21. Special Programs/Institutions
This chapter describes policy for the following: • Residential Care Homes (RCH)
• Alliance for Community Care • Drug Rehabilitation Program • Alcohol Rehabilitation Program
21.1 Residential Care Homes
Residential Care Homes (RCH) are facilities that are licensed by the State’s Community Care Licensing Division (CCLD). These RCH facilities provide room, board, care and supervision to individuals who are living there due to drug addiction, physical disability, mental/emotional illness and/or the individual is developmentally disabled.
Unless specifically modified in Section 21.1, all standard General Assistance (GA) intake procedures and eligibility criteria apply to an applicant, or to a resident, of the RCH facility.
21.1.1
Convicted Drug Felons in RCH
Convicted Drug Felons in RCH facilities ARE potentially eligible for General Assistance (GA) provided that they are NOT fleeing to avoid prosecution, or custody and confinement after conviction.
Note:
Fleeing Felons are NOT eligible for GA. [Refer to “Convicted Fleeing Felons,” page 6-9.]
Reminder:
RCH CASES ARE EXEMPT FROM ELECTRONIC BENEFIT TRANSFER (EBT) PROCEDURES. [Refer to Common-Place Handbook, “ General Assistance Clients in a State Licensed Board and Care Facility,” page 16-50.] An applicant who is a resident in the RCH facility, or their duly appointed
representative, is required to complete the application process following the normal intake procedures. There are no specialized RCH Eligibility Workers (EW), for an applicant or a resident in an RCH facility.
21.1.2
Confidentiality
The CalWIN “Authorization to Release Information” (CSF 13) form must be signed by the client BEFORE information can be released to the RCH. The CSF 13 is to be completed when the “Housing Verification - Specialized Programs” (GA 2A) is submitted. If a signed “Authorization to Release Information” (SCD 1029) or CSF 13 is not on file; the case CANNOT be discussed with the facility operator.
21.1.3
EW Responsibilities
The EW is responsible for the following:
• Informing both the client and RCH facility operator of the specific requirements for residents of the RCH. This information includes the fact that these payments are EXEMPT from the Electronic Benefit Transfer (EBT) procedures.
• Informing the RCH facility operator of the procedures for submitting the “General Assistance Mandatory Billing Form” (GA 18) instructions are on the reverse side of the form. [Refer to “Notification to the RCH Facility,” page 21-4, and “Aid Payments,” page 21-5, for specific requirements.]
21.1.4
Residence
The following process is used to verify RCH residency:
Stage Who Action
1. RCH Operator • Completes, signs and dates the GA 2A to verify RCH residency, and
21.1.5
Income
Income received in the month of application is considered available and must be used in computing the amount of the client’s GA benefits.
Reminder:
ALL applicants/recipients residing in an RCH MUST apply for SSI. If there is not an SSI application pending, the applicant/recipient is NOT entitled to the RCH payment level.
21.1.6
Income Reports
All recipients of General Assistance (GA) are required to submit a "Quarterly Eligibility/Status Report" (QR 7) in the Submit Month of each quarter. If a staff person assists the client in the completion of the QR 7, BOTH the recipient and the staff person MUST sign the form.
21.1.7
Employability
GA regulations require that any applicant/recipient who is unable to work must provide a “Request for Medical Information” (SCD 1400) from his/her doctor to verify both the inability to work AND the expected duration of disability. IN
ADDITION, if the applicant/recipient resides in an RCH, the doctor MUST state the need for care and supervision in an RCH.
2. EW • Documents on the Maintain Case Comments window the
name of the facility, including the license number and the expiration date.
• Sends the current copy of the RCH State license to be scanned into IDM under Benefits F2.
• Sets Case Alert as a reminder to check for the renewal of the license at EVERY reinvestigation (RRR).
NOTE: In some situations, it may be necessary to contact the State Community Care Licensing Division at
(408) 324-2112 to verify the status of the license. If the license cannot be verified, the client is not entitled to the RCH payment level.
Stage Who Action
Exception:
Applicants/recipients under supervision of the Public Guardian/Administrator’s (PG/A) office are eligible for the RCH rate if the PG/A has determined the applicant/recipient requires the care and supervision of an RCH. This MUST be documented on the Maintain Case Comments window. Public Guardian cases are NOT referred to Vocational Services (VS). [Refer to “Who is Referred to Vocational Services (VS),” page 34-2.]
