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III. TIME FRAMES
A. SAIH Eligibility Determination
1. The application processing time frame for SAIH is the same as it is for
SA facility applications: 45 days for SAA and 60 days for SAD. The
date the applicant signs the DSS-8190 SSI/Non-SSI Application
Workbook starts the application process. All application processing
rules for SA apply to SA In-Home applications. See SA-3110
Application Process, for instructions.
2. The SA IMC must inform the Adult Services Case Manager of • the application date as well as the corresponding processing deadlines • the application number • the applicant’s name and contact information • the applicant’s individual ID number
Always inform the case manager of any applications pending beyond the application processing times.
3. The valid, signed FL-2 indicating the appropriate residential facility
level of care must be received during the application processing time
period.
4. The effective date of SAIH benefits can begin no earlier than the
date of the SAIH application, and/or the date all SAIH eligibility
requirements are met. If the applicant does not meet all SAIH
eligibility requirements until a later date during the processing time
frame, the benefits will be effective the date all eligibility requirements
are met.
Example 1: Mr. Davis applied for SAIH on January 12, 2022.
However, he was not a NC resident for 90 days until February 2, 2022.
Mr. Davis is not eligible for SAIH benefits until February 2, 2022.
Example 2: Mr. Brown applied for SAIH on January 12, 2022. He
provided an FL-2, signed by his family physician dated January 3,
2022, recommending residential facility level of care. He met all other
SAIH eligibility requirements. He is eligible to begin receiving SAIH
payments effective January 12, 2022.
SA-5100 III.