Page 12

DEPARTMENT FOR AGING AND REHABILITATIVE SERVICES AUXILIARY GRANT PROGRAM NON-FINANCIAL REQUIREMENTS 07/19 CHAPTER C, PAGE 11 Income benefits, refer the individual to the Disability Determination Services (DDS) to request a determination of blindness. 2.3. Disabled For an individual who is age 18 or older, disability is defined as the inability to do any substantial gainful activity (work) because of a severe, medically determinable physical or mental impairment which has lasted or is expected to last for a continuous period of not less than 12 continuous months, or which is expected to result in death. Note: A disabled individual’s Medicaid Aid Category is “052”. 2.3.1. SSI/SSA Recipient An SSI or SSA recipient who receives SSI or SSA as disabled meets the disabled definition for AG. Verify the individual’s SSI/SSA eligibility via SVES (State Verification Exchange System). Note: An individual whose SSI payment has been suspended is not considered an “SSI recipient” throughout the suspension period. An individual who has been classified as “presumptively” eligible for SSI is not considered an SSI recipient for AG or Medicaid purposes. 2.3.2. Mandatory SSI Applicant An individual who is required to apply for SSI will have his disability determined by the SSA program. 2.3.2.1.Initial Application His application will be held pending until an SSI decision is made or until the 45th day from the receipt of the application, whichever occurs first. If a decision is not made by DDS by the 45th day, the applicant will be evaluated as “not disabled”. If the individual does not meet any other covered group, the application will be denied. The worker shall encourage the applicant to re-apply once a favorable disability decision is made. Retroactive coverage is not available in AG. 2.3.2.2.Redetermination/Change His grant will be suspended until an SSI decision is made or by the 30th day from the date of receipt of the renewal or change.