subsidy Proof Not Visible – use for partial subsidy proof that necessary information to confirm name and/or subsidy account number is not visible or if the subsidy proof is missing.<br />
* Subsidy Proof Not Acceptable – use if proof is not an acceptable eligibility program (e.g. Medicare)<br />
* Subsidy Proof Not Match Subsidy Selected – use if rep selected the wrong subsidy (e.g. Selected Medicaid and proof is a SNAP card)<br />
* Subsidy Ref Num Not Match – use if rep did not enter subsidy proof digits correctly<br />
* Subsidy Ref Num Already Used – use if the subsidy proof digits cannot be corrected due to already being in our system.<br />
* Eligibility Expired – use if the subsidy proof has a visible expired expiration date.<br />
* Photo ID Missing – use if the Photo ID is not included in upload.<br />
* Photo ID Not Visible – use if the customer name and/or photo is not visible.<br />
* Photo ID Not Acceptable – use if the ID does not contain a photo and/or name, not on the list of ACCEPTABLE IDs above, ID is expired.<br />
* Photo ID Not Belongs to Customer – use if the customer name does not match the name on the ID. If the name is misspelled or does not include a suffix as it appears on ID, use the reason code Name Not Match.<br />
* Income on Proof Not Match Income Entered – use if income entered for order does not meet the eligibility requirements to use 135% below poverty.<br />
* Name Entry Error, ID Proof Verified By Reviewer - PUERTO RICO ONLY - When a name entry error is encountered, compare the entry to the ID proof to determine if the error is due to an input mistake. Such mistakes include misspellings, letter omissions, incorrect name order (first name entered as last name and vice versa), and incorrectly combined names (Delacruz for De La Cruz). Names that are totally different and do not resemble the name on the ID proof whatsoever are still unacceptable (Name Not Match). <br />
<br />
== Standard Eligibility Programs ==<br />
The standard eligibility programs that may be used as proof of subsidy are listed below. Except for Medicaid, only the last four digits of the subsidy number are required. <br />
* Supplemental Security Income (SSI)<br />
* Food Stamps/SNAP<br />
* Medicaid (not Medicare) - all numbers must be entered correctly<br />
* Federal Public Housing Assistance (FPHA)<br />
* Veterans Pension or Survivors Pension benefit <br />
<br />
== Income Guidelines ==<br />
<br />
When processing orders for individuals who are income-eligible (135% of Federal Poverty Level Guidelines), the subscriber must present documentation, such as a tax return, evidencing income from the previous full year’s time period. If the documentation relied on does not cover a full year, such as a current pay stub, the subscriber must present the same type of documentation covering three consecutive months within the previous twelve months.<br />
<br />
Since most subscribers will not have the ability to present three months worth of pay stubs, it is imperative that field representatives inform subscribers of the other acceptable forms of documentation that cover a full year’s time period and may be more easily accessible and presentable.<br />
These forms of documentation include:<br />
* The prior year’s state, federal, or Tribal tax return <br />
* A Social Security statement of benefits <br />
* A Veterans Administration statement of benefits<br />
* A retirement/pension statement of benefits<br />
* An Unemployment/Workmen's Compensation statement of benefits<br />
* Federal or Tribal notice letter of participation in General Assistance<br />
* A divorce decree, child support award, or other official document containing income information for at least three months time<br />
<br />
'''Income Levels - 135%'''<br />
{| border="1" <br />
|-<br />
! Household Size<br />
! Income Level<br />
|- <br />
|align="center" | 1 || align="center" | $18,347 <br />
|-<br />
|align="center" | 2 || align="center" | $24,719<br />
|-<br />
|align="center" | 3 || align="center" | $31,091<br />
|-<br />
|align="center" | 4 || align="center" | $37,463<br />
|-<br />
|align="center" | 5 || align="center" | $43,835 <br />
|-<br />
|align="center" | 6 || align="center" | $50,207<br />
|-<br />
|align="center" | 7 || align="center" | $56,579<br />
|-<br />
|align="center" | 8 || align="center" | $62,951<br />
|-<br />
| colspan="2" | For each additional person add $6,372 <br />
|}<br />
<br />
<br />
== Common Situations ==<br />
<br />
'''Social Security Benefits Income'''<br />
<br />
If the proof clearly indicates that the recipient is receiving Social Security benefits income, and the name on the letter, photo ID, and account all match, the proof is acceptable. <br />
[[image:SSI_acceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
A letter from the Social Security Administration is '''not''' acceptable if it does not indicate that the letter's recipient is receiving Social Security benefits income. <br />
[[image:SSI_unacceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
<br />
'''Medicare'''<br />
<br />
Medicare is not an acceptable proof. Medi'''''caid''''' is an income-based subsidy; Medi'''''care''''' is not based on income or other financial need. <br />
[[image:Medicare.JPG|500px|Please click on image for better resolution.]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=California_-_CA&diff=5919California - CA2022-02-17T16:22:43Z<p>CPeditor: </p>
<hr />
<div>== Acceptable Subsidies ==<br />
The standard eligibility programs that may be used as proof of subsidy include Temporary Assistance to Needy Families (TANF), Supplemental Security Income (SSI), Food Stamps (CalFresh), Medicaid - Medi-Cal, National Free School Lunch Program, Federal Public Housing Assistance (FPHA), and Low-Income Home Energy Assistance Program (LIHEAP), Veterans and Survivors Pension benefit. <br />
<br />
<br />
'''State-Specific Eligibility Programs'''<br />
<br />
*Women, Infants, and Children Program (WIC)<br />
*TANF Programs:<br />
California Work Opportunity and Responsibility to Kids (CalWORKs), Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs), Welfare-to-Work (WTW), Greater Avenues for Independence (GAIN)<br />
<br />
<br />
'''State-Specific Tribal Eligibility Programs'''<br />
*Tribal TANF<br />
*Bureau of Indian Affairs General Assistance<br />
*Head Start Income Eligible (Tribal Only)<br />
*Food Distribution Program on Indian Reservations<br />
<br />
<br />
<br />
See [[General Rules]] for more information. <br />
<br />
== UNACCEPTABLE Subsidy Proof Examples == <!--[[File:Ca-not_med.gif]][[File:Ca-not_proof.gif]]*Does not specify benefits received.--><br />
[[File:Ca-unacceptable ssa form.gif]]<br />
<br />
<br />
* Verification of Benefit forms <br />
* Issuance Summary forms<br />
* Human Services Agency Passport to Services forms<br />
<br />
<br />
== Acceptable Subsidy Proof Examples ==<br />
<br />
'''CalFresh EBT Card'''<br />
[[File:EBT front.png]][[File:EBT Back.jpg]]<br />
* An image of the front and back of the card (with the applicant’s signature) must be uploaded<br />
* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) <br />
* '''A purchase receipt that displays a date that is no more than 7 calendar days prior to the date of the application and that displays the last 4 digits of the accompanying EBT card must be uploaded with the SAME image of the EBT card'''<br />
<br />
<br />
<br />
'''Notice of Approval for CalFresh Benefits'''<br />
[[File:SNAP-Calfresh Notice Letter of Approval.png]]<br />
* Notice of Approval For CalFresh Benefits must appear on the document<br />
* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document<br />
* A certification period “from” date that is not more than 7 calendar days prior to the date of the application must appear on the document<br />
<br />
<br />
<br />
<br />
'''CalFresh Notice of Action'''<br />
[[File:SNAP-Calfresh Notice of Action.png]]<br />
* The NOTICE OF ACTION form identifier must appear on the document<br />
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document<br />
* Must specifically mention CalFresh on the document<br />
* The Notice Date must be no more than 7 calendar days before the date of the application<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Cards'''<br />
[[File:Ca-medi_cal.png]][[File:Ca=la care medX2.gif]][[File:Ca-another medi-cal card.png]][[File:Ca-anthem medi-calX.gif]][[File:Ca-caloptima medX.gif]][[File:Ca-calviva medi-calX.gif]][[File:Ca-chw medi-cal.gif]][[File:Ca-community medX.gif]][[File:Ca-hp sj medX.gif]][[File:Ca-hpsm medX2.gif]][[File:Ca-mediconnedct la careX.gif]][[File:Ca-sc medX.gif]][[File:Ca-sf medX.gif]][[File:Ca-sfhp medX.gif]][[File:Ca-anthem oakland medi-calX.gif]][[File:Ca-different la care medi-calX.gif]][[File:Ca-alliance mcalX.gif]][[File:Ca-sfhp mediX.gif]][[File:Ca-iehp_dualX.gif]][[File:Ca-sc med connectX.gif]][[File:Ca-anthem mediconnectX.gif]][[File:Ca-old bcbs medi-calX.gif]][[File:Ca-caloptima med-icalX.gif]][[File:Ca-hpsj medi-caX.gif]][[File:Community health medi-calX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-access med-calX.gif]][[File:Ca-hpsj medi-cal4X.gif]][[File:Ca-liberty medi-calX.gif]][[File:Ca-another benefits ID card-medi-calX.gif]][[File:Ca-community medi-connectX.gif]][[File:Ca-cchp medi-calX2.gif]][[File:Ca-another chw medX.gif]][[File:CA-optima mediconnectX.gif]][[File:Ca-spanish mcX.gif]][[File:Ca-mcal proofX.png]][[File:Ca-molina mediconnectX.gif]][[File:Ca-health net medi-calX.gif]][[File:Ca-hpsm cal mediconnectX.gif]][[File:Ca-hpsm medi-calX.gif]][[File:Phpc.gif]][[File:Ca-phcp 2.1.gif]][[File:Ca-new la care hp.gif]][[File:Ca-sc fammedi-cal.gif]]<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-anthem la care side 1.gif]][[File:Ca-anthem la care side 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-new anthem la care 1.gif]][[File:Ca-new anthem la care 2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
<br />
[[File:Ca-healthnet med-cal1.gif]][[File:Ca-healthnet med-cal2.gif]]<br />
[[File:Ca-new health net card.png]][[File:Ca-new health net card 2.png]]<br />
*BOTH sides must be uploaded.<br />
*Issue and Expiration dates must be within current calendar year.<br />
<br />
<br />
<br />
[[File:Ca-la care chp med2.gif]]<br />
*BOTH sides must be uploaded.<br />
<br />
<br />
<br />
<br />
[[File:Ca-kern medi-cal onlyX.gif]][[File:Ca-gold coast medi-calX.gif]][[File:ca-calviva med2X.gif]]<br />
*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.<br />
<br />
<br />
<br />
<br />
<br />
<br />
'''Medicaid/Medi-Cal Approval Letters'''<br />
[[File:Ca-med_approval_letter.png]]<br />
[[File:Ca-medi_cal_approval.png]]<br />
[[File:Ca-medi-cal_id_letterX.png]]<br />
[[File:Ca-cc_medii-cal_letterX.gif]]<br />
[[File:Ca-med-cal printout2X.gif]]<br />
[[File:Ca-med-cal letterX2.gif]]<br />
[[File:Ca-gchp medi-calX2.gif]]<br />
[[File:Ca-cover medi-cal letterX.gif]]<br />
[[File:Ca-med-cal print.gif]]<br />
[[File:Ca-med-cal print2.gif]]<br />
[[File:Ca-kern co med letter.png]]<br />
[[File:Ca-covered ca medi-cal printoutX.gif]]<br />
[[File:Ca-cover cal med letter.gif]]<br />
[[File:Ca-prison release medi-cal.png]]<br />
[[File:Ca-medi-cal-verif-letter.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
[[File:San joaquin letterX.gif]]<br />
*Must show valid eligibility dates.<br />
<br />
<br />
<br />
'''TANF'''<br />
<br />
[[File:Ca-cal-works_benefits_summary.png]]<br />
[[File:Ca-calworks_form.png]]<br />
[[File:Ca-welfare_to_work.png]]<br />
[[File:Ca-wtw tanf.png]]<br />
[[File:Ca-wtw tanf (2).png]]<br />
[[File:Ca-calworks_2.gif]]<br />
*No amount need be given; just participating in the program qualifies them<br />
<br />
<br />
<br />
<br />
'''Supplemental Security Income (SSI)'''<br />
*Must be dated within the past year.<br />
[[Image:SSI2b.gif]]<br />
<br />
<br />
<br />
<br />
'''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]]<br />
<br />
<br />
<br />
<br />
'''WIC'''<br />
[[File:Ca-new wic card.gif]]<br />
*cards that do not display a name must be accompanied by a grocery receipt that shows an active balance, be dated within 3 months of the LifeLine application, and the last 4 digits of the WIC card number shown on the receipt must match the WIC card number.<br />
[[File:Ca-wic receipt 2.gif]] <br />
<br />
<br />
Acceptable WIC App screen shots<br />
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]]<br />
<br />
<br />
'''National Free School Lunch Program'''<br />
[[File:Ca-free_lunch.gif]]<br />
[[File:Ca-free school lunch3.gif]]<br />
[[File:Ca-free school lunch2.gif]]<br />
[[File:Ca-nfslp.gif]]<br />
<br />
<br />
<br />
'''Food Distribution Program on Indian Reservations'''[[File:Ca-fdpir.gif]][[File:Ca-fdpir letter.gif]][[File:Ca-fdpir letter2.gif]][[File:Fdpir letter 2.jpg]]<br />
<br />
<br />
<br />
<br />
'''Tribal TANF'''<br />
[[File:Tribal tanf.gif]]<br />
[[File:Ca-tribal tanf letter.gif]]<br />
<br />
<br />
== Acceptable Income Proof Examples ==<br />
<br />
'''SSDI (must be dated within the past year)'''<br />
[[Image:SSIb.gif]]<br />
*NOT PROOF OF SSI<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Unemployment Benefits Printout'''<br />
[[File:Ca-unemployment.png]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Emergency Unemployment Benefits Extension Award Letter (Spanish)'''<br />
[[File:Ca-ui spanish.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
<br />
'''Disability Insurance Claim Letter'''<br />
[[File:Ca-disability income.gif]]<br />
*Can be used to demonstrate low income eligibility. <br />
<br />
<br />
<br />
<br />
== Acceptable ID Examples ==<br />
[[File:Ca-dl.jpg]][[File:Ca-dl2.jpg]][[File:Ca-dl3.jpg]][[File:Ca-dl4.jpg]][[File:Ca-dl5.jpg]][[File:Ca-dl7.jpg]][[File:Ca-indian_id.gif]][[File:Ca-sf_id.gif]][[File:Discharge_ID.gif]][[File:Ca-richomnd id.gif]][[File:Ca-older DL.gif]][[File:Ca-senior id.gif]]<br />
<br />
<br />
<br />
<br />
<br />
<br />
[[Image:Mexican_id.gif]][[File:Id-new mex id.gif]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
'''Parole ID''' [[File:CA Parole ID.jpg]]<br />
*Acceptable in California ONLY<br />
<br />
<br />
<br />
<br />
[[File:Ca-mexican passport.gif]][[File:Ca-iran passport.gif]]<br />
*FOREIGN passports acceptable in California ONLY<br />
<br />
== Important Links ==</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=File:CA_Parole_ID.jpg&diff=5918File:CA Parole ID.jpg2022-02-17T16:20:34Z<p>CPeditor: </p>
<hr />
<div></div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=General_Rules&diff=5917General Rules2022-02-11T15:26:28Z<p>CPeditor: </p>
<hr />
<div>Anomalies should be left for review by compliance. <br />
<br />
__TOC__<br />
<br />
== Reviewing Proofs ==<br />
<br />
<br />
