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SHD Paraphrased Regulations - CalFresh 290 Corrective Actions ParaRegs-Food-Stamps-Corrective-Actions Page: 1 Jul 9, 2016 290-1 There are three types of overissuance claims: (1) inadvertent household error claims; (2) administrative error claims; and (3) intentional program violation claims. (§63-801.2) 290-1A Federal regulations differentiate between intentional program violation (IPV), inadvertent household error (IHE) and administrative error (AE) claims as follows: 1. An IPV claim is any claim for an overpayment or trafficking resulting from an individual committing an IPV. An IPV is defined in 7 Code of Federal Regulations (CFR) §273.16. 2. An IHE claim is any claim for an overpayment resulting from a misunderstanding or unintended error on the part of the household. 3. An AE claim is any claim for an overpayment caused by an action or failure to take action by the State agency. The only exception is an overpayment caused by a household transacting an untampered expired Authorization to Participate (ATP) card. (7 CFR §273.18(b)) 290-1B REVISED 5/16 State regulations define an "Administrative (Agency) Error" as "an overpayment [sic] claim caused by an action or a failure to take action by the county agency. (§63-102(a)(3), effective August 10, 2001; 7 C.F.R. § 273.18(b)(3)) This shall also apply to categorically eligible households only when the county incorrectly determined the household's net income and/or household size. (§ 63-802.221) 290-1C REVISED 5/16 State regulations define an "Inadvertent Household Error (IHE)" as "any claim for an [CalFRESH] overpayment resulting from an unintentional error on the part of the household." (§63-102(i)(5), effective August 10, 2001) This shall also apply to such errors made by categorically eligible households, provided the claim can be calculated based on a change in net income and/or household size. (§ 63-802.211) 290-1D State regulations have established a "delinquent claim". That is either a CalFresh claim which has not been paid by the due date and no satisfactory payment arrangement has been made, or

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Page 1: SHD Paraphrased Regulations - CalFresh 290 Corrective Actions · SHD Paraphrased Regulations - CalFresh 290 Corrective Actions ParaRegs-Food-Stamps-Corrective-Actions Page: 3 Jul

SHD Paraphrased Regulations - CalFresh 290 Corrective Actions

ParaRegs-Food-Stamps-Corrective-Actions Page: 1 Jul 9, 2016

290-1

There are three types of overissuance claims: (1) inadvertent household error claims; (2)

administrative error claims; and (3) intentional program violation claims. (§63-801.2)

290-1A

Federal regulations differentiate between intentional program violation (IPV), inadvertent household error (IHE) and administrative error (AE) claims as follows: 1. An IPV claim is any claim for an overpayment or trafficking resulting from an individual

committing an IPV. An IPV is defined in 7 Code of Federal Regulations (CFR) §273.16. 2. An IHE claim is any claim for an overpayment resulting from a misunderstanding or

unintended error on the part of the household. 3. An AE claim is any claim for an overpayment caused by an action or failure to take

action by the State agency. The only exception is an overpayment caused by a household transacting an untampered expired Authorization to Participate (ATP) card.

(7 CFR §273.18(b))

290-1B REVISED

5/16

State regulations define an "Administrative (Agency) Error" as "an overpayment [sic] claim

caused by an action or a failure to take action by the county agency. (§63-102(a)(3), effective

August 10, 2001; 7 C.F.R. § 273.18(b)(3))

This shall also apply to categorically eligible households only when the county incorrectly

determined the household's net income and/or household size.

(§ 63-802.221)

290-1C

REVISED

5/16

State regulations define an "Inadvertent Household Error (IHE)" as "any claim for an

[CalFRESH] overpayment resulting from an unintentional error on the part of the household."

(§63-102(i)(5), effective August 10, 2001)

This shall also apply to such errors made by categorically eligible households, provided the

claim can be calculated based on a change in net income and/or household size.

(§ 63-802.211)

290-1D

State regulations have established a "delinquent claim". That is either a CalFresh claim which

has not been paid by the due date and no satisfactory payment arrangement has been made, or

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the payment arrangement has been made and a scheduled payment has not been made by the

due date. (§63-102(d)(3), effective August 10, 2001; see also §63-801.451)

290-1E

State regulations have established a CalFresh "recipient claim", which is "an amount owed

because benefits were overissued or benefits were trafficked." (§63-102(r)(1), effective August

10, 2001)

290-3

In Saldivar v. McMahon, the federal district court ordered the CDSS to provide timely notice of

adverse action prior to reducing or terminating benefits, regardless when the monthly income

report is submitted.

As part of the implementation of the court order, the CDSS notified the counties that when a

monthly income report was filed late or incomplete, and the recipient submitted a complete CA 7

by the extended filing date, the counties “must not establish a claim against the [CalFresh]

household as long as a complete CA 7 is submitted by the extended filing date.”

(Saldivar v. McMahon, U.S. District, N.D. Cal., Case No. C-83-4637, December 9, 1983; All-

County Information Notice No. I-62-89, September 5, 1989)

291-1 REVISED

5/16

Generally, the county shall restore to the household benefits which were lost whenever the loss

was caused by an administrative error, or by an administrative disqualification for intentional

Program violation which was subsequently reversed. (§63-802.1)

Lost benefits shall be restored even the household is currently ineligible for Program

participation.

(§63-802.13)

291-1A ADDED

1/13Lost benefits shall be restored for not more than 12 months prior to the earlier of the date

the County receives a request for restoration or the date the County discovers a loss to the

household has occurred. (§63-802.12)

291-2 REVISED

5/16

IIf a claim against the household is unpaid, suspended, or terminated as provided in §63-801.5,

the amount to be restored shall be offset against the amount due on the claim before the

balance, if any, is restored to the household.

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This offset shall not be applied against an initial allotment, even if the initial allotment is paid

retroactively. (§63-802.54)

Counties shall not offset the amount of an administrative error claim against any amount of lost

benefits which have not yet been restored to the household.

(§ 63-802.542 (Handbook))

291-3

An underissuance is the amount by which the allotment which the CalFresh household was

entitled to receive exceeds the allotment which the household received. (§63-102(u)(1))

291-4

Vendor payments for child care made by the CalWORKs program or by the California

Department of Education are not considered income to the household and cannot be used as a

child care deduction.

An expense which is covered (i.e., either already paid and reimbursed, or anticipated to be

reimbursed) by an excludable reimbursement payment or vendor payment (§63-502.2(b)(2)) is

not a deductible expense. However, if the child care payment is not reimbursed, or reimbursed

only in part, the out-of-pocket expense is deductible per §§63-502.34 and 63-1101.2, up to the

allowable maximum. Counties must recalculate the CalFresh allotment and issue any applicable

benefit supplement in the current month, or restore lost benefits.