21.1.8
Notification to the RCH Facility
Upon receipt of the GA 2A and medical verification, the EW must do the following:
Step Action
1. • Complete in duplicate a “Notification to Facility Operator” (GA 18 A). • Have copy scanned into the IDM case record under Benefits F-6. 2. • Mail the original GA 18 A to the facility.
• Include five (5) copies of the “General Assistance Mandatory Billing Form” (GA 18) and a copy of the “RCH Proration Chart” (GA 18 B).
21.1.9
Need Standards
For a State-licensed RCH, the MAXIMUM GA amount is the standard amount listed in the Chart Book. Of this amount, the majority is for the care and supervision of the individual and a standard amount to meet the individual’s personal needs.
If the recipient is in the RCH for LESS than one full month, BOTH the personal needs and the care and supervision amounts are prorated based on the actual number of nights the individual is in the RCH.
If the provisions regarding residence, income and employability are not met, the RCH GA need standard does NOT apply. Instead, a room and board budget is calculated based on the appropriate shared housing level for the total number of other persons who share housing with the client.
21.1.10
Aid Payments
Budgeting Income
The following table provides some guidelines for the EW to consider when processing aid payments
If a recipient... Then...
Has income, The income will FIRST be subtracted
from the personal needs amount and the remainder is to be subtracted from the care and supervision.
Enters the RCH AFTER receiving his/her GA grant, and notifies his/her EW WITHIN 10 working days,
The GA grant originally issued is subtracted from the personal needs amount ONLY.
Has entered the RCH and the information is received by the EW AFTER fiscal cutoff, but BEFORE the first of the future month,
The EW will subtract that GA grant amount from the total need standard.
NOTE: The RCH facility MUST be
notified of this via a telephone call. And the recipient is responsible for meeting that portion of his/her board and care payment.
Payment & Billing Procedures
Recipients who are residing in a RCH receive their monthly personal needs payment on the first of the month via a GA warrant; THESE PAYMENTS ARE EXEMPT FROM THE ELECTRONIC BENEFIT TRANSFER PROCEDURES (EBT).
The RCH facility must submit the GA 18, AFTER the last day of the month for which payment is requested. The EW must receive the completed GA 18, by the 5th of the month. UNDER NO CIRCUMSTANCES IS AN RCH TO BE PAID WITHOUT A COMPLETED GA 18. RCH facilities are paid after the 5th of the following month with the exception if the client leaves the facility.
IN ADDITION, if a QR 7 is due (because it is the client’s Submit Month), then a completed QR 7 (with any attached verifications of ALL income received by client, if appropriate), MUST be included. The EW MUST process the QR 7 appropriately, prior to issuing a payment to the RCH. [Refer to “GA Policy [105] - Reporting Responsibilities,” page 15-1]
Note:
FAXED copies of the QR 7 and/or the GA 18 are NOT acceptable.
If the recipient leaves the RCH facility PRIOR to the end of the month; the facility should complete and submit the GA 18 within ten (10) calendar days of the recipient’s leaving the facility. If the bill is a “final” bill, that information MUST be indicated on the GA 18.
Reminder:
The GA 18 Form Is The ONLY Acceptable Method Of Billing The General Assistance Program. It must be completed appropriately and submitted by the RCH facility to bill the county. Instructions for completion of the GA 18 are on the reverse side of the form.
RCH CASES ARE EXEMPT FROM ELECTRONIC BENEFIT TRANSFER (EBT) PROCEDURES.[Refer to Common-Place Handbook, “Cash Programs,” page 16-2
and/or “Cash Programs,” page 16-2 and “ General Assistance Clients in a State Licensed Board and Care Facility,” page 16-50.]
Required Forms
Form Action
CSF 13 or SCD 1029
CalWIN “Authorization to Release Information” (CSF 13) or shelf stock “Authorization to Release Information (SCD 1029) form must be sent with GA 2A in order to released any information to the RCH. A copy MUST be sent to be scanned into IDM.
GA 2A “Housing Verification - Specialized Programs” (GA 2A) this form is to: • Verify address and type of facility the tenant is living in.
• Request a current State license.
• Completed each time the client changes RCH facilities and at each RRR and send a copy to be scanned into IDM.
• Submit with forms CSF 13 or SCD 1029.
Payment Procedures
The EW must:
GA 18 “General Assistance Mandatory Billing Form” (GA 18) instructions are on the reverse of the GA 18 and:
• Submitted with “Notification to Facility Operator” (GA 18A). • Provide several copies of the GA 18 (at least 5).
• This form is the only acceptable method of billing the General Assistance Program.
