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Special Assistance Administrative Letters


I. Background and Content of Change

II. Entering SAB Cases as SA into the Eligibility Information System (EIS)

III. New Ambulation Capacity Code “M” for Certain SAB Recipients with Medical Care Special (MCS) Expenses

IV. Manual Approval Notice Required for All SAB Transition Approvals

V. Applications On or After September 1, 2010

VI. Reports

Division of Aging and Adult Services

Amount


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Administrative Letter No. 10 – 15, Counties Receiving Special Assistance for the Blind Cases

N.C. Division of Aging and Adult Services, Adult Services Section

Date:

August 10, 2010

   

Subject:

Counties Receiving Special Assistance for the Blind Cases

   

Distribution:

County Directors

Special Assistance Supervisors

Adult Services Supervisors

   

Effective Date:

September 1, 2010

Alamance

Cleveland

Gaston

Lee

Orange

Vance

Alexander

Craven

Guilford

Lincoln

Pasquotank

Wake

Buncombe

Cumberland

Halifax

Martin

Pender

Watauga

Burke

Durham

Harnett

Mecklenburg

Person

Wayne

Cabarrus

Franklin

Haywood

Moore

Robeson

Wilkes

Catawba

         

I. Background and Content of Change

II. Entering SAB Cases as SA into the Eligibility Information System (EIS)

III. New Ambulation Capacity Code “M” for Certain SAB Recipients with Medical Care Special (MCS) Expenses

Total Countable Monthly Income (TCMI) after applicable deductions and exclusions, including the $20 general income exclusion

$ 704.47

SA Payment

+ 649.00

Variable Maintenance Amount (round to nearest dollar)

$ 1353.47

Variable Maintenance Amount

$ 1353.00

IV. Manual Approval Notice Required for All SAB Transition Approvals

V. Applications On or After September 1, 2010

VI. Reports

If you have any questions regarding this information, please contact your Adult Programs Representative or Brenda Porter at 919-733-3818.

Sincerely,

DWS/SPM:bp

Attachments:

Attachment 1: SAB case numbers by county

Attachment 2: Letter to facilities with active SAB cases

Attachment 3: Letter to SAB active recipients

Attachment 4: DAAS 8190S/NS Attachment A

 

Attachment 1

 

County DSS Number of SAB Transition Cases

       

 

 

 

 

County

Adult

Children

Total

Alamance

3

 

3

Alexander

1

 

1

Buncombe

5

 

5

Burke

1

1

2

Cabarrus

 

1

1

Catawba

1

1

2

Cleveland

 

1

1

Craven

1

 

1

Cumberland

1

3

4

Durham

1

3

4

Franklin

2

1

3

Gaston

2

4

6

Guilford

2

 

2

Halifax

1

 

1

Harnett

 

2

2

Haywood

2

 

2

Lee

 

1

1

Lincoln

1

1

2

Martin

1

 

1

Mecklenburg

 

1

1

Moore

1

1

2

Orange

1

 

1

Pasquotank

1

 

1

Pender

2

 

2

Person

 

1

1

Robeson

 

1

1

Vance

1

 

1

Wake

5

7

12

Watauga

1

 

1

Wayne

 

1

1

Wilkes

 

1

1

August 10, 2010

TO: FACILITIES RECEIVING PAYMENTS FROM RESIDENTS WITH SPECIAL

ASSISTANCE

FROM: Division of Aging and Adult Services

Dennis W. Streets, Director

Division of Services for the Blind

Eddie Weaver, Director

SUBJECT: Consolidation of Special Assistance for the Blind Program with the State/County Special Assistance for Adults Program

Special Assistance for the Blind (SAB) is being consolidated with the State/County Special Assistance for Adults (SA) Program. The SAB Program, currently administered by the Division of Services for the Blind, will now be administered by the Division of Aging and Adult Services, Adult Services Section, which oversees the SA Program. This change was enacted by the North Carolina General Assembly in Session Law 2010-31 (Senate Bill 897), which was ratified on

June 30, 2010. The goal for the consolidation of the two programs is to eliminate duplication and streamline access to services for applicants and recipients of the programs.

The consolidation of the two programs is effective September 1, 2010. All case record information will be at the county department of social services (DSS) where the recipient lived in a private residence prior to entering a facility (their county of residence). SAB recipients have been sent correspondence instructing them to contact the DSS in their county of residence to report any changes in their situation. A copy of the letter to recipients is included as an attachment to this letter. The county DSS income maintenance worker will contact the recipient when it is time for a case eligibility review and redetermination. All new applicants must make an application with the DSS in their county of residence. DSSs in all counties will take courtesy

applications with the permission of the county of residence, if it is more convenient for the applicant.

SAB recipients receiving Medical Care Special payments will continue to receive these payments based on receipts submitted to the DSS case worker at their annual eligibility review and redetermination. No additional Medical Care Special payment cases will be approved under the consolidation of the two programs.