(All-County Letter No. 98-19, March 17, 1998)

291-5 ADDED 2/04

If the county determines that the assistance unit/household received an underpayment/underissuance due to county error, the county must take action to restore those benefits. Restoration is based on prospective budgeting rules. The county may not use actual verified income to reconcile against prospectively budgeted income that was used in the benefit calculation as income that was “reasonably anticipated” at the time benefits were calculated. As an example, in CalWORKs an underpayment should be provided for an assistance unit for

any pregnant/parenhting teen who had previously been aided as a dependent child and who

had a break in aid between being aided in their parent/caretaker relative’s assistance unit and

establishing her own assistance unit. (All-County Letter No. 03-18, April 29, 2003, p.73)

291-5A REVISED

5/16No overpayment/overissuance or underpayment/underissuance shall be assessed when actual income received during the payment period differs from the amount of income reasonably anticipated, as long as the recipient met his/her reporting responsibilities. No reconciling based on actual income is done if reporting requirements are met accurately and completely and the county averaged and issued benefits based on reasonably anticipated income. (All-County Letter (ACL) 12-25, May 17, 2012, p. 83; ACL 03-18, April 29, 2003, p.74)

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291-6 REVISED

5/16Whenever lost benefits are due a household and the household's membership has changed, the county shall restore the lost benefits to the household containing a majority of the individuals who were household members at the time the loss occurred. If the county cannot locate or determine the household which contains a majority of household members, the CWD shall restore the lost benefits to the household containing the head of the household at the time the loss occurred. (§ 63-802.17)

292-1

The general rule is that the county is required to establish a claim against any household that

has received more benefits than it was entitled to receive. All adult household members are

jointly and individually liable for any overissuance to the household. (§63-801.1)

292-1A

No claim shall be established against a household for an administrative error overissuance

which is $35 or less; or when the county failed to ensure that the household signed the

application form, completed a current work registration form, or was certified in the correct

county; or when the household transacted an unaltered expired authorization document. (§63-

801.12; 7 Code of Federal Regulations §273.18(b)(3))

292-1B

Federal regulations provide that "each person who was an adult member [emphasis added] of

the household when the overpayment or trafficking occurred" is responsible for paying back a

CalFresh overissuance. Other persons who must repay an overissuance are the sponsor of an

alien household member if the sponsor is at fault, or a person connected to the household (such

as an authorized representative) who actually trafficks, or causes an overissuance. (7 Code of

Federal Regulations (CFR §273.18(a)(4), as revised effective August 1, 2001)

In California, SSI recipients (and certain other specified persons) are not eligible to participate

as "a member" of any CalFresh household. (7 CFR §§273.20 and 273.1(a)(7)(ii))

292-1C

Federal regulations provide that "each person who was an adult member of the household when the overpayment or trafficking occurred" is responsible for paying back a CalFresh overissuance. Other persons who must repay an overissuance are the sponsor of an alien household member if the sponsor is at fault, or a person connected to the household (such as an authorized representative) who actually trafficks, or causes an overissuance. (7 Code of Federal Regulations (CFR §273.18(a)(4), as revised effective August 1, 2001) The following persons are not eligible to participate as a member of any CalFresh household. (1) Ineligible aliens and students in 7 CFR §§273.4 and .5. (2) SSI recipients in California.

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(3) Individuals disqualified with the work requirements of 7 CFR §273.7. (4) Individuals against whom a sanction was imposed for failure to comply with a workfare

requirement, as set forth in 7 CFR §273.22. (5) Individuals disqualified for failure to provide a Social Security Number, as set forth in 7

CFR §273.6. (6) Individuals disqualified for an Intentional Program Violation under 7 CFR §273.16. (7) Residents of certain institutions. (7 CFR §273.1(a)(7))

292-1D ADDED 5/05

QUESTION:

Can the county collect from any adult member present in the household at the time of an

overissuance, including adult children, but not collect from children who leave the case and

establish their own household?

ANSWER:

Yes. All adult household members, including children who are adults in the household are liable

for any overissuances (O/I) which occurred while they were in the household.

Per MPP Section 63-801.1, a claim for an O/I is applied against any household that has

received more CalFresh benefits than it is entitled to receive or to any household which contains

an adult member who was an adult member of another household that received more CalFresh

benefits than it was entitled to receive. While minor children are not liable for O/Is, if the

household consists of all minors, a collection action can be initiated against a household whose

only eligible members are minors (ACL 91-53). If a minor leaves an “all minor” household, that

minor is not liable for the overissuance.

(All County Information Notice I-16-05, p.11, April 4, 2005)

292-1E ADDED 7/10

In the CalFresh Program, a household member over the age of 18 is considered an adult. (MPP § 63-402.) If a 20-year-old household member is receiving CalFresh benefits as part of his/her parents’ household and an overissuance occurs, all adult household members residing in the household when the overissuance occurred, including the 20-year-old child, are considered to be liable for repayment of the overissuance claim. If the 20-year-old household member begins to receive CalFresh benefits on his/her own case, the county can collect repayments from the 20-year old’s benefits. (MPP § 63-801.1.)

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Any household member over the age of 18 through the age of 21 is considered to be an “adult child” and shall be jointly and individually liable for the value of any overissuance of benefits to the household. If the 18- to 21-year-old is living with a parent, she/he cannot have separate household status.

(ACIN I-84-09)

292-2

An overissuance is the amount by which coupons issued to a household exceed the amount the

household was eligible to receive. (§63-102(o)(1))

292-3

After calculating the amount of the inadvertent household or administrative error claim, the

county shall offset the amount of the claim against any amounts which have not yet been issued

to the household as a restoration of lost benefits in accordance with §63-802.54. The county

shall then initiate collection action for the remaining balance, if any. (§63-801.313)

Counties had been instructed not to collect administrative error overissuances by balancing or

offsetting them against underissuances by All-County Letters (ACLs) No. 96-43, August 27,

1996 and 96-59, October 25, 1996. Effective February 16, 2000, a Handbook Section was

added which stated that the CDSS and the counties were permanently enjoined by the court

order in Lopez v. Glickman [formerly Lopez v. Espy] from offsetting administrative error claims

against lost CalFresh benefits which had not been restored to the household. (Handbook §63-

801.313)

292-3A ADDED

10/15When recomputing benefits results in an overpayment/overissuance, the County Welfare

Department shall recreate case circumstances, including the determination of what income was

reasonably anticipated at the time (not based on actual income determined after the fact), using

the correct county processing timeframes based on what and when the recipient should have

reported. (ACL No. 12-25, May 17, 2012, p. 79)

292-3B ADDED

10/15If a recipient fails to report income any time he/she is required to report, or the county fails

to act correctly when a recipient reports income, the county shall determine benefits the

recipient would have received based on an accurate report of income and correct county action

on that report. The overpayment/overissuance begins on the first date the change would have

been made based on an accurate recipient report. (All County Letter 12-25, May 17, 2012,

p.78)

292-3C ADDED

10/15Information from Income and Eligibility Verification System (IEVS) matches needs to be

evaluated to determine if the information was required to be reported by the recipient on the

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SAR 7 or the redetermination/recertification (RD/RC) forms, or as a mandatory mid-period

report. If the information, after being confirmed under IEVS regulations, was required to be

reported, but was not, then appropriate action may be taken. If the information was not required

to be reported (voluntary report) then no action may be taken. When reconciling IEVS matches

with reported income from the SAR Data Month or RD/RC, the County Welfare Department

must take prospective budgeting rules into consideration. This includes taking into account

information that was available at the time the determination of reasonably anticipated income

would have been made, if reported timely. In other words, County Welfare Departments may not

rely on actual income, if, at the time the mandatory report was due, the income could not have

been reasonably anticipated. (All “reasonably anticipated” rules apply, even when retroactively

considering the case for unreported information.) (ACL No. 12-25, May 17, 2012)

292-3D ADDED 12/15Overissuances shall not be assessed based on more income than the client actually

received. Case circumstances must still be recreated based on all reports that were required to

be made, but rather than just looking at mandatory changes that would lower the grant and

disregarding any changes that would have increased the grant, any subsequent decreases in

income that would have increased the benefit amount (and thus decrease the overissuance

amount) shall also be taken into consideration when recreating case circumstances and

calculating overissuances.