'''Accept'''<br />
<br />
Photo Identification Proof<br />
* Out of state identification if subsidy proof is in-state<br />
* Identification must be UNITED STATES government-issued (Federal or State) photo IDs. <br />
** NLAD STATES - ACCEPTABLE ID IS LIMITED TO: State Driver’s License, State ID, United States Passport, Voter ID (with photo ONLY), State-Issued Weapons Permit (with photo ONLY), U.S. military ID, U.S Veterans Administration ID, Native American Tribal ID, Permanent resident card<br />
** CALIFORNIA - ACCEPTABLE ID IS LIMITED TO: U.S. Drivers License, Certificate of U.S. citizenship or naturalization, U.S. Passport/U.S. Territory Passport, Foreign Passport, U.S. Government, Military, State, or Tribal-issued ID which includes date-of-birth and/or Social Security number and/or Tribal ID, Common Access Card (only if designated as Active Military or Active Reserve or Active Selected Reserve), Military Discharge Documentation which includes date-of-birth and/or Social Security number and/or Tribal ID, Northern Mariana Card, Permanent Resident Card, Permanent Resident Alien Card, Permanent Resident Re-Entry Permit, Temporary Resident Identification Card, Employment Authorization Card, Mexican Consular Card (Matricula Consullar - 2006, 2014, 2015, and later versions), Parolee Identification Card issued by California Department of Corrections and Rehabilitation Division of Adult Parole Operations, which is within one year of the date under picture<br />
** CA - Must have a valid expiration date listed <br />
* PR - If ID proof has only one last name, subsidy proof with two last names can be uploaded with ID proof <br />
* Must be original copy of identification document (no photocopies)<br />
<br />
Subsidy Proof<br />
* All digits of a subsidy proof are required for SNAP and Medicaid Cards. Only the last 4 digits of account are required for any other subsidy proof<br />
* The proof is addressed to the applicant and the applicant appears to be the parent/guardian of the minors covered under subsidy<br />
* Has an issue date of less than one year ago<br />
<br />
Address Proof <br />
*unexpired driver's license<br />
*utility bill<br />
*current income statement from an employer, paycheck stub, or W-2<br />
*prior year's state, federal or Tribal tax return<br />
*current mortgage or lease statement<br />
*unexpired government, state, or Tribal issued ID<br />
*government assistance program documents<br />
*statement of benefits from a qualifying program which contains name and address of subscriber<br />
*retirement/pension statement of benefits<br />
*an unemployment/workers' compensation statement of benefits<br />
*local, state, or federal government documentation sources<br />
*CALIFORNIA ONLY - bank statements, homeless shelter letter (must be signed by a manager and on shelter letterhead with the applicant’s full name and date of birth, stating that the applicant is currently residing at this address)<br />
<br />
Social Security Proof<br />
*Social Security card or SSA-1099 (Social Security Benefit Statement)<br />
*W-2 from within the last 2 year<br />
*prior year's state, federal, or Tribal tax return<br />
*unexpired United States government, military, state, or Tribal issued ID, which includes Social Security Number<br />
*military discharge documentation which includes Social Security Number<br />
*unexpired weapons permit which includes Social Security Number<br />
*government assistance program document which includes Social Security Number<br />
*statement of benefits from a qualifying program which includes Social Security Number<br />
*unemployment/workers' compensation statement of benefits which includes Social Security Number<br />
*eligibility confirmation from state eligibility database or administrator which includes date of birth and/or last four digits of Social Security Number<br />
*PR ONLY - proof must include BOTH last names if the photo ID presented has both last names. If ID only has one last name, the SSN proof must have only one last name.<br />
<br />
Proof of Life <br />
<br />
To prove a consumer is living, they must first submit a copy of one of the following unexpired documents, which must include their date of birth and their SSN or Tribal ID number:<br />
*Government, military, state, or Tribal-issued ID<br />
*Military discharge documentation<br />
*Weapons permit<br />
*Government assistance program document<br />
*Statement of benefits from a qualifying program document<br />
*Unemployment or Workers’ compensation statement of benefits<br />
*Eligibility confirmation from state eligibility database with administrator<br />
*Consumers also have the option to submit two types of unexpired documentation. One document must include their date of birth and the other must have their SSN on it.<br />
The first document must be one of the following:<br />
*Driver’s license<br />
*Birth certificate<br />
*Certificate of Naturalization<br />
*Proof of citizenship<br />
*Permanent Resident or Permanent Resident Alien card<br />
*Passport<br />
<br />
The second document must be one of the following:<br />
*W-2 from within the last 2 years<br />
*Prior year’s state, federal, or Tribal tax return<br />
*Social security card<br />
*SSA-1099<br />
<br />
In addition to documentation with their first name, last name, date of birth, SSN (or Tribal ID), consumers must also submit documentation that proves recent life activity. <br />
Consumers must submit one of the following documents to prove recent life activity:<br />
*Current program eligibility or government assistance documentation<br />
*Current utility bill (phone and internet bills cannot be used as utility bills. Consumers can use water, electricity, and waste and removal bills).<br />
*Current income statement such as a paystub<br />
*Current mortgage or lease statement<br />
*Current retirement/pension statement of benefits<br />
*Current unemployment/Workers’ compensation statement of benefits<br />
*A notarized letter affirming the subscriber’s identity and alive status<br />
<br />
<br />
'''Reject'''<br />
<br />
Photo Identification Proof<br />
* Identification does not have a photo or photo is illegible<br />
* Work, college, and bank account ID’s are not acceptable<br />
* Passports and IDs issued by a foreign country or a consulate of a foreign country are not acceptable (ACCEPTABLE IN CALIFORNIA) <br />
* Photo is missing <br />
* ID is expired<br />
* Not original copy of ID document (a photocopy)<br />
<br />
Subsidy Proof<br />
* SNAP/Medicaid – entered wrong number/s (must match all numbers)<br />
* Selected wrong subsidy<br />
* Partial subsidy proof if necessary information to confirm name and/or subsidy account number is not visible<br />
* All three names on account, photo ID proof, and subsidy proof do not match<br />
* Subsidy proof is missing<br />
* Any proof with an expiration date that has expired<br />
* Has an issue date of more than one year ago<br />
<br />
== Reason Codes ==<br />
<br />
Please make sure to select the proper reason code:<br />
* Name not match – use if name is misspelled or different from name on subsidy proof. If name on ID is different from customer name use the reason code Photo ID Not belongs to Customer.<br />
* Subsidy Proof Not Visible – use for partial subsidy proof that necessary information to confirm name and/or subsidy account number is not visible or if the subsidy proof is missing.<br />
* Subsidy Proof Not Acceptable – use if proof is not an acceptable eligibility program (e.g. Medicare)<br />
* Subsidy Proof Not Match Subsidy Selected – use if rep selected the wrong subsidy (e.g. Selected Medicaid and proof is a SNAP card)<br />
* Subsidy Ref Num Not Match – use if rep did not enter subsidy proof digits correctly<br />
* Subsidy Ref Num Already Used – use if the subsidy proof digits cannot be corrected due to already being in our system.<br />
* Eligibility Expired – use if the subsidy proof has a visible expired expiration date.<br />
* Photo ID Missing – use if the Photo ID is not included in scan.<br />
* Photo ID Not Visible – use if the customer name and/or picture is not visible.<br />
* Photo ID Not Acceptable – use if the ID does not contain a photo and/or name.<br />
* Photo ID Not Belongs to Customer – use if the customer name does not match the name on the ID. If the name is misspelled, use the reason code Name not Match.<br />
* Income on Proof Not Match Income Entered – use if income entered for order does not meet the eligibility requirements to use 135% below poverty.<br />
* Name Entry Error, ID Proof Verified By Reviewer - PUERTO RICO ONLY - When a name entry error is encountered, compare the entry to the ID proof to determine if the error is due to an input mistake. Such mistakes include misspellings, letter omissions, incorrect name order (first name entered as last name and vice versa), and incorrectly combined names (Delacruz for De La Cruz). Names that are totally different and do not resemble the name on the ID proof whatsoever are still unacceptable (Name Not Match). <br />
<br />
== Standard Eligibility Programs ==<br />
The standard eligibility programs that may be used as proof of subsidy are listed below. Except for Medicaid, only the last four digits of the subsidy number are required. <br />
* Supplemental Security Income (SSI)<br />
* Food Stamps/SNAP<br />
* Medicaid (not Medicare) - all numbers must be entered correctly<br />
* Federal Public Housing Assistance (FPHA)<br />
* Veterans Pension or Survivors Pension benefit <br />
<br />
== Income Guidelines ==<br />
<br />
When processing orders for individuals who are income-eligible (135% of Federal Poverty Level Guidelines), the subscriber must present documentation, such as a tax return, evidencing income from the previous full year’s time period. If the documentation relied on does not cover a full year, such as a current pay stub, the subscriber must present the same type of documentation covering three consecutive months within the previous twelve months.<br />
<br />
Since most subscribers will not have the ability to present three months worth of pay stubs, it is imperative that field representatives inform subscribers of the other acceptable forms of documentation that cover a full year’s time period and may be more easily accessible and presentable.<br />
These forms of documentation include:<br />
* The prior year’s state, federal, or Tribal tax return <br />
* A Social Security statement of benefits <br />
* A Veterans Administration statement of benefits<br />
* A retirement/pension statement of benefits<br />
* An Unemployment/Workmen's Compensation statement of benefits<br />
* Federal or Tribal notice letter of participation in General Assistance<br />
* A divorce decree, child support award, or other official document containing income information for at least three months time<br />
<br />
'''Income Levels - 135%'''<br />
{| border="1" <br />
|-<br />
! Household Size<br />
! Income Level<br />
|- <br />
|align="center" | 1 || align="center" | $18,347 <br />
|-<br />
|align="center" | 2 || align="center" | $24,719<br />
|-<br />
|align="center" | 3 || align="center" | $31,091<br />
|-<br />
|align="center" | 4 || align="center" | $37,463<br />
|-<br />
|align="center" | 5 || align="center" | $43,835 <br />
|-<br />
|align="center" | 6 || align="center" | $50,207<br />
|-<br />
|align="center" | 7 || align="center" | $56,579<br />
|-<br />
|align="center" | 8 || align="center" | $62,951<br />
|-<br />
| colspan="2" | For each additional person add $6,372 <br />
|}<br />
<br />
<br />
== Common Situations ==<br />
<br />
'''Social Security Benefits Income'''<br />
<br />
If the proof clearly indicates that the recipient is receiving Social Security benefits income, and the name on the letter, photo ID, and account all match, the proof is acceptable. <br />
[[image:SSI_acceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
A letter from the Social Security Administration is '''not''' acceptable if it does not indicate that the letter's recipient is receiving Social Security benefits income. <br />
[[image:SSI_unacceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
<br />
'''Medicare'''<br />
<br />
Medicare is not an acceptable proof. Medi'''''caid''''' is an income-based subsidy; Medi'''''care''''' is not based on income or other financial need. <br />
[[image:Medicare.JPG|500px|Please click on image for better resolution.]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=General_Rules&diff=5916General Rules2022-02-11T15:25:44Z<p>CPeditor: </p>
<hr />
<div>Anomalies should be left for review by compliance. <br />
<br />
__TOC__<br />
<br />
== Reviewing Proofs ==<br />
<br />
<br />
'''Accept'''<br />
<br />
Photo Identification Proof<br />
* Out of state identification if subsidy proof is in-state<br />
* Identification must be UNITED STATES government-issued (Federal or State) photo IDs. <br />
** NLAD STATES - ACCEPTABLE ID IS LIMITED TO: State Driver’s License, State ID, United States Passport, Voter ID (with photo ONLY), State-Issued Weapons Permit (with photo ONLY), U.S. military ID, U.S Veterans Administration ID, Native American Tribal ID, Permanent resident card<br />
** CALIFORNIA - ACCEPTABLE ID IS LIMITED TO: U.S. Drivers License, Certificate of U.S. citizenship or naturalization, U.S. Passport/U.S. Territory Passport, Foreign Passport, U.S. Government, Military, State, or Tribal-issued ID which includes date-of-birth and/or Social Security number and/or Tribal ID, Common Access Card (only if designated as Active Military or Active Reserve or Active Selected Reserve), Military Discharge Documentation which includes date-of-birth and/or Social Security number and/or Tribal ID, Northern Mariana Card, Permanent Resident Card, Permanent Resident Alien Card, Permanent Resident Re-Entry Permit, Temporary Resident Identification Card, Employment Authorization Card, Mexican Consular Card (Matricula Consullar - 2006, 2014, 2015, and later versions), Parolee Identification Card issued by California Department of Corrections and Rehabilitation Division of Adult Parole Operations, which is within one year of the date under picture<br />
** CA - Must have a valid expiration date listed <br />
* PR - If ID proof has only one last name, subsidy proof with two last names can be uploaded with ID proof <br />
* Must be original copy of identification document (no photocopies)<br />
<br />
Subsidy Proof<br />
* All digits of a subsidy proof are required for SNAP and Medicaid Cards. Only the last 4 digits of account are required for any other subsidy proof<br />
* The proof is addressed to the applicant and the applicant appears to be the parent/guardian of the minors covered under subsidy<br />
