California Department of Social Services - State Hearings
Division
Notes from the Training Bureau - March 6, 2006
| Item 06-03-01A Paraphrased Regulations |
This version of the paraphrased regulations provides 13 additions and 14 revisions to paraphrased regulations.
All the additions, revisions, renumbered pararegs and the deletion are in two sections of the Medi-Cal regulations 431-439 (Special Programs) and 440-449 (Program Eligibility)
The major additions and revisions are to update food stamp deductions, increases in federal poverty levels and increases in CAPI payment standards. It is noted that SSP cost of-living adjustments are suspended for 2006 and SSI cost-of-living adjustments are delayed until April 2006.
The index for the revisions and additions to the paraphrased regulation are the following:
Revised
| 215-4D | No NOA or aid pending requirement for TFS, but informational notice requirement (63-504.132(d and Handbook, (63-504.132(e), ACIN I-21-04, I-75-05) |
| 215-4G | TFS benefit amount remains same throughout TFS period even if household member becomes ineligible (ACIN I-21-04, I-75-05) |
| 215-4H | Adjustment of food stamp allotment when person leaves TFS household and is approved for food stamps in another household (I-21-02; I-72-04, I-75-05) |
| 215-4L | No TFS overissuance if CalWORKs discontinuance is later rescinded (ACIN I-75-05) |
| 260-3 | Net income of all other HHs other than elderly or disabled (63-503.311; Handbook 63-1101.2; ACIN I-57-04, I-46-05) |
| 260-3C | Net monthly income of household with elderly or disabled member (63-503.312; ACIN I-57-04, I-46-05) |
| 439-3 | Current and prior year TB income standard, resource limit, standard allocation and federal benefit rate (ACWDL 05-01, 06-01) |
| 439-5 | Effective A&D FPL limit for individual and couples in current and prior year (ACWDL 05-15, 06-08) |
| 439-7 |
FPL, SLMB and QI levels effective April 2005 (ACWDL 05-12, 06-06) |
| 530-4 | Use of Manual of Criteria for Medi-Cal Authorization for medically necessary procedures (51003(e)) |
| 825-3G | "Entered the United States" and "entry date" defined for CAPI purposes (Megrabian v. Saenz) |
| 825-8G | PMV of ISM (ACIN I-81-04, I-77-05) |
| 825-8H | Sponsor's allocation in alien deeming situations; allowance for ineligible children in deeming situations (ACIN I-81-04; I-77-05) |
| 826-1D | CAPI parent to child deeming (ACIN I-68-05, I-77-05; ACWDL 05-35) |
Additions
| 260-3D |
Insert standard deduction (ACIN I-____) |
| 260-3E | Insert maximum shelter deduction (ACIN I-____) |
| 260-3F | Current year SUA (ACIN I-46-05) |
| 260-3G | Insert SUA (ACIN I-____) |
| 265-5A | An MFG child's receipt of child support income is unearned income to the food stamp household (ACIN I-01-06) |
| 266-11A | When overpayment collected from a different source, entire amount of gross payment including the deducted overpayment amount is income to the food stamp household (ACIN I-01-06) |
| 292-8 | No TFS overissuance if CalWORKs discontinuance is later rescinded (ACIN I-75-05) |
| 296-13G | CDSS directs counties not to divide overissuances into separate claims to frustrate Lomeli (ACL 02-21) |
| 535-3 | Drugs covered by Medi-Cal (51313(a) and (c)(1)) |
| 535-3A | Authorization for unlabeled use of drugs not granted unless unlabeled use is reasonable and current practice (51313(c)(4)) |
| 825-4C | CAPI payment standards for people living independently (ACIN I-77-05) |
| 825-4D | Suspension of SSP COLA for 2006; delay of pass-through of federal SSI COLA until April 2006 except for NMOHC rate (ACIN I-77-05) |
| 825-4E | For CAPI/SSI/SSP couples, the SSI/SSP spouse's benefit is prospectively budgeted in the month the COLA occurs and the following month (ACIN I-77-05) |