• The form is to be submitted by the RCH after the last day of the calendar month for which they are billing and scanned in IDM
• If the client leaves the facility, the RCH facility can immediately submit the GA 18 indicating final bill.
GA 18A “Notification to Facility Operator” (GA 18A) this is an introduction letter with vital information and instructions and to be:
• Completed in duplicate
• Completed each time the client changes RCH facilities and scanned into IDM.
• Submitted with GA 18 send several (at least 5) copies and “RCH Prorated Chart” (GA 18B).
GA 18B “RCH Prorated Chart” (GA 18B) must be submitted with GA 18A. The purpose of this form is for the RCH facility to calculate a partial month payment.
Step Action
1. Complete the following information in the "County Use Only" section at the bottom of the GA 18:
• Date the GA 18 was received.
• Date the GA 18 was paid, if appropriate. • Amount paid, if appropriate.
• EW’s worker number.
(Chart page 1 of 2)
Form Action
21.1.11
Split Payment for RCH Facilities
The split payment process is to be used during Wrap-Up and Authorization in order to make the appropriate payments to the RCH facility, and the personal needs payment to the client.
Reminder:
RCH CASES ARE EXEMPT FROM ELECTRONIC BENEFIT TRANSFER (EBT) PROCEDURES. [Refer to Common-Place Handbook, “Cash
Programs,” page 16-2 and/or “Cash Programs,” page 16-2 and “ General Assistance Clients in a State Licensed Board and Care Facility,” page 16-50.]
21.1.12
CalWIN Entries
The CalWIN system will determine the appropriate RCH Aid-Type based on entries made by the EW during Data Collections, Wrap-Up and the initiation of EDBC.
[Refer to Update 2009-3: General Assistance - Process for Residential Care Home (RCH) Payment and Emergency.]
2. Review the GA 18 and insure the following: • Form has been completed appropriately. • The amount being billed is correct.
• Return the GA 18 if it is incorrect, incomplete or unsigned. • Notate the reason for return on the GA 18.
• Have copy of the notated returned GA 18 scanned into the IDM case record Benefits F-2.
NOTE: When the CORRECTED GA 18 is received and paid; a copy
must be scanned into the IDM case record Benefits F-4.
Step Action
21.1.13
Change in Residence
When a change of residence occurs, recipients must notify their EW within ten working days.
If a Recipient... Then the EW MUST...
Leaves the RCH and does not contact the EW,
• Record information appropriately in the Data Collections subsystem. • Run EDBC and perform Authorization, in order to Discontinue GA at the
end of the month. Notifies the EW
within 10 working days that she/he has moved to another RCH,
End Dates the RCH facility moved from as follows:
• Update case record appropriately in Data Collections. Complete the
Collect Board and Care Detail window to record the Effective End Date
field with the date the client moved from the facility taken from the GA 18 “Final Bill.” The facility payment is prorated by CalWIN based on the
Effective End Date entered.
Note: The GA 18 indicates the number of nights the client
actually spent in the RCH facility be sure this coincides with the Effective End Dates entered.
• Complete the Collect Board and Care Detail window to add the new RCH facility and the Effective BeganDate.
• Make payment within 10 working days from the date the new RCH facility sends in the GA 18 the following month (never paid in current month) • Complete the “Split Payment” process during Wrap-Up and
Authorization in the Modify Authorization Detail window in order to
make the appropriate payments to the RCH facility.
• Put RCH future benefit on hold by Selecting the CalWIN Search for
Issuance window.
• Click the [Release/Hold] button for future RCH payment. Once the [Release/Hold] button is clicked on the Search for Issuance Status
window reappears with the Search Results field showing Hold in the
Issuance Status tab.
• For Intake: a current month RCH Payment:
• Select the CalWIN Search for Issuance window.
• Click the [Issuance Detail] button. The Maintain Issuance Detail
window appears.
• Click on the Change Status tab and go to the Issuance Status
field Select See Worker from the drop down field (the EW will need the EW Supervisor to process this action.)
21.1.14
CalFresh Eligibility
Residents of RCHs are NOT eligible for, or entitled to receive CalFresh.
21.1.15
Medi-Cal Eligibility
Residents of RCHs are not AUTOMATICALLY eligible for Medi-Cal. However, it is the EW’s responsibility to explore the client’s eligibility for Medi-Cal. [Refer to Medi-Cal Handbook, “Applications,” page 5-1.]
• For Continuing:
• Select the CalWIN Search For Issuance window • Click the [Release/Hold] button.
