Administration: Colorado Department of Human Services.

Administration: Colorado Department of Human Services.

Effective date: January 1, 1974.

Statutory basis for payment: Colorado Revised Statutes 26-2 , section 202-209 , 1973, as amended.

Administration: 80 percent state funds, 20 percent local funds.

Assistance: 100 percent state funds for the aged; 80 percent state funds, 20 percent local funds for the blind and disabled.

Passalong method: Maintaining total expenditures.

Place of application: County Human Services offices.

Scope of coverage: Optional state supplement provided to all SSI recipients, including children, residing in the specified living arrangements (see Table 1). Persons living in the household of another are included under the living independently standard; state supplement is increased to offset the reduced federal payment. At age 65, a disabled recipient may elect to transfer to the aged category or remain in the disabled category.

Resource limitations: Same as federal. The net current market value of property (after deducting the amount of indebtedness or encumbrances) is considered in determining resources.

Income exclusions: Same as federal.

Recoveries, liens, and assignments: None.

Responsibility of relatives: Spouse for spouse.

Interim assistance: State participates.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels (in dollars) Living arrangement Combined federal and state State supplementation Individual Couple Individual Couple Living independently or in the home of another a 582.00 1,164.00 37.00 347.00 Living in adult foster care 784.00 1,559.00 b 239.00 742.00 b Receiving home care c 948.00 . . . 403.00 . . . NOTE: . . . = not applicable. a. State supplement is increased to offset the reduced federal payment for persons living in the home of another. b. Couples are treated as two individuals the month after leaving an independent living arrangement. c. Represents maximum allowance. Lesser amounts may be paid according to the amount of home care needed. DEFINITIONS: Living independently or in the home of another> Includes recipients who reside in a federal Code A or B living arrangement, meet the state eligibility requirements, and do not qualify for other state arrangements. Living in adult foster care Includes recipients who reside in a federal Code A living arrangement and are residing in an approved supervised living facility known as an adult foster home. Receiving home care Includes recipients who receive care in their own home from qualified personnel and who would otherwise be in a nursing home if this care were unavailable.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2002 Living arrangement Total Aged Blind Disabled Adults Children a All recipients 34,982 20,420 27 13,782 753 Living independently or in the home of another 29,238 17,548 15 11,278 397 Adult foster care 116 25 0 91 0 Home care 5,628 2,847 12 2,413 356 a. Includes blind children.

Colorado Department of Social Services.

Funeral expenses: If cost of funeral home or cemetery does not exceed $2,500, the benefit maximum is $1,500. If cost exceeds $2,500, no assistance is provided.

Other: County social services boards may choose to provide optional supplementation for other special needs circumstances.

Criteria: SSI program guidelines (Title XVI).

Determined by: Social Security Administration.

State does not provide a program for the medically needy.

The Social Security Administration obtains this information.

Administration: Social Security Administration.

Administration: Social Security Administration.

Effective date: January 1, 1974.

Statutory basis for payment: General Laws of the Commonwealth of Massachusetts, chapter 118A, section 1.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Social Security Administration field offices.

Scope of coverage: Optional state supplement provided to every aged, blind, and disabled SSI recipient, including children, and recipients in private medical facilities where the Medicaid program provides 50 percent or less of the cost of care.

Resource limitations: Federal SSI resource limitations apply.

Income exclusions: Federal SSI income exclusions apply.

Recoveries, liens, and assignments: None.

Responsibility of relatives: None.

Interim assistance: State participates.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels (in dollars) Living arrangement State code Combined federal and state State supplementation Individual Couple a Individual Couple a Living independently A Aged 673.82 1,018.72 128.82 201.72 Blind 694.74 1,389.48 149.74 572.48 Disabled 659.39 997.06 114.39 180.06 Shared living expenses B Aged 584.26 1,018.72 39.26 201.72 Blind 694.74 1,389.48 149.74 572.48 Disabled 575.40 997.06 30.40 180.06 Living in the household of another C Aged 467.70 760.47 104.36 215.80 Blind 694.74 1,389.47 331.40 844.80 Disabled 450.92 738.85 87.58 194.18 Living in a licensed rest home E Aged and disabled 838.00 1,676.00 293.00 859.00 Blind 694.74 1,389.48 149.74 572.48 Living in a Medicaid facility F 65.00 130.00 35.00 70.00 Living in an assisted living facility G 999.00 1,498.00 454.00 681.00 NOTE: Blind individuals aged 65 or older are entitled to the highest payment category for which they qualify. a. The amounts given apply when both members of a couple belong to the same eligibility category. When members belong to different eligibility categories, the two respective individual benefits are added to obtain the couple's benefit. DEFINITIONS: A: Living independently Includes recipients who live: Alone; Only with an eligible spouse; With an eligible spouse and with ineligible children who do not receive income maintenance payments; or With an ineligible spouse or ineligible children none of whom receive income maintenance payments. Also includes recipients residing in a federal Code C living arrangement who do not live with any persons receiving income maintenance payments. Persons not meeting these criteria may be included if they are residing in a federal Code A or C living arrangement and pay at least two-thirds of the household expenses. Recipients living in public congregate housing developments are also included. B: Shared living expenses Includes recipients who are residing in a federal Code A or C living arrangement and do not meet the criteria for state living arrangement A or E. It therefore includes recipients who reside in group care facilities such as halfway houses, private medical facilities where Medicaid is paying 50 percent or less of the cost of care, foster homes, commercial boarding homes, or in other facilities that do not meet the criteria for state living arrangement A or E. It also includes: Recipients who reside in households where they do not pay at least two-thirds of the household expenses and one or more household members receive an income maintenance payment; and Transients, the homeless, and residents of public emergency shelters. C: Living in the household of another Includes recipients residing in a federal Code B living arrangement. E: Living in a licensed rest home Includes recipients residing in a licensed rest home that has a provider agreement with the state. F: Living in a Medicaid facility Includes recipients residing in a federal Code D living arrangement. G: Living in an assisted living facility Includes recipients residing in nonpublic subsidized assisted living facilities that have been registered with the state.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2002 Living arrangement State code Total Aged Blind Disabled Adults Children All recipients 162,740 45,810 3,290 93,400 20,240 Living independently A 78,290 28,510 1,480 42,530 5,770 Shared living expenses B 68,020 12,130 1,340 41,560 12,990 Living in the household of another C 10,520 2,760 440 6,160 1,160 Living in a licensed rest home E 1,970 780 0 1,180 10 Living in a Medicaid facility F 2,930 810 20 1,790 310 Living in an assisted living facility G 1,010 820 10 180 0

Department of Transitional Assistance and Commission for the Blind.

Vendor payments in lieu of cash payments.

Disaster benefits: Replacement of specific items of furniture, household equipment, supplies, food, and clothing for SSI recipients when these items were lost because of a natural disaster or fire. (Amounts exempted in determining SSI eligibility.)

Burial expenses: Payment of funeral and burial expenses for SSI recipients shall not exceed $1,100, and the total expense shall not exceed $1,500. When a resource exists, it is deductible from the total expense (maximum $1,500), and the payment by the department must not exceed $1,100 of the balance.

Rest home subsidies: When cost exceeds the total available income, excluding personal needs allowance, the state will pay difference up to established maximum rates.

Moving expenses: The cost of moving within the state for SSI recipients may be paid once in a 12-month period if:

Present living quarters have been certified as substandard,

Moving to new quarters is necessary because of health problems or lack of safety in old neighborhood,

Recipient is moving into federal or state subsidized housing, or

Recipient is forced to move for other reasons.

Total payment not to exceed $150.

Homemaker and housekeeper services: The Department of Elder Affairs performs homemaker and housekeeping services for recipients aged 60 or older. The Department of Transitional Assistance provides these services for recipients under age 60.

Criteria: SSI program guidelines (Title XVI).

Determined by: Social Security Administration.

State provides a program for the aged, blind, and disabled medically needy.

The Social Security Administration obtains this information.

No recipients.

Administration: State Department of Social Services.

Effective date: January 1, 1974.

Statutory basis for payment: Connecticut General Statutes, section 17b-600 .

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Regional offices of state agency.

Scope of coverage: Optional state supplement provided to all aged, blind, and disabled SSI or Title II recipients living alone or with others. No provision is made for essential persons. Only blind children are eligible for supplementation. Blind and disabled recipients are reclassified as aged upon reaching age 65.

