State Assistance Programs for SSI Recipients, January 2002

 

Wisconsin

State Supplementation

Mandatory Minimum Supplementation

Administration: Department of Health and Family Services.

Optional State Supplementation

Administration: Department of Health and Family Services.

Effective date: January 1, 1974.

Statutory basis for payment: Wisconsin Statutes 49.77 and 49.775.

Funding

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining total expenditures.

Place of application: Social Security Administration field offices.

Scope of coverage: Optional state supplement provided to all eligible persons residing in the specified living arrangements (see Table 1). Residents of emergency shelters or patients in medical facilities where Medicaid pays more than 50 percent of the cost of care are not eligible for supplementation. Blind and disabled children are eligible for optional supplementation.

Resource limitations: Same as federal.

Income exclusions: Same as federal.

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 Combined federal and state State supplementation
Individual Couple Individual Couple
Living independently a 628.78 949.05 83.78 132.05
Living in the household of another 447.12 676.72 83.78 132.05
Living independently with an ineligible spouse 675.43 . . . 130.43 . . .
Living in the household of another with an ineligible spouse 498.39 . . . 135.05 . . .
Living in a private nonmedical group home or natural residential setting 724.77 1,294.41 179.77 477.41
NOTES: A caretaker supplement is provided for children: $250 for first child; $150 for each additional child.
. . . = not applicable.
a. Includes individuals in private medical facilities who receive less than 50 percent of cost of care from Medicaid.
DEFINITIONS:
Living independently
Includes recipients living in their own households, in private medical treatment facilities and receiving 50 percent or less of the cost of their care from SSI, or in nonmedical institutions. Also includes persons in medical facilities who are residing in a federal Code A living arrangement on the basis of their eligibility under section 1611(e)(1)(E).
Living in the household of another
Includes recipients residing in a federal Code B living arrangement.
Living independently with an ineligible spouse
Includes recipients living in their own household with an ineligible spouse.
Living in the household of another with an ineligible spouse
Includes recipients residing in a federal Code B living arrangement who have an ineligible spouse.
Living in a private nonmedical group home or natural residential setting
Restricted to recipients who require a supportive living arrangement and reside in private nonmedical group homes or in a natural residential setting with support. Eligibility is based on certification, on an individual basis, by the state.

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
All recipients 90,299 a 11,418 847 59,058 18,850
Living independently 61,842 8,188 442 36,619 16,593
Living in the household of another 3,846 361 64 2,798 623
Living independently with an ineligible spouse 5,102 635 62 4,401 4
Living in the household of another with an ineligible spouse 65 12 0 53 0
Living in a private nonmedical group home or natural residential setting 19,318 2,222 279 15,187 1,630
a. Includes 126 blind children.

State Assistance for Special Needs

Administration

Department of Health and Family Services, Division of Support Living.

Special Needs Circumstances

State administers special needs supplementary payments to cover care in nonmedical facilities and natural residential settings. Recipients with dependent children are eligible for a higher level of supplementation.

Medicaid

Eligibility

Criteria: SSI program guidelines (Title XVI), Wisconsin Statute 49.77.

Determined by: Social Security Administration.

Medically Needy Program

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

Unpaid Medical Expenses

The Social Security Administration does not obtain this information.