Note: for the Current month the [Release/Hold] button will not be enabled (it will be grayed out.) Select the Pending future month benefits the [Release/Hold] button will now be enabled.
• Once the [Release/Hold] button is “check on” the Search for
Issuance Status window reappears with the Search Results field
showing Hold in the Issuance Status tab.
• Remember that a new SCD 1400 is not required if the existing one is still valid.
• Document actions taken in CalWIN Maintain Case Comments window. • Ensure when RCH facilities charge a different amount than the allowed
rate of $901, the actual amount that the facility is charging must be entered in the Negotiated Rate field of the Collect Board and Care
Detail window. CalWIN will prorate the days to be paid to that facility
based on the Admission and Discharge Dates entered. Moves to
independent living,
• Request all required forms for standard housing verification.
• Ensure that a valid SCD 1400 is on file for all Unemployable recipients, and
• Refer all Employable recipients to VS, as appropriate.
NOTE: Process a CalFresh application, if appropriate.
21.2 ALLIANCE for Community Care
For purposes of Section 21.2.1, “ALLIANCE for Community Care” will apply only to the programs/facilities listed in this section.
ALLIANCE for Community Care is housed and centrally operates from
86 S. 14th St., San Jose, CA 95112, phone number (408) 259-6828. They offer a comprehensive array of treatment, rehabilitation and housing programs and services to people of all ages recovering from psychiatric disabilities. ALLIANCE for Community Care facilities authorized to participate in the GA Program are:
Crossroads 438 N. White Rd. San Jose, CA 95127 Phone: (408) 254-6848 Fax: (408) 254-6856
Sub Acute Residential Treatment Unit (SART) Jacob Center
230 N. Morrison St. San Jose, CA 95126 Phone: (408) 938-8516 Fax: (408) 295-5361
Central Intake
Phone: (408) 295-4723 Fax: (408) 295-4231 Average Stay: 40 days Goveia/Zeller
436 N. White Road San Jose, CA 95127 Phone: (408) 259-0760 Fax: (408) 259-8713
South County
15335 Calle Enrique #1 Morgan Hill, CA 95037 Phone: (408) 776-3102 Fax: (408) 776-3160 Grant Road
1429 Grant Road
Mountain View, CA 94040 Fax: (650) 617-5778
The Alameda 2001 The Alameda San Jose, CA 95126 Phone: (408) 261-7777 Fax (408) 248-6520
Assessment/Customer
Phone: (408) 260-4040 Fax: (408) 260-4057
Finance
21.2.1
Application Process
Confidentiality
Social Services Agency (SSA) staff are authorized to release information to ALLIANCE for Community Care staff regarding an individual’s GA eligibility; and ALLIANCE for Community Care staff are authorized to release information to SSA staff.
Responsibilities of ALLIANCE for Community Care Staff
Staff at the authorized facilities will submit the following completed forms to the GA Receptionist for each applicant that may be potentially eligible for GA:
• “Identification and Intake Record” (SCD 41).
• “Application For Cash Aid, CalFresh, And/Or Medi-Cal/State CMSP” (SAWS 1). • “Application for General Assistance” (GA 1) and cover letter.
The above forms must be submitted even though the case may already be in an active status.
Reminder:
All forms must be date stamped when received. The date that is stamped on the forms is considered to be the initial aid payment date.
SSA will provide the authorized facilities with all the necessary application forms.
ISP
86 S. 14th Street San Jose, CA 95112 Phone: (408) 938-6750 Fax: (408) 977-0137
Youth & Family Services 438 N. White Rd. San Jose, CA 95127 Phone: (408) 254-6848 Fax: (408) 254-6838 Upstairs Fax: (408) 259-2273 Average Stay: 6-12 months Litteral House
96 S. 14th St. San Jose, CA 95112 Phone: (408) 998-3293 Fax: (408) 998-0749 Average Stay: 3-6 months
Zoe House 27 S. 11th St. San Jose, CA 95112 Phone: 286-8900 Average Stay: 2 years
Responsibilities of Eligibility Staff
If there is NOT an open GA case, then the Intake EW will process the application according to the regular intake processes.
If there is an open GA case, then the Continuing EW is responsible to take the appropriate action, including but not limited to the following:
• Refer the client to Social Security to apply for SSI using the SCD 169. • Complete all appropriate entries in the Data Collection and Wrap-Up
subsystems to establish the case.
• Run EDBC to compute the new GA grant amount, and
• Send the appropriate Approval NOA to notify the RCH facility of the GA need standard.
