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STATE/COUNTY SPECIAL ASSISTANCE MANUAL SA-5200 ELIGIBILITY REQUIREMENTS

TABLE OF CONTENTS

I. SAIH and Medicaid A. SAIH Beneficiaries Are Automatically Eligible for Medicaid B. SAIH and PACE Cannot Be Received At the Same Time C. NC Innovations Waiver and SAIH

II. Level Of Care (FL-2) A. SAIH Payment Begins the Date the Application is Made and Is Not

Tied to the Date the FL-2 Is Signed B. Application Cannot Be Approved Until Signed FL-2 Is Received and Social Work Comprehensive Assessment Is Completed C. Adult Care Home FL-2 Should Be Used for SAIH Cases

III. Living Arrangement, County of Residence, and Moving Between Counties A. Living Arrangement B. County of Residence C. Moving Between Counties

IV. Resources A. Resource Limit B. Countable Resources C. Transfer of Resources

V. Income A. Requirement to Receive All Benefits to Which Entitled B. Income Below the Individual SSI FBR C. Payment Calculations D. Special Assistance Rates and FBR Chart

VI. Redeterminations A. Requirement for Annual Eligibility Redetermination B. Requirement for Annual Reassessment

VII. Changes in Situation A. IMC and Adult Services Case Manager Must Notify Each Other B. Determining Eligibility When Applying for SA from SAIH