Special Assistance SA-3210 INCOME

Re-Issued 01/01/2012 CN 05-11

I. INTRODUCTION

This section explains the steps to verify and calculate the countable income for Supplemental Security Income (SSI) and non-SSI applicants/recipients of SAA/SAD. This section also contains instructions for assisting the Special Assistance (SA) applicant/recipient (a/r) to access his/her maximum entitlement income amount. All documentation referred to in this section must be completed in the DAAS-8190-S, SA Workbook for SSI Recipients or the DAAS-8190-NS, SA Workbook for Non-SSI Recipients at each application or redetermination.

Each SA a/r and/or his/her authorized representative must be informed that he/she must apply for all benefits to which he/she may be entitled, including receiving the maximum benefit for which the he/she is eligible. This includes SSI, Social Security Retirement, Survivors, and Disability Insurance (RSDI), Veteran’s benefits, Railroad Retirement, Black Lung, Worker’s Compensation, a union or private employer pension, a civil service pension, or other such income. Sections II-IX provide in-depth guidance and instructions to assure that the a/r is receiving all income to which he/she is entitled and is receiving, at a minimum, the SSI Federal Benefit Rate (FBR). See definition in item II.

Note: The SA a/r cannot waive or renounce benefits to which he/she may be entitled in order to

become eligible for SA.