(ACL 15-95, December 1, 2015)

292-3E ADDED 12/15In CalFresh, when assessing whether an overissuance should be established based on

mid-period changes that are required to be reported, the County Welfare Department must

determine if the recipient reported the change in a timely manner (i.e., within 10 days). If a

recipient reports a mandatory mid-period change timely, completely, and accurately, the County

Welfare Department shall not establish an overissuance when the County Welfare Department

is unable to issue the correct allotment due to the 10-day notice requirement. Overissuances

will not be assessed based on a timely, accurate and complete report where the 10-day notice

alone delayed issuance of the correct allotment.

Overissuances will be assessed when late reporting alone or together with the 10-day notice

requirement delayed issuance of the correct allotment.

(ACL No. 12-25, May 17, 2012, pp. 76-77)

292-4

REVISED

5/16When an individual has intentionally failed to report earned income, as determined by an

administrative disqualification hearing (ADH), a court of appropriate jurisdiction, or by having

signed an ADH waiver or a disqualification consent agreement, then the county shall not apply

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the 20% earned income deduction to that unreported income. (§63-801.323, effective May 1,

1995) Additionally, in inadvertent household and administrative error claims, no 20% earned

income deduction shall be allowed for that portion of the earned income which the household

failed to report. (§63-801.312(c))

The disregard of the 20% earned income deduction does not apply to administrative error

claims. (7 C.F.R. § 273.18(C)(1)(II))

292-5A

When a CalFresh household received a larger allotment than it was entitled to receive, the county shall establish a claim against the household equal to the difference between the benefits received and the benefits which should have been issued. (a) For categorically eligible households, a claim shall be determined only when the amount

of the overissuance can be calculated on the basis of the household's net income and/or household size.

(b) When the overissuance occurred in a month or months in which any household member

has already performed a Workfare or work component requirement, see §63-407.89. (c) When determining the amount of benefits the household should have received, the

county shall not apply the 20% earned income deduction to that portion of earned income the household failed to report.

(§63-801.312, as amended by adding (c), effective November 12, 1996)

292-5B

When a CalFresh household received a larger allotment than it was entitled to receive, the county shall establish a claim against the household equal to the difference between the benefits received and the benefits which should have been issued. (a) For categorically eligible households, a claim shall be determined only when the amount

of the overissuance can be calculated on the basis of the household's net income and/or household size.

(b) When the overissuance occurred in a month or two months in which any household

member has already performed a Workfare or work component requirement, see §63-407.89.

(c) When determining the amount of benefits the household should have received, the

county shall not apply the 20% earned income deduction to that portion of earned income the household failed to report.

(§63-801.312, as amended by adding (c), effective November 12, 1996) State regulations provide that §63-801.312 shall be implemented effective upon filing with the

Secretary of State (November 12, 1996) for all new applicants, or at the next recertification, but

no later than August 22, 1997, for all CalFresh applicants or recipients. (§63-1434.3)

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292-5C

For purposes of §63-801.312(c), the overissuance computation which disallows the 20% earned

income deduction for "...earned income the household failed to report", the CalFresh policy

interpretation is that the disallowance is to be applied only to that portion of the earnings which

is not reported by the extended filing date; and that there is no "good cause" provision which

would permit the deduction if the earnings are not reported. (All-County Information Notice

(ACIN) No. I-62-96, December 9, 1996)

292-5D

For purposes of §63-801.312(c), the overissuance computation which disallows the 20% earned

income deduction for "...earned income the household failed to report," the CalFresh policy

interpretation is that the disallowance is to be applied only to that portion of the earnings which

is not reported by the extended filing date; and that no "good cause" provision which would

permit the deduction if the earnings are not reported. (All-County Information Notice (ACIN) No.

I-62-96, December 9, 1996)

State regulations provide that §63-801.312 shall be implemented effective upon filing with the

Secretary of State (November 12, 1996 for all new applicants, or at the next recertification, but

no later than August 22, 1997 for all CalFresh applicants or recipients. (§63-1434.3)

292-6

A claim shall be handled as an administrative error claim if the overissuance was caused by the

action or inaction of any county welfare department (CWD). These claims only apply to

categorically eligible households when the calculation of the claim is based on incorrect net

income or household size. (§63-801.221)

292-7 ADDED 2/04

In the prospective budgeting system, a CalWORKs overpayment will be established as applicable based on:

Recipient failure to report accurately and completely;

County error;

Recipient late reporting; and

County inability to issue the correct grant amount due to the 10-day notice requirement when the recipient reported timely, completely and accurately.

Late reporting applies to both a late submission of the QR 7/SAR 7/SAWS 2 and to late mandatory mid-payment period reports. The county will establish an overpayment when the recipient received a grant amount to which he/she was not entitled under prospective budgeting rules regardless of whether the recipient reported timely. (ACL 03-18, April 29, 2003, p.68)

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In the CalFresh program, an overissuance will be established if the household received an allotment greater than the amount it was entitled to receive under prospective budgeting rules and was due to recipient failure to report accurately or due to county error. If the recipient reports a mid-payment period change that is required to be reported timely, completely and accurately, the county shall not establish an overissuance due to the 10-day notice requirement. An overissuance will be assessed when late reporting alone or together with the 10-day notice requirement delayed issuance of the correct amount. An overissuance will be established when a recipient submits a late QR 7/SAR 7 which results in the recipient receiving more CalFresh benefits than he/she was entitled to receive because the county could not reduce the CalFresh benefits without giving 10-day notice. (ACL 03-18, April 29, 2003, pp.68-69)

292-7A ADDED 2/04

If a recipient fails to report income any time he/she is required to report, or the county fails to act correctly when a recipient reports income, the county shall determine benefits the recipient would have received based on an accurate report of income and correct county action on that report. The overpayment/overissuance begins on the first date the change would have been made based on an accurate recipient report. Example: The assistance unit/household has income that exceeded the IRT since January 5, 2002. The assistance unit/household never reported this income and the county discovers this failure to report income. Since the assistance unit/household was required to report this income within 10 days (i.e., by January 15), the assistance unit/household was financially ineligible effective January 31 and the overpayment/overissuance is established effective February 2002. Example: The assistance unit/household submits a QR 7 on March 5 and reports that dad started a job on February 10 and that the income is expected to continue. The income does not exceed the IRT. The county fails to consider the income in issuing the CalWORKs grant and CalFresh allotment beginning in April. If the increased income should have resulted in lower benefits, the county must establish an overpayment/overissuance beginning in April. (All-County Letter No. 03-18, April 29, 2003, p.70)

292-7B ADDED 2/04

Changes that are not required to be reported, but that may voluntarily be reported should not be considered when determining whether there is an overpayment/overissuance. Voluntary changes need only be reported on the QR 7/SAR 7/SAWS 2 that follows the change. (All-County Letter No. 03-18, April 29, 2003, p.71)

292-7C ADDED 2/04

In the prospective budgeting system, the only time an assistance unit /household is required to report property is on the QR 7/SAR 7/SAWS 2 . Property related overpayments/overissuances will be determined based on information that should have been reported on the QR 7/SAR 7/SAWS 2. An assistance unit/household is only required to report property when property exceeds the limit in the data month of the payment period.

