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115 | P a g e October 25 • Household whose members' health and/or well-being would likely be endangered without the availability of their primary heat source or emergency cooling assistance which may include those who suffer more severe adverse effects from extreme temperature changes or exposure to extreme temperatures due to a medical condition. • Additional special circumstances are considered on case-by-case basis and determined by LIHEAP specialists at sub-contracting local sub-grantees. LOCAL CONTRACTOR (SUB-GRANTEE) – The LIHEAP eligibility unit, local office. LOCAL ELIGIBILITY OFFICE (SUB-GRANTEE) – Community-based organizations in the state that provide client education and receive and process applications for the LIHEAP and/or Weatherization Assistance Programs. LUMP SUM PAYMENTS – Countable income A single sum of money paid all at once rather than in part or in installment payments. MEANS TESTED BENEFIT – A benefit that requires examination of all countable income of all household members, and potentially other eligibility criteria such as household assets, to determine eligibility. MEANS TESTED VETERANS’ PROGRAMS – Need-based assistance for military veterans administered by the U.S. Department of Veterans Affairs. Examples may include pensions for wartime veterans, who are age 65 or older or have a permanent and total non-service- connected disability, and who have limited income and net worth as well as needs-based programs for homeless veterans. MEDICALLY NEEDY – A person or family otherwise eligible for Montana Medicaid (medical assistance) but whose income exceeds medically needy income levels. A medically needy case may or may not have an incurment. MEDICARE SET ASIDE ACCOUNTS – A sum of money set aside to pay the medical costs for a specific injury or illness. The money in the Medicare set aside arrangement comes from one of three sources: (1) settlement of a worker’s compensation claim; (2) settlement of a liability lawsuit; or (3) settlement of a no-fault car accident claim. Money in this type of account must go toward future medical expenses related to injury or illness. If account holders do not manage their MSA account properly, pay more than the approved amount for a treatment or service, or pay for non-allowable expenses from the account, they can face some serious repercussions, such as paying back the overages/improperly spent funds and jeopardizing future Medicare benefits. These funds will not be counted as a resource because they are penalized if the funds are used inappropriately. The client must turn in receipts for use of these funds.