When the application from the RCH facility is received too late to prevent the recipient’s next month's GA payment from going out; the amount of the GA grant payment must be subtracted from an individual’s personal needs and the RCH rate.
Example:
The GA grant amount of $253.00 has already been sent out for the month of January.
• Client entered the RCH facility on December 15th, and SSA received the application from RCH on December 31st.
• RCH rate is $901.00 per month and client’s personal needs is $28.00 per month.
The EW will compute the amount that will be paid to the RCH facility as follows:
January 1st $253.00 Original GA grant paid
$494.01 Prorated RCH amount (for 16 days) +14.45
---Prorated Personal Needs $508.46 Total
-$253.00 Original GA grant
The Mental Rehabilitation facility will be notified.
If the applicant is serving a sanction and was hospitalized or was a resident in a Mental Rehabilitation facility, at the time of the noncooperation with VS, the sanction will be rescinded. The rescission MUST be cleared through VS.
Responsibilities of Applicant
All applicants who are in an authorized facility will be required to apply for SSI. [Refer to GA Handbook “Interim Assistance Reimbursement Program (IAR)/SSI Advocacy,” page 33-1.] Staff at the facility will help the applicant/recipient with the different steps in the process.
If potential eligibility exists, applicants who are in an authorized facility are required to apply for State Disability Insurance (SDI) or any other benefit to which they may be entitled to receive. A denial letter is required as verification that the applicant has applied for all benefits that he or she may be eligible for.
21.2.2
Identification
A cover letter from the Mental Rehabilitation program is acceptable evidence of a client's identity. This cover letter MUST include height, weight, hair color, eye color, Social Security number and date of birth. A copy of the applicant's Social Security card or completed MC 194 is required.
21.2.3
Residence
Applicants who are currently residing in an authorized facility are considered to be residents of Santa Clara County UNLESS, prior to their admission, they resided in another county, and the SOLE reason for their presence in Santa Clara County is for participation in that program. If the applicant/recipient was hospitalized prior to his/her admission to the facility, and if prior to his/her hospitalization his/her residence was in another county, he/she is NOT considered to be a resident of Santa Clara County.
Note:
The applicant's statement regarding the above, in conjunction with his/her presence in the facility, will be acceptable evidence of Santa Clara County residence.
21.2.4
Citizenship/Noncitizen
[Refer to GA Handbook “Citizenship/Noncitizen/Sponsored Noncitizens,” page 19-1.] Same regulations apply.
21.2.5
Property
[Refer to GA Handbook “Property,” page 21-15.]
Personal Property
If the applicant has net personal property which exceeds the $500 limit, he/she must be responsible for payment to the RCH facility. Verification indicating that payment has been made to the RCH facility, and that applicant’s property is within the necessary limits is required.
Note:
If the applicant pays his/her own bill, then the GA payment starts, the day after the time period covered by the applicant's payment (provided the applicant is otherwise eligible). The “Application for General Assistance” (GA 1) date is the application date.
Real Property
Same requirements apply. [Refer to GA Handbook “Property,” page 16-1.]
21.2.6
Income
Staff at the facility will provide SSA with a written statement if it is believed that there is no income (as stated by the applicant). If there is no evidence to the contrary, that statement will be acceptable.
If the exact amount of income cannot be verified, and it has been requested by the staff at the mental rehabilitation facility, then a “very high” estimate can be used for the initial determination of eligibility.
Note:
21.2.7
Income Reports
Income reports are to be completed by each resident of an RCH facility. If income reports are completed (either partially or totally) by a staff person at the facility; BOTH the staff person and the client MUST sign the income report. [Refer to “QR 7 Processing,” page 15-1 for specific requirements.]
21.2.8
Employability Status
Unless specifically modified in this section, all applicants/recipients residing at an authorized mental rehabilitation facility, will be processed following the standard GA program procedures. [Refer to “Vocational Services,” page 34-1.]
A good cause determination is not necessary if an applicant quit a job within 30 days of the application due to medical, mental or emotional problems. Good cause exists and written verification is not required.
21.2.9
Need Standards
For the authorized RCH facilities, the maximum GA grant amount is the standard listed in the Chart Book. Of this amount, the majority is for care and supervision and a standard amount is to meet the recipient’s personal needs. If the recipient is in the facility for less than a full month, the care and supervision rate and the personal needs are prorated based on the number of days the client is in the facility. [Refer to “General Assistance Charts,” page 4-1.]
21.2.10
Aid Payments
The following table provides some guidelines for the EW to utilize when processing aid payments for clients residing in an RCH facility:
If a recipient... Then...
