Special Assistance SA-3100 ELIGIBILITY REQUIREMENTS

Re-issued 09-01-2010

I. INTRODUCTION

State/County Special Assistance (SA) is a Supplemental Security Income (SSI) state supplement that pays cash benefits to eligible recipients who reside in licensed facilities authorized to receive SA payments. The SA payment is funded by 50% county dollars and 50% state dollars.

To be eligible for SA, an individual must be eligible for SSI, or ineligible for SSI solely due to income. Each applicant/recipient (a/r) for State/County Special Assistance must apply for all benefits to which he/she may be entitled, including receiving the maximum benefit for which the applicant is eligible. This includes, but is not limited to SSI. If the a/r’s income is less than the Federal Benefit Rate for SSI, after applying appropriate income exclusion up to $20, the a/r is required to apply for SSI. See SA-3110, Application Processing. See EIS-1109 for instructions on how to access the On Line Verification (OLV) system to verify SSI and Social Security incomes.

SA recipients are automatically eligible for Medicaid. SA recipients who do not receive SSI obtain Medicaid coverage because they are eligible for SA. SA recipients who receive SSI obtain Medicaid coverage because they are SSI recipients. Medicaid provides coverage for personal care services and other Medicaid covered services. This section outlines basic eligibility requirements for the receipt of Special Assistance.

Note: Throughout SA policy any references to the applicant or the recipient also always apply to the a/r’s Authorized Representative.