Page 10

ELIGIBILITY DETERMINATION ACTIONS the amount of unmet need for both SSI and non-SSI recipients. A. Determine the appropriate ALF/AFCH rate. Add the Personal Needs Allowance. The result is the AG Limit. Subtract the individual’s total net countable income. • The result is the individual’s unmet need. Is the result equal to or greater than $.01? Yes – The individual is income eligible and in need. Continue No – The individual is ineligible for AG. Deny the application and send a Notice of Action (for AG). Stop. Review Medicaid eligibility. Step 11 Was the individual resource ineligible for regular AG and potentially eligible for Conditional Benefits? (Step 8) Yes - Did he/she sign the Agreement To Sell Property? Yes - He/she is eligible for Conditional Benefits. Continue No – He/she is ineligible for AG due to excess resources. Deny the application and send a Notice of Action (for AG). No – He/she is eligible for regular AG benefits. Continue. Step 12 Chapter J Determine the individual’s grant amount. Round the individual’s unmet need to the nearest dollar. • The rounded amount is the grant amount.