Is admitted, transferred or discharged,
The RCH facility staff will inform the EW via telephone call or by reporting the information on the QR 7.
Is hospitalized, The EW will pay the facility for the period of his/her hospitalization provided:
Budgeting Income
If the recipient has income, the income will first be subtracted from the personal needs amount and then from the care and supervision amount. The GA grant will be prorated from the date the application is received/date stamped by SSA.
Payment Procedures
The following table is NOT all inclusive, but may be used by the EW as a guide for processing payments to the RCH facilities:
Leaves the facility (either overnight or for the weekend),
SSA will pay the facility for the period of his/her absence provided:
• The recipient returns to the facility, and
• The facility has reserved a bed for the recipient during his/her absence, and
• The absence was for therapeutic reasons.
Stage Who Action
1. EW • Enters all required information to set up the case.
• Completes the Collect Board and Care Detail window appropriately, and
• Performs the "Split Payment" process to pay the RCH facility and to pay the client’s Personal Needs.
2. RCH Facility Provides the following information on the GA 18: • Case number.
• Birth date and Social Security Number. • Eligibility Worker’s Number.
• Name of the facility.
• Completes the GA 18 and bills Social Services Agency by the 10th day of the month or the date the recipient is discharged from the facility.
• Indicates on the GA 18 if this is a "final" billing.
21.2.11
CalWIN Entries
EW will follow normal intake procedures for setting-up RCH cases. Entries of data into CalWIN for the RCH cases include, but are NOT limited to the following: • CalWIN will establish the correct Aid-Code for the RCH cases after all necessary
data has been entered and EW initiates EDBC.
• CalWIN determines the Board & Care (RCH) rate by completing the Board & Care Detail window from the Data Collection heading in the “Action” group box. • The case is established with the recipient as the payee.
Note:
The address of the facility that the recipient is residing in must be recorded on the Collect Individual Address window.
• The RCH payments must be put on hold in the Search for Issuance Status
window for current month benefits use the Change Status tab use the See
Worker form the drop down filed of the Issuance Status field (the actions can
only be done by the EW Supervisor.) For future month benefits the EW can use the Search for Issuance Status window by clicking on the [Release/Hold] button.
• All bills will be paid to the facility with the correct board and care amount.
Reminder:
All authorized RCH facilities must be entered into the CalWIN as a Provider
before a payment can be issued to them.
3. EW • Pays the bill within 10 working days of its receipt, provided ALL eligibility factors have been cleared. • Returns all bills to the RCH if Social Services Agency
has not received a date stamped application packet.
NOTE: If a billing is for an incorrect amount, Social
Services Agency will pay the correct amount, and notify the RCH facility of their error in computation.
21.2.12
Change in Residence
Transfer Between Authorized Facilities
If a recipient transfers between authorized facilities, the RCH facility staff person will inform the EW via a telephone call, and the information must also be reported on the QR 7.
Recipient Leaves Authorized Facility — GA Discontinued
When a recipient leaves an authorized facility and there is NO contact from the client, the EW MUST discontinue the case. A seven (7) day notice is NOT require, however, an appropriate Notice of Action must be sent or Notice for “Loss of Contact/Whereabouts Unknown” (GA 098).
Recipient Leaves Authorized Facility — GA Continues
When a recipient leaves an authorized facility and contract the EW, the EW updates the recipient’s case; and runs EDBC to establish a change in Aid-Code. Follow the standard GA rules and regulations. [Refer to “Change in Residence,” page 21-9.]
• Ensure the GA grant amount is accurate based on GA need standards. • Subtract any personal needs money already issued for the current month; • Prorate the balance from the date the client first notifies the EW of a new
address. (If independent living is arranged with EW prior to leaving rehabilitation facility, the GA grant will be prorated from the day after discharge).
Note:
Proper identification is necessary for any recipient leaving an authorized facility. [Refer to “Identification (ID) Verifications,” page 10-1.] If identification, as listed in Section 10 is not available, the RCH cover letter will be considered an acceptable form of identification.
21.2.13
Medi-Cal/CalFresh Eligibility
Medi-Cal
Residents of RCH facilities are not AUTOMATICALLY eligible for Medi-Cal.
However, it is the EW’s responsibility to explore the client’s eligibility for Medi-Cal. This includes making a referral to the State Programs - Disability Determination Service Division (SP-DDSD). [Refer to “DDSD — Disability Referral Criteria,” page 27-1.]