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If a recipient owned property that exceeded the resource limit in the data month of the payment

period and failed to report it on the QR 7/SAR 7/SAWS 2, or if the county failed to act correctly

on a report of property that exceeds the limit, the county shall determine the benefits the

assistance unit/household should have received. (All-County Letter No. 03-18, April 29, 2003,

p.72)

292-7D ADDED 2/04

No overpayment/overissuance or underpayment/underissuance shall be assessed when actual income received during the payment period differs from the amount of income reasonably anticipated, as long as the recipient met his/her reporting responsibilities. No reconciling based on actual income is done if reporting requirements are met accurately and completely and the county averaged and issued benefits based on reasonably anticipated income. (All-County Letter No. 03-18, April 29, 2003, p.74)

292-7E ADDED 8/04

For prospective budgeting households, a claim shall be established when the household fails to report a change on the QR 7/SAR 7/SAWS 2 for the appropriate Data Month and benefits were incorrectly computed based on the failure of the recipient to report a change or a timely QR 7/SAR 7/SAWS 2 was not submitted. (§63-801.311(c)) 292-7F ADDED 8/04

An overissuance will be established following the late submission of a QR 7/SAR 7/SAWS 2 when the county is unable to decrease benefits due to the 10-day noticing provisions. (§§63-508.623 (Handbook)) 292-7G ADDED 5/05

When calculating an overissuance claim, is the PA amount (CalWORKs) that was actually

issued and that could have been “reasonably anticipated” at the time of issuance used, or is the

recalculated CalWORKs grant amount used?

ACL 03-18, page 57, states, “The FSP will use the recalculated CalWORKs grant to

redetermine the CalFresh allotment”. However, the emergency regulations and the old

regulations regarding benefit determination state that to use the amount that can be anticipated

with reasonable certainty or can be reasonably anticipated.

ANSWER:

The statement in ACL 03-18, page 70, (actually page 57) about using the recalculated

CalWORKs grant when computing an O/I or U/I, is incorrect. When computing an O/I or U/I,

counties are to use the actual amount that was anticipated with reasonable certainty or that was

reasonably anticipated. QR regulations support using the amount of the CalWORKs grant that

was reasonably anticipated with no look-back for recalculation of the CalWORKs grant. Also, in

ACL 03-18, page 74, counties are instructed that no O/I or U/I will be assessed when actual

income received during the quarter differs from the amount of income reasonably anticipated, as

long as the recipient met his or her mandatory reporting obligations. Since CalWORKs grants

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are known-to-county information and not subject to recipient reporting, a recalculated grant is

not required.

(All County Information Notice I-16-05, p.12, April 4, 2005)

292-7H ADDED

7/15In CalFresh, when assessing whether an overissuance should be established based on mid-period changes that are required to be reported, the County Welfare Department must determine if the recipient reported the change in a timely manner (i.e., within 10 days). If a recipient reports a mandatory mid-period change timely, completely, and accurately, the County Welfare Department shall not establish an overissuance when the County Welfare Department is unable to issue the correct allotment due to the 10-day notice requirement. Overissuances will not be assessed based on a timely, accurate and complete report where the 10-day notice alone delayed issuance of the correct allotment. Overissuances will be assessed when late reporting alone or together with the 10-day notice requirement delayed issuance of the correct allotment. (ACL No. 12-25, May 17, 2012, pp. 76-77 (emphasis as in original))

292-8 ADDED 3/06

If the county approves Transitional CalFresh benefits, then subsequently rescinds the CalWORKs discontinuance within 30 days of the discontinuance date with good cause and the case is determined to be eligible for regular CalFresh benefits, there would not be an overissuance of Transitional CalFresh benefits because Transitional CalFresh was correctly issued by the county based on available information (ACIN I-75-05, December 7, 2005, question and answer 1) 292-9A ADDED 9/09

The ARRA supplement cannot be the basis of an overissuance calculation. Therefore, in calculating overissuances, counties must use the appropriate allotment charts based on the date of the occurrence of the overissuances. For example, if an overissuance occurred before April 1, 2009, use the October 1, 2008 allotment tables. If an overissuance occurred or will occur after April 1, 2009, use the allotment tables issued in ACL 09-12 for April 1, 2009, until instructed to do otherwise by CDSS. With the exception of the allotment tables, all current policies and procedures still apply when calculating overissuance in the FSP, regardless of when the overissuance occurred. (ACIN I-58-09, August 13, 2009) 292-9B ADDED 9/09

For overissuances that occurred prior to April 1, 2009, use the issuance table corresponding to when the overissuance happened in the CalFresh household. If an overissuance occurred in March of 2008, use the October 2007 issuance tables; if the overissuance occurred in January of 2009, use the October 2008 issuance tables. The overissuance is the difference between what the household received and what they should have received. This is not a change from the way counties have always computed.

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For overissuances occurring on or after April 1, 2009, counties are instructed to use the April 1, 2009, issuance tables and deduct what the household received from what the household should have received, which is not a change from how O/Is have always been computed. The reasoning for this is provided by the FNS treatment of the stimulus increase, which is required to be “disregarded”. The stimulus increase is disregarded as follows: Scenario: A four-person household received $668 in CalFresh benefits, which included an $80 stimulus payment. Because of unreported earnings, the household was eligible to only $530 in benefits. Food and Nutrition Services (FNS) reasons that the stimulus disregard is negated by applying the following steps: 1) $ 668 Amount Actually Received 2) $ 530 Correct Actual Benefit -80 Disregarded Stimulus -80 Disregarded Stimulus $ 588 $ 450 3) $ 588 After Stimulus Disregard OR 4) $ 668 Amount Actually Received -450 Correct Benefit less Disregard -530 Correct Benefit $ 138 Overissuance $ 138 Overissuance Because the stimulus payment amount ($80) is subtracted from both the amount the household received and the amount the household should have received, the $80 stimulus increase cancels out of the equation; so the same answer is derived by subtracting the actual benefit amount received ($668) from the actual amount the household should have received ($530). FNS has reasoned that the requirement to disregard the stimulus increase is satisfied with the above computation where the stimulus amount cancels out of the equation and counties realize no change to the way they have always computed overissuances. Counties are instructed to use computation #4 to figure overissuances after April 1, 2009. Scenario: A four-person household received $668 in benefits in May 2009. It is later determined

the household was ineligible to receive any benefit. Using #4 in the computation above, the

overissuance is computed by deducting what the household received from what the household

should have received based on the April 1, 2009, issuance tables ($668 – 0 = $668

overissuance).(ACIN I-58-09, August 13, 2009)

292-9C ADDED 12/09

The United States Department of Agriculture, Food and Nutrition Service (FNS) issued guidance on March 18, 2009 stating that counties must count the $25 weekly supplemental weekly unemployment insurance benefit amount as income in determining eligibility and benefits. On November 6, 2009, President Obama signed the Worker, Homeownership, and Business Assistance Act of 2009 which now requires exclusion of the $25 payments from CalFresh calculations of resources and income. This policy was effective on November 6, 2009. All decisions about CalFresh eligibility and benefits for all months, beginning November 1, 2009, must exclude the weekly $25 in unemployment compensation from resources and income.

