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WASHCAP


Revised December 6, 2011



Purpose: This section contains rules and procedures for the Washington Combined Application Project (WASHCAP). WASHCAP is a simplified food benefits program for most single SSI recipients. WASHCAP delivers Basic Food benefits through an automated interface between Social Security Administration (SSA) and the Department of Social and Health Services (DSHS). A client's application for SSI also acts as the application for Basic Food benefits. Clients who receive WASHCAP are certified for up to 36 months.

WAC 388-492-0020What are WASHCAP food benefits and what do I need to know about WASHCAP?
WAC 388-492-0030Who can get WASHCAP?
WAC 388-492-0040Can I choose whether I get WASHCAP food benefits or Basic Food benefits?
WAC 388-492-0050How do I apply for WASHCAP?
WAC 388-492-0060How do I get my WASHCAP food benefits?
WAC 388-492-0070How are my WASHCAP food benefits calculated?
WAC 388-492-0080Where do I report changes?
WAC 388-492-0090How often do my WASHCAP food benefits need to be reviewed?
WAC 388-492-0100How is my eligibility for WASHCAP food benefits reviewed?
WAC 388-492-0110What happens if my WASHCAP food benefits end?
WAC 388-492-0120What happens to my WASHCAP benefits if I am disqualified?

Call the WASHCAP Central Unit if you have processing questions at 1-877-380-5784.

WAC 388-492-0020

WAC 388-492-0020

Effective December 18, 2010

WAC 388-492-0020 What are WASHCAP food benefits and what do I need to know about WASHCAP?

WASHCAP means the Washington State Combined Application Project.  

  1. WASHCAP is a simplified food benefits program for most single Supplemental Security Income (SSI) recipients.  Unless specifically stated in this WAC chapter, WASHCAP food benefits follow all the program requirements of the Basic Food Program as described under WAC 388-400-0040.
  2. The Social Security Administration (SSA) asks you if you want to get food benefits when you apply for SSI in Washington State.
  3. If you meet the requirements of WAC 388-492-0030, you will get WASHCAP food benefits unless you can choose Basic Food benefits under WAC 388-492-0040.
  4. If you are eligible for WASHCAP food benefits under WAC 388-492-0030, SSA electronically sends us the information we need to open your WASHCAP food benefits.
  5. WASHCAP food benefits begin the first month after the month you apply and are eligible for ongoing SSI.
  6. You do not have to go to your local Community Services Office (CSO) to apply for WASHCAP.
  7. If you want Basic Food benefits before WASHCAP food benefits begin, you can apply :

a.    By contacting the customer service center (CSC) at 1‑877‑501‑2233;

b.    Over the internet;

c.    At any community services office (CSO);

d.    At any home and community services office (HCS); or

e.    At any Social Security Administration (SSA) office.

  1. If you get Basic Food benefits, these benefits will continue:

a.    Through the end of your certification period; or

b.    Through the month before your WASHCAP food benefits start.

  1. While you get WASHCAP food benefits, you must report all changes to SSA.
  2. You do not have to report changes to your WASHCAP worker. See WAC 388-492-0080.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

1.    Who maintains WASHCAP food benefits?

a.    The WASHCAP centralized unit maintains the majority of WASHCAP cases;

b.    Home and Community Services (HCS) maintains WASHCAP food cases for clients receiving other services from HCS.

2.    Who has responsibility for SSI Medicaid cases?

a.    The WASHCAP centralized unit maintains SSI Medicaid assistance units (AUs) for WASHCAP food benefit clients;

b.    HCS maintains SSI Medicaid AUs for their WASHCAP clients.

3.    When do WASHCAP food benefits begin?

a.    If a client is already receiving SSI, WASHCAP begins the first of the month following the month the client applies for food assistance.

b.    If a client is not yet receiving SSI, WASHCAP begins the first of the month following the month the client applies for food and is approved for ongoing SSI benefits.

 


NOTE: If clients need food benefits before WASHCAP benefits become effective, they must complete an application for Basic Food benefits.

WAC 388-492-0030

WAC 388-492-0030

Effective December 18, 2010

WAC 388-492-0030 Who can get WASHCAP?