Resource limitations: No limit on real property occupied as a home. Equity in real property other than a home must be liquidated. Value of personal property (excluding household and personal effects, car if needed, and tools and equipment or livestock essential to production of income) is limited to $1,600 for an individual and $2,400 for a couple. In addition, up to $1,200 for burial contract is reduced by the value of irrevocable burial arrangements and the face value of life insurance policies of $1,500 or less.

Unearned income: For recipients residing in the community, state disregards $183.00 of any unearned income including SSI ; for recipients residing in boarding homes, $90.70 is disregarded. The disregard is $250.90 for recipients residing with unrelated persons in the community.

Earned income: The first $65 and one-half of the remainder for aged and disabled; the first $85 and one-half of the remainder for the blind. Work-related expenses for the blind, including personal expenses such as Social Security tax, life and health insurance, lunch, and transportation, are excluded. Additional deductions are allowed for the blind and disabled related to plans for self-support. Those who are disabled are also allowed deductions for impairment-related work expenses.

Recoveries, liens, and assignments: Liens secure claims against real property. State has a preferred mandatory claim against an estate to the extent that it is not needed for the support of the surviving spouse, parent, or dependent children of the decedent. Liens may be released upon payment of claim or amount equal to beneficiary's interest. If applicant or recipient owns other nonhome property, he or she must be making a bona fide effort to sell it. During that time, he or she gives the state a security mortgage.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2005 (in dollars) Living arrangement Combined federal and state State supplementation Individual Couple Individual Couple Independent community living a 747.00 1,096.00 168.00 227.00 Licensed room and board facility 579.00 869.00 b b Medicaid facility c 57.00 114.00 27.00 54.00 a. The budget process is used to establish payment amounts. This supplement consists of a housing allowance (maximum of $400 for living alone; $200 for living with others), basic needs items, minus countable income (see "Income exclusions"). The amount presented assumes eligibility for the highest rental allowance and the maximum budget amount. b. Committee sets state payments for recipients in boarding homes in accordance with individual cost data for the operations of the facility. c. Recipients residing in a Medicaid facility receive a supplement that varies depending on the facility. DEFINITIONS: Independent community living Any type of living arrangement that is not a licensed room and board facility or a medical or penal institution. Licensed room and board facility Community group home, training home, family care home, private boarding home, or other residential facility that is licensed by the Connecticut Department of Mental Retardation, Department of Children and Families, Department of Mental Health and Addiction Services, Department of Public Health Services, or other state agency and that at a minimum provides lodging and meals to various groups of elderly, blind, or disabled individuals. Medicaid facility Includes recipients residing in a federal Code D living arrangement.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2005 Living arrangement Total Aged Blind a Disabled All recipients -- -- -- -- Independent community living 11,988 3,792 39 8,157 Licensed room and board facility 4,833 1,338 55 3,440 Medicaid facility -- -- -- -- NOTES: Includes certain grandfathered, non- SSI recipients who meet state eligibility criteria. -- = not available. a. Includes blind children.

State Department of Social Services.

Emergency housing: One occurrence per calendar year; no more than 60 days per occurrence.

Refuse collection: Standard community rate.

Therapeutic diet: $36.20 a month.

Meals on Wheels: $4.43 for one meal a day; $8.09 for two meals a day.

Restaurant meals: $36.20 a month for an individual living in the community; $7.80 per day for an individual living in emergency housing.

Security deposit for heating service: Actual cost up to a limit of $200 for equipment only.

Storage charges: Up to 3 months.

Moving expenses: Market charge.

Essential household furnishings: Lower of actual cost or department standard for particular item.

Telephone installation: Standard residential line charge for service connections plus $23.00 for labor and $4.00 maximum for phone jack.

Essential clothing: Department standard for particular item.

Criteria: State guidelines.

Determined by: State.

State provides a program for the aged, blind, and disabled medically needy.

The Social Security Administration does not obtain this information.

Administration: Social Security Administration.

Administration: Social Security Administration.

Effective date: January 1, 1974.

Statutory basis for payment: General Laws of the Commonwealth of Massachusetts, chapter 118A, section 1.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Social Security Administration field offices.

Scope of coverage: Optional state supplement provided to every aged, blind, and disabled SSI recipient, including children, and recipients in private medical facilities where the Medicaid program provides 50 percent or less of the cost of care.

Resource limitations: Federal SSI regulations apply.

Income exclusions: Federal SSI regulations apply.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2005 (in dollars) Living arrangement State code Combined federal and state State supplementation Individual Couple a Individual Couple a Living independently A Aged 707.82 1,070.72 128.82 201.72 Blind 728.74 1,457.48 149.74 588.48 Disabled 693.39 1,049.06 114.39 180.06 Shared living expenses B Aged 618.26 1,070.72 39.26 201.72 Blind 728.74 1,457.48 149.74 588.48 Disabled 609.40 1,049.06 30.40 180.06 Living in the household of another C Aged 490.36 795.14 104.36 215.80 Blind 728.74 1,457.48 342.74 878.14 Disabled 473.58 773.52 87.58 194.18 Licensed rest home E Aged and disabled 872.00 1,744.00 293.00 875.00 Blind 728.74 1,457.48 149.74 588.48 Medicaid facility F and Z 65.00 130.00 35.00 70.00 Assisted living facility G 1,033.00 1,550.00 454.00 681.00 NOTE: Blind individuals aged 65 or older are entitled to the highest payment category for which they qualify. a. The amounts given apply when both members of a couple belong to the same eligibility category. When members belong to different eligibility categories, the two respective individual benefits are added to obtain the couple's benefit. DEFINITIONS: A: Living independently Includes recipients who live: Alone; Only with an eligible spouse; With an eligible spouse and with ineligible children who do not receive income maintenance payments; or With an ineligible spouse or ineligible children none of whom receive income maintenance payments. Also includes recipients residing in a federal Code C living arrangement who do not live with any persons receiving income maintenance payments. Persons not meeting these criteria may be included if they are residing in a federal Code A or C living arrangement and pay at least two-thirds of the household expenses. Recipients living in public congregate housing developments are also included. B: Shared living expenses Includes recipients who reside in a federal Code A or C living arrangement and do not meet the criteria for state living arrangement A or E. It therefore includes recipients who reside in group care facilities (such as halfway houses), private medical facilities where Medicaid is paying 50 percent or less of the cost of care, foster homes, commercial boarding homes, or other facilities that do not meet the criteria for state living arrangement A or E. It also includes: Recipients who reside in households where they do not pay at least two-thirds of the household expenses and one or more household members receive an income maintenance payment; and Transients, the homeless, and residents of public emergency shelters. C: Living in the household of another Includes recipients residing in a federal Code B living arrangement. E: Licensed rest home Includes recipients residing in a licensed rest home that has a provider agreement with the state. F and Z: Medicaid facility Includes recipients residing in a federal Code D living arrangement. G: Assisted living facility Includes recipients residing in nonpublic subsidized assisted living facilities that have been registered with the state.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2005 Living arrangement State code Total Aged Blind Disabled Adults Children All recipients 169,908 44,243 3,960 97,968 23,737 Living independently A 77,471 25,952 1,426 43,856 6,237 Shared living expenses B 74,690 11,954 1,845 45,200 15,691 Living in the household of another C 11,620 2,991 515 6,661 1,453 Licensed rest home E 1,837 1,076 18 743 0 Medicaid facility F and Z 3,051 1,187 140 1,368 356 Assisted living facility G 1,239 1,083 16 140 0

State Department of Transitional Assistance and Commission for the Blind.

Vendor payments in lieu of cash payments.

Disaster benefits: Replacement of specific items of furniture, household equipment, supplies, food, and clothing for SSI recipients when these items were lost because of a natural disaster or fire. (Amounts exempted in determining SSI eligibility.)

Burial expenses: Payment of funeral and burial expenses for SSI recipients shall not exceed $1,100, and the total expense shall not exceed $1,500. When a resource exists, it is deductible from the total expense (maximum $1,500), and the payment by the department must not exceed $1,100 of the balance.

Rest home subsidies: When cost exceeds the total available income, excluding personal needs allowance, the state will pay difference up to established maximum rates.

Moving expenses: The cost of moving within the state for SSI recipients may be paid once in a 12-month period if:

Present living quarters have been certified as substandard,

Moving to new quarters is necessary because of health problems or lack of safety in old neighborhood,

Recipient is moving into federal or state subsidized housing, or

Recipient is forced to move for other reasons.

Total payment not to exceed $150.