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(All County Letter 09-82, December 19, 2009)

292-10 ADDED

7/15The CWD’s failure to notify the client of his or her Income Reporting Threshold (IRT) does not change the fact when a client’s income is over the IRT amount, aid payments must be recalculated. Even when the client was not notified of the IRT, any overpayment or overissuance resulting from a client failing to report income over the IRT results in a county administrative error caused overpayment or overissuance. (All-County Letter (ACL) 14-77 (October 15, 2014), answer to question 4.) 293-2

The county shall take action on inadvertent and administrative error claims for which less than three years have elapsed between the month the overissuance occurred and the month the county determined by computation that an overissuance occurred, irrespective of the date the claim determination was completed. (§63-801.111) The CDSS interpretation of the three-year time period discussed in §63-801.111 is as follows:

"The three-year time frame does not begin with the date of discovery, the date the case is referred to investigations, or the date the investigative staff uses the information on IEVS and other verifications to calculate the OI. The three-year time frame begins with the date of the occurrence of the OI [Manual of Policies and Procedures (MPP) 63-801.11; ACIN I-03-02]. OI Q&A #1 in ACIN I-03-02 provides an example of how the three-year time frame works. It also explains the six-year calculation time frame."

(All-County Information Notice (ACIN) No. I-52-02, July 22, 2002, Question 1)

293-2A

The county shall calculate the amount of the CalFresh overissuance which occurred during the

six years preceding the date the overissuance was discovered. The county shall not include in

its calculation any amount of the overissuance which occurred in a month more than six years

prior to the date the overissuance was discovered. (§63-801.311(b), as revised effective August

10, 2001)

293-2B

The CDSS issued an All-County Information Notice (ACIN) in which it interpreted the following state regulations: "The CWD shall not take action on inadvertent household and administrative error claims for which more than three years have elapsed between the month the overissuance occurred and the month the CWD determined by computation that the overissuance occurred irrespective of the date the DFA 842 was complete.” (§63-801.112) "The CWD shall calculate the amount of the overissuance which occurred during the six years preceding the date the overissuance was discovered. The CWD shall not include in its calculations any amount of the overissuance which occurred in a month more than six years prior to the date the overissuance was discovered." (§63-801.311(b))

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“QUESTION #1a: “Is there a difference between establishing and calculating claims (for overissuances)? “ANSWER: “Yes. Claims for overissuances (OIs) are "established" by documenting the amount of and the reason for the OI and issuing a demand letter to the client. The date of the demand letter is the date that the claim is established [7 CFR §273.18(e)(3)(iii)]. Computing the amount of an overissuance does not constitute the establishment of an OI claim. Counties must compute the amount of the overissuance and issue the demand letter within the three-year timeframe. If the county does not compute the overissuance until the end of the three-year time period, a claim cannot be considered established against the household.” (ACIN No. I-03-02, January 14, 2002)

293-2C

The CDSS issued an All-County Information Notice (ACIN) in which it interpreted the following

state regulations:

"The CWD shall not take action on inadvertent household and administrative error claims for

which more than three years have elapsed between the month the overissuance occurred and

the month the CWD determined by computation that the overissuance occurred irrespective of

the date the DFA 842 was complete." (§63-801.112)

"The CWD shall calculate the amount of the overissuance which occurred during the six years

preceding the date the overissuance was discovered. The CWD shall not include in its

calculations any amount of the overissuance which occurred in a month more than six years

prior to the date the overissuance was discovered." (§63-801.311(b))

"QUESTION #1b:

"Why calculate back six years, but act within three?

"ANSWER:

"The "three years" is the timeframe for the occurrence, the computation, and to inform the

household of the OI. This time frame is to ensure that timely action is taken on any OI. The "six

years" timeframe applies in determining the total amount of the OI claim against the household.

A claim against the household is equal to the difference between the allotment amount the

household received and the allotment amount the household should have received.

"The six years allows the county to possibly collect on a larger amount of the OI. Once a claim is

established, there is no time limit, with the exception of §63-801.222 (administrative errors

claims being recouped pursuant to Lomeli v. Saenz), on collection of overissuances."

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Based on the above departmental interpretation, as further explained in ACIN No. I-52-02, it

appears that despite §63-801.112, which limits the county action to three years from the "month

the overissuance occurred" and the overissuance computation month, the CDSS position is to

allow the counties to take action to collect the overissuance for up to six years as long as the

overissuance occurred over a six-year period, the last month of which occurred within three

years of the overissuance computation. Thus, the CDSS is treating an "overissuance" not as a

one-month occurrence for purposes of the above interpretation, but as a continuing action.

(ACIN No. I-03-02, January 14, 2002; ACIN I-52-02, July 22, 2002)

293-2D ADDED 9/08

There are no current State regulations that would prevent counties from pursuing collections of

an established administrative error or inadvertent household error overissuance claim (i.e. when

the county issued a demand letter to the household within three years of the overissuance that

the county seeks to collect) when more than three years has lapsed after the demand letter was

issued. (ACIN I-58-08)

293-3

The county shall be permitted to determine that a CalFresh overissuance claim is uncollectible

after it is held in suspense for three years. The county shall use a suspended or terminated

claim to offset a restoration of lost benefits in accordance with §63-802.54. (§63-801.53)

293-5

The county shall initiate collection action against any or all of the adult members of a household

which received an overissuance. (§63-801.61) If a change in household composition occurs, the

county shall initiate collection action which may be taken against any or all households which

contain an adult member who was an adult member of the original household that received an

overissuance. (§63-801.611; 7 Code of Federal Regulations §273.18(f))

293-6

A CalFresh overissuance claim is considered delinquent if the claim has not been paid by the

due date, and a satisfactory payment arrangement has not been made, or the payment

arrangement has been made and a scheduled payment has not been made by the due date.