 1.    You can get WASHCAP food benefits if:

a.    You are eligible to receive federal SSI benefits; and 

b.    You are eighteen years of age or older; and

c.    You live alone, or SSA considers you as a single household; or

d.    You are age eighteen through twenty-one, living with your parent(s) who do not get Basic Food benefits, and you purchase food separately; or

e.    You live with others but buy and cook your food separately from them; and

f.     You do not have earned income when you apply for SSI; or

g.    You already get WASHCAP food benefits, become employed and receive earned income for less than three consecutive months and are still eligible to receive federal SSI cash benefits; or

h.    You already get WASHCAP and move to an institution for ninety days or less.

2.    You are not eligible for WASHCAP food benefits if:

a.    You live in an institution;

b.    You are under age eighteen;

c.    You live with your spouse;

d.    You are under age twenty-two and you live with your parent(s) who are getting Basic Food benefits;

e.    You begin working after you have been approved for WASHCAP and have earned income for more than three consecutive months;

f.     You live with others and do not buy and cook your food separately from them; or

g.    You are ineligible for Basic Food benefits under WAC 388-400-0040 section 14(b) and (e).

3.    We use SSA information to determine your WASHCAP eligibility. 

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

1.    SSI clients living in institutions:

a.    SSI clients who live in an institution are not eligible for WASHCAP.

b.    When we know that a client has moved to an institution, the client is not eligible for WASHCAP.

c.    There is no overpayment or payment error when a WASHCAP client lives in an institution 90 days or less and continues to receive WASHCAP benefits, and we did not know the client was institutionalized.

d.    There is an overpayment and a payment error when a WASHCAP client lives in an institution for more than 90 days and continues to receive WASHCAP benefits.

2.    When clients must reapply for WASHCAP:

a.    Clients institutionalized for more than a full issuance month must reapply for WASHCAP benefits.

b.    If the client needs food benefits before WASHCAP benefits become effective, the client can apply for Basic Food benefits.

 


WORKER RESPONSIBILITIES

When you know a client moved to an institution you:

  1. Update the living arrangement code on the DEM1 screen to close the food benefits;
  2. Update the INST screen with appropriate code;
  3. Transfer the medical AU to the CSO or HCS when appropriate; and
  4. Reinstate the WASHCAP benefits if the client returns to their home in less than a full issuance month.

WAC 388-492-0040

WAC 388-492-0040

Effective March 1, 2007

WAC 388-492-0040 Can I choose whether I get WASHCAP food benefits or Basic Food benefits?

You can choose to have Basic Food benefits instead of WASHCAP food benefits when:

  1. Your out-of pocket medical expenses are more than thirty-five dollars a month;

  2. You chose to have Basic Food benefits instead of WASHCAP benefits prior to April 25, 2005: or

  3. Your food benefits under Basic Food would be at least forty dollars more due to excess shelter costs under WAC 388-450-0190(1)(a) through (e) or legally obligated child support payments.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

1.    WASHCAP- eligible clients may only opt out of the program if they meet the specific criteria in the WAC, and request to apply for benefits under Basic Food.

2.    Basic Food recipients who opted out or were not converted to WASHCAP prior to April 25, 2005, may elect to remain in the Basic Food program instead of WASHCAP as long as they remain continuously eligible for Basic Food. This includes individuals who opted out under the Chamberlain court order.

3.    Financial workers who think a client is WASHCAP eligible should contact the WASHCAP central unit for a case review when no “alt” benefit amount appears on the FSFI screen.

4.    When we look at child support costs to decide if a household can opt out of WASHCAP under WAC 388-492-0040 #3, the expense must be legally obligated support for a child outside the home.

a.    We can only consider support being paid. Having a debt with DCS alone does not qualify a client for a child support deduction.

b.    We use the amount we can reasonably anticipate the person paying to determine if the person would receive at least $40 more benefits under Basic Food.

 


WORKER RESPONSIBILITIES

1.    If a WASHCAP client meets opt-out criteria:

a.       Explain the differences between WASHCAP and Basic Food. Clients may choose to participate in WASHCAP even if they meet the opt-out criteria and would receive more benefits from Basic Food.

b.      Ask a client that opts out of WASHCAP to complete the Basic Food application or complete the eligibility review (ER) process.

2.    How is WASHCAP different than Basic Food?

See the table below for some of the differences between WASHCAP and Basic Food:

WASHCAP

Basic Food

The WASHCAP food assistance application is one page long. The SSA interview for SSI is also the interview for WASHCAP.

The application for Basic Food is longer, and clients must complete an additional interview.

A client must be eligible for SSI to be eligible for WASHCAP.

