INCOME
FORMS
MISC.
TROUBLE SHOOTING
C-IV
100

Temporary Worker's Comp is considered this type of income for Medi-Cal.

what is Earned Income.

100

The only time you would send out a NOMI.

What is for a missed CalFresh interview (application or renewal)?

100

Income-In-kind in the CalFresh Budget.

What is Excluded?

100

The date that should be listed as the begin date on the income screen.

What is the date of first check in the application/data month?

100

The screen used to enter the self-employment deduction.

What is Expense Screen?

200

The amount allowed in the CalFresh Budget for the Dependent Care Expense paid on a five year old.

What is the actual verified amount paid by the client?

200

The form that can be used for both an application and statement of facts.

What is SAWS 2 Plus?

200

MC application dated August 6th. This is the date client is potentially eligible for retro MC.

What is May 1st?

200

This is the screen you would complete to indicate that a person is receiving SSI/SSP.

What is Other Program Assistance?

200

The frequency entered for child support that is paid by the client.

what is Monthly?

300

The monthly RAI for a client that is paid $11,400 per year.

what is $950?

300

The only two conditions under which a Notice of Action (NOA) for CalFresh denial may be sent before the 30 day processing time frame.

What are Voluntary Withdrawal of Application or CF Ineligibility?

300

Two (2) of the documents that can be used to verify both Citizenship/Identity.

What are: 

Passport

Certificate of Birth Abroad

Certificate of Naturalization

300

You have run EDBC and notice that your results list mom as IE-Denied because she is permanently out of the home. This is the screen you would go to in order to update her status.

What is Household Status?

300

The screen to complete when mom or dad decline MC eligibility.

What is Customer Options?

400

A CalFresh applicant applied Feb. 10th and has provided proof that her earnings ended and she received her last check on Feb. 12th in the amount of $600. $___ income amount will be used for February and $___ income amount would be used for March.

What are $600 for February and $0 for March?

400

KCDHS 37 or MC 200 are utilized for this purpose.

What is client's voter registration preference (NVRA)?

400

The information entered on the C-IV Vital Statistics screen pertaining to Citizenship and Identity downloads onto this MEDS Screen.

What is INQE?

400

You try to run EDBC and you have forgotten to assign a Primary Applicant. The screen that you would select to view details on to allow you to add your Primary Applicant is ____.

What is Case Summary?

400

Journal, Tasks, Reminders, Help, Page Mapping and Log Out are listed on this Navigation bar in C-IV.

What is Utilities?

500

Five (5) types of deductions that can be used for the CF budget.

What are: 

earned income, self-employment, dependent care, standard deduction, elderly/disabled medical expense over $35, utility allowance/shelter, legally obligated child support paid


500

Reason DHS would receive an MC 171 form.

What is when a client is admitted to a LTC facility?

500

You are explaining to a co-worker how to update the status of a SAR 7 from showing sent to received. These are the steps to do so.

What is:

Copy the barcode from the SAR 7 via distributed documents. Select Barcode from the Document Control tab, and paste the barcode into the box provided. Update the Received Date to the date the SAR 7 was received, click Submit.

500

What FRI stands for on the EDBC Results and Case Summary.

What is Financially Responsible Included?

500

Five (5) of the 10 tabs listed on the Global Navigation bar.

What are: Case Info, Eligibility, Empl.Services, Child Care, Resource Databank, Fiscal, Special Units, Reports, Document Control, Tools