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C. The Adult Care Home FL-2 (DMA-372-124-ACH) is posted

on the DMA Forms website and should be used for SAIH

cases.

Note: Assignment of the correct SA rate in NC FAST requires that the correct Level of Care Type is selected in Level of Care evidence on the NC FAST dashboard. For each placement type (facility, SA In-Home, and TCL) there is both a “Basic” and an “Enhanced” rate option. Choosing the correct Level of Care Type ensures appropriate rate budgeting. (Refer to NC FAST’s Special Assistance – Level of Care Evidence Job Aid in FAST Help for guidance.)

III. LIVING ARRANGEMENT, COUNTY OF RESIDENCE, AND

MOVING BETWEEN COUNTIES

A. Living Arrangement

A SAIH applicant/beneficiary must live in PLA. The a/b does not have to

live in their own home.

PLA means a private home, apartment, congregate housing, multi-unit

housing with services, public or subsidized housing, shared residence, or

other similar living arrangement approved by the DSS. Refer to

State-County Special Assistance In-Home Case Management Manual V.D. for complete definitions of PLA. The case manager verifies PLA.

Assisted living facility residents are not eligible for SAIH. If the IMC or the

Adult Services Case Manager determines that the a/b is residing in a

licensed approved facility and does not intend to return to a PLA, the

SAIH application should be denied. See SA-3330: Notices. Explain to the

applicant that he/she can apply for SA.

B. County of Residence

The county of residence for an SAIH beneficiary is the county in which the

PLA is located. The beneficiary must live and receive SAIH payments in

the same county.

C. Moving Between Counties

SA-5200 II-III.