* Has an issue date of less than one year ago<br />
<br />
Address Proof <br />
*unexpired driver's license<br />
*utility bill<br />
*current income statement from an employer, paycheck stub, or W-2<br />
*prior year's state, federal or Tribal tax return<br />
*current mortgage or lease statement<br />
*unexpired government, state, or Tribal issued ID<br />
*government assistance program documents<br />
*statement of benefits from a qualifying program which contains name and address of subscriber<br />
*retirement/pension statement of benefits<br />
*an unemployment/workers' compensation statement of benefits<br />
*local, state, or federal government documentation sources<br />
*CALIFORNIA ONLY - bank statements, homeless shelter letter (must be signed by a manager and on shelter letterhead with the applicant’s full name and date of birth, stating that the applicant is currently residing at this address)<br />
<br />
Social Security Proof<br />
*Social Security card or SSA-1099 (Social Security Benefit Statement)<br />
*W-2 from within the last 2 year<br />
*prior year's state, federal, or Tribal tax return<br />
*unexpired United States government, military, state, or Tribal issued ID, which includes Social Security Number<br />
*military discharge documentation which includes Social Security Number<br />
*unexpired weapons permit which includes Social Security Number<br />
*government assistance program document which includes Social Security Number<br />
*statement of benefits from a qualifying program which includes Social Security Number<br />
*unemployment/workers' compensation statement of benefits which includes Social Security Number<br />
*eligibility confirmation from state eligibility database or administrator which includes date of birth and/or last four digits of Social Security Number<br />
*PR ONLY - proof must include BOTH last names if the photo ID presented has both last names. If ID only has one last name, the SSN proof must have only one last name.<br />
<br />
Proof of Life <br />
<br />
To prove a consumer is living, they must first submit a copy of one of the following unexpired documents, which must include their date of birth and their SSN or Tribal ID number:<br />
*Government, military, state, or Tribal-issued ID<br />
*Military discharge documentation<br />
*Weapons permit<br />
*Government assistance program document<br />
*Statement of benefits from a qualifying program document<br />
*Unemployment or Workers’ compensation statement of benefits<br />
*Eligibility confirmation from state eligibility database with administrator<br />
*Consumers also have the option to submit two types of unexpired documentation. One document must include their date of birth and the other must have their SSN on it.<br />
The first document must be one of the following:<br />
*Driver’s license<br />
*Birth certificate<br />
*Certificate of Naturalization<br />
*Proof of citizenship<br />
*Permanent Resident or Permanent Resident Alien card<br />
*Passport<br />
<br />
The second document must be one of the following:<br />
*W-2 from within the last 2 years<br />
*Prior year’s state, federal, or Tribal tax return<br />
*Social security card<br />
*SSA-1099<br />
<br />
In addition to documentation with their first name, last name, date of birth, SSN (or Tribal ID), consumers must also submit documentation that proves recent life activity. <br />
Consumers must submit one of the following documents to prove recent life activity:<br />
*Current program eligibility or government assistance documentation<br />
*Current utility bill (phone and internet bills cannot be used as utility bills. Consumers can use water, electricity, and waste and removal bills).<br />
*Current income statement such as a paystub<br />
*Current mortgage or lease statement<br />
*Current retirement/pension statement of benefits<br />
*Current unemployment/Workers’ compensation statement of benefits<br />
*A notarized letter affirming the subscriber’s identity and alive status<br />
<br />
<br />
'''Reject'''<br />
<br />
Photo Identification Proof<br />
* Identification does not have a photo or photo is illegible<br />
* Work, college, and bank account ID’s are not acceptable<br />
* Passports and IDs issued by a foreign country or a consulate of a foreign country are not acceptable (ACCEPTABLE IN CALIFORNIA) <br />
* Photo is missing <br />
* ID is expired<br />
* Not original copy of ID document (a photocopy)<br />
<br />
Subsidy Proof<br />
* SNAP/Medicaid – entered wrong number/s (must match all numbers)<br />
* Selected wrong subsidy<br />
* Partial subsidy proof if necessary information to confirm name and/or subsidy account number is not visible<br />
* All three names on account, photo ID proof, and subsidy proof do not match<br />
* Subsidy proof is missing<br />
* Any proof with an expiration date that has expired<br />
* Has an issue date of more than one year ago<br />
<br />
== Reason Codes ==<br />
<br />
Please make sure to select the proper reason code:<br />
* Name not match – use if name is misspelled or different from name on subsidy proof. If name on ID is different from customer name use the reason code Photo ID Not belongs to Customer.<br />
* Subsidy Proof Not Visible – use for partial subsidy proof that necessary information to confirm name and/or subsidy account number is not visible or if the subsidy proof is missing.<br />
* Subsidy Proof Not Acceptable – use if proof is not an acceptable eligibility program (e.g. Medicare)<br />
* Subsidy Proof Not Match Subsidy Selected – use if rep selected the wrong subsidy (e.g. Selected Medicaid and proof is a SNAP card)<br />
* Subsidy Ref Num Not Match – use if rep did not enter subsidy proof digits correctly<br />
* Subsidy Ref Num Already Used – use if the subsidy proof digits cannot be corrected due to already being in our system.<br />
* Eligibility Expired – use if the subsidy proof has a visible expired expiration date.<br />
* Photo ID Missing – use if the Photo ID is not included in scan.<br />
* Photo ID Not Visible – use if the customer name and/or picture is not visible.<br />
* Photo ID Not Acceptable – use if the ID does not contain a photo and/or name.<br />
* Photo ID Not Belongs to Customer – use if the customer name does not match the name on the ID. If the name is misspelled, use the reason code Name not Match.<br />
* Income on Proof Not Match Income Entered – use if income entered for order does not meet the eligibility requirements to use 135% below poverty.<br />
* Name Entry Error, ID Proof Verified By Reviewer - PUERTO RICO ONLY - When a name entry error is encountered, compare the entry to the ID proof to determine if the error is due to an input mistake. Such mistakes include misspellings, letter omissions, incorrect name order (first name entered as last name and vice versa), and incorrectly combined names (Delacruz for De La Cruz). Names that are totally different and do not resemble the name on the ID proof whatsoever are still unacceptable (Name Not Match). <br />
<br />
== Standard Eligibility Programs ==<br />
The standard eligibility programs that may be used as proof of subsidy are listed below. Except for Medicaid, only the last four digits of the subsidy number are required. <br />
* Supplemental Security Income (SSI)<br />
* Food Stamps/SNAP<br />
* Medicaid (not Medicare) - all numbers must be entered correctly<br />
* Federal Public Housing Assistance (FPHA)<br />
* Veterans Pension or Survivors Pension benefit <br />
<br />
== Income Guidelines ==<br />
<br />
When processing orders for individuals who are income-eligible (135% of Federal Poverty Level Guidelines), the subscriber must present documentation, such as a tax return, evidencing income from the previous full year’s time period. If the documentation relied on does not cover a full year, such as a current pay stub, the subscriber must present the same type of documentation covering three consecutive months within the previous twelve months.<br />
<br />
Since most subscribers will not have the ability to present three months worth of pay stubs, it is imperative that field representatives inform subscribers of the other acceptable forms of documentation that cover a full year’s time period and may be more easily accessible and presentable.<br />
These forms of documentation include:<br />
* The prior year’s state, federal, or Tribal tax return <br />
* A Social Security statement of benefits <br />
* A Veterans Administration statement of benefits<br />
* A retirement/pension statement of benefits<br />
* An Unemployment/Workmen's Compensation statement of benefits<br />
* Federal or Tribal notice letter of participation in General Assistance<br />
* A divorce decree, child support award, or other official document containing income information for at least three months time<br />
<br />
'''Income Levels - 135%'''<br />
{| border="1" <br />
|-<br />
! Household Size<br />
! Income Level<br />
|- <br />
|align="center" | 1 || align="center" | $18,347 <br />
|-<br />
|align="center" | 2 || $24,719<br />
|-<br />
|align="center" | 3 || $31,091<br />
|-<br />
|align="center" | 4 || $37,463<br />
|-<br />
|align="center" | 5 || $43,835 <br />
|-<br />
|align="center" | 6 || $50,207<br />
|-<br />
|align="center" | 7 || $56,579<br />
|-<br />
|align="center" | 8 || $62,951<br />
|-<br />
| colspan="2" | For each additional person add $6,372 <br />
|}<br />
<br />
<br />
== Common Situations ==<br />
<br />
'''Social Security Benefits Income'''<br />
<br />
If the proof clearly indicates that the recipient is receiving Social Security benefits income, and the name on the letter, photo ID, and account all match, the proof is acceptable. <br />
[[image:SSI_acceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
A letter from the Social Security Administration is '''not''' acceptable if it does not indicate that the letter's recipient is receiving Social Security benefits income. <br />
[[image:SSI_unacceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
<br />
'''Medicare'''<br />
<br />
Medicare is not an acceptable proof. Medi'''''caid''''' is an income-based subsidy; Medi'''''care''''' is not based on income or other financial need. <br />
[[image:Medicare.JPG|500px|Please click on image for better resolution.]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=General_Rules&diff=5915General Rules2022-02-11T15:25:18Z<p>CPeditor: </p>
<hr />
<div>Anomalies should be left for review by compliance. <br />
<br />
__TOC__<br />
<br />
== Reviewing Proofs ==<br />
<br />
<br />
'''Accept'''<br />
<br />
Photo Identification Proof<br />
* Out of state identification if subsidy proof is in-state<br />
* Identification must be UNITED STATES government-issued (Federal or State) photo IDs. <br />
** NLAD STATES - ACCEPTABLE ID IS LIMITED TO: State Driver’s License, State ID, United States Passport, Voter ID (with photo ONLY), State-Issued Weapons Permit (with photo ONLY), U.S. military ID, U.S Veterans Administration ID, Native American Tribal ID, Permanent resident card<br />
** CALIFORNIA - ACCEPTABLE ID IS LIMITED TO: U.S. Drivers License, Certificate of U.S. citizenship or naturalization, U.S. Passport/U.S. Territory Passport, Foreign Passport, U.S. Government, Military, State, or Tribal-issued ID which includes date-of-birth and/or Social Security number and/or Tribal ID, Common Access Card (only if designated as Active Military or Active Reserve or Active Selected Reserve), Military Discharge Documentation which includes date-of-birth and/or Social Security number and/or Tribal ID, Northern Mariana Card, Permanent Resident Card, Permanent Resident Alien Card, Permanent Resident Re-Entry Permit, Temporary Resident Identification Card, Employment Authorization Card, Mexican Consular Card (Matricula Consullar - 2006, 2014, 2015, and later versions), Parolee Identification Card issued by California Department of Corrections and Rehabilitation Division of Adult Parole Operations, which is within one year of the date under picture<br />
** CA - Must have a valid expiration date listed <br />
* PR - If ID proof has only one last name, subsidy proof with two last names can be uploaded with ID proof <br />
* Must be original copy of identification document (no photocopies)<br />
<br />
Subsidy Proof<br />
* All digits of a subsidy proof are required for SNAP and Medicaid Cards. Only the last 4 digits of account are required for any other subsidy proof<br />
* The proof is addressed to the applicant and the applicant appears to be the parent/guardian of the minors covered under subsidy<br />
* Has an issue date of less than one year ago<br />
<br />
Address Proof <br />
*unexpired driver's license<br />
*utility bill<br />
*current income statement from an employer, paycheck stub, or W-2<br />
*prior year's state, federal or Tribal tax return<br />
*current mortgage or lease statement<br />
*unexpired government, state, or Tribal issued ID<br />
*government assistance program documents<br />
*statement of benefits from a qualifying program which contains name and address of subscriber<br />
*retirement/pension statement of benefits<br />
*an unemployment/workers' compensation statement of benefits<br />
*local, state, or federal government documentation sources<br />
*CALIFORNIA ONLY - bank statements, homeless shelter letter (must be signed by a manager and on shelter letterhead with the applicant’s full name and date of birth, stating that the applicant is currently residing at this address)<br />
<br />
Social Security Proof<br />
*Social Security card or SSA-1099 (Social Security Benefit Statement)<br />
*W-2 from within the last 2 year<br />
*prior year's state, federal, or Tribal tax return<br />
*unexpired United States government, military, state, or Tribal issued ID, which includes Social Security Number<br />
*military discharge documentation which includes Social Security Number<br />
*unexpired weapons permit which includes Social Security Number<br />
*government assistance program document which includes Social Security Number<br />
*statement of benefits from a qualifying program which includes Social Security Number<br />
*unemployment/workers' compensation statement of benefits which includes Social Security Number<br />
*eligibility confirmation from state eligibility database or administrator which includes date of birth and/or last four digits of Social Security Number<br />
*PR ONLY - proof must include BOTH last names if the photo ID presented has both last names. If ID only has one last name, the SSN proof must have only one last name.<br />
<br />
Proof of Life <br />
<br />