Homemaker and housekeeper services: The Department of Elder Affairs performs homemaker and housekeeping services for recipients aged 60 or older. The Massachusetts Rehabilitation Commission provides these services for recipients under age 60.

Criteria: SSI program guidelines (Title XVI).

Determined by: Social Security Administration.

State provides a program for the aged, blind, and disabled medically needy.

The Social Security Administration obtains this information.

Alaska State Assistance Programs for SSI Recipients, January 2011 ♦ 15 State Supplementation Mandatory State Supplementation No recipients. Optional State Supplementation Administration: Department of Health and Social Services, Division of Public Assistance. Effective date: January 1, 1974. Statutory basis for payment: Alaska Statutes 47.25.430-47.25.615. Funding Administration: State funds. Assistance: State funds. Passalong method: Maintaining total expenditures. Place of application: Local offices of the state Department of Health and Social Services, Division of Public Assistance. Scope of coverage: Optional state supplement provided to all needy aged, blind, and disabled persons, including certain grandfathered persons who would receive SSI payments except for their income level but excluding persons in the Alaska Pioneer Homes, in any nonmedical public institution, or in public or private institutions for mental disorders. Children under age 18 are not eligible for optional supplementation. Resource limitations: Federal SSI regulations apply. Income exclusions: Federal SSI regulations apply; in-kind income is also excluded. Recoveries, liens, and assignments: None. Financial responsibility of relatives: Child for aged parent. Interim assistance: State participates. Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation. For non-SSI recipients, any countable income is subtracted from the state standard. Payment levels: See Table 1. Number of recipients: See Table 2. Total expenditures 1 State Assistance for Special Needs : The state reported expenditures of $55,946,103 for calendar year 2010 in state- administered payments to SSI recipients. State does not provide assistance for special needs. Medicaid Eligibility Criteria: SSI program guidelines (Title XVI). Determined by: Medically Needy Program State. State does not provide a program for the medically needy. Unpaid Medical Expenses The Social Security Administration does not obtain this information.

1. Includes payments made to some non-SSI recipients who meet state eligibility criteria, but do not meet federal SSI eligibility guidelines. Alaska

Alaska 16 ♦ State Assistance Programs for SSI Recipients, January 2011

Individual Couple Individual Couple Living independently 1,036.00 1,539.00 362.00 528.00 Living independently with an ineligible spouse 1,195.00 . . . 521.00 . . . Living in the household of another 817.34 1,217.00 368.00 543.00 Living in the household of another with an ineligible spouse 913.34 . . . 464.00 . . . Assisted living home 774.00 1,211.00 100.00 200.00 Assisted living home with an ineligible spouse 774.00 . . . 100.00 . . . Medicaid facility 75.00 150.00 45.00 90.00 State supplementation SOURCES: Social Security Administration, Office of Income Security Programs; state information. DEFINITIONS: Living independently. Includes eligible persons who: • Live alone in their own household, whether or not receiving in-kind support and maintenance; • Live alone or with a minor child, spouse, or anyone whose income is deemed available to them; • Live in a household in which all members receive federal or state public assistance; • Live in the household of another and pay at least a prorated share of the household expenses; or • Live in the household of another where the eligible person or deemor has an ownership interest in the home or is liable to the landlord for any part of the rent. Living in the household of another. Includes eligible persons who reside in another's household for a full calendar month, except for temporary absences, and receive both food and shelter from that person. Medicaid facility. Includes recipients who reside for a full calendar month in a skilled nursing facility or an intermediate care facility that is certified and licensed by the Alaska Department of Health and Social Services to provide long-term care. Assisted living home. Includes eligible persons who reside in an assisted living home for a full calendar month. NOTE: . . . = not applicable. Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Combined federal and state Total Aged Blind Disabled All recipients 17,630 5,096 75 12,459 15,565 4,674 69 10,822 769 139 1 629 1,226 264 5 957 70 19 0 51 NOTE: Includes some non-SSI recipients who meet state eligibility criteria, but do not meet federal SSI eligibility guidelines. SOURCE: State information. Table 2. Number of persons receiving optional state supplementation, January 2011 Medicaid facility Living arrangement Living independently Living in the household of another Assisted living home

Administration: State Department of Human Services; Aging and Adult Services; Adult Financial Services.

Administration: State Department of Human Services; Aging and Adult Services; Adult Financial Services.

Effective date: January 1, 1974.

Statutory basis for payment: Colorado Revised Statutes 26-2, section 202-209, 1973, as amended.

Administration: 80 percent state funds, 20 percent local funds.

Assistance: 100 percent state funds for the aged; 80 percent state funds, 20 percent local funds for the blind and disabled.

Passalong method: Maintaining total expenditures.

Place of application: County offices of the Department of Human Social Services.

Scope of coverage: Optional state supplement provided to all SSI recipients, including children, residing in the specified living arrangements. Persons living in the household of another are included under the living independently standard; state supplement is increased to offset the reduced federal payment.

Resource limitations: Federal SSI regulations apply.

Income exclusions: Federal SSI regulations apply.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: Spouse for spouse.

Interim assistance: State participates.

Payment calculation method: A standard applies that is established by the state for the supplemental payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Combined federal and state State supplementation Individual Couple Individual Couple Living independently or in the household of another a 699.00 1,398.00 25.00 387.00 Adult foster care 1,250.00 b 2,500.00 c 551.00 1,489.00 c Receiving home care b 1,174.00 . . . 475.00 . . . SOURCES: Social Security Administration, Office of Income Security Programs; state information. NOTE: . . . = not applicable. a. State supplement is increased to offset the reduced federal payment for persons living in the home of another. b. Represents maximum allowance and may include an additional supplement of $25, which represents the difference between the maximum Title II and SSI payment. Lesser amounts may be paid according to the amount of home care needed. c. Couples are treated as two individuals starting with the month after leaving an independent living arrangement. DEFINITIONS: Living independently or in the household of another. Includes recipients who reside in a federal Code A or B living arrangement, meet the state eligibility requirements, and do not qualify for other state arrangements. Adult foster care. Includes recipients who reside in a federal Code A living arrangement and are residing in an approved supervised living facility known as an adult foster home. Receiving home care. Includes recipients who receive care in their own home from qualified personnel and who would otherwise be in a nursing home if this care were unavailable.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement Total Aged Blind Disabled Adults Children All recipients 28,932 -- -- -- -- Living independently or in the household of another -- -- -- -- -- Adult foster care -- -- -- -- -- Receiving home care -- -- -- -- -- SOURCE: State information. NOTE: -- = not available.

Total expenditures: The state reported expenditures of $28,607,889 for calendar year 2010 in state-administered payments to SSI recipients.

Colorado Department of Human Services.

Funeral expenses: If cost of funeral home or cemetery does not exceed $2,500, the benefit maximum is $1,500. If cost exceeds $2,500, no assistance is provided.

Other: County social services boards may choose to provide optional supplementation for other special needs circumstances.

Criteria: SSI program guidelines (Title XVI ).

Determined by: Social Security Administration.

State does not provide a program for the medically needy.

The Social Security Administration obtains this information.

No recipients.

Administration: State Department of Social Services.

Effective date: January 1, 1974.

Statutory basis for payment: Connecticut General Statutes, section 17b-600.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Regional offices of state agency.

Scope of coverage: Optional state supplement provided to all aged, blind, and disabled SSI or Title II recipients living alone or with others. No provision is made for essential persons. The only children eligible for supplementation are those who are blind. Blind and disabled recipients are reclassified as aged upon reaching age 65.

Resource limitations: No limit on real property occupied as a home. Equity in real property other than a home must be liquidated. Value of personal property (excluding household and personal effects, car if needed, and tools and equipment or livestock essential to production of income) is limited to $1,600 for an individual and $2,400 for a couple. In addition, up to $1,800 for burial contract is reduced by the value of irrevocable burial arrangements and the face value of life insurance policies of $1,500 or less.

Unearned income: For recipients residing in the community, state disregards $278.00 of any unearned income including SSI ; for recipients residing in boarding homes, $185.70 is disregarded. The disregard is $345.90 for recipients residing with unrelated persons in the community.

Earned income: The first $65 and one-half of the remainder for aged and disabled; the first $85 and one-half of the remainder for the blind. Work-related expenses for the blind, including personal expenses such as Social Security tax, life and health insurance, lunch, and transportation, are excluded. Additional deductions are allowed for the blind and disabled related to plans for self-support. Those who are disabled are also allowed deductions for impairment-related work expenses.

