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B. SA Policy Section SA-5200 has SAIH eligibility

requirements including a current FL-2 level of care (FL-2)

and PLA requirement.

C. Community Living Assistance payments (CLA)

CLA is intended to assist Individuals approved for TCL who do not

qualify, or have not yet qualified, for SAIH to assist with ongoing

community living health and safety expenses, including rent. CLA is not an

entitlement program and approvals/payments are based on available

funding. The LME/MCO transition coordinators determine eligibility for

these funds.

CLA payments can be classified into two categories of funding:

1. Ongoing CLA because the individual is not qualified for SAIH when

he/she is not living in an Adult Care Home

2. Temporary CLA because the individual is changing Medicaid home

county and/or SAIH payments are likely to be delayed.

The combination of the individual’s income plus CLA shall not exceed the

maximum rate set by the legislature for the SAIH Program. If SAIH is

approved, the CLA stops once those payments begin. If there is an

overlap of CLA and SAIH funding, the individual must pay back the

excess CLA funds. CLA is intended to support the individual in a

community setting by providing funding to meet health and safety needs

including rental assistance for permanent housing but an individual may,

on rare occasions, use CLA funds for temporary housing if necessary. Use

of CLA for temporary housing is time limited, not to exceed 28 days.

CLA funding is not a countable source of income for SA.

VI. Communication Between the LME/MCO and the DSS

Early and frequent communication between the LME/MCO transition coordinator

and the DSS IMC regarding SAIH is critical to avoid interruption and/or

termination of benefits.

A. The DSS must receive an appropriate release of

information form to release information.

SA-5250 V-VI.