To prove a consumer is living, they must first submit a copy of one of the following unexpired documents, which must include their date of birth and their SSN or Tribal ID number:<br />
*Government, military, state, or Tribal-issued ID<br />
*Military discharge documentation<br />
*Weapons permit<br />
*Government assistance program document<br />
*Statement of benefits from a qualifying program document<br />
*Unemployment or Workers’ compensation statement of benefits<br />
*Eligibility confirmation from state eligibility database with administrator<br />
*Consumers also have the option to submit two types of unexpired documentation. One document must include their date of birth and the other must have their SSN on it.<br />
The first document must be one of the following:<br />
*Driver’s license<br />
*Birth certificate<br />
*Certificate of Naturalization<br />
*Proof of citizenship<br />
*Permanent Resident or Permanent Resident Alien card<br />
*Passport<br />
<br />
The second document must be one of the following:<br />
*W-2 from within the last 2 years<br />
*Prior year’s state, federal, or Tribal tax return<br />
*Social security card<br />
*SSA-1099<br />
<br />
In addition to documentation with their first name, last name, date of birth, SSN (or Tribal ID), consumers must also submit documentation that proves recent life activity. <br />
Consumers must submit one of the following documents to prove recent life activity:<br />
*Current program eligibility or government assistance documentation<br />
*Current utility bill (phone and internet bills cannot be used as utility bills. Consumers can use water, electricity, and waste and removal bills).<br />
*Current income statement such as a paystub<br />
*Current mortgage or lease statement<br />
*Current retirement/pension statement of benefits<br />
*Current unemployment/Workers’ compensation statement of benefits<br />
*A notarized letter affirming the subscriber’s identity and alive status<br />
<br />
<br />
'''Reject'''<br />
<br />
Photo Identification Proof<br />
* Identification does not have a photo or photo is illegible<br />
* Work, college, and bank account ID’s are not acceptable<br />
* Passports and IDs issued by a foreign country or a consulate of a foreign country are not acceptable (ACCEPTABLE IN CALIFORNIA) <br />
* Photo is missing <br />
* ID is expired<br />
* Not original copy of ID document (a photocopy)<br />
<br />
Subsidy Proof<br />
* SNAP/Medicaid – entered wrong number/s (must match all numbers)<br />
* Selected wrong subsidy<br />
* Partial subsidy proof if necessary information to confirm name and/or subsidy account number is not visible<br />
* All three names on account, photo ID proof, and subsidy proof do not match<br />
* Subsidy proof is missing<br />
* Any proof with an expiration date that has expired<br />
* Has an issue date of more than one year ago<br />
<br />
== Reason Codes ==<br />
<br />
Please make sure to select the proper reason code:<br />
* Name not match – use if name is misspelled or different from name on subsidy proof. If name on ID is different from customer name use the reason code Photo ID Not belongs to Customer.<br />
* Subsidy Proof Not Visible – use for partial subsidy proof that necessary information to confirm name and/or subsidy account number is not visible or if the subsidy proof is missing.<br />
* Subsidy Proof Not Acceptable – use if proof is not an acceptable eligibility program (e.g. Medicare)<br />
* Subsidy Proof Not Match Subsidy Selected – use if rep selected the wrong subsidy (e.g. Selected Medicaid and proof is a SNAP card)<br />
* Subsidy Ref Num Not Match – use if rep did not enter subsidy proof digits correctly<br />
* Subsidy Ref Num Already Used – use if the subsidy proof digits cannot be corrected due to already being in our system.<br />
* Eligibility Expired – use if the subsidy proof has a visible expired expiration date.<br />
* Photo ID Missing – use if the Photo ID is not included in scan.<br />
* Photo ID Not Visible – use if the customer name and/or picture is not visible.<br />
* Photo ID Not Acceptable – use if the ID does not contain a photo and/or name.<br />
* Photo ID Not Belongs to Customer – use if the customer name does not match the name on the ID. If the name is misspelled, use the reason code Name not Match.<br />
* Income on Proof Not Match Income Entered – use if income entered for order does not meet the eligibility requirements to use 135% below poverty.<br />
* Name Entry Error, ID Proof Verified By Reviewer - PUERTO RICO ONLY - When a name entry error is encountered, compare the entry to the ID proof to determine if the error is due to an input mistake. Such mistakes include misspellings, letter omissions, incorrect name order (first name entered as last name and vice versa), and incorrectly combined names (Delacruz for De La Cruz). Names that are totally different and do not resemble the name on the ID proof whatsoever are still unacceptable (Name Not Match). <br />
<br />
== Standard Eligibility Programs ==<br />
The standard eligibility programs that may be used as proof of subsidy are listed below. Except for Medicaid, only the last four digits of the subsidy number are required. <br />
* Supplemental Security Income (SSI)<br />
* Food Stamps/SNAP<br />
* Medicaid (not Medicare) - all numbers must be entered correctly<br />
* Federal Public Housing Assistance (FPHA)<br />
* Veterans Pension or Survivors Pension benefit <br />
<br />
== Income Guidelines ==<br />
<br />
When processing orders for individuals who are income-eligible (135% of Federal Poverty Level Guidelines), the subscriber must present documentation, such as a tax return, evidencing income from the previous full year’s time period. If the documentation relied on does not cover a full year, such as a current pay stub, the subscriber must present the same type of documentation covering three consecutive months within the previous twelve months.<br />
<br />
Since most subscribers will not have the ability to present three months worth of pay stubs, it is imperative that field representatives inform subscribers of the other acceptable forms of documentation that cover a full year’s time period and may be more easily accessible and presentable.<br />
These forms of documentation include:<br />
* The prior year’s state, federal, or Tribal tax return <br />
* A Social Security statement of benefits <br />
* A Veterans Administration statement of benefits<br />
* A retirement/pension statement of benefits<br />
* An Unemployment/Workmen's Compensation statement of benefits<br />
* Federal or Tribal notice letter of participation in General Assistance<br />
* A divorce decree, child support award, or other official document containing income information for at least three months time<br />
<br />
'''Income Levels - 135%'''<br />
{| border="1" <br />
|-<br />
! Household Size<br />
! Income Level<br />
|- <br />
|align="center" | 1 || align="center" | $18,347 | <br />
|-<br />
|align="center" | 2 || $24,719<br />
|-<br />
|align="center" | 3 || $31,091<br />
|-<br />
|align="center" | 4 || $37,463<br />
|-<br />
|align="center" | 5 || $43,835 <br />
|-<br />
|align="center" | 6 || $50,207<br />
|-<br />
|align="center" | 7 || $56,579<br />
|-<br />
|align="center" | 8 || $62,951<br />
|-<br />
| colspan="2" | For each additional person add $6,372 <br />
|}<br />
<br />
<br />
== Common Situations ==<br />
<br />
'''Social Security Benefits Income'''<br />
<br />
If the proof clearly indicates that the recipient is receiving Social Security benefits income, and the name on the letter, photo ID, and account all match, the proof is acceptable. <br />
[[image:SSI_acceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
A letter from the Social Security Administration is '''not''' acceptable if it does not indicate that the letter's recipient is receiving Social Security benefits income. <br />
[[image:SSI_unacceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
<br />
'''Medicare'''<br />
<br />
Medicare is not an acceptable proof. Medi'''''caid''''' is an income-based subsidy; Medi'''''care''''' is not based on income or other financial need. <br />
[[image:Medicare.JPG|500px|Please click on image for better resolution.]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=General_Rules&diff=5914General Rules2022-02-11T15:24:51Z<p>CPeditor: </p>
<hr />
<div>Anomalies should be left for review by compliance. <br />
<br />
__TOC__<br />
<br />
== Reviewing Proofs ==<br />
<br />
<br />
'''Accept'''<br />
<br />
Photo Identification Proof<br />
* Out of state identification if subsidy proof is in-state<br />
* Identification must be UNITED STATES government-issued (Federal or State) photo IDs. <br />
** NLAD STATES - ACCEPTABLE ID IS LIMITED TO: State Driver’s License, State ID, United States Passport, Voter ID (with photo ONLY), State-Issued Weapons Permit (with photo ONLY), U.S. military ID, U.S Veterans Administration ID, Native American Tribal ID, Permanent resident card<br />
** CALIFORNIA - ACCEPTABLE ID IS LIMITED TO: U.S. Drivers License, Certificate of U.S. citizenship or naturalization, U.S. Passport/U.S. Territory Passport, Foreign Passport, U.S. Government, Military, State, or Tribal-issued ID which includes date-of-birth and/or Social Security number and/or Tribal ID, Common Access Card (only if designated as Active Military or Active Reserve or Active Selected Reserve), Military Discharge Documentation which includes date-of-birth and/or Social Security number and/or Tribal ID, Northern Mariana Card, Permanent Resident Card, Permanent Resident Alien Card, Permanent Resident Re-Entry Permit, Temporary Resident Identification Card, Employment Authorization Card, Mexican Consular Card (Matricula Consullar - 2006, 2014, 2015, and later versions), Parolee Identification Card issued by California Department of Corrections and Rehabilitation Division of Adult Parole Operations, which is within one year of the date under picture<br />
** CA - Must have a valid expiration date listed <br />
* PR - If ID proof has only one last name, subsidy proof with two last names can be uploaded with ID proof <br />
* Must be original copy of identification document (no photocopies)<br />
<br />
Subsidy Proof<br />
* All digits of a subsidy proof are required for SNAP and Medicaid Cards. Only the last 4 digits of account are required for any other subsidy proof<br />
* The proof is addressed to the applicant and the applicant appears to be the parent/guardian of the minors covered under subsidy<br />
* Has an issue date of less than one year ago<br />
<br />
Address Proof <br />
*unexpired driver's license<br />
*utility bill<br />
*current income statement from an employer, paycheck stub, or W-2<br />
*prior year's state, federal or Tribal tax return<br />
*current mortgage or lease statement<br />
*unexpired government, state, or Tribal issued ID<br />
*government assistance program documents<br />
*statement of benefits from a qualifying program which contains name and address of subscriber<br />
*retirement/pension statement of benefits<br />
*an unemployment/workers' compensation statement of benefits<br />
*local, state, or federal government documentation sources<br />
*CALIFORNIA ONLY - bank statements, homeless shelter letter (must be signed by a manager and on shelter letterhead with the applicant’s full name and date of birth, stating that the applicant is currently residing at this address)<br />
<br />
Social Security Proof<br />
*Social Security card or SSA-1099 (Social Security Benefit Statement)<br />
*W-2 from within the last 2 year<br />
*prior year's state, federal, or Tribal tax return<br />
*unexpired United States government, military, state, or Tribal issued ID, which includes Social Security Number<br />
*military discharge documentation which includes Social Security Number<br />
*unexpired weapons permit which includes Social Security Number<br />
*government assistance program document which includes Social Security Number<br />
*statement of benefits from a qualifying program which includes Social Security Number<br />
*unemployment/workers' compensation statement of benefits which includes Social Security Number<br />
*eligibility confirmation from state eligibility database or administrator which includes date of birth and/or last four digits of Social Security Number<br />
*PR ONLY - proof must include BOTH last names if the photo ID presented has both last names. If ID only has one last name, the SSN proof must have only one last name.<br />
<br />
Proof of Life <br />
<br />
To prove a consumer is living, they must first submit a copy of one of the following unexpired documents, which must include their date of birth and their SSN or Tribal ID number:<br />
*Government, military, state, or Tribal-issued ID<br />
*Military discharge documentation<br />
*Weapons permit<br />
*Government assistance program document<br />
*Statement of benefits from a qualifying program document<br />
*Unemployment or Workers’ compensation statement of benefits<br />
*Eligibility confirmation from state eligibility database with administrator<br />
*Consumers also have the option to submit two types of unexpired documentation. One document must include their date of birth and the other must have their SSN on it.<br />
The first document must be one of the following:<br />
*Driver’s license<br />
*Birth certificate<br />
*Certificate of Naturalization<br />
*Proof of citizenship<br />
*Permanent Resident or Permanent Resident Alien card<br />
*Passport<br />
<br />
The second document must be one of the following:<br />
*W-2 from within the last 2 years<br />
*Prior year’s state, federal, or Tribal tax return<br />
*Social security card<br />
*SSA-1099<br />
<br />
In addition to documentation with their first name, last name, date of birth, SSN (or Tribal ID), consumers must also submit documentation that proves recent life activity. <br />
Consumers must submit one of the following documents to prove recent life activity:<br />
*Current program eligibility or government assistance documentation<br />
*Current utility bill (phone and internet bills cannot be used as utility bills. Consumers can use water, electricity, and waste and removal bills).<br />
*Current income statement such as a paystub<br />
*Current mortgage or lease statement<br />
*Current retirement/pension statement of benefits<br />
*Current unemployment/Workers’ compensation statement of benefits<br />
*A notarized letter affirming the subscriber’s identity and alive status<br />
<br />
<br />
'''Reject'''<br />
<br />
Photo Identification Proof<br />
* Identification does not have a photo or photo is illegible<br />
* Work, college, and bank account ID’s are not acceptable<br />