Recoveries, liens, and assignments: Liens secure claims against real property. State has a preferred mandatory claim against an estate to the extent that it is not needed for the support of the surviving spouse, parent, or dependent children of the decedent. Liens may be released upon payment of claim or amount equal to beneficiary's interest. If applicant or recipient owns other nonhome property, he or she must be making a bona fide effort to sell it. During that time, he or she gives the state a security mortgage.

Financial responsibility of relatives: Spouse for spouse.

Interim assistance: State participates.

Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Combined federal and state State supplementation Individual Couple Individual Couple Independent community living a 842.00 1,285.00 168.00 274.00 Licensed room and board facility 674.00 1,011.00 b b Medicaid facility c 69.00 138.00 39.00 78.00 SOURCES: Social Security Administration, Office of Income Security Programs; state information. a. The budget process is used to establish payment amounts. This supplement consists of a housing allowance (maximum of $400 for living alone; $200 for living with others), basic needs items, minus countable income (see "Income exclusions"). The amount presented assumes eligibility for the highest rental allowance and the maximum budget amount. b. Committee sets state payments for recipients in boarding homes in accordance with individual cost data for the operations of the facility. c. Recipients residing in a Medicaid facility receive a supplement that varies depending on the facility. DEFINITIONS: Independent community living. Any type of living arrangement that is not a licensed room and board facility or a medical or penal institution. Licensed room and board facility. Community group home, training home, family care home, private boarding home, or other residential facility that is licensed by the Connecticut Department of Mental Retardation, Department of Children and Families, Department of Mental Health and Addiction Services, Department of Public Health Services, or other state agency and that at a minimum provides lodging and meals to various groups of elderly, blind, or disabled individuals. Medicaid facility. Includes recipients residing in a federal Code D living arrangement, general hospitals, long-term care facilities, intermediate care facilities, institutions for the mentally retarded and mental disease facilities for residents younger than age 21 or aged 65 or older, and tuberculosis facilities for persons aged 65 or older.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement Total Aged Blind a Disabled All recipients 10,348 2,769 56 7,523 Independent community living 8,433 2,461 24 5,948 Licensed room and board facility 1,892 308 32 1,552 Medicaid facility 23 0 0 23 SOURCE: State information. NOTE: Includes some non- SSI recipients who meet state eligibility criteria, but do not meet federal SSI eligibility guidelines. a. Includes blind children.

Total expenditures 1 : The state reported expenditures of $42,609,009 for calendar year 2010 in state-administered payments to SSI recipients.

State Department of Social Services.

Emergency housing: One occurrence per calendar year; no more than 60 days per occurrence.

Refuse collection: Standard community rate.

Therapeutic diet: $36.20 a month.

Meals on Wheels: $4.65 for one meal a day; $8.50 for two meals a day.

Restaurant meals: $36.20 a month for an individual living in the community; $7.80 per day for an individual living in emergency housing.

Security deposit for heating service: Actual cost up to a limit of $200 for equipment only.

Storage charges: Up to 3 months.

Moving expenses: Market charge.

Essential household furnishings: Lower of actual cost or department standard for particular item.

Telephone installation: Standard residential line charge for service connections plus $23 for labor and $4 maximum for phone jack.

Essential clothing: Department standard for particular item.

Criteria: State guidelines.

Determined by: State.

State provides a program for the aged, blind, and disabled medically needy.

The Social Security Administration does not obtain this information.

1 Includes payments made to some non- SSI recipients who meet state eligibility criteria, but do not meet federal SSI eligibility guidelines.

District of Columbia 30 ♦ State Assistance Programs for SSI Recipients, January 2011 The District did not respond to our request for 2011 data. The text reflects 2010 information from the District. Total expenditures and tables 1 and 2 reflect 2011 federal reporting. State Supplementation Mandatory Minimum Supplementation Administration: Optional State Supplementation Social Security Administration. Administration: Social Security Administration and District of Columbia Department of Health Care Finance. Effective date: January 1, 1974. Statutory basis for payment: District of Columbia Laws 2-35, as amended, and 3-23. Funding Administration: District of Columbia funds. Assistance: District of Columbia funds. Passalong method: Maintaining total expenditures. Place of application: District of Columbia Department of Health Care Finance and Social Security Administration field offices. Scope of coverage: Optional state supplement provided to persons residing in adult foster care homes who are eligible for SSI payments or would be eligible except for income. No statutory minimum age requirements for receiving adult foster care supplementation, but children receive assistance through child welfare services provisions. Resource limitations: Federal SSI regulations apply. Income exclusions: Federal SSI regulations apply. Recoveries, liens, and assignments: Only in cases in which liens were assigned before the establishment of the SSI program. Financial responsibility of relatives: None. Interim assistance: District participates. Payment calculation method: The state supplementation is added to the federal payment. Countable income is deducted first from the federal payment. Any income that remains to be counted after the federal payment has been reduced to zero is then deducted from the state supplementary payment. Payment levels: See Table 1. Number of recipients: See Table 2. Total expenditures:

The Social Security Administration reported expenditures of $4,200,016 for calendar year 2010 in federally administered payments to SSI recipients. Individual Couple Individual Couple Adult foster care home (50 beds or less) A 1,159.00 2,318.00 485.00 1,307.00 Adult foster care home (over 50 beds) B 1,269.00 2,538.00 595.00 1,527.00 Medicaid facility G 70.00 140.00 40.00 80.00 Combined federal and state State supplementation SOURCE: Social Security Administration, Office of Income Security Programs. DEFINITIONS: A and B: Adult foster care home. Includes recipients who are certified by the District of Columbia Department of Health Care Finance or the Commission on Mental Health Services as residents of an adult foster care home. G: Medicaid facility. Includes recipients residing in a federal Code D living arrangement. Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement State code District of Columbia

District of Columbia State Assistance Programs for SSI Recipients, January 2011 ♦ 31

State Assistance for Special Needs District does not provide assistance for special needs. Medicaid Eligibility Criteria: SSI program guidelines (Title XVI). Determined by: Medically Needy Program Social Security Administration. District provides a program for the aged, blind, and disabled medically needy. Unpaid Medical Expenses The Social Security Administration obtains this information. Adults Children a All recipients 1,417 105 7 1,212 93 A 755 55 2 677 21 B 8 1 0 7 0 G 653 49 5 527 72 1 0 0 1 0 a. SOURCE: Social Security Administration, Supplemental Security Record, 100 percent data. Disabled Benefits received under a child welfare program. Total Aged Blind Other Adult foster care home (50 beds or less) Adult foster care home (over 50 beds) Medicaid facility Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement State code

Administration: Social Security Administration.

Administration: Social Security Administration administers payments to recipients living in an adult residential care facility or assisted living facility; the Delaware Department of Health and Social Services administers payments to recipients living independently. Delaware Department of Health and Social Services determines eligibility for special adult residential care supplement.

Effective date: January 1, 1974.

Statutory basis for payment: Delaware Code, title 31, section 505.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Social Security Administration.

Scope of coverage: Optional state supplement provided to aged, blind, and disabled adults who are SSI recipients, or would be except for income, and live in an approved adult residential care and assisted living facilities. Children under age 18 are not eligible for supplementation but may receive benefits and services under the child welfare program.

Resource limitations: None.

Income exclusions: None.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement State code Combined federal and state State supplementation Individual Couple Individual Couple Certified adult residential care facility A 814.00 1,459.00 140.00 448.00 SOURCE: Social Security Administration, Office of Income Security Programs. DEFINITION: A: Certified adult residential care facility. Includes recipients who are certified by the Delaware Department of Health and Social Services as residents of an adult residential care home or an assisted living facility.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement State code Total Aged Blind Disabled Adults Children a All recipients 657 35 12 535 75 Certified adult residential care facility A 652 35 11 531 75 Other 5 0 1 4 0 SOURCE: Social Security Administration, Supplemental Security Record, 100 percent data. a. Benefits received under a child welfare program.

Total expenditures: The Social Security Administration reported expenditures of $1,016,000 for calendar year 2010 in federally administered payments to SSI recipients.

Delaware Department of Health and Social Services.

State provides cash assistance for specific emergencies on a one-time basis.

Criteria: SSI program guidelines (Title XVI ).

Determined by: Social Security Administration.

State does not provide a program for the medically needy.

The Social Security Administration obtains this information.

No recipients.

