63-450    Claims and Adjustments

 

Table of Contents

The Claims and Adjustments Chapter includes the following sections:

Chapter/Section Title

Section

63-451 ESTABLISHMENT OF CALFRESH CLAIMS

o  CalFresh Overissuance Claims

451.1

o  Claim Responsibility

451.2

o  Type of Claims

451.3

o  Exception for Establishing a Claim

451.4

o  Timeframes for Recouping a Claim

451.5

o  Claims Against Categorically Eligible (CE) Households

451.6

o  Claims Against Noncitizen Households and Sponsors

451.7

o  Trafficking-Related Claims

451.8

o  Inadvertent Household Error (IHE) Claims

451.9

o  Administrative Error (AE) Claims

451.10

o  Intentional Program Violation (IPV) Claims

451.11

o  Compromising CalFresh Claims

451.12

 

63-452 NON-FRAUD CLAIM DETERMINATION

o  Establishment of Inadvertent Household Error (IHE) Claims

451.1

o  Establishment of Administrative Error (AE) Claims

452.2

o  Determining Categorically Eligible Household Claims

452.3

o  Determining Non-Fraud Claim Months

452.4

o  Lomeli V. Saenz Court Settlement

452.5

o  Determination of an Overissuance in CalWIN

452.6

o  Non-System Determined Claims (NSDC)

452.7

 

63-453 INTENTIONAL PROGRAM VIOLATION (IPV) CLAIMS DETERMINATION

o  Definition: Intentional Program Violation Claim

453.1

o  Public Assistance Fraud Division Responsibility

453.2

o  Establishment of IPV Claims

453.3

o  Inadvertent Household Error (IHE) Claims Referral Guidelines

453.4

o  Administrative Disqualification Hearings

453.5

o  IPV Disqualification Periods

453.6

o  IPV Disqualification Procedures

453.7

o  Timeframes for Imposition of Disqualification Penalties

453.8

o  Reinstating an IPV Disqualified Individual to CalFresh (Lopez v. Wagner Settlement Agreement)

453.9

 

63-454 RECOUPMENT OF CLAIMS

o  Non-Fraud Error Claims Recoupment Notices

454.1

o  Non-Fraud Error Claims Recoupment Procedures for Active Cases

454.2

o  Intentional Program Violation (IPV) Recoupment Procedures for Active cases

454.3

o  Semi-Annual Reporting Recoupment Regulation

454.4

o  Recoupment of Multiple Claims by Allotment Reduction

454.5

o  Recoupment of Claims from Separate Households

454.6

o  Benefit Offset

454.7

o  Installments and Lump Sum Payments Regulations

454.8

o  Postponement of Inadvertent Household Error (IHE) Recoupment

454.9

o  IHE and Administrative Error (AE) Recoupment Procedures for Noncitizen Households with Sponsors

454.10

o  Collection Procedures for Closed Cases

454.11

o  Cases Reopened with Outstanding Claim Balances

454.12

 

63-455 MANAGEMENT OF CLAIMS

o  Other Repayment Actions

455.1

o  Interstate/Intercounty Claims Collection

455.2

o  Criteria for Recouping Claims after the Case is Discontinued

455.3

o  Suspending Recoupment of Claims

455.4

o  Terminating Recoupment of Claims

455.5

o  Action against Individuals Failing to Respond to Collection Letters

455.6

o  Determining Delinquency of Claims

455.7

 

63-456 RESTORATION OF BENEFITS

o  Entitlement to Restoration of Lost Benefits

456.1

o  Restoration of  Benefits due to Judicial Review

456.2

o  Restoration of  Benefits due to Reversal of an Intentional Program Violation (IPV) Disqualification

456.3

o  Lost Benefits Due to County Error

456.4

o  Calculation of Lost Months for Erroneous Delays, Denials or Termination

456.5

o  Computation of Lost Benefits

456.6

o  Offsetting Lost Benefits

456.7

o  Disputed Benefits

456.8

o  Household Composition Changes

456.9

o  Restoration to Households Leaving the County

456.10

o  Method of Restoration

456.11