Basic Benefit Eligibility OverviewBasic Benefits and Their AbbreviationsThis guide is intended as a brief overview only, and should not be construed as a thorough guideor legal advice. Prospective applicants may want to seek advocacy services and representationin order to obtain benefits.CAAP County Adult Assistance Program (previously called General Assistance):This financial benefit is administered and funded by the County (Human <strong>Services</strong> Agency). It is available tovery low-income/asset adults who are not eligible (or are not yet eligible) for other types of financial benefits.The current payment range as of 2007 is $59 (homeless), $65 (living in shelter), $342 (housed on GA), $422(housed on PAES/SSIP/CALM). CAAP eligibility does not make clients eligible for Medi-Cal, but recipients maybe eligible for Food Stamps. Information is available at 558-1000.SSDI Social Security Disability Insurance (SSA, Social Security):This program is administered by the federal government (Social Security Administration) and pays disabledindividuals a monthly benefit based on their prior work history. To be eligible, a person has to have paid intoFICA through earned income for a specific number of quarters. SSDI does not have financial eligibility criteria.The federal definition of disability must be proven by SSA adjudicators: the client is unable to earn substantialgainful activity (as defined by SSA) based on the medical condition for 12 months or more. Clients receivebenefits as long as they are still considered disabled. SSDI is also available for the children of disabled adults,spouses and widows. Medi-Cal must adopt the SSA disability determination, but a person also must meet theasset limits for Medi-Cal through the county (Human Service Agency). SSDI recipients may also be eligible forSSI (see below) and SSI linked Medi-Cal if SSDI is below the SSI threshold. Information about SSDI and SSI isavailable through SSA at www.ssa.gov, phone 1-800-772-1213, or through an advocacy group (see below).SSI Supplemental Security Income:This program is also administered by the Social Security Administration. It pays clients who are disabled orretired a monthly benefit based on financial eligibility. In general, a single person must have less than $2,000in assets. The monthly SSI level is a set amount based on the living arrangement of the client, and the client’sother income must be below the SSI threshold. Clients who receive SSI automatically get Medi-Cal with theirbenefits. Phone 1-800-772-1213CAPI Cash Assistance Program for Immigrants:Some immigrants who are not eligible for SSI may be able to receive cash assistance through CAPI, aCalifornia state SSI replacement program. CAPI provides cash assistance (approximately $10
SDI State Disability Insurance:This program is administered by the State (Employment Development <strong>Department</strong>, or EDD) and pays clients amonthly benefit for a maximum of 12 months based on work history. Clients must have worked in California,and paid into the SDI system. The definition of disability is very minimal and does not qualify clients asfederally disabled, so they may not be eligible for Medi-Cal. Information is available at www.edd.ca.gov.Phone 1-800-480-3287Medicare:This federal medical benefit program is administered by SSA. Clients are eligible if they receive Social Securitydisability or retirement benefits. For disabled clients, Medicare becomes available 2 years after they areeligible for payments. A premium is subtracted from a client’s SSDI benefit to pay for the Medicare Part B (theoutpatient part) UNLESS they are eligible for Medi-Cal, which may pay the premium; Part A, the HospitalInpatient portion, has no premium. Part D is Medicare’s prescription drug coverage that covers bothprescription drugs at participating pharmacies. Information on Medicare is available at www.medicare.govor through an advocacy group (see below). Phone 1-800-MEDICAREMedi-Cal:This is California’s version of federal Medicaid. Clients get Medi-Cal either by applying through the Medi-CalOffice at HSA, or as an automatic benefit with certain other programs, including SSI and CalWORKs. Ingeneral, Medi-Cal is available for low-income people who are either disabled, elderly, or a member of a family.Medi-Cal, like SSI, is an eligibility-based program, and the financial asset level is taken directly from SSI.Clients with any level of income can receive Medi-Cal, but the amount of their income serves as the criteria fordetermining a Share of Cost (see below).<strong>Health</strong>y Families (HF) Insurance:This insurance program provides qualifying children and young adults (up to age 19) with physical health,mental health, dental health, and vision care. <strong>Health</strong>y Families is funded by the State for children in familieswho are uninsured and who do not qualify for Medi-Cal. Eligibility is determined primarily by family income.Families may apply for this insurance by calling 800-880-5305. Caregivers with <strong>Health</strong>y Families insurancemay seek treatment for their children by visiting a clinic during drop-in hours, or by calling Central Access at255-3737. For more information: Miriam Damon, RN, MFT - <strong>Health</strong>y Families/<strong>Health</strong>y Kids Liaison: 255-3761.<strong>Health</strong>y Kids (HK)/Extended <strong>Health</strong> Kids Insurance:The <strong>Health</strong>y Kids program provides universal health care insurance for children and youth (up to age 19)offered by the <strong>San</strong> <strong>Francisco</strong> <strong>Health</strong> Plan. The Extended <strong>Health</strong>y Kids program provides healthcare insuranceto member from age 19 (or 21 for Medi-Cal members) through age 24. The <strong>San</strong> <strong>Francisco</strong> <strong>Community</strong><strong>Behavioral</strong> <strong>Health</strong> Plan has contracted with the <strong>San</strong> <strong>Francisco</strong> <strong>Health</strong> Plan to provide and manage mentalhealth services to <strong>Health</strong>y Kids’ beneficiaries. These programs will provide health insurance to children, youth,and young adults who are otherwise uninsured and not eligible for other state-funded programs. For moreinformation: Miriam Damon, RN, MFT - <strong>Health</strong>y Families/<strong>Health</strong>y Kids Liaison: 255-3761.90
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City and County of San Fr ancisco
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CBHS 2010-2011 Provider ManualA wel
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Who is Served by the San Francisco
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Children, Youth, & Family (CYF) - M
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CYF Mental Health and School Partne
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Residential, Sub-acute and Communit
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Adult and Older Adult - Mental Heal
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CBHS Pharmacy ServiceAll clients wh
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Supportive Housing and Shelter-Base
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AOA Outpatient ServicesDesigned to
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Substance Abuse Service ProvidersDr
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Substance Abuse Outpatient Treatmen
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Driving Under the Influence (DUI) p
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AARS - Comprehensive Outreach Proje
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Alternatives Program Damon Eaves, L
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Joe Healy Medical Detox Project off
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This program provides mental health
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Languages: SpanishCATS MAP Mobile A
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Children’s System of Care (CSOC)
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Languages: Amharic, Arabic, Cantone
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Provides specialized neurobehaviora
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Languages: SpanishDSAAM Office Base
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Epiphany Center for Families in Rec
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TCMTEDSTIPTargeted Case Management
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Steven Dempsey Peer Support/ Client
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Toni Rucker Director, Grants & Trai