A client does not have to be eligible for or getting SSI to be eligible for Basic Food.

A client is eligible for WASHCAP if the client gets SSI benefits and SSA determines that the client:

  • Meets the definition of "Living arrangement A" (living alone);
  • Purchases and prepares food separately; and
  • Has no earned income.

We decide if an assistance unit is eligible for Basic Food based on the client's living arrangements, whom they purchase and prepare food with, and other eligibility factors under WAC 388-400-0040 and 388-400-0045.

A client must complete an application for benefits every 36 months unless SSA has recertified SSI benefits. When SSA has recertified a client's SSI benefits, WASHCAP benefits are recertified and automatically extended for 36 months from the date SSA recertified the client's SSI.

Most households have to complete an application and have an interview for benefits every 12 months.

A client does not have to give us proof of circumstances. SSA gives us this information.

A client must give us proof of income, non-citizen status, and identity.  Other elements are verified only if questionable.

A client must tell SSA about changes within ten calendar days after the month the change happened. The client is not required to report this change to DSHS.

A client must report certain changes to the local office.  The client may have to provide proof of the changes. DSHS does not report changes to SSA .

A client's WASHCAP benefits start the first of the month after the month the client applies for food benefits and SSA starts ongoing SSI benefits. We do not prorate WASHCAP benefits.

A client's Basic Food benefits usually start from the date the client applied for Basic Food benefits. We determine the exact date the client's benefits are effective under WAC 388-406-0055. We prorate the first month's benefits based on this date.

We do not offer expedited service for WASHCAP benefits.

A client that qualifies for expedited service can get Basic Food within seven days of the date the client applied for benefits.

Adults ages 18 thru 21 can receive WASHCAP while living with their parent(s) who are not receiving Basic Food.

Adults ages 18 thru 21 living with parent(s) must receive food assistance with them.

 

 


WAC 388-492-0050

WAC 388-492-0050

Effective April 8, 2011

WAC 388-492-0050 How do I apply for WASHCAP?

1.    You apply for WASHCAP food benefits at the Social Security Administration (SSA) when you apply for Supplemental Security Income (SSI). 

2.    If you want food benefits, your SSA worker will ask you WASHCAP food eligibility questions when you have your SSI interview.

3.    If you are eligible for WASHCAP food benefits, your benefits will start the first of the month after the month you apply and are eligible for ongoing SSI benefits.

4.    If you need food benefits in seven days or less, you must apply for expedited services at:

a.    Any community service office (CSO);

b.    Any home and community services office (HCS) if you get long-term care services; or

c.    Any SSA office if you give them an application for Basic Food expedited services when you apply for SSI.  SSA forwards the Basic Food application to the local CSO to process.

5.    If you want Basic Food benefits before you get SSI, you must apply at:

a.    SSA if you give them a Basic Food application when you apply for SSI;

b.    Any CSO; or

c.    Any HCS office if you get long-term care services.

6.    If you already receive SSI and want WASHCAP food benefits, you can apply at:

a.    Any SSA office;

b.    Any CSO;

c.    Any HCS office if you get long-term care services.

d.    By contacting the WASHCAP central unit with an application form request.

7.    If you get Basic Food benefits, these benefits will continue:

a.    Through the end of your certification period; or

b.    Through the month before your WASHCAP food benefits start.

8.    If your Basic Food benefits end before you are eligible for WASHCAP food benefits, you must reapply to continue these benefits.

9.    If you get Basic Food benefits and you become eligible for WASHCAP food benefits, we will automatically change your Basic Food benefits to WASHCAP food benefits. 

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

1.    Basic Food applications (DSHS 14-001) taken at SSA:

a.    SSA has the client complete page one of the application for Basic Food.

b.    SSA faxes the application to the local CSO for processing.

2.    WASHCAP application (DSHS 14-439):

a.    The WASHCAP application includes the following eligibility declarations:

                                                        i.            I live alone, or I buy and fix my food separately from other people in the house;

                                                      ii.            I pay $_______(my share) for rent/mortgage each month.

b.     CSO 130 and HCS workers manually open WASHCAP benefits when DSHS receives the application.

3.    WASHCAP Information Sheet:

a.    The WASHCAP information sheet explains the client’s rights and responsibilities.

b.    Clients get the information sheet when:

                              i.        They have their SSI interview; or

                            ii.        ACES auto-opens the WASHCAP AU.

