Institutional Residents (2024)


An individual is considered a resident of an institution when the institution provides them with the majority of meals as part of the institution's normal services. Residents of institutions are not eligible for CalFresh unless listed in the section below, “Eligibility”.


The following residents of an institution are eligible for CalFresh as a separate household.

  • Residents of federally subsidized housing for the elderly.
  • Individuals struggling with a substance use disorder who:
    • Participate in a drug or alcohol treatment and rehabilitation program, and
    • Live at the treatment center.
      • If the individual, struggling with a substance use disorder, has children in the same CalFresh household when they also live at the treatment center and are provided with meals by the center.
      • Any other family members of the individual struggling with a substance use disorder, including the spouse, is ineligible for CalFresh when living at the center and provided with meals. If, however, the treatment center does not provide meals to these family members living there, they may be eligible for CalFresh as a SEPARATE HOUSEHOLD from the individual struggling with a substance use disorder. Refer to HH Composition.
  • Disabled/blind Social Security recipients in a group living arrangement (a public or private nonprofit residential setting with 16 residents or less).
  • A man or woman alone or man or woman with children temporarily residing in a shelter for battered persons that provides meals.
  • Homeless Shelter residents (public or private nonprofit).
  • Children of jail/prison inmates participating in a program (such as the one run by the Volunteers of America at Brandon House) if their parent buys and prepares food separately for their child(ren).
  • The inmate parent does NOT qualify for CalFresh because he or she is still considered a resident of an institution (jail/prison) even though he or she is residing at Brandon House.

Note: Residents of an institution not mentioned above may be eligible for CalFresh, if the client has special diet needs for which the institution cannot accommodate verification from the institution as well as a doctor’s note is required.

Drug/Alcohol Treatment Centers

Approved Facilities [63-503.471]

A drug/alcoholic treatment and rehabilitation program must meet the following requirements for a resident to qualify for CalFresh.

  • Authorized by USDA-FNS as a retailer, OR
  • Qualifies for funding under Part B of Title 19 of the Public Health Services Act, AND
  • The facility must provide meals to residents to qualify as an eligible institution.

Note: Residents of those programs that do not provide meals may apply as roomers.

Programs that meet the above requirements are listed in this section. DO NOT issue benefits for a resident of a drug/alcohol program that is NOT listed in this section. Refer treatment centers which are interested in accepting CalFresh to the CalFresh Coordinator.

Drug/Alcohol Facilities[63-503.471]

Parisi House on the Hill
9505 Malech Road
San Jose, CA 95138
(408) 281-6570
AR: Margarita Alcantar

Momentum for Health
1922 The Alameda

San Jose, CA 95126

Momentum for Health
1922 The Alameda

San Jose, CA 95126

Mariposa Lodge
9500 Malech Road
San Jose, CA 95138
(408) 281-6540
AR: Rosemary Cuen

ARH Recovery-Mariposa Lodge
P.O. BOX 13219
Coyote, CA 95013

ARH-Recovery-Mariposa Lodge
1659 Scott Blvd., Suite 30
Santa Clara, CA 95050

Pathway House
102 S. 11th Street
San Jose, CA 95112
(408) 998-5191
AR: Brandy R. Armento

Pathway Society, Inc.
102 S. 11TH Street
San Jose, CA 95112

Pathway Society, Inc.
1659 Scott Blvd., Suite 30
Santa Clara, CA 95050

Salvation Army
702 W. Taylor
San Jose, CA 95126
(408) 298-7600 x36
AR: Alfred S. Hume, Jr

Salvation Army
702 W. Taylor
San Jose, CA 95126

Salvation Army
702 W. Taylor
San Jose, CA 95126

South Bay Teen Challenge
4601 Alum Rock Ave.
San Jose, CA 95127-2402
(408) 272-4416
AR: Milleka Wheeler/ Sophia Gonzalez

South Bay Teen Challenge
4601 Alum Rock Ave.
San Jose, CA 95127-2402

South Bay Teen Challenge
4601 Alum Rock Ave.
San Jose, CA 95127-2402


Residents of a DAA Treatment Center must apply for CF voluntarily, DAA Treatment Centers cannot require residents to apply for CF. If a resident voluntarily applies for CF, they MUST apply through an AR who is employed by and designated by the DAA Treatment Center. CF applications may be filed in person, mail, fax, electronic mail, or by completing a MyBCW application.