(§§63-102(d)(3) and 63-801.451, effective August 10, 2001)

A claim is not considered delinquent if another claim for the same household is currently being

paid either through an installment agreement or allotment reduction, and the county expects to

begin collection on that other claim once the prior claim is settled. (§63-801.454)

293-6A

An overissuance claim that has been appealed, or is awaiting a state hearing decision, shall not

be considered delinquent. (§63-804.642, effective August 10, 2001)

295-1

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The county may not initiate the interception of taxes when the case is eligible for grant

adjustment, where the claimant is making regular restitution payments, where the time to

request a state hearing regarding the overpayment has not expired, where the individual has

requested a state hearing or is awaiting a decision from a state hearing or has received an

adopted state hearing decision which determines there is no overpayment or CalFresh

overissuance, or where there is a nonfraudulent overpayment or overissuance totaling less than

$35. The county must have a "right of recovery" pursuant to CDSS regulations which existed at

the time of the overpayment. Right of recovery is defined as the ability to make collections

based on the regulations, subsequent court cases, and any All-County Letters. (All-County

Information Notice I-53-89, August 3, 1989)

295-2

All counties participating in the AFDC/CalFresh tax intercept program are required to establish

and use a mechanism for promptly (within ten-calendar days after decision has been made to

refund money) refunding to the individual monies intercepted for which: (1) a request for

intercept has been submitted to the CDSS in error, or (2) a deletion request has been submitted

to the CDSS and the intercept has already occurred before the deletion request is processed by

the Franchise Tax Board. The refund must not be held until the monies are received from the

CDSS. (All-County Information Notice I-53-89, August 3, 1989)

A specific notice must be sent to AFDC and CalFresh recipients who had been overpaid or

overissued benefits. This notice must include the county's right to recover the overpayment or

overissuance through withholding from the state tax refund.

For tax intercepts in 1989 and thereafter, CDSS shall require the counties to offer an opportunity

for an administrative review, at which point the county must determine if it has a right of

recovery. If the individual is dissatisfied with the county review, a state hearing may be

requested. The scope of that hearing shall be limited to whether tax intercept in the claimant's

case is permitted under CDSS' tax intercept instructions. (All-County Letter No. 90-14, February

9, 1990, implementing the August 22, 1989 Stipulation in Anderson v. McMahon)

295-2A REVISED 9/13 A pre-offset warning notice shall be sent to delinquent CalWORKs/FS recipients by CDSS at least 30 days prior to intercept for FTB indicating that their name is being referred to FTB for intercept. CDSS shall mail a pre-offset warning notice at least 60 days prior to intercept for claims referred for collection through the IRS indicating that their name is being referred to IRS for intercept. In addition, CDSS shall mail an annual pre-offset warning notice by September 1 to delinquent CalWORKs/FS recipients who have been referred for collection through FTB. If a recipient challenges an intercept submission after receipt of the warning notice, the submitting county shall attempt to resolve the dispute through an administrative review which may include a face-to-face meeting. This review may be requested at any time during the calendar year in which the tax intercept may have occurred. (§20-406.1)

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295-3

Tax intercepts are appropriate when there is a delinquent AFDC (now CalWORKs) overpayment/CalFresh overissuance of at least $10, and one of the following situations exists: .11 The AFDC household has failed to respond to a written demand letter. .12 There is a court-ordered restitution of an AFDC overpayment. .13 There is a court-ordered restitution of an IPV. .14 There is a CalFresh Administrative Disqualification Hearing decision which determined

that an IPV occurred. .15 The CalFresh household has failed to respond to written demand letters and the claim

has not been terminated. (§20-403.1) The following cases are not eligible for tax intercepts: .21 Cases eligible for AFDC grant adjustment or CalFresh allotment reduction. .22 Cases in which the individual is making regular restitution payments. .23 Cases in which the time to request a state hearing has not elapsed. .24 Cases in which a request for a state hearing has been requested or a decision is

pending, or where the decision has determined there is no overpayment/overissuance. .25 Nonfraudulent overpayment(s)/overissuance(s) totaling less than $35. (§20-403.1, .2)

295-4

Counties shall refund excess monies intercepted to the recipient within ten calendar days after

the decision has been made to refund money regardless of whether or not the counties have

received the intercepted funds. (§20-408.1)

296-2

The county shall initiate collection action against the household for all inadvertent or

administrative error claims unless the claim is less than $35 and the claim cannot be recovered

by reducing the household's allotment, or the county has documentation that the household or

sponsor of an alien household cannot be located. (§63-801.411)

296-2A

If a household is no longer receiving CalFresh benefits, a CalFresh overissuance caused by

administrative error shall not be established, and collection shall not be attempted, if the

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overissuance is less than $125.00. Welfare and Institutions Code (W&IC) 18927(e), All County

Information Notice I-33-14, June 27, 2014.

296-3

If any nonparticipating or participating household against whom collection action has been

initiated for repayment of an administrative error claim does not respond to the first notice of

action requesting repayment, additional notices shall be sent at reasonable intervals, such as 30

days, until the household or sponsor has responded by paying or agreeing to pay the claim, until

the criteria for suspending collection action, specified in §63-801.5, have been met, or until the

County Welfare Department initiates other collection actions. (§63-801.442)

296-3 ADDED

9/13Effective January 1, 2014, counties shall not take action to demand repayment of

administrative error overissuances less than $125. Such claims are subject to allotment

reduction. (All County Letter 13-79, September 24, 2013)

296-4

A claim shall be handled as an Intentional Program Violation (IPV) claim only if an

administrative disqualification hearing official or a court of appropriate jurisdiction has

determined that a household member or the sponsor has committed an IPV. Prior to a

determination of IPV, the claim against the household shall be established and handled as an

inadvertent household error claim. (§63-801.231)

296-5A

The county shall initiate collection action by sending a Notice of Action (NOA) to the household,

or to the sponsor of an alien household, which NOA requests repayment, and includes certain

other information. The household or the sponsor shall be informed of the length of time the

household has to decide which repayment method it will choose, and that the household must

inform the county of its choice. The NOA shall also state that the household's allotment will be

reduced if the household fails to agree to make restitution. (§63-801.431(d), effective

September 1, 1997)

296-6

An inadvertent or administrative error claim may be suspended when the household is not

participating in the CalFresh program, at least one demand letter has been sent, the household

cannot be located, or the cost of further collection is likely to exceed the amount that can be

recovered. (§63-801.512)

296-7

There are three methods of collecting CalFresh overissuance claims. The first two methods, lump-sum repayment and installment repayment, are optional with the household, regardless of the type of overissuance claim. Under either method, repayment can be made with CalFresh coupons. The third method of collection is by reduction in the current CalFresh allotment of a currently eligible household. If the household does not repay the overissuance claim by either

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the lump-sum or installment method, then the county's right to implement the coupon reduction method is as follows: (a) Intentional Program Violation Claims: The amount of the reduction shall be 20% of the

household's monthly allotment or $20, whichever is the greater amount. (b) Inadvertent Household Error Claims: The amount of the reduction shall be 10% of the

household's monthly allotment or $10, whichever is the greater amount. (c) Administrative Error Claims: Effective no later than January 1, 2014, the amount of the

reduction shall be 5% of the household's monthly allotment or $10, whichever is the greater amount.

(§63-801.7, as modified effective August 10, 2001, All County Letter 13-79, September 24,

2013)

296-7A REVISED 11/05

Overissuance allotment adjustment shall only be initiated at the beginning of a payment period . However, an allotment adjustment shall be discontinued mid-payment period when the overissuance has been recouped .When the county completes recoupment of one overpayment/overissuance mid-payment period, the county may begin recoupment of the next overissuance in mid-payment period as long as the amount being adjusted does not result in a decrease in benefits mid-payment period. (§63-801.737) 296-7B ADDED

12/15The county welfare department shall allow a household to pay its food stamp

overissuance claim using benefits from its EBT account.