We anticipate a smooth transition. Current SAB recipients should receive a payment from the SA Program in the same amount they received from the SAB Program. Effective

October 1, 2010, recipients will receive the first check from the SA Program, and will no longer receive a check from the SAB Program. Recipients will receive a new Medicaid card with their October SA check. The Medicaid identification number will not change nor will the Medicaid coverage. The new Medicaid cards should be used instead of the old ones beginning

October 1, 2010. Old Medicaid cards should be shredded and discarded.

Any changes in the SA recipient’s situation should be reported to the county DSS which is assigned to handle the case (the DSS in the county of residence). Enclosed with this letter you will find a list of residents in your facility receiving SAB, their county of residence, and the contact information for the county DSS. The DSS listed is the DSS which will now handle the SA case.

If you should have questions concerning this change, please contact either:

Attachments

EW:cj/ddt

DWS:cu

cc: Mary Flanagan Social Services Supervisors

Cynthia Joos Social Workers for the Blind

Suzanne Merrill Debbie Tutor

Chris Urso Brenda Porter

DAAS Adult Programs Representatives Melodee Stokes

DSS Special Assistance Supervisors

Division of Services for the Blind

309 Ashe Avenue • 2601 Mail Service Center • Raleigh, NC 27699-2601

Eddie Weaver, Director

919-733-9822 • Fax 919-733-9769

Division of Aging and Adult Services

693 Palmer Dr. • 2101 Mail Service Center • Raleigh, North Carolina 27699-2101

Dennis W. Streets, Director

919-733-3818 • Fax 919-715-0023

Beverly Eaves Purdue, Governor Lanier M. Cansler, Secretary

August 10, 2010

Dear Special Assistance for the Blind Consumer:

Subject: Consolidation of the Division of Services for the Blind

Special Assistance for the Blind (SAB) Program with the Division

The Division of Services for the Blind’s Special Assistance for the Blind (SAB) Program is being combined with the Division of Aging and Adult Services’ State/County Special Assistance (SA) Program. This change is a result of the North Carolina General Assembly passing Senate Bill 897 on June 30, 2010 to eliminate duplication of programs and improve access to services.

The SA Program operates much the same as the SAB Program does. If you reside in a licensed adult care home or specialized community residential center, you will receive a payment from the SA Program in the same amount you received

(Attachment 3, continued)

from the SAB Program. Effective October 1, 2010, will receive your first check from the SA Program, and you will no longer receive a check from the SAB Program. You will receive a new Medicaid card with your October SA check. Your Medicaid identification number will not change nor will your Medicaid coverage. Your new Medicaid card will have new dates. Use the new Medicaid card beginning October, 1, 2010. You should shred and discard the old Medicaid card.

Any changes in your situation should be reported to the county department of social services (DSS) which handles your case. The DSS which handles your case is the last county in which you lived in a private residence. Attached to this letter is an SA contact list, including the addresses for county department of social services. You will hear from your new SA income maintenance case worker when it is time for an eligibility review/redetermination.

The Division of Services for the Blind has enjoyed serving you, and we anticipate a smooth transition with combining these two programs. If you should have questions concerning this change, please contact either:

(Attachment 3, continued)

Eddie Weaver, Director

Division of Services for the Blind

Attachment

EW:cj/ddt

DWS:cu

cc: Mary Flanagan

Cynthia Joos

Debbie Tutor

Suzanne Merrill

Chris Urso

Brenda Porter

Social Services Supervisors

Social Workers for the Blind

DAAS Adult Programs Representatives

DSS Special Assistance Supervisors

Attachment 4

DEPARTMENT OF HEALTH AND HUMAN SERVICES

AMBULATION CODE ‘M” CASES VERIFICATION OF ELIGIBILITY/BUDGET

REVISION IN PAYMENT: Redetermination [ ] Desk Revision [ ]

COUNTY________________________ Date____________ EIS Case ID _ _________

CLIENT Last Name______________________ First Name _____________ ________

1. Monthly Requirements

Amount

2. Monthly Income

Amount

       

a. Personal Needs Allowance

$_________

a. Total Net Earned Income

$_________

       

b. Licensed Facility Rate

$_________

b. Unearned Income

 
   

1. SSI

$_________

c. Medical Care Special

$_________

2. RSDI

_________

(Monthly amount verified on completed Medical Expense Form)

 

3. Other unearned

_________

 

4.Total Unearned Income

$_________

d. Total of a, b, and c Equals the Variable Maintenance Amount

$_________

c. TOTAL INCOME

(Total Net Earned + Total Unearned)

$_________

   

d. Subtract any Applicable income exclusions (-)

$_________

       

E. Equal Total Countable Monthly Income (TCMI)

$_________

       

Variable Maintenance Amount (1. d.)

$_________

 
     

Subtract TCMI (2.e.) (-)

Note: If TCMI is greater than Variable Maintenance Amount, a/r is not eligible for SA.

$_________

 

Deficit

$_________

 
 

SA Payment

$________

 

Note: For “M” Cases: In EIS the TCMI plus SA Payment must equal the Maintenance Amount

   
     

Additional Explanation/Comments: ___________________________________________

DAAS-8190S/DAAS8190NS – Attachment A

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