* Passports and IDs issued by a foreign country or a consulate of a foreign country are not acceptable (ACCEPTABLE IN CALIFORNIA) <br />
* Photo is missing <br />
* ID is expired<br />
* Not original copy of ID document (a photocopy)<br />
<br />
Subsidy Proof<br />
* SNAP/Medicaid – entered wrong number/s (must match all numbers)<br />
* Selected wrong subsidy<br />
* Partial subsidy proof if necessary information to confirm name and/or subsidy account number is not visible<br />
* All three names on account, photo ID proof, and subsidy proof do not match<br />
* Subsidy proof is missing<br />
* Any proof with an expiration date that has expired<br />
* Has an issue date of more than one year ago<br />
<br />
== Reason Codes ==<br />
<br />
Please make sure to select the proper reason code:<br />
* Name not match – use if name is misspelled or different from name on subsidy proof. If name on ID is different from customer name use the reason code Photo ID Not belongs to Customer.<br />
* Subsidy Proof Not Visible – use for partial subsidy proof that necessary information to confirm name and/or subsidy account number is not visible or if the subsidy proof is missing.<br />
* Subsidy Proof Not Acceptable – use if proof is not an acceptable eligibility program (e.g. Medicare)<br />
* Subsidy Proof Not Match Subsidy Selected – use if rep selected the wrong subsidy (e.g. Selected Medicaid and proof is a SNAP card)<br />
* Subsidy Ref Num Not Match – use if rep did not enter subsidy proof digits correctly<br />
* Subsidy Ref Num Already Used – use if the subsidy proof digits cannot be corrected due to already being in our system.<br />
* Eligibility Expired – use if the subsidy proof has a visible expired expiration date.<br />
* Photo ID Missing – use if the Photo ID is not included in scan.<br />
* Photo ID Not Visible – use if the customer name and/or picture is not visible.<br />
* Photo ID Not Acceptable – use if the ID does not contain a photo and/or name.<br />
* Photo ID Not Belongs to Customer – use if the customer name does not match the name on the ID. If the name is misspelled, use the reason code Name not Match.<br />
* Income on Proof Not Match Income Entered – use if income entered for order does not meet the eligibility requirements to use 135% below poverty.<br />
* Name Entry Error, ID Proof Verified By Reviewer - PUERTO RICO ONLY - When a name entry error is encountered, compare the entry to the ID proof to determine if the error is due to an input mistake. Such mistakes include misspellings, letter omissions, incorrect name order (first name entered as last name and vice versa), and incorrectly combined names (Delacruz for De La Cruz). Names that are totally different and do not resemble the name on the ID proof whatsoever are still unacceptable (Name Not Match). <br />
<br />
== Standard Eligibility Programs ==<br />
The standard eligibility programs that may be used as proof of subsidy are listed below. Except for Medicaid, only the last four digits of the subsidy number are required. <br />
* Supplemental Security Income (SSI)<br />
* Food Stamps/SNAP<br />
* Medicaid (not Medicare) - all numbers must be entered correctly<br />
* Federal Public Housing Assistance (FPHA)<br />
* Veterans Pension or Survivors Pension benefit <br />
<br />
== Income Guidelines ==<br />
<br />
When processing orders for individuals who are income-eligible (135% of Federal Poverty Level Guidelines), the subscriber must present documentation, such as a tax return, evidencing income from the previous full year’s time period. If the documentation relied on does not cover a full year, such as a current pay stub, the subscriber must present the same type of documentation covering three consecutive months within the previous twelve months.<br />
<br />
Since most subscribers will not have the ability to present three months worth of pay stubs, it is imperative that field representatives inform subscribers of the other acceptable forms of documentation that cover a full year’s time period and may be more easily accessible and presentable.<br />
These forms of documentation include:<br />
* The prior year’s state, federal, or Tribal tax return <br />
* A Social Security statement of benefits <br />
* A Veterans Administration statement of benefits<br />
* A retirement/pension statement of benefits<br />
* An Unemployment/Workmen's Compensation statement of benefits<br />
* Federal or Tribal notice letter of participation in General Assistance<br />
* A divorce decree, child support award, or other official document containing income information for at least three months time<br />
<br />
'''Income Levels - 135%'''<br />
{| border="1" <br />
|-<br />
! Household Size<br />
! Income Level<br />
|- <br />
|align="center" | 1 || align="center" | $18,347 || <br />
|-<br />
|align="center" | 2 || $24,719<br />
|-<br />
|align="center" | 3 || $31,091<br />
|-<br />
|align="center" | 4 || $37,463<br />
|-<br />
|align="center" | 5 || $43,835 <br />
|-<br />
|align="center" | 6 || $50,207<br />
|-<br />
|align="center" | 7 || $56,579<br />
|-<br />
|align="center" | 8 || $62,951<br />
|-<br />
| colspan="2" | For each additional person add $6,372 <br />
|}<br />
<br />
<br />
== Common Situations ==<br />
<br />
'''Social Security Benefits Income'''<br />
<br />
If the proof clearly indicates that the recipient is receiving Social Security benefits income, and the name on the letter, photo ID, and account all match, the proof is acceptable. <br />
[[image:SSI_acceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
A letter from the Social Security Administration is '''not''' acceptable if it does not indicate that the letter's recipient is receiving Social Security benefits income. <br />
[[image:SSI_unacceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
<br />
'''Medicare'''<br />
<br />
Medicare is not an acceptable proof. Medi'''''caid''''' is an income-based subsidy; Medi'''''care''''' is not based on income or other financial need. <br />
[[image:Medicare.JPG|500px|Please click on image for better resolution.]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=General_Rules&diff=5913General Rules2022-02-11T15:23:21Z<p>CPeditor: </p>
<hr />
<div>Anomalies should be left for review by compliance. <br />
<br />
__TOC__<br />
<br />
== Reviewing Proofs ==<br />
<br />
<br />
'''Accept'''<br />
<br />
Photo Identification Proof<br />
* Out of state identification if subsidy proof is in-state<br />
* Identification must be UNITED STATES government-issued (Federal or State) photo IDs. <br />
** NLAD STATES - ACCEPTABLE ID IS LIMITED TO: State Driver’s License, State ID, United States Passport, Voter ID (with photo ONLY), State-Issued Weapons Permit (with photo ONLY), U.S. military ID, U.S Veterans Administration ID, Native American Tribal ID, Permanent resident card<br />
** CALIFORNIA - ACCEPTABLE ID IS LIMITED TO: U.S. Drivers License, Certificate of U.S. citizenship or naturalization, U.S. Passport/U.S. Territory Passport, Foreign Passport, U.S. Government, Military, State, or Tribal-issued ID which includes date-of-birth and/or Social Security number and/or Tribal ID, Common Access Card (only if designated as Active Military or Active Reserve or Active Selected Reserve), Military Discharge Documentation which includes date-of-birth and/or Social Security number and/or Tribal ID, Northern Mariana Card, Permanent Resident Card, Permanent Resident Alien Card, Permanent Resident Re-Entry Permit, Temporary Resident Identification Card, Employment Authorization Card, Mexican Consular Card (Matricula Consullar - 2006, 2014, 2015, and later versions), Parolee Identification Card issued by California Department of Corrections and Rehabilitation Division of Adult Parole Operations, which is within one year of the date under picture<br />
** CA - Must have a valid expiration date listed <br />
* PR - If ID proof has only one last name, subsidy proof with two last names can be uploaded with ID proof <br />
* Must be original copy of identification document (no photocopies)<br />
<br />
Subsidy Proof<br />
* All digits of a subsidy proof are required for SNAP and Medicaid Cards. Only the last 4 digits of account are required for any other subsidy proof<br />
* The proof is addressed to the applicant and the applicant appears to be the parent/guardian of the minors covered under subsidy<br />
* Has an issue date of less than one year ago<br />
<br />
Address Proof <br />
*unexpired driver's license<br />
*utility bill<br />
*current income statement from an employer, paycheck stub, or W-2<br />
*prior year's state, federal or Tribal tax return<br />
*current mortgage or lease statement<br />
*unexpired government, state, or Tribal issued ID<br />
*government assistance program documents<br />
*statement of benefits from a qualifying program which contains name and address of subscriber<br />
*retirement/pension statement of benefits<br />
*an unemployment/workers' compensation statement of benefits<br />
*local, state, or federal government documentation sources<br />
*CALIFORNIA ONLY - bank statements, homeless shelter letter (must be signed by a manager and on shelter letterhead with the applicant’s full name and date of birth, stating that the applicant is currently residing at this address)<br />
<br />
Social Security Proof<br />
*Social Security card or SSA-1099 (Social Security Benefit Statement)<br />
*W-2 from within the last 2 year<br />
*prior year's state, federal, or Tribal tax return<br />
*unexpired United States government, military, state, or Tribal issued ID, which includes Social Security Number<br />
*military discharge documentation which includes Social Security Number<br />
*unexpired weapons permit which includes Social Security Number<br />
*government assistance program document which includes Social Security Number<br />
*statement of benefits from a qualifying program which includes Social Security Number<br />
*unemployment/workers' compensation statement of benefits which includes Social Security Number<br />
*eligibility confirmation from state eligibility database or administrator which includes date of birth and/or last four digits of Social Security Number<br />
*PR ONLY - proof must include BOTH last names if the photo ID presented has both last names. If ID only has one last name, the SSN proof must have only one last name.<br />
<br />
Proof of Life <br />
<br />
To prove a consumer is living, they must first submit a copy of one of the following unexpired documents, which must include their date of birth and their SSN or Tribal ID number:<br />
*Government, military, state, or Tribal-issued ID<br />
*Military discharge documentation<br />
*Weapons permit<br />
*Government assistance program document<br />
*Statement of benefits from a qualifying program document<br />
*Unemployment or Workers’ compensation statement of benefits<br />
*Eligibility confirmation from state eligibility database with administrator<br />
*Consumers also have the option to submit two types of unexpired documentation. One document must include their date of birth and the other must have their SSN on it.<br />
The first document must be one of the following:<br />
*Driver’s license<br />
*Birth certificate<br />
*Certificate of Naturalization<br />
*Proof of citizenship<br />
*Permanent Resident or Permanent Resident Alien card<br />
*Passport<br />
<br />
The second document must be one of the following:<br />
*W-2 from within the last 2 years<br />
*Prior year’s state, federal, or Tribal tax return<br />
*Social security card<br />
*SSA-1099<br />
<br />
In addition to documentation with their first name, last name, date of birth, SSN (or Tribal ID), consumers must also submit documentation that proves recent life activity. <br />
Consumers must submit one of the following documents to prove recent life activity:<br />
*Current program eligibility or government assistance documentation<br />
*Current utility bill (phone and internet bills cannot be used as utility bills. Consumers can use water, electricity, and waste and removal bills).<br />
*Current income statement such as a paystub<br />
*Current mortgage or lease statement<br />
*Current retirement/pension statement of benefits<br />
*Current unemployment/Workers’ compensation statement of benefits<br />
*A notarized letter affirming the subscriber’s identity and alive status<br />
<br />
<br />
'''Reject'''<br />
<br />
Photo Identification Proof<br />
* Identification does not have a photo or photo is illegible<br />
* Work, college, and bank account ID’s are not acceptable<br />
* Passports and IDs issued by a foreign country or a consulate of a foreign country are not acceptable (ACCEPTABLE IN CALIFORNIA) <br />
* Photo is missing <br />
* ID is expired<br />
* Not original copy of ID document (a photocopy)<br />
<br />
Subsidy Proof<br />
* SNAP/Medicaid – entered wrong number/s (must match all numbers)<br />
* Selected wrong subsidy<br />
* Partial subsidy proof if necessary information to confirm name and/or subsidy account number is not visible<br />
* All three names on account, photo ID proof, and subsidy proof do not match<br />
* Subsidy proof is missing<br />
* Any proof with an expiration date that has expired<br />
* Has an issue date of more than one year ago<br />
<br />
== Reason Codes ==<br />
<br />
Please make sure to select the proper reason code:<br />
* Name not match – use if name is misspelled or different from name on subsidy proof. If name on ID is different from customer name use the reason code Photo ID Not belongs to Customer.<br />
* Subsidy Proof Not Visible – use for partial subsidy proof that necessary information to confirm name and/or subsidy account number is not visible or if the subsidy proof is missing.<br />
* Subsidy Proof Not Acceptable – use if proof is not an acceptable eligibility program (e.g. Medicare)<br />
* Subsidy Proof Not Match Subsidy Selected – use if rep selected the wrong subsidy (e.g. Selected Medicaid and proof is a SNAP card)<br />
* Subsidy Ref Num Not Match – use if rep did not enter subsidy proof digits correctly<br />
* Subsidy Ref Num Already Used – use if the subsidy proof digits cannot be corrected due to already being in our system.<br />
* Eligibility Expired – use if the subsidy proof has a visible expired expiration date.<br />
* Photo ID Missing – use if the Photo ID is not included in scan.<br />
* Photo ID Not Visible – use if the customer name and/or picture is not visible.<br />
* Photo ID Not Acceptable – use if the ID does not contain a photo and/or name.<br />
* Photo ID Not Belongs to Customer – use if the customer name does not match the name on the ID. If the name is misspelled, use the reason code Name not Match.<br />
