40-171 ACTION ON APPLICATIONS, INTERPROGRAM TRANSFERS AND

I NTRAPROGRAM STATUS CHANGES

.1 Application Held Pending

.11 Action Deferred

When the individual, family, or child is ineligible at the time of application as provided in W&IC 11052 but it appears there will be eligibility within 60 days, action on the application is withheld. The applicant is notified of the withholding and of the date when action is to be taken. If the applicant is subsequently determined to be eligible, the beginning date of aid is determined as provided in the Aid Payment Chapter of these regulations.

.2 Actions -- General

Actions on applications consist of approvals, denials, withdrawals, or cancellations.

RECEPTION AND APPLICATION

INTRAPROGRAM STATUS CHANGES (Continued)

.21 Application or Request for Restoration Approved

.211 Application Granted -- General

If eligibility is established aid to begin at a specified time shall be authorized on the date the determination of eligibility is completed.

(See Section 40-129 regarding applications granted on the basis of "immediate need" prior to the completion of the determination of eligibility.)

.212 Certification for Medical Assistance

Every applicant who is determined to be eligible shall be certified for medical assistance. If eligibility for medical assistance only is determined, the application is granted but is designated as "medically needy" and the applicant is certified for medical assistance. Certifications are to be made as provided in Medical Assistance Regulations, Title 22, California Administrative Code, Division 3, (W&IC 14017). The effective date of certification is determined as provided in Section 44-317.

.213 Restoration Following Discontinuance Due to Confinement in an Institution

Under this circumstance the county may elect to effect an "automatic restoration." To do this, two authorization documents shall be approved at the time aid is discontinued. On one form discontinuance is authorized. On the second form restoration of aid is authorized with no effective date specified. Upon release of the recipient from the institution the second authorization is completed by entering the effective date for restoration. (See Aid Payment Chapter.)

When aid is restored to a former recipient who has not during the period of discontinuance been known to the agency, the CA 2 shall be secured and any indicated determination of eligibility completed before aid is paid.

.22 Application or Request for Restoration Denied

.221 County action shall be taken to deny aid if:

a. Proof of ineligibility for public assistance or for certification for medical assistance as medically needy is obtained. This does not apply when the applicant will become eligible with 60 days of his application. (See Section 40-171.11.)

b. All reasonable facts concerning eligibility are examined without establishing eligibility.

RECEPTION AND APPLICATION

INTRAPROGRAM STATUS CHANGES (Continued)

c. The applicant's whereabouts is unknown.

d. The applicant fails to complete the Form CA 2.

e. Reserved

f. Reserved

g. Ineligibility occurs after the legal beginning date of aid but before action is taken to grant aid.

h. The applicant establishes residence in another state before the determination of eligibility is completed.

i. Failure to cooperate in providing evidence of eligibility in accordance with Section 40-126.344(b).

j. Refusal to cooperate in accordance with Section 40-105.1.

k. Any person required to provide photo identification refuses or otherwise fails to do so.

.23 Application or Request for

Restoration Withdrawn

.231 An application can be withdrawn only upon the voluntary initiative of the applicant or person applying on his behalf. The request for withdrawal shall be in writing.

.232 There is no requirement that denial action be taken on an application which has been withdrawn.

.233 The Notice of Applicant Who Withdraws Application form is mailed or given to the applicant unless the county elects to take denial action, when the notification is by means of the appropriate Notice of Action form or its equivalent.

RECEPTION AND APPLICATION

INTRAPROGRAM STATUS CHANGES (Continued)

.24 Application or Request for Restoration Cancelled

.241 An application or request for restoration of a cash grant is considered cancelled if the applicant dies before the determination is completed.

NOTE: Authority cited: Sections 10553 and 10554, Welfare and Institutions Code. Reference: Sections 10831(a), 11201 (Ch. 270, Stats 1997) and 11275, Welfare and Institutions Code; and 42 USC 402(a)(6).