CalWORKs Policy - Department of Public Social Services

This does not apply when:
• The first day of the report month falls on a non-postal
delivery day;
• The QR 7 is mailed by the county for delivery on the
last postal delivery day of the budget month; and
• The participant signs and dates the QR 7 on or before
the last day of the budget month.
See CW/QR-7 Completeness Criteria for LEADER
procedure.
CW 40-183.4 Intra-
Program Status Change
How is a Medi-Cal segment processed once
CalWORKs has been terminated?
When CalWORKs is terminated, LEADER is programmed
to make a Medi-Cal Section 1931(b) eligibility
determination to see if the household continues to be
eligible under Section 1931(b) only. If not, LEADER
evaluates the family/individuals for all other Medi-Cal
Programs.
What is Section 1931(b)?
Section 1931(b) Medi-Cal is a deprivation program. As a
result, those persons who do not meet deprivation
requirements are not eligible to receive benefits under
Section 1931(b). The Section 1931(b) has two
components:
Cash-based Section 1931(b), which is received by
participants of CalWORKs; and
Section 1931(b) Medi-Cal only.
Persons being evaluated for Section 1931(b) Medi-Cal
only must meet all other program requirements, including,
but not limited to deprivation, residency, age, etc.
All families terminated from CalWORKs and all new Medi-
Cal applicants must first be evaluated for eligibility to
Section 1931(b).
What is the time frame before a terminated CalWORKs
case can be transferred to a Medi-Cal Eligibility
Worker (EW)?
When a CalWORKs case is terminated, the CalWORKs
EW must hold the Medi-Cal approved segment for 30
days (one calendar month) to allow for the possibility of
the rescission of the case. After the 30 days, if the
participant does not reapply or the CalWORKs termination
is not rescinded, the EW must transfer the active Medi-Cal
segment to a Medi-Cal EW.