FS 63-100 General Provisions - Department of Public Social Services

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Statement from physician or psychologist. Receives a Railroad Retirement annuity payment and is eligible for Medicare Award letter or RR disability check. Letter showing eligibility for Medicare. Receives SSI benefits under Title XVI of the Social Security Act SSI check, SSA statement, MEDS printout with Medi-Cal aid code 10 or 60. Bank statement showing SSA/SSI direct deposit. Receives GR benefits pending receipt of approved SSI SSI Award letter filed in case record. Receives disability-related Medi-Cal MEDS printout with Medi-Cal aid code 64 or 67. See Disability Determination for details Deductions Household’s Reported Expenses Exceed Income Household Composition Size Deductions Medical, dental or hospital bills which show the household’s cost/share of cost, prescription drug receipts, health and hospitalization insurance policy premium statements, grocery receipts for dog food and veterinarian bills (for seeing eye/guard dog), receipts for psychotherapy or rehabilitation services, receipts for eye glasses, contact lenses, dentures, hearing aids, prosthetics and assistive devices, clients’ written or verbal statement regarding medical transportation costs, written statement/billing from attendant, homemaker health aid or child care services housekeeper, including a statement whether meals are furnished to the attendant. Household’s Reported Expenses Exceed Income Explore with the household how it is managing its finances, whether excluded income or other resources are present and how long the household has managed under its current circumstances. Household Composition Size Boarder Status Payments received from a boarder as compensation for meals and lodging must be verified under the mandatory income verification requirements. NOTE: Due to the difficulty in verifying whether or not a group of individuals customarily purchases and prepares meals together, per State regulations, the household’s statement shall be accepted along with case documentation.
Parent/Child/Siblings Relationship Birth records or other documents indicating the person in question’s relationship to others in the household. Whether the household member requesting separate household status is a spouse Divorce papers if previously married. Income tax returns, income tax withholding status on paycheck or statement from a member of the community or relative. Household size - verify that all persons claimed as household members actually reside at the address given Extend the verification requirements for identity and residency to include all household members. Voluntary Quit Voluntary Quit Documentary evidence from the previous employer, employee associations, union representatives, grievance committees or organizations. If documentary evidence cannot be obtained, a collateral contact shall be substituted. NOTE: If verification cannot be obtained because the quit resulted from circumstances that for good reason cannot be verified, such as resignation due to discrimination practices, unreasonable demands by an employer or the employer cannot be located, the EW shall waive the verification requirements. Dependent Care Costs Liquid Resources Citizenship Work Registration Exemptions Dependent Care Costs Written statement from the provider, listing the actual monthly costs or childcare payment receipts signed by the provider. Liquid Resources Checking or savings account books, statement or passbook, stock, bond or saving certificates, trust deed or note receivable statements, income tax refunds, rebate or credit bills, other non-recurring lump-sum payments, etc. Citizenship Specific requirements for verification of citizenship are in FS 63-403 CITIZENSHIP AND NON-CITIZEN STATUS. Work Registration Exemption If a household member’s exemption from Food Stamp work registration is due to participation in GAIN GAIN Contract Agreement or telephone contact with the GAIN Case Manager.
Page 2 and 3: FS POLICY Table of Contents FS 63-1
Page 4 and 5: FS 63-401.11 An Individual Living A
Page 6 and 7: FS 63-407.2 Work Registration Exemp
Page 8 and 9: FS 63-501.63 Notice Requirements FS
Page 10 and 11: FS 63-800 Corrective Actions FS 63-
Page 12 and 13: FS 63-100 - GENERAL PROVISIONS FS 6
Page 14 and 15: Batch This is the overnight (daily)
Page 16 and 17: Demagnetized Card This is when the
Page 18 and 19: have been approved for such payment
Page 20 and 21: no more than 16 residents, that is
Page 22 and 23: ever filed, or • An application f
Page 24 and 25: Online This is the same day or emer
Page 26 and 27: ecords or other inventory or accoun
Page 28 and 29: Transitional Food Stamps (TFS) Food
Page 30 and 31: CalWORKs and Food Stamps, the SAWS
Page 32 and 33: If a claim is made against a househ
Page 34 and 35: At the time of application or recer
Page 36 and 37: FS 63-300.41 - Failing First Appoin
Page 38 and 39: • Personal loans Deductions • D
Page 40 and 41: months. These household’s shall b
Page 42 and 43: FS 63-300.54 - Sources of Verificat
Page 46 and 47: If exemption is based on receipt of
Page 48 and 49: See Sanctions/Penalties/POI for det
Page 50 and 51: apply to GR/FS cases. When Processi
Page 52 and 53: equirements. NOTE: Although the eff
Page 54 and 55: Denial action shall be taken immedi
Page 56 and 57: • If the process is completed wit
Page 58 and 59: • Temporary accommodation in anot
Page 60 and 61: signature and return mailing. Late
Page 62 and 63: eceive their first month’s prorat
Page 64 and 65: eplaces the State Hearing process.