Important: The DAA Treatment Center employee designated for the purpose of applying must also act as the AR for recertification purposes. The AR is responsible for notifying the county of changes in the household’s circ*mstances that are required to be reported during the certification period.

The application forms may be signed by the resident household or the AR. The AR is designated by completing the CF 100, CalFresh Request for Authorized Representative Drug or Alcohol Treatment Center Resident. The AR must sign the form “Electronic Benefit Transfer (EBT) Request for Designated Alternate Cardholder/Authorized Representative” (CSF 64).

Note: A CalFresh application must not be denied to residents of drug and alcohol treatment centers because the AR did not initiate the application. However, the certification MUST be done through the AR.

The institution must receive and spend the CalFresh benefits for food prepared by and/or served to the residents of the center.

HH Composition

Authorize benefits as a separate household for an addict/alcoholic and their children who live at the treatment center and are provided with meals. (Parents and children must be one household.)

The spouse or family members other than children who live at the treatment center:

  • May receive CalFresh if meals are not provided to them (they are treated as a roomer and must be a separate household from the addict/alcoholic and their children).
  • Are ineligible for CalFresh if meals are provided to them.

CalWORKs Income

When a drug/alcoholic treatment center resident has CalWORKs income and is not in the same CalFresh household with the other CalWORKs recipients, prorate the grant equally among the CalWORKs AU members. Count the addict's/alcoholic's prorated share of the CalWORKs grant as income. Refer to Combined Payments.

HH Rights

All changes in household circ*mstances and recertifications shall be processed using the same standards that apply to all other CalFresh household.

All rights to Notices of Adverse Action, to State Hearings, and to entitlement to lost benefits shall be applied. In this respect, there is no difference between the households and other households.

Work Registration [63-407.21(f)]

A participating resident is exempt from work registration requirements.

CalFresh EBT Card

When a resident leaves the treatment center, the treatment center’s EBT card must be deactivated and a new EBT card issued to the client.

Reminder: The primary cardholder must also be changed from the Authorized Representative (AR) of the Treatment Center to the client.

Treatment Center Responsibilities [63-503.476: ACL 19-51]

The treatment center shall:

  • Provide to the CalFresh Coordinator a certified list of currently participating residents on a monthly basis. The County will conduct periodic random on-site visits to assure accuracy of these list.
  • Notify the EW of changes in income, household circ*mstances, and when resident leaves center.
  • Advise the household who leaves the center to contact their EW to be issued an EBT card.
  • When a household leaves the DAA Treatment Center, the center must adhere to the following requirements:
    • Notify the County by sending a completed change report form to the County with the household’s change in address, new address if available, and a statement that the DAA treatment Center and employee are no longer the household’s AR.
    • Provide a change report form as soon as it finds out that the household plans to leave the facility and must advise the household to return the change report form to the County within 10 days of any change in the household’s circ*mstances that the household is required to report. After the household leaves the DAA Treatment Center, the center can no longer act as the household’s AR for certification purposes, obtaining benefits, or using benefits.
    • Provide the household with its EBT card if the DAA Treatment Center was keeping the EBT card. The DAA Treatment Center must return to the County any EBT cards not provided to departing households by the end of each month in which the households left the DAA Treatment Center.
  • Return household benefits as follows:
    • If no benefits have been spent on behalf of the individual household, the DAA center must return the full value of any benefits already debited from the household’s current monthly allotment back onto the household’s EBT account at the time the household leaves the DAA Treatment Center.
    • If benefits have already been debited from the EBT account and any portion spent on half of an individual household, the following procedures must be followed:
      • If the household leaves prior to the 16th day of the month, the DAA Center must ensure that the household has one-half of its monthly allotment remaining on its EBT account.
      • If the household leaves on or after the 16th day of the month, the DAA Treatment Center must return the household a portion of its allotment back. If the DDA treatment Center is authorized as a retailer, the DAA treatment center can refund that amount back to the EBT account when the household leaves.
    • In either case, the household, not the DAA Treatment Center, must be allowed to have sole access to any benefits remaining in the household’s EBT account when the household leaves the DAA center.
    • If the household has already left the DAA center and, as a result, the DAA Center is unable to return the benefits the DAA center must advise the County and return the benefits to the County.
  • Be strictly liable for all losses or misuse of CalFresh benefits held on behalf of resident households and for all overissuances which occur while the households are residents of the treatment center, regardless of cause. The EW shall establish a claim for any overissuances of CalFresh benefits received on behalf of a resident household.

