Current through Register 2024 Notice Reg. No. 38, September 20, 2024
(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.
1. New section
filed 7-6-2015 as an emergency pursuant to Government Code section
100504(a)(6),
as modified by Senate Bill 75 (Stats. 2015, c. 18); 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).
4. Editorial correction of HISTORY 1 (Register
2019, No. 39).
Note: Authority cited: Section
100504,
Government Code. Reference: Section
100502,
Government Code; and 45 C.F.R.
Sections 155.205 and
155.225.