4.    Expedited service:

a.    Expedited service is not available through WASHCAP.

b.    Clients must apply for Basic Food benefits to receive expedited service.

5.    How ACES determines a client is eligible for WASHCAP:

a.    ACES receives a daily SDX file from SSA.

b.    ACES converts a Basic Food AU to a WASHCAP AU when the SDX shows the client:

                              i.        Is eligible for federal SSI benefits;

                            ii.        Has no earned income;

                           iii.        Is in a SSA living arrangement “A” on the SDX;

                           iv.        Is single or separated; and

                            v.        Is at least 18 years old.

6.    Automated WASHCAP approval:

a.    ACES auto-opens WASHCAP when the SDX "Fs Appl Cd" indicator is "Y" or "N" and all the conditions in (5.) (b.) are met.

b.    Clients approved for WASHCAP receive the DSHS 02-01 approval letter explaining:

                              i.        The client’s current Basic Food benefit if applicable; and

                            ii.        The client’s WASHCAP benefit.

7.    WASHCAP auto-open failure:

a.    An alert will be sent to the worker when WASHCAP does not auto-open.

b.    ACES will not automatically open WASHCAP when the:

                                      i.        Client gets DO1 or DO2 medical;

                                    ii.        DEM screen marital status is “A” or “M”;

                                   iii.        Name or date of birth is mismatched;

                                   iv.        Client is a non-citizen receiving a state-funded food assistance benefit;

                                    v.        Client is pending or already receives food benefits in another AU;

                                   vi.        Client has a current Basic Food disqualification; or

                                  vii.        Client’s ACES living arrangement type for Basic Food is one of the following: 

AD

Adoption Support Non IV-E

IL

Invalid Living Arrangement

AE

Adoption Support IV-E

IM

IMD

AF

Alternate Living Facility (ALF)

IT

Involuntary Treatment Act in IMD

AS

Alien Sponsor, Home w/Spouse

JL

City/County Jail

BO

Boarder

JR

Juvenile Rehabilitation

BS

Boarding School

MR

IMR

CB

Commercial Boarding Home

NA

Non-Adatsa Alcohol & Drug Treatment Center

DC

Assisted Living Dept Contract

NF

Nursing Facility

FC

Foster Care Non-Title IV-E

PR

State/Federal Prison

FE

Foster Care Title IV-E

TA

Temporary Absence

FH

Adult Family Home

TF

Temporary Absence - In Foster Care

GH

DDD Group Home (Large - 17+)

VH

Veteran Home

HS

Hospital

   

WORKER RESPONSIBILITIES

1.    When ACES doesn't auto-open WASHCAP:

The system sets an alert for the WASHCAP/HCS financial worker. If you get this alert, take the following actions:

a.    Decide if the client is WASHCAP eligible; and

b.    Resolve the discrepancy preventing the auto-open.

2.    When a WASHCAP-eligible client applies for Basic Food at the CSO:

a.    Process the request for benefits using Basic Food application and verification procedures;

b.    Issue any benefits the client is eligible to receive for the application month;

3.    WASHCAP application (DSHS 14-439) received in the CSO:

a.    Ask the client if Basic Food is wanted for the current month;

b.    If yes, accept the application as filed and proceed with the Basic Food application process. Transfer ongoing months to the WASHCAP unit as appropriate.

c.    If the client wants WASHCAP benefits only, send the application to the HIU for imaging.

d.    If the client is unavailable, send the WASHCAP application to the HIU for imaging

 


WAC 388-492-0060

WAC 388-492-0060

Effective December 9, 2004

WAC 388-492-0060 How do I get my WASHCAP food benefits?

  1. If you are eligible for WASHCAP, you will get your food benefits through electronic benefits transfer (EBT). 

  2. The department issues your EBT food benefits according to WAC 388-412-0025.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATIOn

Issuing an EBT / QUEST Card:

1.    When ACES opens WASHCAP it triggers the current EBT contractor to mail an EBT card.

2.    Clients receive their EBT card within 7 days of the SDX interface showing WASHCAP approval.

3.    Clients are instructed to select their own PIN through the Personal PIN selection process by calling the EBT customer service toll-free number when they receive their EBT card in the mail.

 

 


WAC 388-492-0070

WAC 388-492-0070

Effective October 1, 2013

WAC 388-492-0070 How are my WASHCAP food benefits calculated?