Both the intake and continuing EW must remind all ARs at application and recertification of the following:

  • Careful and continuing review of a resident's circ*mstances are required before application for CalFresh, and during the receipt of continuing benefits.
  • It is the responsibility of the AR to ensure that the correct information about the resident's circ*mstances are reported to the EW.
  • The AR must review the DAATreatment and Rehabilitation Center Responsibilities (SCD 2499).


For each overissuance which exists in these cases, the EW shall refer the claim directly to Public Assistance Recovery, using the following procedures:

  • Eligibility Worker (EW)
    • Review the Inquire on History Data from EBT” window to confirm if the DAA Treatment Center has returned the unused portion of benefits.
    • If the unused portion of the allotment is not returned, establishes the overissuance claim in
    • CalSAWS, as it is normally establish for any other claim.
    • Deletes all overissuance NOAs and the repayment agreement generated in the client's name.
    • Generates a manual NOA DFA 377.7B and Repayment Agreement in CalSAWS DEBS Forms Library, and addresses both to the treatment center.
    • Sends an e-mail to Public Assistance Recovery by selecting “Collections” from the Outlook Global Address List, requesting to establish the claim outside of CalSAWS. The following information must be included in the e-mail:
      • Case name and number
      • Claim number
      • Aid Code
      • Liable individual (name and address of treatment center)
      • Attaches a scanned copy of the manual NOA and Repayment Agreement.
    • Enters detailed case narration in CalSAWS Maintain Case Comments window.
      • Note: Case narration is imperative, since this is the only way to track this claim after it is established outside CalSAWS.

  • Public Assistance Recovery
    • Receives the e-mail from the EW.
    • Changes the claim name to the facility’s name and refers claim to VACS.
    • E-mails the EW to close the claim in CalSAWS.
  • EW
    • Closes claim in CalSAWS
    • Opens the Display Claim Summary by Case window
    • Highlights the claim.
    • Clicks the [Claim Recovery Detail] button.
    • Selects Canceled from the Status field.
    • Selects Canceled from the Status Change Reason field
    • Documents thoroughly in the Maintain Case Comments window, all actions taken for the specific claim.

Claims are not to be sent to Public Assistance Recovery when benefits have been issued, but have not been used by the treatment center.

Follow the steps below

  • Deactivate the AR’s EBT card.
    • If the client is not entitled to the benefits issued, then
      • Establish the overissuance.
      • Send the NOA and the repayment agreement to the AR
      • Submit the “Electronic Benefit Transfer (EBT) online Request” (SCD 2201) with the signed repayment agreement to the DOFC for processing.
    • If the client is entitled to the benefits issued,then the client will have access to the benefits when he/she requests a new EBT card in the client's name.
      • Note: Benefits will become dormant and will be expunged if not used within the allowable time.

Refer to Supplemental Payments and Claims.

Related Topics

Sober Living Environments

Institutional Residents (2024)


What happens if your residency loses accreditation? ›

If the ACGME withdraws accreditation, or accreditation is voluntarily withdrawn, all residents/fellows who are unable to satisfy requirements for program completion by the effective date of withdrawal must receive assistance in their efforts to continue their education in other ACGME-accredited programs.

What does sponsoring institution mean? ›

A Sponsoring Institution is an entity that oversees, supports, and administers one or more ACGME-accredited residency/fellowship programs. A governing body (which can be a person or a group) has ultimate authority over and responsibility for graduate medical education (GME) in a Sponsoring Institution.