* Income on Proof Not Match Income Entered – use if income entered for order does not meet the eligibility requirements to use 135% below poverty.<br />
* Name Entry Error, ID Proof Verified By Reviewer - PUERTO RICO ONLY - When a name entry error is encountered, compare the entry to the ID proof to determine if the error is due to an input mistake. Such mistakes include misspellings, letter omissions, incorrect name order (first name entered as last name and vice versa), and incorrectly combined names (Delacruz for De La Cruz). Names that are totally different and do not resemble the name on the ID proof whatsoever are still unacceptable (Name Not Match). <br />
<br />
== Standard Eligibility Programs ==<br />
The standard eligibility programs that may be used as proof of subsidy are listed below. Except for Medicaid, only the last four digits of the subsidy number are required. <br />
* Supplemental Security Income (SSI)<br />
* Food Stamps/SNAP<br />
* Medicaid (not Medicare) - all numbers must be entered correctly<br />
* Federal Public Housing Assistance (FPHA)<br />
* Veterans Pension or Survivors Pension benefit <br />
<br />
== Income Guidelines ==<br />
<br />
When processing orders for individuals who are income-eligible (135% of Federal Poverty Level Guidelines), the subscriber must present documentation, such as a tax return, evidencing income from the previous full year’s time period. If the documentation relied on does not cover a full year, such as a current pay stub, the subscriber must present the same type of documentation covering three consecutive months within the previous twelve months.<br />
<br />
Since most subscribers will not have the ability to present three months worth of pay stubs, it is imperative that field representatives inform subscribers of the other acceptable forms of documentation that cover a full year’s time period and may be more easily accessible and presentable.<br />
These forms of documentation include:<br />
* The prior year’s state, federal, or Tribal tax return <br />
* A Social Security statement of benefits <br />
* A Veterans Administration statement of benefits<br />
* A retirement/pension statement of benefits<br />
* An Unemployment/Workmen's Compensation statement of benefits<br />
* Federal or Tribal notice letter of participation in General Assistance<br />
* A divorce decree, child support award, or other official document containing income information for at least three months time<br />
<br />
'''Income Levels - 135%'''<br />
{| border="1" <br />
|-<br />
! Household Size<br />
! Income Level<br />
|- <br />
|align="center" | 1 || align="center" $18,347| <br />
|-<br />
|align="center" | 2 || $24,719<br />
|-<br />
|align="center" | 3 || $31,091<br />
|-<br />
|align="center" | 4 || $37,463<br />
|-<br />
|align="center" | 5 || $43,835 <br />
|-<br />
|align="center" | 6 || $50,207<br />
|-<br />
|align="center" | 7 || $56,579<br />
|-<br />
|align="center" | 8 || $62,951<br />
|-<br />
| colspan="2" | For each additional person add $6,372 <br />
|}<br />
<br />
<br />
== Common Situations ==<br />
<br />
'''Social Security Benefits Income'''<br />
<br />
If the proof clearly indicates that the recipient is receiving Social Security benefits income, and the name on the letter, photo ID, and account all match, the proof is acceptable. <br />
[[image:SSI_acceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
A letter from the Social Security Administration is '''not''' acceptable if it does not indicate that the letter's recipient is receiving Social Security benefits income. <br />
[[image:SSI_unacceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
<br />
'''Medicare'''<br />
<br />
Medicare is not an acceptable proof. Medi'''''caid''''' is an income-based subsidy; Medi'''''care''''' is not based on income or other financial need. <br />
[[image:Medicare.JPG|500px|Please click on image for better resolution.]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=General_Rules&diff=5912General Rules2022-02-11T15:22:40Z<p>CPeditor: </p>
<hr />
<div>Anomalies should be left for review by compliance. <br />
<br />
__TOC__<br />
<br />
== Reviewing Proofs ==<br />
<br />
<br />
'''Accept'''<br />
<br />
Photo Identification Proof<br />
* Out of state identification if subsidy proof is in-state<br />
* Identification must be UNITED STATES government-issued (Federal or State) photo IDs. <br />
** NLAD STATES - ACCEPTABLE ID IS LIMITED TO: State Driver’s License, State ID, United States Passport, Voter ID (with photo ONLY), State-Issued Weapons Permit (with photo ONLY), U.S. military ID, U.S Veterans Administration ID, Native American Tribal ID, Permanent resident card<br />
** CALIFORNIA - ACCEPTABLE ID IS LIMITED TO: U.S. Drivers License, Certificate of U.S. citizenship or naturalization, U.S. Passport/U.S. Territory Passport, Foreign Passport, U.S. Government, Military, State, or Tribal-issued ID which includes date-of-birth and/or Social Security number and/or Tribal ID, Common Access Card (only if designated as Active Military or Active Reserve or Active Selected Reserve), Military Discharge Documentation which includes date-of-birth and/or Social Security number and/or Tribal ID, Northern Mariana Card, Permanent Resident Card, Permanent Resident Alien Card, Permanent Resident Re-Entry Permit, Temporary Resident Identification Card, Employment Authorization Card, Mexican Consular Card (Matricula Consullar - 2006, 2014, 2015, and later versions), Parolee Identification Card issued by California Department of Corrections and Rehabilitation Division of Adult Parole Operations, which is within one year of the date under picture<br />
** CA - Must have a valid expiration date listed <br />
* PR - If ID proof has only one last name, subsidy proof with two last names can be uploaded with ID proof <br />
* Must be original copy of identification document (no photocopies)<br />
<br />
Subsidy Proof<br />
* All digits of a subsidy proof are required for SNAP and Medicaid Cards. Only the last 4 digits of account are required for any other subsidy proof<br />
* The proof is addressed to the applicant and the applicant appears to be the parent/guardian of the minors covered under subsidy<br />
* Has an issue date of less than one year ago<br />
<br />
Address Proof <br />
*unexpired driver's license<br />
*utility bill<br />
*current income statement from an employer, paycheck stub, or W-2<br />
*prior year's state, federal or Tribal tax return<br />
*current mortgage or lease statement<br />
*unexpired government, state, or Tribal issued ID<br />
*government assistance program documents<br />
*statement of benefits from a qualifying program which contains name and address of subscriber<br />
*retirement/pension statement of benefits<br />
*an unemployment/workers' compensation statement of benefits<br />
*local, state, or federal government documentation sources<br />
*CALIFORNIA ONLY - bank statements, homeless shelter letter (must be signed by a manager and on shelter letterhead with the applicant’s full name and date of birth, stating that the applicant is currently residing at this address)<br />
<br />
Social Security Proof<br />
*Social Security card or SSA-1099 (Social Security Benefit Statement)<br />
*W-2 from within the last 2 year<br />
*prior year's state, federal, or Tribal tax return<br />
*unexpired United States government, military, state, or Tribal issued ID, which includes Social Security Number<br />
*military discharge documentation which includes Social Security Number<br />
*unexpired weapons permit which includes Social Security Number<br />
*government assistance program document which includes Social Security Number<br />
*statement of benefits from a qualifying program which includes Social Security Number<br />
*unemployment/workers' compensation statement of benefits which includes Social Security Number<br />
*eligibility confirmation from state eligibility database or administrator which includes date of birth and/or last four digits of Social Security Number<br />
*PR ONLY - proof must include BOTH last names if the photo ID presented has both last names. If ID only has one last name, the SSN proof must have only one last name.<br />
<br />
Proof of Life <br />
<br />
To prove a consumer is living, they must first submit a copy of one of the following unexpired documents, which must include their date of birth and their SSN or Tribal ID number:<br />
*Government, military, state, or Tribal-issued ID<br />
*Military discharge documentation<br />
*Weapons permit<br />
*Government assistance program document<br />
*Statement of benefits from a qualifying program document<br />
*Unemployment or Workers’ compensation statement of benefits<br />
*Eligibility confirmation from state eligibility database with administrator<br />
*Consumers also have the option to submit two types of unexpired documentation. One document must include their date of birth and the other must have their SSN on it.<br />
The first document must be one of the following:<br />
*Driver’s license<br />
*Birth certificate<br />
*Certificate of Naturalization<br />
*Proof of citizenship<br />
*Permanent Resident or Permanent Resident Alien card<br />
*Passport<br />
<br />
The second document must be one of the following:<br />
*W-2 from within the last 2 years<br />
*Prior year’s state, federal, or Tribal tax return<br />
*Social security card<br />
*SSA-1099<br />
<br />
In addition to documentation with their first name, last name, date of birth, SSN (or Tribal ID), consumers must also submit documentation that proves recent life activity. <br />
Consumers must submit one of the following documents to prove recent life activity:<br />
*Current program eligibility or government assistance documentation<br />
*Current utility bill (phone and internet bills cannot be used as utility bills. Consumers can use water, electricity, and waste and removal bills).<br />
*Current income statement such as a paystub<br />
*Current mortgage or lease statement<br />
*Current retirement/pension statement of benefits<br />
*Current unemployment/Workers’ compensation statement of benefits<br />
*A notarized letter affirming the subscriber’s identity and alive status<br />
<br />
<br />
'''Reject'''<br />
<br />
Photo Identification Proof<br />
* Identification does not have a photo or photo is illegible<br />
* Work, college, and bank account ID’s are not acceptable<br />
* Passports and IDs issued by a foreign country or a consulate of a foreign country are not acceptable (ACCEPTABLE IN CALIFORNIA) <br />
* Photo is missing <br />
* ID is expired<br />
* Not original copy of ID document (a photocopy)<br />
<br />
Subsidy Proof<br />
* SNAP/Medicaid – entered wrong number/s (must match all numbers)<br />
* Selected wrong subsidy<br />
* Partial subsidy proof if necessary information to confirm name and/or subsidy account number is not visible<br />
* All three names on account, photo ID proof, and subsidy proof do not match<br />
* Subsidy proof is missing<br />
* Any proof with an expiration date that has expired<br />
* Has an issue date of more than one year ago<br />
<br />
== Reason Codes ==<br />
<br />
Please make sure to select the proper reason code:<br />
* Name not match – use if name is misspelled or different from name on subsidy proof. If name on ID is different from customer name use the reason code Photo ID Not belongs to Customer.<br />
* Subsidy Proof Not Visible – use for partial subsidy proof that necessary information to confirm name and/or subsidy account number is not visible or if the subsidy proof is missing.<br />
* Subsidy Proof Not Acceptable – use if proof is not an acceptable eligibility program (e.g. Medicare)<br />
* Subsidy Proof Not Match Subsidy Selected – use if rep selected the wrong subsidy (e.g. Selected Medicaid and proof is a SNAP card)<br />
* Subsidy Ref Num Not Match – use if rep did not enter subsidy proof digits correctly<br />
* Subsidy Ref Num Already Used – use if the subsidy proof digits cannot be corrected due to already being in our system.<br />
* Eligibility Expired – use if the subsidy proof has a visible expired expiration date.<br />
* Photo ID Missing – use if the Photo ID is not included in scan.<br />
* Photo ID Not Visible – use if the customer name and/or picture is not visible.<br />
* Photo ID Not Acceptable – use if the ID does not contain a photo and/or name.<br />
* Photo ID Not Belongs to Customer – use if the customer name does not match the name on the ID. If the name is misspelled, use the reason code Name not Match.<br />
* Income on Proof Not Match Income Entered – use if income entered for order does not meet the eligibility requirements to use 135% below poverty.<br />
* Name Entry Error, ID Proof Verified By Reviewer - PUERTO RICO ONLY - When a name entry error is encountered, compare the entry to the ID proof to determine if the error is due to an input mistake. Such mistakes include misspellings, letter omissions, incorrect name order (first name entered as last name and vice versa), and incorrectly combined names (Delacruz for De La Cruz). Names that are totally different and do not resemble the name on the ID proof whatsoever are still unacceptable (Name Not Match). <br />
<br />
== Standard Eligibility Programs ==<br />
The standard eligibility programs that may be used as proof of subsidy are listed below. Except for Medicaid, only the last four digits of the subsidy number are required. <br />
* Supplemental Security Income (SSI)<br />
* Food Stamps/SNAP<br />
* Medicaid (not Medicare) - all numbers must be entered correctly<br />
* Federal Public Housing Assistance (FPHA)<br />
* Veterans Pension or Survivors Pension benefit <br />
<br />
== Income Guidelines ==<br />
<br />
When processing orders for individuals who are income-eligible (135% of Federal Poverty Level Guidelines), the subscriber must present documentation, such as a tax return, evidencing income from the previous full year’s time period. If the documentation relied on does not cover a full year, such as a current pay stub, the subscriber must present the same type of documentation covering three consecutive months within the previous twelve months.<br />
<br />
Since most subscribers will not have the ability to present three months worth of pay stubs, it is imperative that field representatives inform subscribers of the other acceptable forms of documentation that cover a full year’s time period and may be more easily accessible and presentable.<br />
These forms of documentation include:<br />
* The prior year’s state, federal, or Tribal tax return <br />
* A Social Security statement of benefits <br />
