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STATE/COUNTY SPECIAL ASSISTANCE MANUAL SA-5250 SPECIAL ASSISTANCE IN-HOME (SAIH) AND TRANSITIONS TO COMMUNITY LIVING (TCL)

TABLE OF CONTENTS

I. Background

II. TCL Supported Housing Slots are offered to the following eligible individuals A. ACH Residents B. Individuals in Private Living Arrangement (PLA) C. Individuals Discharged from State Psychiatric Hospitals who are

Homeless or Have Unstable Housing

III. The County Department of Social Services (DSS) is Notified of the Individuals Approved for TCL

IV. Case Management Provision

V. SAIH Eligibility Criteria for individuals eligible for TCL A. Medicaid

B. SA Policy Section SA-5200 Has Additional SAIH Eligibility

Requirements

C. Community Living Assistance Payments (CLA)

VI. Communication Between the LME/MCO and the DSS A. The DSS Must Receive an Appropriate Release of Information Form to

Release Information B. Two Forms Are Available for Communication Between the DSS IMC

and the LME/MCO Transition or Care Coordinator C. Providing Income Information to the LME D. It Is Critical That the LME Transition Coordinator Receives All Eligibility

Correspondence

VII. Requests from the LME/MCO for SAIH for Individuals Approved for TCL A. No Face-to-Face Interview Required for Active SA-ACH Cases B. Face-to-Face Interview Required for Non-Active SA-ACH Cases