What happens if your residency program shuts down? ›

Closure of a hospital residency program (Closed Program) – the hospital ceases to offer training for residents in a particular approved medical residency training program. Where Can the Residents Go? Any hospital that is willing to take them in; there is NO geographic restriction.

How to stand out in residency interviews? ›

Try adding a story that demonstrates your skills will help give color and context to your answer. You can also prepare questions to ask the interviewer in advance. Try to tie in something you know about the program, such as commitment to research you're interested in, with your own experience.

Has a college ever lost accreditation? ›

Over 20 colleges have lost their accreditation in the last two decades. Attending an unaccredited school means you no longer have access to federal financial aid — only regionally or nationally accredited colleges are eligible for federal funding.

Can you get kicked out of residency? ›

If you have been kicked out of your residency program, you should ensure that you receive due process. Medical residencies typically end due to violations of one or more core competencies as set forth by the Accreditation Council for Graduate Medical Education (ACGME).

Does sponsoring mean paying for? ›

sponsor verb [T] (PAY MONEY)

(of a business or other organization) to pay for someone to do something or for something to happen: The participants' employers sponsor them for the six-month training program.

What's the difference between underwriting and sponsoring? ›

In general, foundations are identified as underwriters and corporations as sponsors. Individuals can be either, but in most instances underwriters and sponsors will be foundations and corporations. The amount of publicity and recognition also helps answer the question of whether a funder is an underwriter or a sponsor.

How does sponsoring an immigrant affect me? ›

In essence, sponsoring an immigrant means taking on the legal responsibility of financially providing for the person you sponsor during their time in the United States. By signing Form I-864, you're agreeing that you have sufficient income to take care of the immigrant.

What makes a residency program toxic? ›

Toxic programs may employ punitive tactics, including withdrawing certain benefits if residents use these resources or requiring that coverage that disrupts or unreasonably extends training be paid back.

Why did Grey Sloane lose their residency program? ›

The Residency Shutdown took place at Grey Sloan Memorial Hospital when the Medical Accreditation Council investigated the hospital and decided their program didn't meet acceptable standards.

What age does residency end? ›

In the US, it is typically at least 30: High school graduation at age 18. 4years of medical school means you are 26. Average of 4 years of residency training means you are at least 30.

What is your biggest weakness residency interview? ›

You should answer with a genuine weakness that isn't a deal breaker and that you've taken steps, or are willing to improve. Read on for examples. If you're applying to a program with a heavy emphasis on patient interaction, don't cite poor communication skills as your weakness.

How many interviews do most residency applicants get? ›

The probability of matching is related to the number of contiguous ranks. For allopathic and osteopathic senior medical students, the probability of matching is 80% at around 6–7 contiguous ranks and becomes > 95% at around 11–12. Therefore, the typical applicant should aim for 11–12 interviews.

What makes a strong residency applicant? ›

The priority for residency programs is determining if you're a good fit for them as well as the specialty. Your residency application must demonstrate maturity, growth, a deepened dedication to medicine, as well as an increased focus on what you hope to accomplish with your specialty.

What happens if your program loses accreditation? ›

In some states, the link between losing accreditation and closure is direct. Losing accreditation also means losing state authorization to operate. But on the national level, the link is indirect: According to government regulations, a university must be accredited for students to receive federal financial aid.

What are the consequences of losing Joint Commission accreditation? ›

If a hospital loses its Joint Commission accreditation, which happens only a few times each year across the country, a hospital “could lose its ability to treat commercially insured patients,” said Jim Lott, executive vice president of the Hospital Assn. of Southern California.

Can you lose residency status? ›

Absences of more than 365 consecutive days

You must apply for a re-entry permit (Form I-131) before you leave the United States, or your permanent residence status will be considered abandoned. A re-entry permit enables you to be abroad for up to two years.

What happens if your medical school is not accredited? ›

It's never happened, but if a school was to lose LCME accreditation, any degrees awarded would be deemed invalid. Students would not be eligible to sit for any licensing exams (USMLE) nor would they be eligible to enter the NRMP residency match.

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