  We calculate your food benefits as follows:   

  1. We begin with your gross income.
  2. We subtract the current standard deduction for one person under WAC 388-450-0185 from your gross income to get your countable income.
  3. We figure your shelter cost based on information we receive from the Social Security Administration (SSA), unless you report a change as described under WAC 388-492-0080. If you pay:
    1. Three hundred dollars or more a month for shelter, we use four hundred dollars as your shelter cost; or
    2. Less than three hundred dollars for shelter, we use two hundred ten dollars as your shelter cost; and
    3. We add the current standard utility allowance under WAC 388-450-0195 to determine your total shelter cost.
  4. We figure your shelter deduction by subtracting one half of your countable income from your shelter cost.
  5. We figure your net income by subtracting your shelter deduction from your countable income and rounding the resulting figure up from fifty cents and down from forty-nine cents to the nearest whole dollar.
  6. We figure your WASHCAP food benefits (allotment) by:
    1. Multiplying your net income by thirty percent and rounding up to the next whole dollar; and
    2. Subtracting the result from the maximum allotment under WAC 388-478-0060.
    3. If you are eligible for WASHCAP, you will get at least the minimum monthly benefit for Basic Food under WAC 388-412-0015. 

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

Calculating WASHCAP benefits:

We rely on the gross income as updated by the SDX from SSA as described in WAC 388-492-0030.


WORKER RESPONSIBILITIES

When a client's shelter cost changes:

If you find out that a WASHCAP client’s shelter cost has changed, verify the change if questionable and update the change on the ACES WCAP screen as needed to inform SSA to allow the appropriate WASHCAP shelter cost. 

See WASHCAP in the ACES User Manual


WAC 388-492-0080

WAC 388-492-0080

Effective December 18, 2010

WAC 388-492-0080 Where do I report changes?

1.    You report all changes to the Social Security Administration (SSA) according to their reporting requirements. Social Security reports these changes to your WASHCAP worker.   

2.    SSA will not accept or report shelter cost changes to WASHCAP until SSA does its redetermination.

3.    You do not have to report any changes to your WASHCAP worker.

4.    You can choose to report the following changes to your WASHCAP worker to see if you will get more food benefits:

a.    A change in your address;

b.    An increase in your shelter costs; or

c.    An increase in your out-of-pocket medical expenses.

5.    If you or someone you authorize reports changes to DSHS, proof may be required.

6.    If you report a change that could increase the amount of your food benefits, we will not increase the benefit amount if we have asked for proof and it has not been provided.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

1.    Reporting changes to SSA:

a.    Clients must tell SSA when changes happen.

b.    Changes the client must report to SSA may differ from changes the client is normally required to report to DSHS.

c.    SSA also requires the client report changes within 10 days after the month in which the change occurred.


EXAMPLE

Client moves on the 15th of January. The client must report this change to Social Security by February 10th.


2.    When SSA tells DSHS about changes:

a.    SSA gives DSHS new information using the SDX interface.

b.    ACES will either automatically act on the change or set an alert for the worker to take action.

3.    When ACES automatically takes action:

a.    When ACES opens WASHCAP for a new SSI client who has never received Basic Food, ACES will:

                                              i.        Deny food benefits for the month that ongoing SSI was approved; and

                                            ii.        Open WASHCAP the first of the following month.

b.    An existing Basic Food AU will be converted to WASHCAP when ACES receives an SDX with WASHCAP codes “Y” or “N” on the SDX Fs Appl Cd field.

c.    ACES also:

                                           iii.        Transfers cases to the WASHCAP central unit # 130 when appropriate;

                                           iv.        Sends a WASHCAP application (DSHS 14-439) to WASHCAP clients 45 days prior to the end of the client’s certification period; and

                                            v.        Closes WASHCAP when the client no longer meets WASHCAP eligibility criteria.

4.    ACES sends an alert to the worker when:

a.    The client has current ADATSA coding on the INST screen.

b.    The client’s living arrangement on an active case prevents the case from auto-opening.

c.    Someone else is active on the client's current Basic Food AU.

d.    ACES shows earned income and the SDX does not.

e.    The demographics on the SDX and in ACES do not match.

f.     The client is a recipient on any AU with another member.

g.    The client is on a DO1 AU.

h.    The client is disqualified from food benefits.

i.      The client is pending on a Basic Food AU or pending on a Basic Food AU with another client.