CalFresh (Food Stamps)
Applicants/recipients in a mental rehabilitation facilities are NOT eligible for, or entitled to CalFresh.
21.3 Drug Rehabilitation Program
The GA Drug Voucher Program was eliminated effective 6/30/93. The funding for this program was transferred to the Bureau of Alcoholism and Drug Abuse. All room, board, care and supervision expenses incurred by residents of state-licensed facilities (e.g. Pathway) are paid for by the Bureau of Alcoholism and Drug Abuse. Residents of these facilities are NOT eligible for GA because the client’s needs are met by the Bureau of Alcohol and Drug Contract Reimbursement Program. These facilities receive federal and state funds through contracts with the County.
Exception:
If otherwise eligible, residents of “Sober Living Environment” (SLE) or “Transitional Housing Unit” (THU) homes may be eligible for GA and/or CalFresh (Food Stamps). Standard General Assistance (GA) intake
procedures and eligibility criteria apply. SLE and THU facilities are described below.
21.3.1
Sober Living Environment (SLE) or Transitional
Housing Unit (THU) Facilities
There are some residential facilities that do not require licensure by Alcohol and Drug Programs (ADP). Cooperative living arrangements (Referred to as Sober Living Environment [SLE] and Transitional Housing Unit [THU], or alcohol and drug free housing) for persons recovering from alcohol and/or drug problems are NOT state-licensed by the State Department of Health. However, some of these facilities are certified for operation by the District Attorney’s (DA’s) Office, which simply means that they are a “court approved” residence. Others are court appointed SLE/THU facilities not necessarily DA certified.
While sober living environments or alcohol and drug free housing are not required to be licensed by ADP, business permits or clearances may be required by the local cities or counties in which the houses are located.
Stay for clients at these SLE/THU facilities could range from three days to three, six or nine months. Clients residing in these facilities are entitled to the GA standard room and board or shared housing level, as appropriate.
There are numerous SLE/THU facilities in Santa Clara County that are not certified by the DA. A client my be court appointed to an unlicensed SLE/THU. Therefore, it is possible the Eligibility Workers (EWs) will find that an applicant/recipient is staying at a facility that is not listed in the “District Attorney’s Certified SLE/THU Facilities,” page 21-22.
To determine whether an applicant or recipient is eligible for GA based on the residential facility the client is residing, refer to the following:
• The screening table [“Screening of Drug and Alcohol Residential Facilities” on page 21-24]
• The housing verification form used, “Housing Assistance Verification” (GA 31) or "Client’s Housing Assistance Statement" (GA 11) or the“Housing
Verification-Specialized Programs” (GA 2A), which ask for the type of facility the applicant/recipient is living in and if the facility is state-licensed. These forms can be found on the Social Services Agency’s Intranet under DEBS Forms.
21.3.2
District Attorney’s Certified SLE/THU Facilities
Santa Clara County District Attorney’s Certified for Operation SLE/THU Facilities
CROSSROADS (Men’s Facility) P.O. Box 2327
San Jose, CA 95153-3099 Phone: (408) 226-2834 Fax: (408) 578-4370
DAY BY DAY (Men’s Facility) 144 N 5th Street
San Jose, CA 95112
Phone: (408) 286-9744 Fax: (408) 286-8285
ESCALADE RECOVERY
FOUNDATION (Men’s Facility) 380 S. 19th Street San Jose, CA 95116 Phone: (408) 998-4405 Fax: (408) 283-9038
PRIMARY PURPOSES (Men’s Facility)
1659 N. Capitol Avenue, Suite 182. San Jose, CA 95132 Phone: (408) 258-5606 Fax: (408) 258-5623
RAINBOW RECOVERY, INC. (Women & Women with small Children)
4490 Wessex Drive San Jose, CA 95136
Phone: (408) 979-9217 Fax: (408) 267-5922
SOLACE SUPPORTING HOUSING (Women with small Children) 77 S. 12th St.
San Jose, CA 95112 Phone: (408) 293-6372 Fax: (408) 463-9410
VIDA NUEVA (Bilingual Program for Men)
2212 Quimby Road
San Jose, CA 95122 Phone: (408) 238-1820 Fax: (408) 238-1839
21.4 Alcohol Rehabilitation Program
An applicant/recipient residing in a Bureau of Alcohol Services (BAS) contract detoxification center, or a contract alcohol recovery home, is NOT eligible to receive GA. Because the applicant/recipients needs will be met by the Bureau of Alcohol and Drug Contract Reimbursement Program. These facilities receive federal and state funds through contracts with the County.
