**Updated as of 06/23/2020**
Please Note: Updated content is formatted in bold and underlined text.
The purpose of this memo is to inform ADAP and PrEP-AP Enrollment Workers about the ADAP and PrEP-AP income policy update in determining financial eligibility for clients who were impacted by the Federal Coronavirus Aid, Relief, and Economic Security (CARES) Act stimulus payments and the Pandemic Unemployment Compensation.
The CARES Act was passed in order to provide direct economic assistance from the public health and economic impacts of COVID-19. It provides payments to households of up to $1,200 per adult for individuals whose income was less than $99,000 (or $198,000 for joint filers) and $500 per child under 17 years old, or up to $3,400 for a family of four. The Pandemic Unemployment Compensation provides $600 weekly in addition to other unemployment benefits.
The CARES Act stimulus payments are tax-free and will not count towards the client’s income eligibility determination. The Pandemic Unemployment Compensation is taxable and will be counted towards the client’s income eligibility determination. Bank statements and copy of checks documenting three current consecutive months of income can be used to for verification of the Pandemic Unemployment Compensation payments.
ADAP understands the Pandemic Unemployment Compensation is temporary and may not be a true reflection of the client’s income. Therefore, if income shown on next year’s state or federal taxes exceeds 500% of the federal poverty level due to the Pandemic Unemployment Compensation, ADAP will ask clients to submit current income documentation from the ADAP Acceptable Supporting Documentation Checklist (pdf).
Please note that Medi-Cal must disregard the Pandemic Unemployment Compensation in determining income eligibility for Medi-Cal as it was specifically excluded in federal law (https://www.medicaid.gov/state-resource-center/downloads/covid-19-section-6008-CARES-faqs.pdf). Therefore, if a client dually qualifies for ADAP and Medi-Cal, then enroll the client in ADAP and refer the client to apply to Medi-Cal. Enrollment Workers should not place the client on a Temporary Access Period at this time, but track these clients that were reffered to Medi-Cal and follow up with the client at a later time to determine if they were enrolled. This will ensure the client has access to medication until they are covered by Medi-Cal. Note: as established in state and federal laws, ADAP must be the payer of last resort.
Please contact your OA Advisor if you have any questions regarding the information provided.
Sandra Robinson, MBA
ADAP Branch Chief
Office of AIDS
Center for Infectious Diseases
California Department of Public Health