WORKER RESPONSIBILITIES

When WASHCAP clients report changes:

 

  1. CSD Financial workers should set a Barcode tickler to the WASHCAP unit, and send any documentation to the HIU for imaging.
  2. Provide WASHCAP toll free number (1-877-380-5784) to the client for future DSHS contact.
  3. WASHCAP and HCS workers should update ACES with changes of address and remind the client to report the change to SSA.

WAC 388-492-0090

WAC 388-492-0090

Effective November 1, 2008

WAC 388-492-0090 How often do my WASHCAP food benefits need to be reviewed?

  1. Your eligibility for WASHCAP food benefits must be reviewed at least every thirty-six months. 

  2. Your certification period is the amount of time your assistance unit is eligible for WASHCAP food benefits.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

When the WASHCAP certification period begins:

1.    The certification period for clients not already receiving Basic Food is 36 months and begins the first of the month after the WASHCAP application is approved.

2.    To determine the certification period for newly approved SSI clients already receiving Basic Food, ACES:

a.    Subtracts the number of months the client already received Basic Food in their current certification period from the maximum 36-month WASHCAP certification period; and

b.    Uses the difference as the new WASHCAP certification period.


EXAMPLE

Benefits were approved from November through October (1 year). The client starts getting SSI and becomes a WASHCAP client effective with February benefits. The client received Basic Food benefits from November through January in the current certification (3 months). ACES will subtract 3 months from the 36-month certification. The client's first WASHCAP certification period is 33 months.


WAC 388-492-0100

WAC 388-492-0100

Effective December 18, 2010

WAC 388-492-0100 How is my eligibility for WASHCAP food benefits reviewed?

1.    If the Social Security Administration (SSA) reviews your Supplemental Security Income (SSI) eligibility, they will also complete your review for WASHCAP.  SSA sends us this information electronically and we will automatically extend your WASHCAP certification period. 

2.    If SSA does not review your SSI eligibility, we will mail you a one-page application two months before your WASHCAP food benefits end. You must complete and return this application to the WASHCAP unit or your local Home and Community Services office (HCS).

3.    We do WASHCAP reviews by mail.  If you bring your WASHCAP application to the local office, we will process the application as follows:

a.    If you get long-term care services, your local HCS office will process your application; or

b.    If you do not get long-term care services, the local office will forward your application to the WASHCAP central unit.

4.    If we get your completed application after your WASHCAP food benefits end, we will reopen your benefits back to the first of the month if:

a.    We get your application form within thirty days from the end of your certification period; and

b.    You are still eligible for WASHCAP food benefits.

5.    If we get your completed application form more than thirty days after your benefits end, your WASHCAP food benefits open the first of the next month after:

a.    You turn in your application; and

b.    SSA shows you are eligible for WASHCAP in their system.

6.    If your application is not complete, we will return it to you to complete.

7.    If you want Basic Food benefits while you are waiting for WASHCAP food benefits, you must apply for these benefits:

a.    By contacting the customer service center (CSC) at 1-877-501-2233;

b.    Over the internet;

c.    At any community services office (CSO);

d.    At any home and community services office (HCS); or

e.    At any Social Security Administration (SSA) office.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

Updating WASHCAP Certifications:

1.    When SSA completes a SSI redetermination on a WASHCAP client, ACES automatically updates the WASHCAP case to:

a.    A new 36-month certification period;

b.    The new certification period starts the month after the month that SSA completed the SSI redetermination.

2.    When SSI does not complete a SSI redetermination prior to WASHCAP certification ending, ACES:

a.    Sends the client a review letter and a WASHCAP application (DSHS 14-439) forty-five days before the WASHCAP certification period ends;

b.    Sends a letter thirty days prior to the certification end date if the client has not returned a completed application;

c.    Closes WASHCAP if the case is not recertified by deadline.

3.    WASHCAP cases can be reopened back to the first of the month if the client returns the application within 30 days of the end of the certification period (See example below).


EXAMPLE

On June 1st ACES sends the client a one-page application form. The recertification was not done because the client did not complete and return the application form. The case closes July 31st. On August 12th, the client returns the completed application. The worker reopens the WASHCAP case back to August 1st.


WAC 388-492-0110

WAC 388-492-0110

Effective October 1, 2013

WAC 388-492-0110 What happens if my WASHCAP food benefits end?

