Page 537

COMBINED MANUAL

ISSUE DATE 06/2019

INTERIM ASSISTANCE AGREEMENTS

0012.12.03

MFIP, DWP, SNAP: No provisions.

MSA: Follow GA for non-SSI interim assistance.

If the client becomes retroactively eligible for SSI, review the case for retroactive MSA eligibility. Consider the following:

● Only months that GA has been reimbursed through the DHS/SSI interim assistance reimbursement (IAR) process (or months for which the county received reimbursement directly from the client) are eligible for MSA.

● Refer to the DHS Financial Operations MAXIS CASE/NOTE for which months have been reimbursed (see GA above).

● Issue retroactive MSA payment(s) based on the client’s current MSA basic needs grant. Do not include special need items.

● A GA reimbursement may remain due from the client for a specific month. This typically happens when counties are unable to close GA in time to prevent an additional GA payment after SSI begins. If this occurs, budget the full SSI benefit rate, without any disregard, plus the GA for that month against the appropriate MSA standard. The difference would be either the amount of GA the client continues to owe or the amount of MSA to be issued to the client.

NOTE: GRH payment months are not eligible for retroactive MSA.

GA: Require clients to complete an interim assistance agreement (IAA) if their basis of eligibility is:

● Permanent illness.

● Temporary illness.

● Placement in a facility.

● Unemployable.

● Developmental disability/mental illness.

● RSDI/SSI application/appeal pending.

● Advanced age.

● Learning disabled.

OR

● Any time they apply for other benefits or whenever you expect their benefits to be reinstated after a period of suspension.

Clients who are potentially eligible for Supplemental Security Income (SSI) must complete the SSI Interim Assistance Authorization (DHS-1795) (PDF).

Clients who are potentially eligible for other benefits such as RSDI, Workers’ Compensation, Veterans benefits, or private insurance (such as short or long-term disability; or auto, business or home liability insurance) must complete the Interim Assistance Agreement (Non-SSI) (DHS-1795A) (PDF).

Clients who are potentially eligible for both SSI and other benefits must sign both a DHS-1795 and a DHS-1795A.