Cal. Code Regs. Tit. 10, § 6854 - Certified Application Entity Application

Current through Register 2022 Notice Reg. No. 16, April 25, 2022

(a) An organization who is eligible pursuant to Section 6852 may apply to become a Certified Application Entity according to the following process:
(1) The organization shall submit all information, documentation, and declarations required in subdivision (b) of this section.
(2) The application shall demonstrate that the organization is capable of carrying out at least those duties described in Section 6864.
(3) The Exchange shall review the application and, if applicable, request any missing information.
(4) Organizations who have submitted a completed application and demonstrated ability to meet the above requirements shall:
(A) Be notified by the Exchange of available opportunities for the entity's Authorized Contact, or his or her designee, to complete the training requirements established pursuant to Section 6860, subdivision (a); and
(B) Submit the following:
1. An executed agreement conforming to the roles and responsibilities defined in Section 6864 and 45 C.F.R. § 155.225 (March 8, 2016), hereby incorporated by reference. Any person with the legal authority to bind the organization in contract may execute an agreement;
2. Proof of general liability insurance with coverage of not less than $1,000,000 per occurrence with the Exchange named as an additional insured.
(5) Organizations that complete the above requirements shall be registered as a Certified Application Entity by the Exchange and assigned a Certified Application Entity Number. If the Authorized Contact, or his or her designee, fails to complete the training standards described in Section 6860, subdivision (a), within 90 calendar days, the applicant shall be deregistered.
(6) Organizations who have been denied may appeal the denial of their Certified Application Entity application through the process set forth in Section 6862.
(b) A Certified Application Entity application shall contain the following information:
(1) Full name;
(2) Legal name;
(3) Primary contact e-mail address;
(4) Primary phone number;
(5) Secondary phone number;
(6) Website address;
(7) Applicant's status as a non-profit, for-profit, or governmental organization, and a copy of supporting documentation;
(8) The type of organization and, if applicable, a copy of the license or other certification;
(9) A certification that the applicant complies with Section 6866;
(10) An attestation that the entity will serve families of mixed immigration status;
(11) An attestation that the entity will serve individuals with disabilities;
(12) Whether applicant receives any federal or state grant funding;
(13) For the primary site and each sub-site, the following information:
(A) Site Location Address;
(B) Mailing Address;
(C) County;
(D) Primary Contact name;
(E) Primary e-mail address;
(F) Primary phone number;
(G) Secondary phone number; and
(H) Hours providing enrollment assistance.
(14) A certification by the Authorized Contact that the information presented is true and correct to the best of the signer's knowledge;
(15) For each individual to be affiliated with the applicant as a Certified Application Counselor:
(A) All information required by Section 6856 that is not already included elsewhere in the application;
(B) Languages that the individual can speak; and
(C) Languages that the individual can write.

Notes

Cal. Code Regs. Tit. 10, § 6854

Note: Authority cited: Section 100504, Government Code. Reference: Section 100502, Government Code; and 45 C.F.R. Sections 155.205 and 155.225.

1. New section filed 7-6-2015 as an emergency pursuant to Government Code section 100504(a)(6); operative 7-6-2015 (Register 2015, No. 28). A Certificate of Compliance must be transmitted to OAL by 7-6-2018 pursuant to Government Code section 100504(a)(6) or emergency language will be repealed by operation of law on the following day.
2. Refiling of 7-6-2015 order on 9-21-2017, including amendment of subsections within subsection (b), as a deemed emergency pursuant to Government Code section 100504(a)(6); operative 9-21-2017 (Register 2017, No. 38). Senate Bill 833 (stats 2016, c.30) modified Government Code section 100504(a)(6) to extend the date upon which a Certificate of Compliance must be transmitted to OAL; a Certificate of Compliance must be transmitted to OAL by 7-6-2020 pursuant to Government Code section 100504(a)(6) or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 7-6-2015 order, including amendment of section and Note, transmitted to OAL 4-25-2019 and filed 6-7-2019; amendments operative 6-7-2019 pursuant to Government Code section 11343.4(b)(3) (Register 2019, No. 23).

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