The county welfare department may collect overissuances from active (or reactivated) EBT

accounts by obtaining permission from the recipient in one of the following forms:

Written permission. This must be obtained in advance, and must be done in accordance

with Section 16-750.15.

Oral permission. This may be obtained for the purpose of a one-time reduction only. In

addition, the county welfare department must send the household a receipt of the

transaction within 10 days.

The county welfare department may collect overissuances from dormant EBT accounts by

providing the household written notification that it intends to apply the dormant benefits to any

outstanding claim. The written notification must indicate that the household has 10 days to notify

the county welfare department that it does not want to use these benefits to pay the claim.

Dormant accounts are those for which no debit activity by the cardholder have been posted for

180 days. (§16-120.1)

At a minimum, any written agreement with the household to collect a claim using active EBT

benefits must include:

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A statement that this collection activity is strictly voluntary.

The amount of the payment.

The frequency of the payments.

The length of the agreement.

A statement that the household may revoke this agreement at any time.

(§16-750)

296-8

The county is authorized to reduce the household's CalFresh allotment without further notice in

order to collect an outstanding nonadministrative error overissuance when collection action has

been initiated, the household is currently participating in the program, and the household has

not responded to the county's repayment notice within 30 days from the date that the notice was

mailed. (§63-801.441)

296-9

The repayment demand notice should contain the following language, in accord with All-County

Information Notice (ACIN) No. I-27-90, April 19, 1990, implementing Louis v. McMahon: "You do

not have to use any Social Security or SSI benefits you get to repay this overpayment."

Although the Order in Louis v. McMahon has not been modified, according to the CDSS, the

Food and Nutrition Service (FNS) has directed California to change its CalFresh collection

notices, to remove the language which states that Social Security does not have to be used to

repay the CalFresh overissuance. The FNS position is based on the Debt Collection

Improvement Act, which according to the CDSS, authorizes the collection of SSA benefits to

repay debts owed to the Federal Government, but exempts the collections from SSI but not

SSA. (All-County Information Notice (ACIN) No. I-109-00, November 17, 2000)

296-9A

The CalFresh repayment demand notice should contain the following language, in accord with

All-County Information Notice (ACIN) No. I-27-90, April 19, 1990, implementing Louis v.

McMahon: "You do not have to use any Social Security of SSI benefits you get to repay this

overpayment."

According to the CDSS, the Food and Nutrition Service (FNS) has directed California to change

its CalFresh collection notices, to remove the language which states that Social Security does

not have to be used to repay the CalFresh overissuance. The FNS position is based on the

Debt Collection Improvement Act, which according to the CDSS, authorizes the collection of

SSA benefits to repay debts owed to the Federal Government, but exempts the collections from

SSI but not SSA. (ACIN No. I-109-00, November 17, 2000)

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A CalFresh overissuance claim is considered delinquent if the claim has not been paid by the

due date, and a satisfactory payment arrangement has not been made, or the payment

arrangement has been made and a scheduled payment has not been made by the due date.

(§§63-102(d)(3) and 63-801.451, effective August 10, 2001)

A claim is not considered delinquent if another claim for the same household is currently being

paid either through an installment agreement or allotment reduction, and the county expects to

begin collection on that other claim once the prior claim is settled. (§63-801.454)

The Debt Collection Improvement Act of 1996 requires the federal government to withhold or

reduce certain federal payments to satisfy delinquent non-tax debts owed to the United States

by the payee. This process is known as "administrative offset". The rule is effective January 22,

1999. The rules provide that the offset will be the lesser of the amount of the debt or an amount

equal to 15% of the monthly covered benefit payment if the benefit payment exceeds $750 per

month. Federal benefit offset is not allowed for payments issued under the SSI Program, Part B

of the Black Lung Benefits Act, and any law administered by the Railroad Retirement Board.

Creditor agencies must notify the Fiscal Management Service, a Bureau of the Department of

the Treasury, of all past-due, legally enforceable debts that are delinquent for more than 180

days. Before submitting a delinquent debt for collection by offset, creditor agencies are

responsible for notifying debtors that their debt is delinquent and that the agency intends to

collect the debt by offset. By written notice, the creditor agency must inform debtors of the

opportunity to review the applicable agency records an to seek a review of the determination of

the debt [emphasis added]. Upon receipt of the notice, the debtor may provide evidence to the

creditor agency that collection of the debt by administrative offset would result in a financial

hardship and make alternate arrangements, acceptable to the creditor agency, to repay the

debt. (63 Federal Register, August 1, 1998 pages 44986 and 44987, and 63 Federal Register,

December 23, 1998, page 71204)

296-10

At certification, the county shall identify households that owe outstanding payments on

previously established claim determinations. The initial allotment shall not be reduced to offset

claims. Actions on identified claims shall be as specified in §63-801.4. (§63-801.97)

296-11 ADDED 9/09

QUESTION: Can the county demand repayment from an excluded household member such as an SSI/SSP recipient or an undocumented person? ANSWER: Yes. At 7 CFR 273.18, federal regulations state adult members of the household are responsible for overissuances (O/I). Excluded household members are part of the household, but not currently receiving benefits due to ineligibility status, such as being sanctioned, having SSI status or having drug/fleeing felon status (please refer to Manual of Policies and Procedures (MPP) section 63-402.22). Given the fact that they are adults and considered part of the household and could have caused the O/I, excluded household members not currently in a

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status to be receiving benefits, are responsible for repayment of an O/I claim.. Although SSI/SSP recipients may be responsible for the O/I, repayment cannot be demanded from the SSI/SSP benefit. Repayment can be demanded from the other excluded adult household members. (ACIN I-54-09, August 18, 2009)

296-12

The county shall not collect administrative error CalFresh overissuances by balancing or

offsetting them against underissuances.

(All-County Letter (ACL) No. 96-43, August 27, 1996, and ACL No. 96-59, October 25, 1996,

implementing Lopez v. Espy (1996) 83 F. 3d 1095, name changed to Lopez v. Glickman; and

court order modifying §63-801.313 set forth in Handbook §63-801.313 effective February 16,

2000)

296-13A

In the Lomeli v. Saenz stipulated judgment, the administrative error overissuance could be

collected for 36 consecutive calendar months from CalFresh recipients whose first month of

allotment adjustment began on March 1, 2000 or thereafter.

The CDSS has clarified that the 36 calendar months, once started, continues to run whether or

not the recipient remains on CalFresh benefits. Thus, if a CalFresh recipient had allotment

reduction under Lomeli begin in March 2001, the period for allotment reduction would end in

February 2004. At that point, "…regardless of whether or not allotment reductions have been

made that entire time, any remaining uncollected balance is to be forgiven or compromised and

may not be collected by any other means."