21.4.1
Listing of Contracted Alcohol/Drug Recovery Homes
SITE NAME AND ADDRESS
AMICUS
466 S. Buena Vista Ave San Jose CA 95126 Phone: (408) 294-2777 Fax: (408) 294-2270
Advent Group Ministries SUMMIT Home
1200 West Edmundson Avenue Morgan Hill, CA 95307
Phone: (408) 281-0708 or (408) 779-1492 Advent Group Ministries
SOUTH VALLEY Home 4305 Arpeggio Avenue San Jose, CA 95136
Phone: (408) 281-0708 or (408) 226-2389
Advent Group Ministries SAINT JOHN Home 865 Black Walnut Court Morgan Hill, CA 95037
Phone: (408) 281-0708 or (408) 779-5841 Advent Group Ministries
GATEWAY Home 1960 Church Avenue San Martin, CA 95046
Phone: (408) 281-0708 or (408) 683-2099
HORIZON SERVICES INC. 650 S. Bascom Ave., Suite C San Jose, CA 95128
Phone: (408) 283-8555 Fax: (408) 295-8544 HOUSE ON THE HILL
9505 Malech Road San Jose, CA 95138 Phone: (408) 281-6570 FAX: (408) 463-0942
MARIPOSA LODGE 9500 Malech Road San Jose, CA 95138 Phone: (408) 281-6555 FAX: (408) 236-6659 NEW LIFE RECOVERY CENTER
782 Park Ave Suite #1 San Jose, CA 95126 Phone: (408) 297-1182 Fax: (408) 297-7450
Pathway Society, Inc. PATHWAY SOCIETY 102 South 11th St. San Jose, CA 95112
Phone: (408) 998-5191 or 244-1834 Ext.18 FAX: (408) 998-5191
Project Ninety, Inc. - Men-Residential THIRD STREET HOUSE
792 South 3rd St. San Jose, CA 95112
Phone: (408) 295-3799 or (605) 579-7882
Project Ninety, Inc.- Women-Residential NINTH STREET HOUSE
561 South 9th St. San Jose, CA 95112 Phone: (650) 579-7881 FAX: (650) 579-2640 Support Systems Homes
BENY MCKEOWN Center 1281 Flemming Ave San Jose, CA 95127 Phone: (408) 370-9688
Support Systems Homes
MORRISON TREATMENT CENTER 264 N. Morrison Ave
San Jose, CA 95126 Phone: (408) 370-9688 Support Systems Homes
12TH ST CENTER 398 S.12th St. San Jose, CA 95112
21.4.2
Screening of Drug and Alcohol Residential Facilities
If the... Then...
Facility is State Licensed, Resident of this facility is NOT eligible for GA.
Client is court appointed to a facility and the facility is NOT State Licensed,
Review for GA eligibility.
Client is court appointed to a facility and the facility IS State Licensed,
Resident of this facility is NOT eligible for GA.
Client is in a DA Certified facility (DA Certified list in Section 21.3.2) and NOT State Licensed,
Review for GA eligibility.
Note: The DA Certified list in Section 21.3.2 is not an exclusive list.
Client is in a DA Certified facility (DA Certified list in Section 21.3.2) and the facility IS State Licensed,
Resident of this facility is NOT eligible for GA.
Client is unemployable and living in a facility that is NOT State licensed,
Review for GA eligibility to determine if the SCD 1400 compliance requirements as described in GA Handbook Chapter 32 have been met.
Client is unemployable and living in a facility that IS State licensed,
Resident of this facility is NOT eligible for GA.
Client is employable and living in a facility that is NOT State licensed,
Review for GA eligibility to determine if the client will meet the GA work requirements. Client is employable and living in
a facility that IS State licensed,
Resident of this facility is NOT eligible for GA.
21.4.3
RCH Facilities Treating Alcoholism
An applicant/recipient who resides in an RCH facility providing care for alcoholism (NOT ONE OF THE CONTRACT FACILITIES LISTED IN “LISTING OF
CONTRACTED ALCOHOL RECOVERY HOMES” ABOVE), may be entitled to General Assistance if ALL eligibility requirements are met.
Applicants/recipients qualify for a room and board payment based on the shared housing rate appropriate for the number of other persons living in the facility. Applicant/recipients must be referred to, and cooperate with VS as required by all other employable applicant/recipients.
[Refer to “Referral to Vocational Services,” page 30-11.]
Applicant/recipients may be eligible for Cal Fresh if the RCH has been certified as an alcoholic rehabilitation facility.