* A Veterans Administration statement of benefits<br />
* A retirement/pension statement of benefits<br />
* An Unemployment/Workmen's Compensation statement of benefits<br />
* Federal or Tribal notice letter of participation in General Assistance<br />
* A divorce decree, child support award, or other official document containing income information for at least three months time<br />
<br />
'''Income Levels - 135%'''<br />
{| border="1" <br />
|-<br />
! Household Size<br />
! Income Level<br />
|- <br />
|align="center" | 1 ||align="center" $18,347| <br />
|-<br />
|align="center" | 2 || $24,719<br />
|-<br />
|align="center" | 3 || $31,091<br />
|-<br />
|align="center" | 4 || $37,463<br />
|-<br />
|align="center" | 5 || $43,835 <br />
|-<br />
|align="center" | 6 || $50,207<br />
|-<br />
|align="center" | 7 || $56,579<br />
|-<br />
|align="center" | 8 || $62,951<br />
|-<br />
| colspan="2" | For each additional person add $6,372 <br />
|}<br />
<br />
<br />
== Common Situations ==<br />
<br />
'''Social Security Benefits Income'''<br />
<br />
If the proof clearly indicates that the recipient is receiving Social Security benefits income, and the name on the letter, photo ID, and account all match, the proof is acceptable. <br />
[[image:SSI_acceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
A letter from the Social Security Administration is '''not''' acceptable if it does not indicate that the letter's recipient is receiving Social Security benefits income. <br />
[[image:SSI_unacceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
<br />
'''Medicare'''<br />
<br />
Medicare is not an acceptable proof. Medi'''''caid''''' is an income-based subsidy; Medi'''''care''''' is not based on income or other financial need. <br />
[[image:Medicare.JPG|500px|Please click on image for better resolution.]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=General_Rules&diff=5911General Rules2022-02-11T15:21:36Z<p>CPeditor: </p>
<hr />
<div>Anomalies should be left for review by compliance. <br />
<br />
__TOC__<br />
<br />
== Reviewing Proofs ==<br />
<br />
<br />
'''Accept'''<br />
<br />
Photo Identification Proof<br />
* Out of state identification if subsidy proof is in-state<br />
* Identification must be UNITED STATES government-issued (Federal or State) photo IDs. <br />
** NLAD STATES - ACCEPTABLE ID IS LIMITED TO: State Driver’s License, State ID, United States Passport, Voter ID (with photo ONLY), State-Issued Weapons Permit (with photo ONLY), U.S. military ID, U.S Veterans Administration ID, Native American Tribal ID, Permanent resident card<br />
** CALIFORNIA - ACCEPTABLE ID IS LIMITED TO: U.S. Drivers License, Certificate of U.S. citizenship or naturalization, U.S. Passport/U.S. Territory Passport, Foreign Passport, U.S. Government, Military, State, or Tribal-issued ID which includes date-of-birth and/or Social Security number and/or Tribal ID, Common Access Card (only if designated as Active Military or Active Reserve or Active Selected Reserve), Military Discharge Documentation which includes date-of-birth and/or Social Security number and/or Tribal ID, Northern Mariana Card, Permanent Resident Card, Permanent Resident Alien Card, Permanent Resident Re-Entry Permit, Temporary Resident Identification Card, Employment Authorization Card, Mexican Consular Card (Matricula Consullar - 2006, 2014, 2015, and later versions), Parolee Identification Card issued by California Department of Corrections and Rehabilitation Division of Adult Parole Operations, which is within one year of the date under picture<br />
** CA - Must have a valid expiration date listed <br />
* PR - If ID proof has only one last name, subsidy proof with two last names can be uploaded with ID proof <br />
* Must be original copy of identification document (no photocopies)<br />
<br />
Subsidy Proof<br />
* All digits of a subsidy proof are required for SNAP and Medicaid Cards. Only the last 4 digits of account are required for any other subsidy proof<br />
* The proof is addressed to the applicant and the applicant appears to be the parent/guardian of the minors covered under subsidy<br />
* Has an issue date of less than one year ago<br />
<br />
Address Proof <br />
*unexpired driver's license<br />
*utility bill<br />
*current income statement from an employer, paycheck stub, or W-2<br />
*prior year's state, federal or Tribal tax return<br />
*current mortgage or lease statement<br />
*unexpired government, state, or Tribal issued ID<br />
*government assistance program documents<br />
*statement of benefits from a qualifying program which contains name and address of subscriber<br />
*retirement/pension statement of benefits<br />
*an unemployment/workers' compensation statement of benefits<br />
*local, state, or federal government documentation sources<br />
*CALIFORNIA ONLY - bank statements, homeless shelter letter (must be signed by a manager and on shelter letterhead with the applicant’s full name and date of birth, stating that the applicant is currently residing at this address)<br />
<br />
Social Security Proof<br />
*Social Security card or SSA-1099 (Social Security Benefit Statement)<br />
*W-2 from within the last 2 year<br />
*prior year's state, federal, or Tribal tax return<br />
*unexpired United States government, military, state, or Tribal issued ID, which includes Social Security Number<br />
*military discharge documentation which includes Social Security Number<br />
*unexpired weapons permit which includes Social Security Number<br />
*government assistance program document which includes Social Security Number<br />
*statement of benefits from a qualifying program which includes Social Security Number<br />
*unemployment/workers' compensation statement of benefits which includes Social Security Number<br />
*eligibility confirmation from state eligibility database or administrator which includes date of birth and/or last four digits of Social Security Number<br />
*PR ONLY - proof must include BOTH last names if the photo ID presented has both last names. If ID only has one last name, the SSN proof must have only one last name.<br />
<br />
Proof of Life <br />
<br />
To prove a consumer is living, they must first submit a copy of one of the following unexpired documents, which must include their date of birth and their SSN or Tribal ID number:<br />
*Government, military, state, or Tribal-issued ID<br />
*Military discharge documentation<br />
*Weapons permit<br />
*Government assistance program document<br />
*Statement of benefits from a qualifying program document<br />
*Unemployment or Workers’ compensation statement of benefits<br />
*Eligibility confirmation from state eligibility database with administrator<br />
*Consumers also have the option to submit two types of unexpired documentation. One document must include their date of birth and the other must have their SSN on it.<br />
The first document must be one of the following:<br />
*Driver’s license<br />
*Birth certificate<br />
*Certificate of Naturalization<br />
*Proof of citizenship<br />
*Permanent Resident or Permanent Resident Alien card<br />
*Passport<br />
<br />
The second document must be one of the following:<br />
*W-2 from within the last 2 years<br />
*Prior year’s state, federal, or Tribal tax return<br />
*Social security card<br />
*SSA-1099<br />
<br />
In addition to documentation with their first name, last name, date of birth, SSN (or Tribal ID), consumers must also submit documentation that proves recent life activity. <br />
Consumers must submit one of the following documents to prove recent life activity:<br />
*Current program eligibility or government assistance documentation<br />
*Current utility bill (phone and internet bills cannot be used as utility bills. Consumers can use water, electricity, and waste and removal bills).<br />
*Current income statement such as a paystub<br />
*Current mortgage or lease statement<br />
*Current retirement/pension statement of benefits<br />
*Current unemployment/Workers’ compensation statement of benefits<br />
*A notarized letter affirming the subscriber’s identity and alive status<br />
<br />
<br />
'''Reject'''<br />
<br />
Photo Identification Proof<br />
* Identification does not have a photo or photo is illegible<br />
* Work, college, and bank account ID’s are not acceptable<br />
* Passports and IDs issued by a foreign country or a consulate of a foreign country are not acceptable (ACCEPTABLE IN CALIFORNIA) <br />
* Photo is missing <br />
* ID is expired<br />
* Not original copy of ID document (a photocopy)<br />
<br />
Subsidy Proof<br />
* SNAP/Medicaid – entered wrong number/s (must match all numbers)<br />
* Selected wrong subsidy<br />
* Partial subsidy proof if necessary information to confirm name and/or subsidy account number is not visible<br />
* All three names on account, photo ID proof, and subsidy proof do not match<br />
* Subsidy proof is missing<br />
* Any proof with an expiration date that has expired<br />
* Has an issue date of more than one year ago<br />
<br />
== Reason Codes ==<br />
<br />
Please make sure to select the proper reason code:<br />
* Name not match – use if name is misspelled or different from name on subsidy proof. If name on ID is different from customer name use the reason code Photo ID Not belongs to Customer.<br />
* Subsidy Proof Not Visible – use for partial subsidy proof that necessary information to confirm name and/or subsidy account number is not visible or if the subsidy proof is missing.<br />
* Subsidy Proof Not Acceptable – use if proof is not an acceptable eligibility program (e.g. Medicare)<br />
* Subsidy Proof Not Match Subsidy Selected – use if rep selected the wrong subsidy (e.g. Selected Medicaid and proof is a SNAP card)<br />
* Subsidy Ref Num Not Match – use if rep did not enter subsidy proof digits correctly<br />
* Subsidy Ref Num Already Used – use if the subsidy proof digits cannot be corrected due to already being in our system.<br />
* Eligibility Expired – use if the subsidy proof has a visible expired expiration date.<br />
* Photo ID Missing – use if the Photo ID is not included in scan.<br />
* Photo ID Not Visible – use if the customer name and/or picture is not visible.<br />
* Photo ID Not Acceptable – use if the ID does not contain a photo and/or name.<br />
* Photo ID Not Belongs to Customer – use if the customer name does not match the name on the ID. If the name is misspelled, use the reason code Name not Match.<br />
* Income on Proof Not Match Income Entered – use if income entered for order does not meet the eligibility requirements to use 135% below poverty.<br />
* Name Entry Error, ID Proof Verified By Reviewer - PUERTO RICO ONLY - When a name entry error is encountered, compare the entry to the ID proof to determine if the error is due to an input mistake. Such mistakes include misspellings, letter omissions, incorrect name order (first name entered as last name and vice versa), and incorrectly combined names (Delacruz for De La Cruz). Names that are totally different and do not resemble the name on the ID proof whatsoever are still unacceptable (Name Not Match). <br />
<br />
== Standard Eligibility Programs ==<br />
The standard eligibility programs that may be used as proof of subsidy are listed below. Except for Medicaid, only the last four digits of the subsidy number are required. <br />
* Supplemental Security Income (SSI)<br />
* Food Stamps/SNAP<br />
* Medicaid (not Medicare) - all numbers must be entered correctly<br />
* Federal Public Housing Assistance (FPHA)<br />
* Veterans Pension or Survivors Pension benefit <br />
<br />
== Income Guidelines ==<br />
<br />
When processing orders for individuals who are income-eligible (135% of Federal Poverty Level Guidelines), the subscriber must present documentation, such as a tax return, evidencing income from the previous full year’s time period. If the documentation relied on does not cover a full year, such as a current pay stub, the subscriber must present the same type of documentation covering three consecutive months within the previous twelve months.<br />
<br />
Since most subscribers will not have the ability to present three months worth of pay stubs, it is imperative that field representatives inform subscribers of the other acceptable forms of documentation that cover a full year’s time period and may be more easily accessible and presentable.<br />
These forms of documentation include:<br />
* The prior year’s state, federal, or Tribal tax return <br />
* A Social Security statement of benefits <br />
* A Veterans Administration statement of benefits<br />
* A retirement/pension statement of benefits<br />
* An Unemployment/Workmen's Compensation statement of benefits<br />
* Federal or Tribal notice letter of participation in General Assistance<br />
* A divorce decree, child support award, or other official document containing income information for at least three months time<br />
<br />
'''Income Levels - 135%'''<br />
{| border="1" <br />
|-<br />
! Household Size<br />
! Income Level<br />
|- <br />
|align="center" | 1 |align="center" $18,347| <br />
|-<br />
|align="center" | 2 || $24,719<br />
|-<br />
|align="center" | 3 || $31,091<br />
|-<br />
|align="center" | 4 || $37,463<br />
|-<br />
|align="center" | 5 || $43,835 <br />
|-<br />
|align="center" | 6 || $50,207<br />
|-<br />
|align="center" | 7 || $56,579<br />
|-<br />
|align="center" | 8 || $62,951<br />
|-<br />
| colspan="2" | For each additional person add $6,372 <br />
|}<br />
<br />
<br />
== Common Situations ==<br />
<br />
'''Social Security Benefits Income'''<br />
<br />
If the proof clearly indicates that the recipient is receiving Social Security benefits income, and the name on the letter, photo ID, and account all match, the proof is acceptable. <br />
[[image:SSI_acceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
A letter from the Social Security Administration is '''not''' acceptable if it does not indicate that the letter's recipient is receiving Social Security benefits income. <br />
[[image:SSI_unacceptable.JPG|500px|Please click on image for better resolution.]]<br />
<br />
<br />
'''Medicare'''<br />
<br />
Medicare is not an acceptable proof. Medi'''''caid''''' is an income-based subsidy; Medi'''''care''''' is not based on income or other financial need. <br />
[[image:Medicare.JPG|500px|Please click on image for better resolution.]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=General_Rules&diff=5910General Rules2022-02-11T15:20:07Z<p>CPeditor: </p>
<hr />
<div>Anomalies should be left for review by compliance. <br />
<br />
__TOC__<br />
<br />
== Reviewing Proofs ==<br />
<br />
