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DEPARTMENT FOR AGING AND REHABILITATIVE SERVICES AUXILIARY GRANT PROGRAM NON-FINANCIAL REQUIREMENTS 07/19 CHAPTER C, PAGE 26 • He has been discharged, • He has left the home without planning to return, or • Medical evidence indicates he/she will not be returning. 7.4.1. Procedures 7.4.1.1. Initial Application Determine eligibility for the period the individual was in the ALF or AFCH. Determine Medicaid eligibility for the period after he/she left the home based on the Medicaid Manual. Send the “Notice of Action (for AG)”. See Chapter B - 7 for application procedures. 7.4.1.2. Redetermination/Change Send a “Notice of Action (for AG)” to close AG case. Determine Medicaid eligibility based on the Medicaid Manual. If an AG individual returns to the facility/home prior to the effective date of closure, the absence will not affect his eligibility or his grant amount. See Chapter B - 8 for redetermination procedures and Chapter B - 9 for change procedures.
8. Relationship to SSI AG is limited to individuals who are SSI recipients and those who meet all of the SSI eligibility requirements except for income. This requires that an individual’s SSI eligibility be evaluated. If an individual is ineligible for SSI for any reason other than income, the individual is ineligible for AG under SSI recipient policy guidelines. The eligibility worker must determine if an individual has applied for SSI within the last 12 months and if so, the results of that application. Approval or denial of the application affects AG eligibility. If the individual has not applied for SSI within the last 12 months, the worker must determine if the individual must file an SSI application. 8.1. SSI Denial or Closure