470-2 CONTINUED BENEFITS FOR TEMPORARILY INSTITUTIONALIZED

470-2 CONTINUED BENEFITS FOR TEMPORARILY INSTITUTIONALIZED RECIPIENT

An APA recipient may continue to receive full APA benefits for up to 3 months while living in an eligible institution. To qualify for continued full APA benefits, the individual must meet and fulfill all of the following requirements:

The individual must be eligible for APA benefits in the month that they enter the eligible institution. Individuals who are SSI recipients must also continue to receive SSI benefits in order to qualify for continued APA benefits under this provision.

The individual must continuously reside throughout the affected month in one or more eligible institution.

A physician must certify, in writing, that they expect that the individual will live in the eligible institution for 90 days or less. The physician must submit the certification no later than the 90th day of admission to the eligible institution or by the day of release, whichever is earlier. The Facility Verification Form ( MED 12 ) may be used for this purpose.

The individual must demonstrate that they need to pay some or all the expenses of maintaining a home or living arrangement to which they intend to return. A written statement which specifies this need is enough to verify the individual's need to maintain a home or living arrangement, unless the case worker has reason to believe otherwise.

Individuals expected to be living in an eligible institution for more than 3 months will have their APA eligibility measured against the $200 monthly NHP income limit. If they have countable income equal to or above $200, they are not eligible for APA benefits.