<br />
'''Accept'''<br />
<br />
Photo Identification Proof<br />
* Out of state identification if subsidy proof is in-state<br />
* Identification must be UNITED STATES government-issued (Federal or State) photo IDs. <br />
** NLAD STATES - ACCEPTABLE ID IS LIMITED TO: State Driver’s License, State ID, United States Passport, Voter ID (with photo ONLY), State-Issued Weapons Permit (with photo ONLY), U.S. military ID, U.S Veterans Administration ID, Native American Tribal ID, Permanent resident card<br />
** CALIFORNIA - ACCEPTABLE ID IS LIMITED TO: U.S. Drivers License, Certificate of U.S. citizenship or naturalization, U.S. Passport/U.S. Territory Passport, Foreign Passport, U.S. Government, Military, State, or Tribal-issued ID which includes date-of-birth and/or Social Security number and/or Tribal ID, Common Access Card (only if designated as Active Military or Active Reserve or Active Selected Reserve), Military Discharge Documentation which includes date-of-birth and/or Social Security number and/or Tribal ID, Northern Mariana Card, Permanent Resident Card, Permanent Resident Alien Card, Permanent Resident Re-Entry Permit, Temporary Resident Identification Card, Employment Authorization Card, Mexican Consular Card (Matricula Consullar - 2006, 2014, 2015, and later versions), Parolee Identification Card issued by California Department of Corrections and Rehabilitation Division of Adult Parole Operations, which is within one year of the date under picture<br />
** CA - Must have a valid expiration date listed <br />
* PR - If ID proof has only one last name, subsidy proof with two last names can be uploaded with ID proof <br />
* Must be original copy of identification document (no photocopies)<br />
<br />
Subsidy Proof<br />
* All digits of a subsidy proof are required for SNAP and Medicaid Cards. Only the last 4 digits of account are required for any other subsidy proof<br />
* The proof is addressed to the applicant and the applicant appears to be the parent/guardian of the minors covered under subsidy<br />
* Has an issue date of less than one year ago<br />
<br />
Address Proof <br />
*unexpired driver's license<br />
*utility bill<br />
*current income statement from an employer, paycheck stub, or W-2<br />
*prior year's state, federal or Tribal tax return<br />
*current mortgage or lease statement<br />
*unexpired government, state, or Tribal issued ID<br />
*government assistance program documents<br />
*statement of benefits from a qualifying program which contains name and address of subscriber<br />
*retirement/pension statement of benefits<br />
*an unemployment/workers' compensation statement of benefits<br />
*local, state, or federal government documentation sources<br />
*CALIFORNIA ONLY - bank statements, homeless shelter letter (must be signed by a manager and on shelter letterhead with the applicant’s full name and date of birth, stating that the applicant is currently residing at this address)<br />
<br />
Social Security Proof<br />
*Social Security card or SSA-1099 (Social Security Benefit Statement)<br />
*W-2 from within the last 2 year<br />
*prior year's state, federal, or Tribal tax return<br />
*unexpired United States government, military, state, or Tribal issued ID, which includes Social Security Number<br />
*military discharge documentation which includes Social Security Number<br />
*unexpired weapons permit which includes Social Security Number<br />
*government assistance program document which includes Social Security Number<br />
*statement of benefits from a qualifying program which includes Social Security Number<br />
*unemployment/workers' compensation statement of benefits which includes Social Security Number<br />
*eligibility confirmation from state eligibility database or administrator which includes date of birth and/or last four digits of Social Security Number<br />
*PR ONLY - proof must include BOTH last names if the photo ID presented has both last names. If ID only has one last name, the SSN proof must have only one last name.<br />
<br />
Proof of Life <br />
<br />
To prove a consumer is living, they must first submit a copy of one of the following unexpired documents, which must include their date of birth and their SSN or Tribal ID number:<br />
*Government, military, state, or Tribal-issued ID<br />
*Military discharge documentation<br />
*Weapons permit<br />
*Government assistance program document<br />
*Statement of benefits from a qualifying program document<br />
*Unemployment or Workers’ compensation statement of benefits<br />
*Eligibility confirmation from state eligibility database with administrator<br />
*Consumers also have the option to submit two types of unexpired documentation. One document must include their date of birth and the other must have their SSN on it.<br />
The first document must be one of the following:<br />
*Driver’s license<br />
*Birth certificate<br />
*Certificate of Naturalization<br />
*Proof of citizenship<br />
*Permanent Resident or Permanent Resident Alien card<br />
*Passport<br />
<br />
The second document must be one of the following:<br />
*W-2 from within the last 2 years<br />
*Prior year’s state, federal, or Tribal tax return<br />
*Social security card<br />
*SSA-1099<br />
<br />
In addition to documentation with their first name, last name, date of birth, SSN (or Tribal ID), consumers must also submit documentation that proves recent life activity. <br />
Consumers must submit one of the following documents to prove recent life activity:<br />
*Current program eligibility or government assistance documentation<br />
*Current utility bill (phone and internet bills cannot be used as utility bills. Consumers can use water, electricity, and waste and removal bills).<br />
*Current income statement such as a paystub<br />
*Current mortgage or lease statement<br />
*Current retirement/pension statement of benefits<br />
*Current unemployment/Workers’ compensation statement of benefits<br />
*A notarized letter affirming the subscriber’s identity and alive status<br />
<br />
<br />
'''Reject'''<br />
<br />
Photo Identification Proof<br />
* Identification does not have a photo or photo is illegible<br />
* Work, college, and bank account ID’s are not acceptable<br />
* Passports and IDs issued by a foreign country or a consulate of a foreign country are not acceptable (ACCEPTABLE IN CALIFORNIA) <br />
* Photo is missing <br />
* ID is expired<br />
* Not original copy of ID document (a photocopy)<br />
<br />
Subsidy Proof<br />
* SNAP/Medicaid – entered wrong number/s (must match all numbers)<br />
* Selected wrong subsidy<br />
* Partial subsidy proof if necessary information to confirm name and/or subsidy account number is not visible<br />
* All three names on account, photo ID proof, and subsidy proof do not match<br />
* Subsidy proof is missing<br />
* Any proof with an expiration date that has expired<br />
* Has an issue date of more than one year ago<br />
<br />
== Reason Codes ==<br />
<br />
Please make sure to select the proper reason code:<br />
* Name not match – use if name is misspelled or different from name on subsidy proof. If name on ID is different from customer name use the reason code Photo ID Not belongs to Customer.<br />
* Subsidy Proof Not Visible – use for partial subsidy proof that necessary information to confirm name and/or subsidy account number is not visible or if the subsidy proof is missing.<br />
* Subsidy Proof Not Acceptable – use if proof is not an acceptable eligibility program (e.g. Medicare)<br />
* Subsidy Proof Not Match Subsidy Selected – use if rep selected the wrong subsidy (e.g. Selected Medicaid and proof is a SNAP card)<br />
* Subsidy Ref Num Not Match – use if rep did not enter subsidy proof digits correctly<br />
* Subsidy Ref Num Already Used – use if the subsidy proof digits cannot be corrected due to already being in our system.<br />
* Eligibility Expired – use if the subsidy proof has a visible expired expiration date.<br />
* Photo ID Missing – use if the Photo ID is not included in scan.<br />
* Photo ID Not Visible – use if the customer name and/or picture is not visible.<br />
* Photo ID Not Acceptable – use if the ID does not contain a photo and/or name.<br />
* Photo ID Not Belongs to Customer – use if the customer name does not match the name on the ID. If the name is misspelled, use the reason code Name not Match.<br />
* Income on Proof Not Match Income Entered – use if income entered for order does not meet the eligibility requirements to use 135% below poverty.<br />
* Name Entry Error, ID Proof Verified By Reviewer - PUERTO RICO ONLY - When a name entry error is encountered, compare the entry to the ID proof to determine if the error is due to an input mistake. Such mistakes include misspellings, letter omissions, incorrect name order (first name entered as last name and vice versa), and incorrectly combined names (Delacruz for De La Cruz). Names that are totally different and do not resemble the name on the ID proof whatsoever are still unacceptable (Name Not Match). <br />
<br />
== Standard Eligibility Programs ==<br />
The standard eligibility programs that may be used as proof of subsidy are listed below. Except for Medicaid, only the last four digits of the subsidy number are required. <br />
* Supplemental Security Income (SSI)<br />
* Food Stamps/SNAP<br />
* Medicaid (not Medicare) - all numbers must be entered correctly<br />
* Federal Public Housing Assistance (FPHA)<br />
* Veterans Pension or Survivors Pension benefit <br />
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== Income Guidelines ==<br />
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When processing orders for individuals who are income-eligible (135% of Federal Poverty Level Guidelines), the subscriber must present documentation, such as a tax return, evidencing income from the previous full year’s time period. If the documentation relied on does not cover a full year, such as a current pay stub, the subscriber must present the same type of documentation covering three consecutive months within the previous twelve months.<br />
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Since most subscribers will not have the ability to present three months worth of pay stubs, it is imperative that field representatives inform subscribers of the other acceptable forms of documentation that cover a full year’s time period and may be more easily accessible and presentable.<br />
These forms of documentation include:<br />
* The prior year’s state, federal, or Tribal tax return <br />
* A Social Security statement of benefits <br />
* A Veterans Administration statement of benefits<br />
* A retirement/pension statement of benefits<br />
* An Unemployment/Workmen's Compensation statement of benefits<br />
* Federal or Tribal notice letter of participation in General Assistance<br />
* A divorce decree, child support award, or other official document containing income information for at least three months time<br />
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'''Income Levels - 135%'''<br />
{| border="1" <br />
|-<br />
! Household Size<br />
! Income Level<br />
|- <br />
|align="center" | 1 || $18,347 <br />
|-<br />
|align="center" | 2 || $24,719<br />
|-<br />
|align="center" | 3 || $31,091<br />
|-<br />
|align="center" | 4 || $37,463<br />
|-<br />
|align="center" | 5 || $43,835 <br />
|-<br />
|align="center" | 6 || $50,207<br />
|-<br />
|align="center" | 7 || $56,579<br />
|-<br />
|align="center" | 8 || $62,951<br />
|-<br />
| colspan="2" | For each additional person add $6,372 <br />
|}<br />
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<br />
== Common Situations ==<br />
<br />
'''Social Security Benefits Income'''<br />
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If the proof clearly indicates that the recipient is receiving Social Security benefits income, and the name on the letter, photo ID, and account all match, the proof is acceptable. <br />
[[image:SSI_acceptable.JPG|500px|Please click on image for better resolution.]]<br />
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A letter from the Social Security Administration is '''not''' acceptable if it does not indicate that the letter's recipient is receiving Social Security benefits income. <br />
[[image:SSI_unacceptable.JPG|500px|Please click on image for better resolution.]]<br />
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'''Medicare'''<br />
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Medicare is not an acceptable proof. Medi'''''caid''''' is an income-based subsidy; Medi'''''care''''' is not based on income or other financial need. <br />
[[image:Medicare.JPG|500px|Please click on image for better resolution.]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=Acceptable_Proofs_of_Military_Service&diff=5909Acceptable Proofs of Military Service2022-01-27T15:53:57Z<p>CPeditor: </p>
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<div>[[Image:Va_access.gif]][[Image:New_va_id.gif]][[Image:Us_vet_card.gif]][[Image:Va-statement.gif]][[Image:Va-med3.gif]][[Image:Hud3.gif]][[Image:Military-al.gif]][[Image:Ga-vet_id.gif]][[Image:Vet_proof.gif]][[File:Old_va_id.gif]][[File:Vet id-hd.gif]][[File:Us-different looking vet id.gif]][[File:Il-military transit ID.gif]][[File:Pr vet natl guard id.gif]]<br />
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[[File:Va benefit letter summary.gif]]<br />
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[[File:Va grant.gif]]<br />
[[File:Va grant 2.gif]]<br />
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[[File:Va summary.gif]]</div>CPeditorhttp://compliancewiki.lifewireless.com/index.php?title=Acceptable_Proofs_of_Military_Service&diff=5908Acceptable Proofs of Military Service2022-01-27T15:53:13Z<p>CPeditor: </p>
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<div>[[Image:Va_access.gif]][[Image:New_va_id.gif]][[Image:Us_vet_card.gif]][[Image:Va-statement.gif]][[Image:Va-med3.gif]][[Image:Hud3.gif]][[Image:Military-al.gif]][[Image:Ga-vet_id.gif]][[Image:Vet_proof.gif]][[File:Old_va_id.gif]][[File:Vet id-hd.gif]][[File:Us-different looking vet id.gif]][[File:Il-military transit ID.gif]][[File:Pr vet natl guard id.gif]]<br />
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[[File:Va benefit letter summary.gif]]<br />
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[[File:Va grant.gif]]<br />
[[File:Va grant 2.gif]]<br />
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[[File:Va summary.gif]]<br />
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[[Image:Veterans_ID.gif]][[File:Discharge_ID.gif]]<br />
*Not acceptable ID proofs in California (CA)</div>CPeditor