Administration: State Department of Children and Families.

Effective date: January 1, 1974.

Statutory basis for payment: Florida Statutes, chapter 409.212.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Local offices of the state Department of Children and Families.

Scope of coverage: Under the community care programs, an optional state supplement is provided to all aged, blind, or disabled persons who either receive SSI payments or have been grandfathered because they meet all SSI criteria except for income. Income may not exceed $752.40.

Resource limitations: Federal SSI regulations apply.

Income exclusions: Federal SSI regulations apply.

Recoveries, liens, and assignments: Amount of public assistance received after August 31, 1967, creates a debt against the estate of the aged, blind, or disabled recipient. The state can file a claim after death. Homestead is exempt if it passes to a qualified heir. Claims are filed against the estate of individuals who received Medicaid on or after their 55th birthday. Florida does not seek recovery if there is a surviving spouse, minor child, or blind or disabled child.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment calculation method: The recipient's gross monthly countable income is subtracted from the sum of the standard provider rate and the personal needs allowance. The difference, up to $78.40, is the state optional payment amount.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Combined federal and state State supplementation Individual Couple Individual Couple Community care programs Adult family care home a 752.40 b 78.40 b Assisted living facility 752.40 b 78.40 b Medicaid facility c 35.00 70.00 5.00 10.00 SOURCES: Social Security Administration, Office of Income Security Programs; state information. a. Payments include $54 personal needs allowance. Recipients who lose SSI eligibility because of Social Security (Title II ) benefit increases may continue to be eligible for state supplementation if they reside in a specific living arrangement and have income below income limits. b. Couples are treated as two individuals the month after leaving an independent living arrangement. c. Community providers enrolled to provide assistive care services can receive an additional payment from Medicaid recipients residing in their facilities. DEFINITIONS: Adult family care home. Serves up to five persons aged 18 or older, providing housing, food, and personal services. Assisted living facility. Serves four or more persons aged 18 or older, providing housing, food, and personal services. Medicaid facility. Includes recipients residing in a federal Code D living arrangement.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement Total Aged Blind Disabled All recipients 13,160 5,239 14 7,907 Community care programs Adult family care home 242 44 0 198 Assisted living facility 7,859 2,944 6 4,909 Medicaid facility 5,059 2,251 8 2,800 SOURCE: State information. NOTE: Includes some non- SSI recipients who meet state eligibility criteria, but do not meet federal SSI eligibility guidelines.

Total expenditures 1 : The state reported expenditures of $7,585,541.72 for calendar year 2010 in state-administered payments to SSI recipients.

State does not provide assistance for special needs.

Criteria: SSI program guidelines (Title XVI ).

Determined by: Social Security Administration.

State provides a program for the aged, blind, and disabled medically needy.

The Social Security Administration does not obtain this information.

1 Includes payments made to some non- SSI recipients who meet state eligibility criteria, but do not meet federal SSI eligibility guidelines.

Hawaii 36 ♦ State Assistance Programs for SSI Recipients, January 2011 State Supplementation Mandatory Minimum Supplementation No recipients. Optional State Supplementation Administration: Social Security Administration. Effective date: January 1, 1974. Statutory basis for payment: Hawaii Revised Statutes, section 346-53(C)(1) and (2). Funding Administration: State funds. Assistance: State funds. Passalong method: Maintaining payment levels. Place of application: Social Security Administration field offices. Scope of coverage: Optional state supplement provided to SSI recipients, including children. Payment amounts for eligible children in domiciliary care are determined on an individual basis. Recipients in medical facilities who are eligible for federal payments under section 1611(e)(1)(E) of the Social Security Act receive state optional supplementation (Code A payment level) for up to 2 months. Resource limitations: Federal SSI regulations apply. Income exclusions: Federal SSI regulations apply. Recoveries, liens, and assignments: None. Financial responsibility of relatives: None. Interim assistance: State participates. Payment calculation method: The state supplementation is added to the federal payment. Countable income is deducted first from the federal payment. Any income that remains to be counted after the federal payment has been reduced to zero is then deducted from the state supplementary payment. Payment levels: See Table 1. Number of recipients: See Table 2. Total expenditures:

The Social Security Administration reported expenditures of $16,427,700 for calendar year 2010 in federally administered payments to SSI recipients.

Individual Couple Individual Couple B 1,325.90 2,651.80 651.90 1,640.80 D 50.00 100.00 20.00 40.00 H 1,325.90 2,651.80 651.90 1,640.80 I 1,433.90 2,867.80 759.90 1,856.80 H and I: Domiciliary care facility. Includes recipients (including children) living in a private, nonmedical facility (established and maintained for the purpose of providing personal care and services to aged, infirm, or handicapped persons) and certified by the state. Level I is licensed by the state for fewer than six residents, and Level II is licensed for six or more residents. State code Combined federal and state State supplementation Foster care home Domiciliary care facility, Level I DEFINITIONS: B: Foster care home. Includes recipients who are certified by the state as residents of a foster care home. Medicaid facility D: Medicaid facility. Includes recipients residing in a federal Code D living arrangement. Domiciliary care facility, Level II SOURCE: Social Security Administration, Office of Income Security Programs. Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Hawaii

Hawaii State Assistance Programs for SSI Recipients, January 2011 ♦ 37

State Assistance for Special Needs Administration State Department of Human Services. Special Needs Circumstances Housing and utility deposit: One-time payment made to SSI recipients with total monthly income under $418. Repair or replacement of stove or refrigerator: Payments made to SSI recipients with total monthly income under $418. Emergency assistance due to natural disaster: Payments made to SSI recipients with total monthly income under $418. Special care payments: Medicaid This program has been discontinued and only makes payments to persons previously accepted. Payments of $100 a month are provided to SSI recipients residing in a domiciliary care home who have been certified for an intermediate care facility (ICF) or skilled nursing facility but have not been placed in one because of a lack of bed space. In addition to meeting other requirements, these recipients must be wheelchair bound, incontinent, or in need of non-oral medication. Eligibility Criteria: State guidelines. Determined by: Medically Needy Program State. State provides a program for the aged, blind, and disabled medically needy. Unpaid Medical Expenses The Social Security Administration does not obtain this information. Adults Children All recipients 2,736 840 32 1,758 106 B 1,112 589 4 509 10 D 174 62 2 85 25 H 1,412 172 25 1,144 71 I 38 17 1 20 0 Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement State code Total Aged Blind Disabled Foster care home SOURCE: State information. Domiciliary care facility, Level I Domiciliary care facility, Level II Medicaid facility

No recipients.

Administration: Family and Social Services Administration, Division of Aging.

Effective date: July 1, 1976.

Statutory basis for payment: Indiana Public Law 46, Acts of 1976.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Family and Social Services Administration, county offices of the Division of Family Resources.

Scope of coverage: Optional state supplement provided to all adult Medicaid or SSI recipients who, because of age, blindness, or disability, are unable to reside in their own home and need care in a residential facility. Children under age 18 are not eligible for optional supplementation.

Resource limitations: An individual may have a reserve of nonexempt real and personal property (including cash, stocks, bonds, cash surrender value of life insurance, etc.) of no more than $1,500; a couple may have no more than $2,250. If spouse resides in the same facility, the resources of both, subject to the $2,250 limit, are considered in establishing eligibility. Ownership of personal property essential for an adequate living arrangement, production of produce for home consumption, and personal effects do not affect an individual's eligibility. Cash surrender value of life insurance is disregarded if the face value does not exceed $10,000 and the beneficiary is the funeral director or the person's estate. The $10,000 limitation is reduced by any amount in an irrevocable burial trust or irrevocable prepaid funeral arrangement. Real property offered for sale or rent is exempt.

Income exclusions: Disregarded from sheltered workshop earnings are a $16 employment incentive, mandatory earnings deductions, and one-half of the remaining earnings.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: Spouse for spouse when residing in the same facility.

Interim assistance: State participates.

Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Combined federal and state State supplementation Individual Couple Individual Couple Licensed residential facility a 1,501.06 b 827.06 b Medicaid facility 52.00 104.00 22.00 44.00 SOURCES: Social Security Administration, Office of Income Security Programs; state information. a. Individuals living in licensed residential facilities receive a combined federal and state benefit of up to $1,501.06 (state-supplemented portion is up to $827.06)—including a personal allowance payment of up to $52 per month. Lesser amounts may be paid depending on the cost of facility and income of recipients. b. Federal and state agencies consider couples residing in these living arrangements as individuals one month after leaving an independent living arrangement. DEFINITIONS: Licensed residential facility. Care in a licensed residential facility consists only of room, board, and laundry together with minimal administrative direction. The facility must be licensed by the state Department of Health and approved for participation in the Room and Board Assistance program by the state Family and Social Services Administration. A residential facility can be publicly or privately owned and for profit or not for profit. Medicaid facility. Includes recipients residing in a federal Code D living arrangement.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement Total Aged Blind Disabled All recipients 3,442 797 6 2,639 Licensed residential facility 1,517 322 1 1,194 Medicaid facility 1,925 475 5 1,445 SOURCE: State information.

Total expenditures: The state reported expenditures of $8,453,205.54 for calendar year 2010 in state-administered payments to SSI recipients.

State does not provide assistance for special needs.

Criteria: State guidelines.

Determined by: State.

State does not provide a program for the medically needy.

The Social Security Administration does not obtain this information.

Administration: Social Security Administration.

Administration: State Department of Health and Hospitals, Bureau of Health Services Financing.

Effective date: March 1, 1982.

Statutory basis for payment: Senate Concurrent Resolution No. 133, 1980.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Local offices of the state Bureau of Health Services Financing and contractors.

Scope of coverage: Optional state supplement provided to all aged, blind, and disabled persons, including children, who reside in a nonpsychiatric Medicaid long-term care facility.

Resource limitations: Federal SSI regulations apply.

Income exclusions: Federal SSI regulations apply.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: None.

Interim assistance: State does not participate.

Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Combined federal and state State supplementation Individual Couple Individual Couple Medicaid facility 38.00 76.00 8.00 16.00 SOURCES: Social Security Administration, Office of Income Security Programs; state information. DEFINITION: Medicaid facility. Includes recipients residing in a federal Code D living arrangement.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement Total Aged Blind Disabled Medicaid facility 4,539 1,115 33 3,391 SOURCE: State information.

Total expenditures: The state reported expenditures of $427,388.29 for calendar year 2010 in state-administered payments to SSI recipients.

State provides assistance for special needs only to recipients who were determined eligible on or before December 1975.

Criteria: SSI program guidelines (Title XVI ).

Determined by: Social Security Administration.

State provides a program for the aged, blind, and disabled medically needy.

The Social Security Administration obtains this information.

Administration: Social Security Administration.

Administration: Social Security Administration.

Effective date: January 1, 1974.

Statutory basis for payment: General Laws of the Commonwealth of Massachusetts, chapter 118A, section 1.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Social Security Administration field offices.

Scope of coverage: Optional state supplement provided to every aged, blind, and disabled SSI recipient, including children, and recipients in private medical facilities where the Medicaid program provides 50 percent or less of the cost of care.

Resource limitations: Federal SSI regulations apply.

Income exclusions: Federal SSI regulations apply.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment calculation method: The state supplementation is added to the federal payment. Countable income is deducted first from the federal payment. Any income that remains to be counted after the federal payment has been reduced to zero is then deducted from the state supplementary payment.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement State code Combined federal and state State supplementation Individual Couple a Individual Couple a Living independently A Aged 802.82 1,212.72 128.82 201.72 Blind 823.74 1,647.48 149.74 636.48 Disabled 788.39 1,191.06 114.39 180.06 Shared living expenses B Aged 713.26 1,212.72 39.26 201.72 Blind 823.74 1,647.48 149.74 636.48 Disabled 704.40 1,191.06 30.40 180.06 Living in the household of another C Aged 553.70 889.80 104.36 215.80 Blind 823.74 1,647.49 374.40 973.48 Disabled 536.92 868.18 87.58 194.18 Licensed rest home E Aged and disabled 967.00 1,934.00 293.00 923.00 Blind 823.74 1,647.48 149.74 636.48 Medicaid facility F 72.80 145.60 42.80 85.60 Assisted living facility G 1,128.00 1,692.00 454.00 681.00 SOURCE: Social Security Administration, Office of Income Security Programs. NOTE: Blind individuals aged 65 or older are entitled to the highest payment category for which they qualify. a. The amounts given apply when both members of a couple belong to the same eligibility category. When members belong to different eligibility categories, the two respective individual benefits are added to obtain the couple's benefit. DEFINITIONS: A: Living independently. Includes recipients who live: Alone; Only with an eligible spouse; With an eligible spouse and with ineligible children who do not receive income maintenance payments; or With an ineligible spouse or ineligible children, none of whom receive income maintenance payments. Also includes recipients residing in a federal Code C living arrangement who do not live with any persons receiving income maintenance payments. Persons not meeting these criteria may be included if they are residing in a federal Code A or C living arrangement and pay at least two-thirds of the household expenses. Recipients living in public congregate housing developments are also included. B: Shared living expenses. Includes recipients who reside in a federal Code A or C living arrangement and do not meet the criteria for state living arrangement A or E. It therefore includes recipients who reside in group care facilities (such as halfway houses), private medical facilities where Medicaid is paying 50 percent or less of the cost of care, foster homes, commercial boarding homes, or other facilities that do not meet the criteria for state living arrangement A or E. It also includes: Recipients who reside in households where they do not pay at least two-thirds of the household expenses and one or more household members receive an income maintenance payment; and Transients, the homeless, and residents of public emergency shelters. C: Living in the household of another. Includes recipients residing in a federal Code B living arrangement. E: Licensed rest home. Includes recipients residing in a licensed rest home that has a provider agreement with the state. F: Medicaid facility. Includes recipients residing in a federal Code D living arrangement. G: Assisted living facility. Includes recipients residing in nonpublic subsidized assisted living facilities that have been registered with the state.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement State code Total Aged Blind Disabled Adults Children All recipients 193,725 47,107 3,640 108,978 34,000 Living independently A 83,525 27,314 1,166 46,523 8,522 Shared living expenses B 89,367 13,202 1,741 51,845 22,579 Living in the household of another C 15,530 3,740 622 8,684 2,484 Licensed rest home E 1,428 796 10 619 3 Medicaid facility F + Z 2,718 1,078 87 1,141 412 Assisted living facility G 1,157 977 14 166 0 SOURCE: State information.

Total expenditures: The Social Security Administration reported expenditures of $185,492,373 for calendar year 2010 in federally administered payments to SSI recipients.

State Department of Transitional Assistance and Commission for the Blind.

Vendor payments in lieu of cash payments.

Disaster benefits: Replacement of specific items of furniture, household equipment, supplies, food, and clothing for SSI recipients when these items were lost because of a natural disaster or fire. (Amounts exempted in determining SSI eligibility.)

Burial expenses: The department may pay up to $1,000 to a funeral establishment for burial expenses if the SSI recipient had insufficient resources to cover the cost. The Commonwealth can be reimbursed from whatever resources the recipient may have in their estate.

Rest home subsidies: When cost exceeds the total available income, excluding personal needs allowance, the state will pay difference up to established maximum rates.

Moving expenses: The cost of moving within the state for SSI recipients may be paid once in a 12-month period if:

Present living quarters have been certified as substandard,

Moving to new quarters is necessary because of health problems or lack of safety in old neighborhood,

Recipient is moving into federal or state subsidized housing, or

Recipient is forced to move for other reasons.

Total payment not to exceed $150.

Homemaker and housekeeper services: The Department of Elder Affairs performs homemaker and housekeeping services for recipients aged 60 or older. The Massachusetts Rehabilitation Commission provides these services for recipients under age 60.

Criteria: SSI program guidelines (Title XVI ).

Determined by: Social Security Administration.

State provides a program for the aged, blind, and disabled medically needy.

The Social Security Administration obtains this information.

Administration: State Department of Health and Human Services.

Administration: State Department of Health and Human Services.

Effective date: July 1, 1974.

Statutory basis for payment: Maine Revised Statutes, title 22, subtitle 3, part 1-A, chapter 855-A.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Local offices of the state Department of Health and Human Services.

Scope of coverage: Optional state supplement provided to all aged, blind, and disabled SSI recipients, including children. In addition, a small number of persons not eligible for SSI are eligible for a state supplement.

Resource limitations: Federal SSI regulations apply.

