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3. They do not reside with and are not a relative of the child or disabled individual. They must provide assistance 80 hours per month and not on an incidental basis (babysitting).

An individual who is not related to, or living with, the dependent child or disabled individual and has documented caregiving hours for a disabled person of less than 80 hours per month, may apply those hours to unpaid work to meet the community engagement requirement.

All caregivers must verify hours and that the person receiving care is a dependent child or a disabled individual.

Medically Frail: Medically frail includes an individual: Who is blind or disabled per SSA (as defined in section 1614 of the act) With a substance use disorder (but not in treatment program or stable recovery for 5 years or more); With a disabling mental disorder; With a physical, intellectual, or developmental disability that significantly impairs their ability to perform one or more activities of daily living; or With a serious or complex medical condition

Note: Substance use disorder (SUD): Individuals who are in a treatment program for an SUD are excluded from community engagement requirements. Those who are not in stable recovery fall under medically frail. Stable recovery refers to those in recovery for 5+ consecutive years.

Serious or complex medical condition is an acute illness or condition or a Chronic illness or condition. • Acute Illness or Condition: A condition that is serious enough to require specialized medical treatment to avoid the reasonable possibility of: o Death o Permanent harm • Chronic Illness or Condition: A condition that is: o Life-threatening, degenerative, potentially disabling, or congenital o Requires specialized medical care over a prolonged period of time

A medically frail individual is excluded from meeting the community engagement requirements if the condition impacts the ability to work or to meet community engagement requirements of 80 hours/month.

Effective Date: 07/01/2026