Difference between revisions of "California - CA"

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* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear in the screenshot
 
* The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear in the screenshot
 
* The name of the LifeLine-qualifying program, i.e., Calfresh must appear in the screenshot
 
* The name of the LifeLine-qualifying program, i.e., Calfresh must appear in the screenshot
* The Program Status must be shownn as “Active”  
+
* The Program Status must be shown as “Active”  
 
* A monetary amount must display in the CalFresh Allotment field
 
* A monetary amount must display in the CalFresh Allotment field
 
* The value displayed in the Recertification Due Month field must be within 6 months of the date the application  
 
* The value displayed in the Recertification Due Month field must be within 6 months of the date the application  

Revision as of 01:24, 14 December 2021

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

Ca-unacceptable ssa form.gif


  • Verification of Benefit forms
  • Issuance Summary forms
  • Human Services Agency Passport to Services forms


Acceptable Subsidy Proof Examples

CalFresh EBT Card EBT front.pngEBT Back.jpg

  • An image of the front and back of the card (with the applicant’s signature) 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 the application and that displays the last 4 digits of the accompanying EBT card must be uploaded in the SAME image of the EBT card.


Notice of Approval for CalFresh Benefits SNAP-Calfresh Notice Letter of Approval.png

  • 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 the application must appear on the document



Calfresh Notice of Action SNAP-Calfresh Notice of Action.png

  • 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 the application



Calfresh C4Yourself Screenshot C4Yourself Screenshot.png

  • The applicant’s name, or the name of applicant’s benefit qualifying person (BQP) must appear in the screenshot
  • The name of the LifeLine-qualifying program, i.e., Calfresh must appear in the screenshot
  • The Program Status must be shown as “Active”
  • A monetary amount must display in the CalFresh Allotment field
  • The value displayed in the Recertification Due Month field must be within 6 months of the date the application



Medicaid/Medi-Cal Cards Ca-medi cal.pngCa=la care medX2.gifCa-another medi-cal card.pngCa-anthem medi-calX.gifCa-caloptima medX.gifCa-calviva medi-calX.gifCa-chw medi-cal.gifCa-community medX.gifCa-hp sj medX.gifCa-hpsm medX2.gifCa-mediconnedct la careX.gifCa-sc medX.gifCa-sf medX.gifCa-sfhp medX.gifCa-anthem oakland medi-calX.gifCa-different la care medi-calX.gifCa-alliance mcalX.gifCa-sfhp mediX.gifCa-iehp dualX.gifCa-sc med connectX.gifCa-anthem mediconnectX.gifCa-old bcbs medi-calX.gifCa-caloptima med-icalX.gifCa-hpsj medi-caX.gifCommunity health medi-calX.gifCa-health net medi-calX.gifCa-access med-calX.gifCa-hpsj medi-cal4X.gifCa-liberty medi-calX.gifCa-another benefits ID card-medi-calX.gifCa-community medi-connectX.gifCa-cchp medi-calX2.gifCa-another chw medX.gifCA-optima mediconnectX.gifCa-spanish mcX.gifCa-mcal proofX.pngCa-molina mediconnectX.gifCa-health net medi-calX.gifCa-hpsm cal mediconnectX.gifCa-hpsm medi-calX.gifPhpc.gifCa-phcp 2.1.gifCa-new la care hp.gifCa-sc fammedi-cal.gif



Ca-anthem la care side 1.gifCa-anthem la care side 2.gif

  • BOTH sides must be uploaded.



Ca-new anthem la care 1.gifCa-new anthem la care 2.gif

  • BOTH sides must be uploaded.



Ca-healthnet med-cal1.gifCa-healthnet med-cal2.gif

  • BOTH sides must be uploaded.



Ca-la care chp med2.gif

  • BOTH sides must be uploaded.



Ca-kern medi-cal onlyX.gifCa-gold coast medi-calX.gifCa-calviva med2X.gif

  • Kern Family Health Care, Gold Coast Health Plan, and CalViva offer only Medi-Cal.




Medicaid/Medi-Cal Approval Letters Ca-med approval letter.png Ca-medi cal approval.png Ca-medi-cal id letterX.png Ca-cc medii-cal letterX.gif Ca-med-cal printout2X.gif Ca-med-cal letterX2.gif Ca-gchp medi-calX2.gif Ca-cover medi-cal letterX.gif Ca-med-cal print.gif Ca-med-cal print2.gif Ca-kern co med letter.png Ca-covered ca medi-cal printoutX.gif Ca-cover cal med letter.gif Ca-prison release medi-cal.png Ca-medi-cal-verif-letter.gif

  • Must show valid eligibility dates.


San joaquin letterX.gif

  • Must show valid eligibility dates.


TANF

Ca-cal-works benefits summary.png Ca-calworks form.png Ca-welfare to work.png Ca-wtw tanf.png Ca-wtw tanf (2).png Ca-calworks 2.gif

  • No amount need be given; just participating in the program qualifies them



Supplemental Security Income (SSI)

  • Must be dated within the past year.

SSI2b.gif



FPHA/Section 8Ca-section 8.gifCa-sc sec 8.gifCa-sec 8 confirm letter2.jpg



WIC Ca-new wic card.gif

  • 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.

Ca-wic receipt 2.gif


Acceptable WIC App screen shots Ca-wic screenshot.jpgCa-wic screenshot2.jpg


National Free School Lunch Program Ca-free lunch.gif Ca-free school lunch3.gif Ca-free school lunch2.gif Ca-nfslp.gif


Food Distribution Program on Indian ReservationsCa-fdpir.gifCa-fdpir letter.gifCa-fdpir letter2.gifFdpir letter 2.jpg



Tribal TANF Tribal tanf.gif Ca-tribal tanf letter.gif


Acceptable Income Proof Examples

SSDI (must be dated within the past year) SSIb.gif

  • NOT PROOF OF SSI
  • Can be used to demonstrate low income eligibility.



Unemployment Benefits Printout Ca-unemployment.png

  • Can be used to demonstrate low income eligibility.



Emergency Unemployment Benefits Extension Award Letter (Spanish) Ca-ui spanish.gif

  • Can be used to demonstrate low income eligibility.



Disability Insurance Claim Letter Ca-disability income.gif

  • Can be used to demonstrate low income eligibility.



Acceptable ID Examples

Ca-dl.jpgCa-dl2.jpgCa-dl3.jpgCa-dl4.jpgCa-dl5.jpgCa-dl7.jpgCa-indian id.gifCa-sf id.gifDischarge ID.gifCa-richomnd id.gifCa-older DL.gifCa-senior id.gif




Mexican id.gifId-new mex id.gif

  • Acceptable in California ONLY



Ca-mexican passport.gifCa-iran passport.gif

  • FOREIGN passports acceptable in California ONLY

Important Links