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B. SSI Beneficiaries
A current SSI beneficiary automatically meets the categorical and financial
requirements for SA.
C. Non-SSI Beneficiaries
To receive SA, non-SSI beneficiaries must meet the eligibility
requirements for SSI except for income. In addition, non-SSI beneficiaries
must meet the following requirements:
1. Provide documentation of U.S. citizenship or a qualified alien status.
Refer to SA-3240, Citizenship and Identity.
2. Provide documentation of identity. Refer to SA-3240, Citizenship and Identity.
3. Meet the SA income requirements. Refer to SA-3210, Income.
4. Meet resource requirements. Refer to SA-3200, Resources.
5. Not have made a non-allowable transfer of resources (or established a
non-allowable trust). Refer to SA-3205, Transfer of Resources.
D. NC Innovations Waiver and Special Assistance
Depending on individual circumstances and need, an individual can
potentially receive both Community Alternatives Program (CAP) via the
NC Innovations Waiver and SA in an ACH (or SAIH) at the same time if
they reside in a 5600C Supervised Living facility that is licensed and
eligible to receive SA payments (and which is acceptable per the CAP
Innovations program). The client must still meet all eligibility criteria for SA
as outlined in the SA policy manual.
CAP services via the NC Innovations Waiver are the only type of CAP
services that a Special Assistance or SAIH beneficiary may receive.
E. SA and PACE Cannot Be Received At The Same Time
Individuals who receive Special Assistance cannot receive NC Program of
All-Inclusive Care for the Elderly (PACE) coverage at the same time, as
PACE provides all-inclusive care.
When an active PACE recipient applies for Special Assistance, the PACE
recipient must disenroll from PACE by the end of the SA application
processing time standard (45th/60th day) and meet all other SA eligibility
criteria in order for the SA application to be approved. SA-3100 II.