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I. EFFECTIVE DATE OF PAYMENT

The effective date of the SAIH payment can be no earlier than the date of the

SAIH application, and/or the date all SAIH eligibility requirements are met.

If the applicant/beneficiary (a/b) does not meet all SAIH eligibility requirements

until a later date during the application processing time frame, benefits will be

effective on the date that all eligibility requirements are met. Unlike SA for SA

facility residents, SAIH eligibility is not tied to the date the FL-2 is signed. See

SA-5200: Eligibility Requirements, II. Level of Care.

II. MONTHLY PAYMENT RATES

Legislation governing the SA In-Home Program authorizes a maximum monthly

payment of 100% of the payment an a/b would receive if he/she resided in an

SA facility and applied for and received the SA Basic rate or the SA Enhanced

rate.

Basic Rate – Effective January 1, 2026, the maximum SA Basic monthly payment for the SA In-Home Program for recipients residing in in-home living arrangements without a diagnosis of Alzheimer's disease or dementia is $1,467 per month (the SA Basic rate of $1,397 + $70 personal needs allowance).

Enhanced Rate – Effective January 1, 2026, the maximum SA Enhanced monthly payment for the SA In-Home Program for recipients with in-home living arrangements with a diagnosis of Alzheimer's disease or dementia is $1,862 per month (the SA Enhanced rate of $1,792 + $70 personal needs allowance).

A. Steps the IMC must take to determine the amount of the

SAIH payment

1. The SA IMC must verify the SAIH a/b’s countable monthly income.

2. The SA IMC must calculate the maximum allowable payment (partial

payment or full payment as applicable).

3. The SA IMC must communicate to the adult services case manager in

writing, using DSS-0031 SAIH Program Interagency Transmittal Form,

the payment amounts for the partial month and ongoing full months as

applicable.

B. Steps the adult services case manager must take

SA-5300 I-II.