SI BOS01415.012 Rhode Island Optional State Supplementary Payments

A. INTRODUCTION

The Rhode Island optional State living arrangement variations are defined in POMS SI 01415ff, Federally Administered Optional State Supplementary Programs. This Regional transmittal supplements those definitions with additional instructions, for living arrangement category D, to assist in the administration of the State supplementary payments. See POMS SI BOS01415.950 for Rhode Island Optional State Supplement Payment Charts – 1974 to present.

B. Residential Care/Assisted Living (D)

1. Definition

Optional State supplement category D became effective October 1, 1990. From 10/1/90 through 9/30/98, this living arrangement was called “Shelter Care.”

This optional State supplement category, which is used in conjunction with Federal living arrangement A, applies to adult individuals only. Members of a couple are not eligible for this optional State supplement category.

Beginning December 1, 1998, any individual living in a State licensed residential care/assisted living facility can be in either optional State supplement category A or D. Individuals are determined to be in optional supplement category D if they meet one of the following:

  • The individual was paid at the optional State supplement category D rate in October 1998 or November 1998 (SSA considers these individuals to be “grandfathered”), or

  • The individual is certified by the Rhode Island Department of Elder Affairs (DEA) as eligible for an optional State supplement category D payment.

Anyone living in a State licensed residential care/assisted living facility who does not meet one of the above criteria is determined to be in optional State supplement category A.

A list of the residential care/assisted living residences is available on the intranet.

2. Certification

The Rhode Island Department of Human Services (DHS) is responsible for notifying SSA of individuals in residential care/assisted living facilities who have been certified as eligible for the living arrangement D payment level (providing all other SSI eligibility criteria are met). The Rhode Island Department of Elder Affairs (DEA) is the DHS's designated agent for certification.

All individuals who received a category D payment in October 1998 or November 1998 will be forever exempt from the screening, assessment, and certification process.

Exhibit 1 is a facsimile of the form that is used to verify the individual is eligible for optional State supplement category D. This form is required for all new individuals entering this category.

3. Process

Upon receipt of the residence verification form, query the SSN to determine whether the resident is a current SSI recipient. If so, the form serves as verification of eligibility for the D payment level and notice to initiate living arrangement development. If no current SSI eligibility exists, the notice of eligibility should be addressed as a lead per POMS SI 00601.035.

Residents certified for optional State supplement category D, or a relative/representative, will be advised by the DEA to contact SSA to file for SSI; therefore, expression of interest to file an application may be made prior to receipt of the residence verification form. Normal protective filing rules apply; i.e., protective filing will be established by contact from the proper applicant or receipt of the verification form, whichever comes first. An application may be initiated before the form is received; however, under no circumstances should the SSR be updated to reflect the optional State supplement category D until a residence verification form is received in the SSA field office.

Exhibit 1

SSI ASSISTED LIVING ARRANGEMENT - CATEGORY D VERIFICATION

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To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0501415012BOS
SI BOS01415.012 - Rhode Island Optional State Supplementary Payments - 10/11/2006
Batch run: 01/27/2009
Rev:10/11/2006