Difference between revisions of "California - CA"
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* The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) | * The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP) | ||
* '''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''' | * '''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''' | ||
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* The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document | * The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document | ||
* 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 | * 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 | ||
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* Must specifically mention CalFresh on the document | * Must specifically mention CalFresh on the document | ||
* The Notice Date must be no more than 7 calendar days before the date of the application | * The Notice Date must be no more than 7 calendar days before the date of the application | ||
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'''Medi-Cal Cards''' | '''Medi-Cal Cards''' | ||
| − | [[File:Ca | + | [[File:Ca med BIC ID no.png]] |
| + | <!--[[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]] | ||
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*Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal. | *Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal. | ||
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| + | [[File:CA - humana d-snp med.png]] | ||
| + | *Must display "D-SNP" | ||
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| + | [[File:CA - healthy blue med.png]] | ||
| + | *Must display "D-SNP" | ||
| + | *Must display 8-digit+1-letter or 10-digit ID No.--> | ||
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[[File:Ca-medi-cal-verif-letter.gif]] | [[File:Ca-medi-cal-verif-letter.gif]] | ||
[[File:Ca verifcation receipt.gif]] | [[File:Ca verifcation receipt.gif]] | ||
| + | [[File:Ca-caloptimahealthmedi-cal.png]] | ||
| + | [[File:Ca-caloptimamedi-calauthsum.png]] | ||
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[[File:Magejpeg 0.jpg]] | [[File:Magejpeg 0.jpg]] | ||
*Must show valid eligibility dates. | *Must show valid eligibility dates. | ||
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[[File:CA - LA County Medi-Cal AVES Cert.png]] | [[File:CA - LA County Medi-Cal AVES Cert.png]] | ||
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| + | [[File:CA - LA County Medi-Cal Check.png]] | ||
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[[File:Ca-calworks_2.gif]] | [[File:Ca-calworks_2.gif]] | ||
*No amount need be given; just participating in the program qualifies them | *No amount need be given; just participating in the program qualifies them | ||
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*Must be dated within the past year. | *Must be dated within the past year. | ||
[[Image:SSI2b.gif]] | [[Image:SSI2b.gif]] | ||
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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]] | '''FPHA/Section 8'''[[File:Ca-section_8.gif]][[File:Ca-sc sec 8.gif]][[File:Ca-sec 8 confirm letter2.jpg]] | ||
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Acceptable WIC App screen shots | Acceptable WIC App screen shots | ||
[[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]] | [[File:Ca-wic screenshot.jpg]][[File:Ca-wic screenshot2.jpg]] | ||
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[[File:Ca-free school lunch2.gif]] | [[File:Ca-free school lunch2.gif]] | ||
[[File:Ca-nfslp.gif]] | [[File:Ca-nfslp.gif]] | ||
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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]] | '''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]] | ||
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*NOT PROOF OF SSI | *NOT PROOF OF SSI | ||
*Can be used to demonstrate low income eligibility. | *Can be used to demonstrate low income eligibility. | ||
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[[File:Ca-unemployment.png]] | [[File:Ca-unemployment.png]] | ||
*Can be used to demonstrate low income eligibility. | *Can be used to demonstrate low income eligibility. | ||
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[[File:Ca-ui spanish.gif]] | [[File:Ca-ui spanish.gif]] | ||
*Can be used to demonstrate low income eligibility. | *Can be used to demonstrate low income eligibility. | ||
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[[File:Ca-disability income.gif]] | [[File:Ca-disability income.gif]] | ||
*Can be used to demonstrate low income eligibility. | *Can be used to demonstrate low income eligibility. | ||
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Latest revision as of 07:52, 12 August 2024
Contents
Acceptable Subsidies
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.
State-Specific Eligibility Programs
- Women, Infants, and Children Program (WIC)
- TANF Programs:
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)
State-Specific Tribal Eligibility Programs
- Tribal TANF
- Bureau of Indian Affairs General Assistance
- Head Start Income Eligible (Tribal Only)
- Food Distribution Program on Indian Reservations
See General Rules for more information.
UNACCEPTABLE Subsidy Proof Examples
- Verification of Benefit forms
- Issuance Summary forms
- Human Services Agency Passport to Services forms
Acceptable Subsidy Proof Examples
CalFresh EBT Card
- An image of the front of the card must be uploaded
- The card must display the applicant’s name, or the name of applicant’s benefit qualifying person (BQP)
- 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
Notice of Approval for CalFresh Benefits
- Notice of Approval For CalFresh Benefits must appear on the document
- The applicant’s name, or the name of the applicant’s benefit qualifying person (BQP) must appear on the document
- 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
CalFresh Notice of Action
- The NOTICE OF ACTION form identifier must appear on the document
- The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear on the document
- Must specifically mention CalFresh on the document
- The Notice Date must be no more than 7 calendar days before the date of the application
Medi-Cal Cards
Medicaid/Medi-Cal Approval Letters
- Must show valid eligibility dates.
- Must be dated within the past year.
- Must show valid eligibility dates.
TANF
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- No amount need be given; just participating in the program qualifies them
Supplemental Security Income (SSI)
- Must be dated within the past year.
FPHA/Section 8
WIC
- 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.
Acceptable WIC App screen shots
National Free School Lunch Program
Food Distribution Program on Indian Reservations
Tribal TANF
Low Income Energy Assistance Program (LIHEAP)
Acceptable Income Proof Examples
SSDI (must be dated within the past year)
- NOT PROOF OF SSI
- Can be used to demonstrate low income eligibility.
Unemployment Benefits Printout
- Can be used to demonstrate low income eligibility.
Emergency Unemployment Benefits Extension Award Letter (Spanish)
- Can be used to demonstrate low income eligibility.
Disability Insurance Claim Letter
- Can be used to demonstrate low income eligibility.
Acceptable ID Examples
- Acceptable in California ONLY
Parolee ID 
- Acceptable in California ONLY
Parolee ID 
- Acceptable in California ONLY
- Acceptable in California ONLY
- FOREIGN passports acceptable in California ONLY