Income exclusions: Federal SSI regulations apply for all living arrangements. In addition, for those living alone, with others, or in the household of another, the state disregards an additional $55 for individuals and $80 for couples.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Combined federal and state State supplementation Individual Couple Individual Couple Living alone or with others 684.00 1,026.00 10.00 15.00 Living in the household of another 457.34 686.00 8.00 12.00 Foster home 723.00 1,284.00 49.00 273.00 Flat-rate boarding home 891.00 1,601.00 217.00 590.00 Cost-reimbursement boarding home 908.00 1,647.00 234.00 636.00 Medicaid facility 40.00 80.00 10.00 20.00 SOURCES: Social Security Administration, Office of Income Security Programs; state information. DEFINITIONS: Living alone or with others. Includes the following types of recipients: Individual living in his or her own household with no other person except an ineligible spouse, Couples living in their own household, Persons in a medical facility where Medicaid does not pay more than 50 percent of the cost of their care, Person in an institution (excluding inmates of public institutions) on the basis of their eligibility under section 1611(e)(1)(E) of the Social Security Act for all or part of a month provided that Medicaid does not pay more than 50 percent of the cost of their care, Persons in a private-pay facility or private-pay portion of a licensed boarding home, or Individuals or couples living with other persons but not considered to be living in the household of another. Living in the household of another. Includes eligible persons who: Live in a household other than their own throughout a month with at least one other person who is not their child, their spouse, or an ineligible person whose income is deemed to them; and Receive food and shelter from within that household. Foster home. Includes recipients residing in an adult foster home. Flat-rate boarding home. Includes recipients residing in a boarding home that is licensed by and has a provider agreement with the state for reimbursement at a flat rate. Cost-reimbursement boarding home. Includes recipients residing in a boarding home that is licensed by and has a provider agreement with the state for reimbursement based on cost. Medicaid facility. Includes recipients residing in a federal Code D living arrangement.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement Total Aged Blind Disabled All recipients 36,889 -- -- -- Living alone or with others 35,555 -- -- -- Living in the household of another 274 -- -- -- Foster home 222 -- -- -- Flat-rate boarding home 4 -- -- -- Cost-reimbursement boarding home 834 -- -- -- Medicaid facility 0 0 0 0 SOURCE: State information. NOTE: -- = not available.

Total expenditures: The state reported expenditures of $5,273,805 for calendar year 2010 in state-administered payments to SSI recipients.

State Department of Health and Human Services.

Licensed boarding home subsidies: When costs of care exceed total of SSI and state supplementary payments, state will pay the difference up to established maximum rates.

Criteria: SSI program guidelines (Title XVI ).

Determined by: Social Security Administration.

State provides a program for the aged, blind, and disabled medically needy.

The state Department of Health and Human Services obtains this information.

Administration: Social Security Administration.

Administration: Michigan Department of Human Services administers optional supplementation for recipients living independently or living in the household of another. All other supplementation is administered by the Social Security Administration.

Effective date: January 1, 1974.

Statutory basis for payment: Michigan Compiled Laws, chapter 400, act 280, as amended, section 400-10.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: Social Security Administration field offices.

Scope of coverage: Optional state supplement provided to all SSI recipients, including children, except those residing in medical facilities not certified under Medicaid.

Resource limitations: Federal SSI regulations apply.

Income exclusions: Federal SSI regulations apply.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment calculation method: The state supplementation is added to the federal payment. Countable income is deducted first from the federal payment. Any income that remains to be counted after the federal payment has been reduced to zero is then deducted from the state supplementary payment.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement State code Combined federal and state State supplementation Individual Couple Individual Couple Living independently . . . 688.00 1,039.00 14.00 28.00 Living in the household of another . . . 458.67 692.66 9.33 18.66 Domiciliary care D 761.00 1,522.00 87.00 511.00 Personal care facility E 831.50 1,663.00 157.50 652.00 Home for the aged F 853.30 1,706.60 179.30 695.60 Living independently with an essential person G 1,026.00 1,370.00 14.00 21.00 Living in the household of another with an essential person H 684.00 913.34 9.33 14.00 Medicaid facility I 37.00 74.00 7.00 14.00 SOURCES: Social Security Administration, Office of Income Security Programs; state information. NOTE: . . . = not applicable. DEFINITIONS: Living independently. Includes all eligible recipients who are not included in any other state living arrangement, recipients residing in facilities where Medicaid is not paying more than 50 percent of the cost of care, and recipients residing in publicly operated emergency shelters throughout a month. Living in the household of another. Includes recipients with no essential person who are residing in a federal Code B living arrangement. D: Domiciliary care. Includes recipients residing in licensed nonmedical facilities that provide room, board, and supervision. The state certifies which recipients are residents requiring this level of care. E: Personal care facility. Includes recipients residing in licensed nonmedical facilities that provide general supervision, physical care, and assistance in carrying out the basic activities of daily living. The state certifies which recipients are residents requiring this level of care. F: Home for the aged. Includes recipients residing in nonmedical facilities for the aged. The state certifies which recipients are residents requiring this level of care. Such care situations include, but are not limited to, licensed homes for the aged. G: Living independently with an essential person. Includes recipients with an essential person who are not living in the household of another. Children under age 18 are excluded. Payment levels for essential person apply only to cases converted from the state rolls in 1974. H: Living in the household of another with an essential person. Includes recipients converted from the 1973 state rolls who reside in another's household and it is determined that they need assistance from someone considered essential to their well-being. There are no longer any recipients receiving payments for living in the household of another with an essential person. I: Medicaid facility. Includes recipients residing in a federal Code D living arrangement.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement State code Total Aged Blind Disabled Adults Children All recipients 234,935 15,621 1,488 177,563 40,263 Living independently or living in the household of another . . . 234,776 15,594 1,487 177,433 40,262 Domiciliary care D 0 0 0 0 0 Personal care facility E 59 2 0 57 0 Home for the aged F 1 0 0 1 0 Living independently with an essential person G 0 0 0 0 0 Living in the household of another with an essential person H 0 0 0 0 0 Medicaid facility I 99 25 1 72 1 SOURCE: State information. NOTE: . . . = not applicable.

Total expenditures: The state reported expenditures of $22,866,046.20 for calendar year 2010 in state-administered payments, and the Social Security Administration reported $21,059,000 in federally administered payments to SSI recipients for calendar year 2010.

Michigan Department of Human Services.

Personal care and home help: For recipients living independently, payment for help required with personal care and household activities (maximum is based on individual need).

State emergency relief: Services provided for a number of needs arising from specific acceptable causes beyond the recipient's resources to control. Acceptable causes include:

Fires, floods, and other physical disasters;

Eviction or foreclosure;

Home repairs necessary to protect health; and

Utility shutoff.

State disability assistance: SSI recipients are eligible if state disability assistance standards indicate that their needs are greater than their SSI payment plus other income.

Criteria: SSI program guidelines (Title XVI ).

Determined by: Social Security Administration.

State provides a program for the aged, blind, and disabled medically needy.

The Social Security Administration does not obtain this information.

Administration: State Department of Social Services, Family Support Division.

Administration: State Department of Social Services, Family Support Division.

Effective date: January 1, 1974.

Supplemental aid to the blind: Missouri Revised Statutes, section 209.

All other supplementation: Missouri Revised Statutes, section 208.030, subchapter 5.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: State offices of the Family Support Division.

Scope of coverage: Optional state supplement provided to any person who:

Is aged, blind, or disabled and over age 18;

Resides in a licensed residential care facility or a licensed intermediate care or skilled nursing home that is not a Medicaid facility; and

Has insufficient cash income to cover costs of care in the facility.

Blind persons over age 18 living on their own are also provided with a supplement. Children under age 18 are not eligible for optional supplementation.

Aged and disabled: $999.99 individual; $2,000 couple.

Blind: $2,000 individual; $4,000 couple.

Income exclusions: There are no income exclusions for the aged or disabled unless they are employed at a sheltered workshop. Disregards for the blind include the first $65 plus one-half of the remainder of earned income.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: Spouse for spouse.

Interim assistance: State participates.

Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Combined federal and state State supplementation Individual Couple Individual Couple Licensed residential care facility, Level I 830.00 1,323.00 156.00 312.00 Licensed residential care facility, Level II 966.00 1,595.00 292.00 584.00 Licensed intermediate care or skilled nursing home a 1,064.00 1,791.00 390.00 780.00 Aid to the blind b b b b SOURCES: Social Security Administration, Office of Income Security Programs; estimates based on Federal Benefit Rate. a. Recipients in licensed nursing homes are entitled to an additional $52 per month to meet their personal needs. If the recipient is already receiving a personal needs allowance from another state or federal agency, this payment will not be made by the Family Support Division. b. Recipients receive a maximum combined federal and state payment of $510 for an individual and $1,020 for a couple. DEFINITIONS: Licensed residential care facility, Level I. Residents must meet state income and resource guidelines. Care provided is similar to boarding home care. Licensed residential care facility, Level II. Residents must meet state income and resource guidelines. Custodial-type care is provided. Licensed intermediate care or skilled nursing home. Custodial care and medical care are provided.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement Total Aged Blind Disabled All recipients -- -- -- -- Licensed residential care facility, Level I -- -- -- -- Licensed residential care facility, Level II -- -- -- -- Licensed intermediate care or skilled nursing home -- -- -- -- Aid to the blind -- -- -- -- NOTE: -- = not available.

Total expenditures: Not available.

State does not provide assistance for special needs.

Criteria: State guidelines.

Determined by: State.

State does not provide a program for the medically needy.

The Social Security Administration does not obtain this information.

Nebraska State Assistance Programs for SSI Recipients, January 2011 ♦ 69 The state did not respond to our request for 2011 data. The text reflects 2009 information and the tables reflect 2011 federal benefit rates and 2009 state data. State Supplementation Mandatory Minimum Supplementation Administration: Optional State Supplementation State Department of Health and Human Services. Administration: State Department of Health and Human Services. Effective date: January 1, 1974. Statutory basis for payment: Revised Statutes of Nebraska, section 68-1005. Funding Administration: State funds. Assistance: State funds. Passalong method: Maintaining total expenditures. Place of application: Local offices of the state Department of Health and Human Services. Scope of coverage: Optional state supplement provided to all aged, blind, and disabled recipients who meet state guidelines, including children, except those in public institutions where Medicaid is not paying for the cost of care. Persons living in the household of another receive the same state supplement as those living independently. Resource limitations: Federal SSI regulations apply. Income exclusions Aged and disabled: Federal SSI regulations apply. Blind: Income exclusions include the first $20 per month of unearned income, not including SSI, and the first $85 plus one-half of the remainder of earned income. Recoveries, liens, and assignments: None. Financial responsibility of relatives: Spouse for spouse. Interim assistance: State participates. Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation. Payment levels: See Table 1. Number of recipients: See Table 2. Total expenditures: State Assistance for Special Needs The state reported expenditures of $6,260,403 for calendar year 2010 in state-administered payments to SSI recipients. Administration State Department of Health and Human Services. Special Needs Circumstances Transportation costs: Fifty-eight cents per mile for obtaining medical services if recipient uses his or her own car. Repair or purchase of furniture and appliances: Repair or purchase of furniture and appliances over $750 total cost may be included (with state office approval) if the unit lacks essential items. Moving expenses: Costs of moving may be included if the recipient is forced to move for reasons beyond his or her control or if the recipient can obtain lower-cost shelter. Taxes: Back taxes may be included if the individual would soon lose his or her home and the plan to remain in the home is preferred by the individual and recommended by the case worker. Home repairs: Payments for home repairs, up to $1,000, if essential for the recipient's health or safety. Meals and lodging: The cost of meals (up to $12 per day) and lodging, if verified as related to obtaining approved health services, may be granted if the individual is away from home for more than 12 hours. Maintenance for guide dog: The medical and maintenance costs of a seeing-eye dog may be allowed. Guardian or conservator: Nebraska An allowance not to exceed $10 a month may be allowed if the client has a court- appointed guardian or conservator.

Nebraska 70 ♦ State Assistance Programs for SSI Recipients, January 2011

Individual Couple Individual Couple 679.00 1,011.00 5.00 0.00 674.00 1,348.00 0.00 337.00 802.00 1,604.00 128.00 593.00 674.00 1,348.00 0.00 337.00 738.00 . . . 64.00 . . . 1,112.00 2,224.00 438.00 1,213.00 50.00 100.00 20.00 40.00 a. Licensed center for developmentally disabled. These facilities provide accommodations and board and care (e.g., personal assistance in feeding, dressing, and other essential daily living activities) to four or more individuals who are unable to care for themselves or manage their own affairs because of illness, disease, injury, deformity, disability, or physical or mental infirmity. They do not, however, require the daily services of licensed, registered, or practical nurses. These facilities are licensed by the Department of Health and Human Services. Licensed group home for children or child-caring agency (disabled). These facilities provide 24-hour accommodations for two or more developmentally disabled minors. The homes are under the direction and control of a mental retardation program and are licensed by the Department of Social Services. Medicaid facility. Includes recipients residing in a federal Code D living arrangement. DEFINITIONS: Living independently. Includes recipients residing in a federal Code A living arrangement. Room and board facility. Includes eligible persons who: • Live in a household other than their own throughout a month with at least one other person who is not their child, their spouse, or an ineligible person whose income is deemed to them; and • Receive food and shelter from within that household. Adult family home. A residential living unit that provides full-time residence with minimal supervision and guidance to not more than three individuals aged 19 or older. Individuals residing in these homes are essentially capable of managing their own affairs but need supervision. These homes are certified by the social services unit in the local offices of the Department of Social Services. Assisted living facility. A residential facility unit that provides accommodations and board and care for four or more individuals not related to the owner, operator, manager, or administrator. These individuals may be unable to manage their own affairs because of illness, disease, injury, deformity, or physical or mental infirmity. These individuals do not require the daily services of a licensed nurse; however, staff may assist with the taking of oral or external medication. NOTE: . . . = not applicable. Living independently Room and board facility a Adult family home a Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Combined federal and state State supplementation Includes a minimum of $60 for personal needs allowance. Couples are treated as two individuals starting with the month after leaving an independent living arrangement. Licensed center for developmentally disabled Licensed group home for children or child-caring agency (disabled) a Medicaid facility Assisted living facility SOURCES: Social Security Administration, Office of Income Security Programs; state information.

Nebraska State Assistance Programs for SSI Recipients, January 2011 ♦ 71

Medicaid Eligibility Criteria: SSI program guidelines (Title XVI). Determined by: Medically Needy Program State. State provides a program for the aged, blind, and disabled medically needy. Unpaid Medical Expenses The Social Security Administration does not obtain this information. Total Aged Blind Disabled All recipients 5,437 1,031 54 4,352 3,638 698 38 2,902 9 2 0 7 103 8 1 94 42 5 0 37 1 0 0 1 962 186 7 769 645 131 8 506 37 1 0 36 a. Data reflect 2009 reporting. Room and board facility Living independently Table 2. Number of persons receiving optional state supplementation, January 2011a Living arrangement Adult family home Licensed center for developmentally disabled NOTE: Includes certain grandfathered, non-SSI recipients who meet state eligibility criteria. SOURCE: State information. Licensed group home for children or child- caring agency (disabled) Other Medicaid facility Assisted living facility

Administration: State-administered through the county offices of the state Department of Human Services.

Administration: State-administered through the county offices of the state Department of Human Services.

Effective date: July 1, 1976.

Statutory basis for payment: Chapter 51, Laws of 1976.

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining payment levels.

Place of application: County offices of the state Department of Human Services.

Scope of coverage: Optional state supplement provided to all SSI recipients who reside in a licensed adult residential care home. Children under age 18 are not eligible for optional supplementation.

Resource limitations: Federal SSI regulations apply.

Income exclusions: Federal SSI regulations apply.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2011 (in dollars) Living arrangement Combined federal and state State supplementation Individual Couple Individual Couple Licensed adult residential care home 774.00 1,211.00 100.00 200.00 SOURCES: Social Security Administration, Office of Income Security Programs; state information. NOTE: Payment levels apply equally to the aged, blind, and disabled. DEFINITION: Licensed adult residential care home. Includes no more than 15 persons who reside in a home-like atmosphere and receive assistance with activities of daily life.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2011 Living arrangement Total Aged Blind Disabled Licensed adult residential care home 57 3 1 53 SOURCE: State information.

Total expenditures: The state reported expenditures of $75,000 for calendar year 2010 in state-administered payments to SSI recipients.

State administered through the county offices of the state Department of Human Services.

Burial expenses provided for SSI recipients. Payment of up to $200 toward funeral expenses if available resources of the deceased are insufficient to cover costs and no other person will assume expenses. No payment is made when resources available from all sources total $600 or more.

Criteria: SSI program guidelines (Title XVI ).

Determined by: Social Security Administration.

State does not provide a program for the aged, blind, and disabled medically needy.

The Social Security Administration does not obtain this information.