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UPDATED: NOVEMBER 2009

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OTHER ELIGIBILITY REQUIREMENTS

DISTRICT OF FISCAL RESPONSIBILITY (DFR)

Homeless Rule

When a district places a homeless individual/family in temporary housing in another district, the placing district continues to be responsible for providing Medicaid during the individual/family's stay in the temporary housing. If the homeless recipient subsequently moves into permanent housing, the placing district follows the procedures found in OTHER ELIGIBILITY REQUIREMENTS, STATE RESIDENCE, ASSISTANCE TO PERSONS WHO CHANGE RESIDENCY.

NOTE: When a homeless A/R relocates from one district to another and does not wish to return to the first district, s/he is treated as any other A/R moving from one district to another (See OTHER ELIGIBILITY REQUIREMENTS, STATE RESIDENCE, ASSISTANCE TO PERSONS WHO CHANGE RESIDENCY.

Domestic Violence

When an eligible person enters an approved Shelter for Victims of Domestic Violence located in another district following an incident of domestic violence, the district in which the person legally resided at the time of the incident is fiscally responsible for that person while s/he resides in the approved shelter. This rule applies to persons who had been receiving Medicaid prior to the incident as well as to persons who become eligible due to lack of available income and resources while residing in the approved shelter.

This responsibility continues until the person leaves the approved shelter. If the recipient chooses not to return to the former district of legal residence, such district must follow the procedures in OTHER ELIGIBILITY REQUIREMENTS, STATE RESIDENCE, ASSISTANCE TO PERSONS WHO CHANGE RESIDENCY.

Adult Care Facility

When an individual enters an adult care facility (Congregate Care Level II-adult home, enriched housing program or residence for adults) in another district and is or becomes in need of care, the district of fiscal responsibility from which the individual was admitted to the adult care facility is responsible for providing assistance and care. This responsibility continues until there is a “break in need”. (MRG)