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Chapter: 0200 General Program Information Program: MSSI, SFP 7 0240.0000 SSI-Related Medicaid, State Funded Programs This chapter presents general program information about SSI-Related Programs and State Funded SSI-Related Programs, including HCDA and OSS. 0240.0001 Caseload Distribution (MSSI, SFP) Caseload assignments are frequently made according to the characteristics of a given assistance group and the type of assistance received. These breakdowns are called Temporary Cash Assistance cases, Family-Related Medicaid cases or SSI-Related Medicaid cases. Each type may include food stamps.

A Temporary Cash Assistance case or Family-Related Medicaid case may contain one or more of the following types of assistance: Temporary Cash Assistance (TCA), Refugee Assistance Program (RAP), food stamps, Family-Related Medicaid, MEDS or Medically Needy.

An SSI-Related Medicaid case may contain one or more of the following types of assistance: Institutional Care Program (ICP), MEDS-AD, Protected Medicaid (PM), Medically Needy, Emergency Medicaid for Aliens (EMA), Hospice, Home and Community Based Services (HCBS), Modified Project Aids Care (MPAC), Refugee Assistance Program (RAP), Qualified Medicare Beneficiaries (QMB), Working Disabled (WD), Special Low Income Medicare Beneficiary (SLMB), Optional State Supplementation (OSS), Qualifying Individual 1 (QI-1), Home Care for Disabled Adults (HCDA), or food stamps. All programs are Medicaid Programs except OSS, HCDA and food stamps. The Department of Elder Affairs currently handles Home Care for the Elderly (HCE).

A mixed caseload contains one or more Temporary Cash Assistance or Family-Related Medicaid and SSI-Related types of assistance, with or without food stamps. Child in Care cases are frequently specialized due to the special confidentiality requirements and unique policy. Therefore, they are not considered part of the Temporary Cash Assistance or Family-Related Medicaid caseload and the information about the case is limited to eligibility specialists with special confidential security profiles. SSI Related cases may include a Child in Care individual. 0240.0100 SSI-RELATED and STATE FUNDED PROGRAMS (MSSI, SFP) SSI-Related Programs are state administered programs whose policies are based on Title XVI of the Social Security Act, the same law which governs Supplemental Security Income (SSI). The Social Security Administration (SSA) is responsible for determining eligibility for SSI, which is a financial assistance program for the aged, blind, or disabled.

The purpose of all SSI-Related Programs is to provide medical and/or financial assistance to needy individuals who are aged, blind, or disabled in the community or with special living arrangements. Although specific requirements may vary from program to program, the general program (technical) requirements are the same since all are based on SSI policy.

This section presents the legal basis, program overview and general eligibility criteria. 0240.0101 Legal Basis (MSSI, SFP) The legal basis for SSI-Related Programs includes Title XVI (SSI) and Title XIX (Medicaid) of the Social Security Act, Chapter 409 of the Florida Statutes, and Chapters 65A-1, 65A-2 and 65A-4 of the Florida Administrative Code.