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ACL NO. 15-42 Page Five

Scenario #1 - Household with Gross Income at or Below 130 Percent FPL

A NACF household applies for benefits and has gross income at or below 130 percent of the FPL for the household size. This is documented in the case narrative and the household is conferred MCE status. The CWD must send a SAR 2 that notifies the household of the CalFresh family size, current income and the 130 percent IRT amount for the household size. The household must report mid-period when gross income exceeds their IRT.

Household reports over the IRT (Under 200 Percent of FPL)

If the household reports mid-period that its gross income exceeds its IRT and the income will continue to exceed the 130 percent of the FPL, the CWD must determine if the household’s gross income is under 200 percent of the FPL. If the household’s gross income is determined to be over 130 percent and at or below 200 percent of the FPL, the CWD must send a new SAR 2 that notifies the household of their CalFresh family size, current income, and that the household no longer has an IRT for reporting purposes.

Household reports over the IRT (Above 200 Percent of FPL)

If the household reports mid-period that its gross income exceeds its IRT and the income will continue to exceed 130 percent of the FPL, the CWD must determine if the household’s gross income does not exceed 200 percent of the FPL. If the household has gross income of over 200 percent of the FPL, the CWD must remove the MCE status and document in the case record that the household is no longer MCE. The household’s statement is sufficient for Verified Upon Receipt (VUR) when the household reports their income is over 200 percent of the FPL. Since the non-elderly/disabled household exceeds the 130 percent of the FPL for CalFresh, the household’s CalFresh shall be discontinued for failing the gross income test.

Household of One or Two Person Reports over the IRT (Under 200 Percent of FPL)

If a household of one or two reports mid-period that its gross income exceeds its IRT and the income will continue to exceed the 130 percent of the FPL, the CWD must determine if the household’s gross income is under 200 percent of the FPL. If the household has gross income of between 131 percent and 200 percent of the FPL, the CWD must send a new SAR 2 that notifies the household of their CalFresh family size, current income and that the household no longer has an IRT for reporting purposes. Households of one or two persons that have been conferred MCE status will be entitled to the minimum CalFresh benefit even