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For more information send us an email.

The Health and Human Services Agency has several programs and functions that are not assistance programs and which provide support to various programs and to the public. Programs affected by these services include CalWORKs, Food Stamps, Medi-Cal, General Relief, and Cash Assistance Payments to Immigrants. These services include:

Scroll down for more information on each of these other services.

Facilities where this Service is offered:

 

Appeals

The Appeals Section is responsible for representing the County in Administrative Hearings before State Administrative Law Judges when customers have appealed county actions. This includes but is not limited to:

  • Application being denied
  • Case closing
  • Person being discontinued from a case
  • For Medi-Cal, an increase in Share of Cost
  • Other negative changes

How do you ask for an Appeals hearing?

 

Fraud and Integrity

The County of San Diego has a zero tolerance policy for fraud in public assistance programs. In order to preserve program integrity, the County strives to ensure that applicants and recipients receive the benefits to which they are eligible. The County requires that all applicants and recipients sign paperwork under penalty of perjury. In addition, the County matches applicant and recipient information on a variety of computer databases such as:

  • Franchise Tax Board
  • Employment Development Department
  • Social Security Administration
  • Internal Revenue Service
  • Immigration and Naturalization Service
  • Statewide Public Assistance Databases
  • Federal, State and County Correctional Facilities
  • Statewide Fingerprint Imaging System (click for more info)

If you or someone you know would like to report public assistance fraud, he/she may call the Fraud Hot Line at (800) 421-2252.

 

Overpayment Specialist Unit (OSU)

The Overpayment Specialist Unit (OSU) section reviews cases to determine if overpayments occurred as a result of customer fraud. OSU performs the following functions:

  • Benefit amounts are recomputed to determine the amount of CalWORKs and Medi-Cal overpayments, as well as Food Stamp overissuances.
  • The OSU Section works closely with the District Attorney's Public Assistance Fraud Division to assist in developing evidence and information essential to prosecution of fraudulent overpayments.
  • OSU is responsible for preparing the evidence packets for prosecution and has the primary responsibility for administration of the Administrative Disqualification Hearing process.

 

ACCESS

The ACCESS section provides general public assistance information to the public and customers seeking information on TANF/CalWORKs, Medi-Cal, General Relief, Food Stamps, or refugee services. This section handles complaints regarding the administration of public assistance or social services.

How do I contact ACCESS?

  • The regular phone number is toll free at (866) 262-9881.
  • The TDD number for the hearing impaired is (858) 514-6889.
  • The fax number is (858) 467-9008.
  • E-mail ACCESS

 

Quality Control/Corrective Action

The Quality Control section conducts two types of reviews, both of which seek to assess the accuracy of eligibility determination and payment amount in individual cases. In addition, full field reviews also check the accuracy of customer reporting.

Full field reviews are mandated by the federal and state governments and consist of a random sample review of CalWORKs and Food Stamp cases. These reviews check for accuracy by:

  • Interviewing the customer at their residence,
  • Collecting third party verifications for each eligibility factor of the reviewed program or programs, and
  • Ensuring that the correct program rules have been applied.

Further reviews, which are an optional function, are conducted by San Diego County as a tool to assess accuracy, to enhance early error detection and to focus on corrective action and fraud prevention activities.

HHSA uses the information from both kinds of reviews to identify error trends and develop plans to reduce both administrative errors and customer errors.

 

For more information send us an email.