Page 66 and 67: • The household shall contain onl
Page 68 and 69: • Is disqualified for Intentional
Page 70 and 71: through collateral contacts or read
Page 72 and 73: section the length of time the part
Page 74 and 75: Each case must be decided based on
Page 76 and 77: elderly-disabled person’s househo
Page 78 and 79: possession, use or distribution of
Page 80 and 81: Meet Definition of Boarder boarder?
Page 82 and 83: If a Food Stamp household requests
Page 84 and 85: AR/AC Designations be an AR/AC? Mea
Page 86 and 87: eplacements for the striking employ
Page 88 and 89: See Naturalized Citizen for details
Page 90 and 91: members. The income, resources and
Page 92 and 93: new version. • All Green Cards is
Page 94 and 95:
403.1 Citizens and Eligible Non-Cit
Page 96 and 97:
Computation of Sponsor’s Income T
Page 98 and 99:
Administration’s (SSA) records th
Page 100 and 101:
In determining if good cause exists
Page 102 and 103:
assumed for students participating
Page 104 and 105:
including those who are in the fina
Page 106 and 107:
egistered for that program FS 63-40
Page 108 and 109:
caretaker must be work registered a
Page 110 and 111:
Comply. FS 63-407.3 - EW Requiremen
Page 112 and 113:
the 2 months prior to the month of
Page 114 and 115:
Disqualification disqualification a
Page 116 and 117:
FS 63-407.7 - Employment FS 63-407.
Page 118 and 119:
FSWP Requirements Each GR-E/FS reci
Page 120 and 121:
the sanction, the EW shall require
Page 122 and 123:
To document inconclusive responses,
Page 124 and 125:
• Is GAIN registered; • Is rece
Page 126 and 127:
certification ends. If the househol
Page 128 and 129:
• Leaves the household; • Is no
Page 130 and 131:
that the in-kind income being repor
Page 132 and 133:
An individual denied eligibility fo
Page 134 and 135:
eceived by the household or they ar
Page 136 and 137:
convenience only (pay bills for the
Page 138 and 139:
• Resources which are transferred
Page 140 and 141:
All earned income as specified belo
Page 142 and 143:
income if the GR fraud determinatio
Page 144 and 145:
• Educational benefits provided t
Page 146 and 147:
paying half of the rent. If the pay
Page 148 and 149:
Origination Fees and Insurance Fund
Page 150 and 151:
cleaning/security deposits, telepho
Page 152 and 153:
EXAMPLE 2 A member of the Food Stam
Page 154 and 155:
may contact the employer. FS 63-502
Page 156 and 157:
• Additional charges imposed by a
Page 158 and 159:
to a prorated SUA. Combined If the
Page 160 and 161:
Actual utility costs may be used wh
Page 162 and 163:
Report Month The month in a monthly
Page 164 and 165:
Determining Prospective Eligibility
Page 166 and 167:
one or more persons excluded as an
Page 168 and 169:
$200.00 = Paid by the excluded pers
Page 170 and 171:
Stamp household, except under the f
Page 172 and 173:
herself and her child. They live wi
Page 174 and 175:
same manner as for all other Food S
Page 176 and 177:
P&I $224.00 Less Excess Shelter 43.
Page 178 and 179:
• Tell the participant that if he
Page 180 and 181:
application must be made by the GLA
Page 182 and 183:
• Penalty/Disqualification. Resid
Page 184 and 185:
which a person is considered either
Page 186 and 187:
• Actual verified costs, includin
Page 188 and 189:
and • It is responsible, under th
Page 190 and 191:
processing standards in FS 63-301.5
Page 192 and 193:
Reporting to Quarterly Reporting, e
Page 194 and 195:
An adequate-only termination notice
Page 196 and 197:
• The expiration of a household
Page 198 and 199:
Special Food Stamp Notices of Disqu
Page 200 and 201:
Denied (DFA 377.1A) When a DFA 377.
Page 202 and 203:
ecertification? Application Verific
Page 204 and 205:
FS 63-600 COUPON ISSUANCE, USE & RE
Page 206 and 207:
3 rd thru 9 th Character LEADER Cas
Page 208 and 209:
Statement get an EBT card? All prim
Page 210 and 211:
When there is a loss of actual food
Page 212 and 213:
Replacement Requests Made Late in t
Page 214 and 215:
is a copy of a manually issued Noti
Page 216 and 217:
only to be done if the household is
Page 218 and 219:
NOTE: The date of discovery is the
Page 220 and 221:
Repayment Notice. The EW must ensur
Page 222 and 223:
appropriate disposition. When the c
Page 224 and 225:
send a computerized notice of actio
Page 226 and 227:
household along with a PA 1820, Foo
Page 228 and 229:
to a restoration of lost benefits,
Page 230 and 231:
applicable); • Keeping records of
Page 232 and 233:
Disqualification Penalties-Who Is D
Page 234 and 235:
Intake and Approved EWs The Intake/
Page 236 and 237:
case is active, the effective date
Page 238 and 239:
FS 63-900.52 - Certification Sites
Page 240 and 241:
accessible funds in checking and sa
Page 242 and 243:
Denied. The interviewer shall also
Page 244 and 245:
participants to receive their benef
Page 246 and 247:
Responsibilities employee is filing
Page 248 and 249:
who is elderly or disabled. Standar
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FS 63-100 General Provisions - Department of Public Social Services

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