CalWORKs Policy - Department of Public Social Services

CW 40-107.5 - Right to a
Fair
Hearing
Does every applicant/participant have a right to enter
a complaint?
Yes, any applicant/participant has the right to enter a
complaint regarding his/her eligibility. This complaint may
be verbal/informal. The following action is taken upon
receipt of a verbal/written complaint (document “Case
Comments”):
• If there is basis for the complaint, the EW must
correct the error and notify the applicant/participant
of the action. Most situations involve a verbal
response, but if the grant changes, an appropriate
Notice of Action (NOA) must be completed.
• If the EW is unavailable (i.e., vacation, illness, etc.),
the ES must answer the complaint promptly.
• If the applicant/participant remains dissatisfied with
the response, the EW must confer with the ES.
The EW will then relay their joint decision to the
applicant/participant.
• If necessary, the EW will personally discuss the
matter with the applicant/participant either by
phone or in the district office.
• If the applicant/participant remains dissatisfied, the
EW and/or ES must discuss the case with the
DDD. If necessary the DDD must confer with the
person.
• If no satisfaction is reached at this level, the DDD
must review the matter with the District Director
(DD) and ensure that the complete decision is
relayed to the application/participant.
• If at this point, the applicant/participant refuses to
accept the decision, he/she must again be advised
of his/her right to request a fair hearing.
CW 40-107.6 - CHDP
What is the CHDP program?
The Child Health and Disability Prevention (CHDP)
program provides preventive health services to Medi-Cal
eligible children (birth to 21 years of age). The goal is to
identify and treat potential health problems so they do not
develop into disabilities. All applicants/participants must
be informed of CHDP medical and dental services at
every application and redetermination or upon request.
NOTE: “Case Comments” must be documented to reflect
the applicant’s/participant’s response for CHDP
services.