1.    If your WASHCAP food benefits end because you did not have the review required under WAC 388-492-0100, you must finish the required review or apply for Basic Food benefits:

a.    By contacting the customer service center (CSC) at 1-877-501-2233;

b.    Over the internet;

c.    At any community services office (CSO);

d.    At any home and community services office (HCS); or

e.    At any Social Security Administration (SSA) office.

2.    If your WASHCAP benefits end because you are disqualified under WAC 388-400-0040 (12) (b) or (e), you are not eligible for Basic Food benefits and if you are a HCS client, your medical case will remain at HCS.

3.    If your WASHCAP benefits end for any other reason:

a.    We will send you an application for Basic Food benefits along with the address of your local CSO. 

b.    For the local CSO to decide if you are eligible for Basic Food benefits, you must:

                                              i.        Finish the application process for Basic Food benefits under Chapter 388-406 WAC; and

                                            ii.        Have an interview for Basic Food benefits under WAC 388-452-0005.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

WASHCAP clients have the same fair hearing rights as other clients. This includes the right to continued benefits pending a hearing.


WORKER RESPONSIBILITIES

1.    When a client is terminated from WASHCAP and submits a WASHCAP Application (14-439): 

a.    WASHCAP staff will deny WASHCAP benefits if the client is ineligible for WASHCAP.

b.    They will document their action and add notes in the ACES narrative to alert the local office to consider the 14-439 as a request for benefits under WAC 388-406-0010.

2.    When the client requests a hearing:

a.    If a client requests a hearing, keep the WASHCAP case with the Central Unit or Home and Community Services office. See FAIR HEARING - Hearing Request.

b.    If you are waiting for a fair hearing decision on a terminated WASHCAP case:

                              i.        Open Basic Food for the continued benefits;

                            ii.        Use the WASHCAP shelter costs and the client’s SSI income;

                           iii.        Make certain the benefits issued are the same amount the client received under WASHCAP; and

                           iv.        Set an alert to check on the fair hearing decision.

3.    What to do when the department’s actions have been upheld:

a.    Reduce or terminate the benefits; and

b.    Set up an overpayment for any amount the client received in continued benefits.


WAC 388-492-0120

WAC 388-492-0120

Effective September 15, 2012

WAC 388-492-0120 What happens to my WASHCAP benefits if I am disqualified?

1.    If you are disqualified from receiving SSI for any reason, you will not be able to get WASHCAP food benefits. See WAC 388-492-0030, Who can get WASHCAP? 

2.    If you are disqualified from receiving Basic Food assistance for any reason, you will not get WASHCAP food benefits. This includes clients who:

a.    Are ineligible under WAC 388-400-0040 (12) (b) and (e) and WAC 388-442-0010; or

b.    Did not cooperate with quality assurance as required under WAC 388-464-0001.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.

CLARIFYING INFORMATION

When the WASHCAP client has an Intentional Program Violation (IPV), ACES:

  1. Runs a cross match with the Disqualified Recipient System (DRS) file on every new WASHCAP case to identify IPV cases.
  2. Sends a letter to the client explaining the disqualification and when the disqualification ends.
  3. Sends a State Verification Exchange System (SVES) inquiry at the end of the disqualification period asking for a new SDX record.
  4. Monitors the SANC screen and on-going disqualification interface to:
    1. Check for disqualification extensions;
    2. Notify the client if the disqualification period has been extended;
    3. Take appropriate action if the disqualification period has been shortened.
  5. Sends an alert to the worker if the disqualification becomes a permanent disqualification.

WORKER RESPONSIBILITIES

1.    When ACES sends a disqualification alert:

a.    Review the case to see if you should apply the disqualification:

                              i.        If applicable, close the case following adverse action rules. See WAC 388-458-0030  for advance notice rules.

                            ii.        Send a letter to inform the client of the disqualification and the date the disqualification will end. See WAC 388-418-0020  for Effective Dates for Changes.

                           iii.        Document your actions if the disqualification is not valid (i.e. the disqualification period is over).

b.    If the client is permanently disqualified:

                              i.        Update the (SANC) screen in ACES.

                            ii.        Send a letter to the client about the disqualification; and

                           iii.        Document in the record that the client is permanently disqualified from Basic Food and the reason for the disqualification.

2.    Cooperation with Quality Assurance:

If you receive a notice that a client refused to cooperate with Quality Assurance, follow the Worker Responsibilities under WAC 388-464-0001.


ACES PROCEDURES

See  Washington State Combined Application Project (WASHCAP)

Modification Date: December 6, 2011