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I. EXPLANATION OF SA IN-HOME OPTION

When an individual contacts the county department of social services regarding

SA, the adult services intake worker or the SA income maintenance caseworker

(IMC) must explain to the applicant about the SA In-Home (SAIH) payment

option that allows eligible individuals the opportunity to live in a private living

arrangement (PLA) and receive assistance as an alternative to residential facility

care. Effective January 1, 2023, SAIH beneficiaries are automatically eligible

for Medicaid.

Ask the individual if he/she is interested in this option. If the individual is not

interested in SAIH, document the individual’s choice to make application for SA

and process the application using current Special Assistance policy.

II. COLLABORATION AND COMMUNICATION DURING

ELIGIBILITY DETERMINATION

The determination of SAIH financial eligibility and the case management assessment is conducted simultaneously for SAIH applicants. In order to complete this process, it is essential that the SA IMC and the Adult Services Case Manager establish and maintain open lines of communication to keep each other informed about the status of the SAIH applicants.

A. Policy Manuals

The SA In-Home Program Manual has policy that is unique to the SA In-

Home procedures for SAIH.

1. The SA In-Home Manual, sections SA-5000 through SA-5500,

provides eligibility policy and procedures specific to the SAIH

Program. Unless otherwise instructed in the SAIH Manual, follow

policy in the SA Manual.

2. The State-County Special Assistance In-Home Case Management Manual is used for Adult Services case management policy and procedures.

B. Referral Process

1. When an individual applies for the SAIH program, a referral must be

made to the Adult Services section.

2. Use the DSS-0031 SAIH Program Interagency Referral Form to SA-5100 I-II. SA-5100 II.