(All-County Letter No. 00-87, December 28, 2000, Questions 5; see also Questions 1, 2, 3, 6,

and 10)

296-13B

If a Lomeli adjustment has begun, and the recipient goes off aid or has benefits suspended, the

county may attempt to recover the overissuance using normal collection procedures, as long as

the 36-month time limit has not expired, (All-County Letter No. 00-87, December 28, 2000,

Questions 7 and 8)

296-13C

Administrative error overissuances established under Lomeli should not be collected with any

other overissuance at the same time using allotment reduction. Counties should complete

collection of any previous overissuance before beginning the Lomeli reduction. The 36-month

period for collection of Lomeli overissuances begins, in this case, when the first Lomeli

adjustment is made. (All-County Letter No. 00-87, December 28, 2000, Questions 12 and 13)

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296-13D

In the CalFresh program, it is the CDSS position that multiple overissuances (i.e., for

administrative error, inadvertent household error, or Intentional Program Violation) can be

collected at the same time through allotment reduction. In these instances, the county should

determine which overissuance allows the maximum allotment reduction, and adjust at that rate,

but not more than that rate.

The exception to this general principle is that when there is an administrative error overissuance

established pursuant to the Lomeli v. Saenz court case, then the Lomeli overissuances should

be collected separately, and not combined, after the county has completed its other

adjustments.

(§63-801.73; All-County Letter No. 00-87, December 28, 2000; All-County Information Notice

No. I-124-00, December 28, 2000)

296-13E

Except for claims which are governed by the Lomeli v. Saenz stipulated judgment, the federal

rule for compromising an overissuance claim, or any portion of that claim, is that if it can be

reasonably determined that a household's economic circumstances dictate that the claim will

not be paid in three years, the claim may be compromised. ("Compromised" means that the

debt is reduced or forgiven.) Any compromised claim may be used to offset the issuance of

other benefits, or may be reinstated if any portion of the compromised claim that was not

forgiven becomes delinquent. (7 Code of Federal Regulations (CFR) §273.18(e)(7), as revised

effective August 1, 2000)

296-13F

CDSS does not compromise overissuances with the exception of administrative errors occurring on or after March 1, 2000 [emphasis added]. These administrative error overissuances are automatically compromised and recouped pursuant to the Lomeli v. Saenz court case settlement agreement. This agreement stipulates that administrative error overissuances are to be recouped by reducing the monthly allotment by five percent or $10.00, whichever is greater for up to a total of 36 consecutive calendar months.

(§63-801.222, as revised effective January 14, 2002)

296-13G ADDED 3/06

Some counties may be dividing an administrative error overissuances and establishing separate

claims so that each claim can be collected in full over the 36-month time limit. An example of

this practice would be if a county overissues $1080 worth of CalFresh benefits over several

months and then establishes three separate claims of $360 each in order to collect the entire

$1080 in three 36-month time periods.

Dividing overissuances into separate claims so that the entire amount can be collected

frustrates the purpose of the Lomeli agreement which was to provide relief on large

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administrative error overissuances and to exercise the federal option for compromising claims

under 7 CFR 273.18(e)(7). CDSS is committed to implementing this settlement as it was

intended and directs counties not to change any aspects of their overissuance establishment

and collection processes to avoid impact of Lomeli. (All County Letter 02-21, February 25, 2002)

296-14

Counties shall identify all CalFresh households receiving Social Security benefits through desk

reviews, and use new Social Security cost-of-living-adjustments (COLAs) in computing eligibility

and allotment level.

Overissuances resulting from misapplying these COLAs (as in the case of the 3.5% COLA

payable January 2001) do not result in household liability. But if an underissuance of CalFresh

benefits occurs, the household is entitled to a restoration of lost benefits under §63-802.

(§63-504.462(b)(1)(A); All-County Information Notice (ACIN) No. I-105-00, November 2, 2000;

ACIN I-91-01)

296-15

Federal regulations preclude States from using additional involuntary collection methods against

individuals in a CalFresh household that is already having its benefit reduced, unless the

additional payment is voluntary, or the source of the payment is irregular and unexpected, such

as a State tax refund or lottery winnings offset. (7 Code of Federal Regulations

§273.18(g)(1)(v))

296-16

In a Manual Section entitled "Adverse Actions" there is a general requirement for timely notice to a household prior to reduction or termination of its benefits within a certification period. The next sentence states:

"If a hearing officer determines that a claim exists, the household must be renotified of the claim, and delinquency is based on the due date of the subsequent notice and not the initial pre-hearing demand letter sent to the household."

(§63-504.261, as revised effective August 10, 2001)

296-17 ADDED 9/08

The CWD shall allow a household to pay its CalFresh overissuance claim using benefits from its

EBT account.

The CWD may collect overissuances from active (or reactivated) EBT accounts by obtaining

permission from the recipient in one of the following forms:

Written permission. This must be obtained in advance, and must be done in accordance with Section 16-750.15.

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Oral permission. This may be obtained for the purpose of a one-time reduction only. In addition, the CWD must send the household a receipt of the transaction within 10 days.

The county may collect overissuances from dormant EBT accounts by providing the household

written notification that it intends to apply the dormant benefits to any outstanding claim. The

written notification must indicate that the household has 10 days to notify the CWD that it does

not want to use these benefits to pay the claim.

For making an adjustment with expunged EBT benefits, the CWD must adjust the amount of

any claim by subtracting any expunged amount from the EBT benefit account for which the

county becomes aware. Retention rules as provided in MPP Section 63-705 do not apply to this

adjustment.

(MPP §16-750.1-.13)

296-18 ADDED 9/08

Where multiple adult members that received an overissuance as one household move to

separate CalFresh households, the county may recoup from the separate households at the

same time for the same claim as long as each household has an adult member of the

household that received the overissuance. (ACIN I-58-08)

296-18A ADDED 9/09

SCENARIO: A CalFresh case contains a mom and adult son; mom was the head of household. An overissuance occurred as a result of mom failing to report the son’s earnings. The son left the household and the CalFresh case is now being benefit reduced for collection of the overissuance. The son has also been notified that his taxes are being intercepted. QUESTION: Can the county intercept the son’s taxes at the same time that an allotment reduction is being made to the CalFresh case? ANSWER: Although all adult household members are jointly and individually liable for the value of any

overissuance of benefits to the household, the county cannot request a tax intercept

simultaneously when an allotment reduction is currently being used to collect the overissuance

amount. (MPP section 20-403.21) (All County Information Notice I-54-09e, September 25, 2009)

297-1

The Court of Appeal determined that Administrative Law Judges (ALJs) had the authority to

award interest in conjunction with the issuance of retroactive benefits. (Knight v. McMahon

(1994) 26 Cal.App. 4th 747)

On August 29, 1996 the California Supreme Court held that Unemployment Insurance ALJs did

not have the authority to award interest. The Court held that those ALJs had no such authority.

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The Court specifically disapproved the Knight case, to the extent that it allowed CDSS ALJs to

award interest. Thus, CDSS ALJs may no longer authorize interest payments when retroactive

aid is ordered, effective September 29, 1996. (AFL and CIO v. Unemployment Insurance App.

Bd. (1996) 13 Cal. 4th 1017, 56 Cal. Rptr. 2d 109; All-County Information Notice No. I-52-96,

September 25, 1996