PAA Section 300 Technical Eligibility Revised 1011 Sh

User Manual: 300 Technical Eligibility revised 1011

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DEPARTMENT OF HUMAN RESOURCES
FAMILY INVESTMENT ADMINISTRATION PUBLIC ASSISTANCE
TO ADULTS MANUAL
TECHNICAL ELIGIBILITY Section 300 07.03.07.03
Revised 10/11 1
300.1 Eligibility Criteria
To be eligible for PAA in any month, an individual has to be:
A. A resident of Maryland
B. Receiving Social Security Disability Insurance (SSDI), Supplemental Security
Income (SSI), or other cash benefits, or not receiving them through no fault of
their own.
C. Living in an Assisted Living program, a CARE home or in a DHMH Rehabilitative
Residence.
D. Meeting the requirements for income and resources described in Chapter 500 on
Financial Eligibility.
300.2 Residency
To qualify for PAA an individual has to be:
A. A resident of Maryland
B. A resident who resides in Maryland voluntarily and expects to stay here
permanently. A recipient does not lose his resident status if he or she leaves the
State for a limited period of time with intent to return.
C. Living in an Assisted Living program, CARE Home or DHMH Rehabilitative
Residence.
D. .A recipient, who leaves the State to visit friends or relatives or to transact
business and returns to his or her usual place of residence when the purpose of
the visit is accomplished, remains a resident of Maryland.
E. Do not pay PAA to an individual who has been absent from the state for more
than thirty days.
300.3 Persons in Institutions
A. Assistance may not be paid to an individual in a public or private institution for
mental illness or to a resident of a public institution.
B. A public institution is a facility that provides shelter or care to two or more
individuals and operates under the management of a federal, state or local
government agency.
DEPARTMENT OF HUMAN RESOURCES
FAMILY INVESTMENT ADMINISTRATION PUBLIC ASSISTANCE
TO ADULTS MANUAL
TECHNICAL ELIGIBILITY Section 300 07.03.07.03
Revised 10/11 2
C. A resident of a public institution is an individual living in a public institution and
planning to remain there or is confined there by a court commitment. A person is
not considered a resident under the following conditions:
1. Has a definite plan to leave during the current month or following month. For
example, if an individual is in an institution on April 1, but plans to be
discharged and enter a CARE home placement during the same month, the
application can be taken on April 1.
2. Is attending a public education or vocational institution where he is receiving
training and it is necessary for him to live in the institution for the duration of
the training.
3. Is conditionally released from a public mental hospital and lives in the
community where he does not have to abide by the rules and regulations of
the hospital. He may be receiving help and guidance from hospital (usually
on an outpatient basis) which is part of the treatment of his condition.
Note: A customer returning to a state or private medical facility as a continuum
of their care plan for a period less than 30 days is not considered
institutionalized and retains PAA eligibility.
300.4 Application for SSI/SSDI
A. Individuals who are not receiving SSI or SSDI must apply for these benefits as a
condition of eligibility, and provide written verification of application.
B. An individual is eligible for PAA while the application for other benefits is pending.
C. After the application for other benefits has been denied if the denial is through no
fault of the applicant, the customer should be advised to reapply for SSI or SSDI
if his condition worsens.
300.5 Interim Reimbursement Agreement
A. Each Assisted Living and CARE home (Project Home) applicant who is not
already receiving SSI must sign the DHR/FIA 340 Interim Reimbursement
Agreement.
B. This form authorizes the Social Security Administration (SSA) to reimburse the
local department from the customer’s lump sum benefit payment for PAA
payments made during the period in which SSI eligibility was being determined.
DEPARTMENT OF HUMAN RESOURCES
FAMILY INVESTMENT ADMINISTRATION PUBLIC ASSISTANCE
TO ADULTS MANUAL
TECHNICAL ELIGIBILITY Section 300 07.03.07.03
Revised 10/11 3
C. Explain to the customer the requirement to sign the Authorization for
Reimbursement of Interim Assistance (DHR/FIA 340) form to receive State
benefits.
D. If the customer has filed a claim with SSA, SVES or SDX shows an application
filing date or a date indicating when the customer filed an appeal or a decision is
pending.
E. SDX or SVES also provides information about the Interim Assistance
Reimbursement or IAR:
1. In SDX , check screen 2 for the IAR code;
2. In SVES, check screen 6 for the IAR Reimbursement code
F. Below is a listing for the meaning of the number codes for the IAR and IAR
Reimbursement fields in SDX and SVES:
¾ 0 = Essential person record. Applicant did not authorize reimbursement
¾ 1 = Total payment amount is being sent or was sent to a locality
¾ 2 = Part of the payment amount is being or was sent to a locality
¾ 3 = Reimbursement is not being made. Applicant is ineligible, or a retroactive
payment is not due.
¾ 4 = Reimbursable assistance case is pending or denied
¾ 5 = Reimbursable check was returned
Note: If a number from 1 to 5 is entered, do not have the customer sign
a new 340.
G. If there is a 0 entered, review and complete the DHR/FIA 340 and obtain the
customer’s signature, and:
1. Give the Goldenrod copy to the customer;
2. Batch the Yellow copy to your LDSS finance office;
3. Retain the Pink and White copy in the permanent section of the case record,
and
4. Enter the date the customer signed the 340 form in the IAR date field on the
DEM2 screen.
Note: The 340 form is sent to SSA via a system download. Do not send
a copy to SSA.
DEPARTMENT OF HUMAN RESOURCES
FAMILY INVESTMENT ADMINISTRATION PUBLIC ASSISTANCE
TO ADULTS MANUAL
TECHNICAL ELIGIBILITY Section 300 07.03.07.03
Revised 10/11 4
300.6 Living in an Assisted Living, CARE Home or Rehabilitative
Residence
To receive PAA an individual must have been certified for a licensed assisted living
program, a CARE home, or a Department of Health and Mental Hygiene (DHMH)
rehabilitative residence.
A. Assisted Living means care given to an aged or disabled individual in a licensed
protective environment.
1. DHMH licenses assisted living programs, COMAR 10.07.03.
2. Room, board, housekeeping and laundry services are provided.
3. Verification of need is documented on the PAA Disability Certification Form
(DHR/FIA 4350).
B. The Certified Adult Residential Environment (CARE) home, formerly known as
Project Home, provides an alternative to institutional care for disabled adults.
1. CARE homes provide a supportive housing arrangement, help in reaching
community resources, and protective oversight.
2. DHR’s Social Service Administration certifies CARE Homes.
3. Types of CARE Homes
a. A private home that is the residence of the provider and serves a
maximum of three residents.
b. Supervised homes that is not the provider’s residence but may have live-in
staff and serves no more than three residents.
c. Group homes that may be the provider’s residence, have live-in staff and
serves four to eight residents.
C. DHMH Rehabilitative Residences are supervised apartments for disabled adults
who have been recently discharged from state psychiatric hospitals.
¾ DHMH contracts with providers for supportive housing and community
rehabilitative services for the residents.

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