CalWORKs Policy - Department of Public Social Services

• Within 30 days of determining eligibility for Medi-
Cal when adding a child under the age of 6 to the
AU.
See Future Action Control – User Initiated – Create for
LEADER procedures.
Can a child be exempt from the immunization
requirements when there is a medical reason?
Yes, a child(ren) may be exempt from the immunization
requirement when there is a medical (i.e., a newborn who
has not reached the age for shots, a child with allergies,
etc.), personal and/or religious reason.
If the child(ren) is exempt for medical reasons, the
parent/caretaker relative must submit a Medical
Exemption Statement (out of drawer) or a written
statement from a physician or authorized personnel. The
statement must include:
• Child’s name;
• Medical condition;
• Duration of the illness;
• If applicable, the vaccine he/she is
temporarily/permanently exempt from taking; and
• The date, name, phone number and signature of
the physician or authorized personnel.
If the AU is exempt due to personal/religious beliefs, the
parent/caretaker must submit a Personal Belief Exemption
Statement (LEADER generated) that states that the
immunization requirement is contrary to his/her
personal/religious beliefs and the reasons for his/her
objection.
When a parent/needy caretaker relative does not
provide proof of immunization, is a penalty applied?
If an applicant/participant fails to submit timely verification
of a child in the AU under the age of 6 and does not
qualify for an exemption or have good cause, the
parent/needy caretaker remains in the AU, but their needs
are not allowed, resulting in a penalty automatically
applied by LEADER. If both parents are in the home,
LEADER applies the penalty to both parents.