State Assistance Programs for SSI Recipients, January 2010

 

North Carolina

State Supplementation

Mandatory Minimum Supplementation

Administration: State Department of Health and Human Services, Division of Aging and Adult Services and Division of Services for the Blind (state-supervised and county-administered). Payments are made under the State/County Special Assistance for Adults program.

Optional State Supplementation

Administration: State Department of Health and Human Services, Division of Aging and Adult Services and Division of Services for the Blind (state-supervised and county-administered). Payments are made under the State/County Special Assistance for Adults program.

Effective date: Adult care homes, January 1, 1974.

Statutory basis for payment: General Statutes of North Carolina 108A.40 through 108A.47 and chapter 111 and chapter 143B-139.5.

Funding

Administration: 100 percent county funds.

Assistance: 50 percent state funds; 50 percent county funds.

Passalong method: Maintaining payment levels.

Place of application: County Department of Social Services.

Scope of coverage: Optional state supplement provided to all aged, blind, and disabled adults living in adult care homes. 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 (2 counties).

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 2010 (in dollars)
Living arrangement Combined federal and state State supplementation
Individual Couple Individual Couple
Adult care home
Basic (aged, blind, and disabled) a 1,228.00 b 554.00 b
Special care unit (aged, blind, and disabled) 1,561.00 b 887.00 b
Blind, pending SSI eligibility c
Not paying shelter and utilities . . . . . . 97.00 194.00 d
Paying shelter and utilities . . . . . . 146.00 219.00 e
SOURCES: Social Security Administration, Office of Income Security Programs; state information.
NOTE: . . . = not applicable.
a. An additional $20 income exclusion is allowed. In addition, a $46 personal needs allowance is included in the optional supplementation.
b. Couples residing in these living arrangements are treated as individuals.
c. This is a temporary supplement paid until SSI eligibility is determined. This is for people who are currently in a private living arrangement.
d. If only one member of the couple is blind, payment level is $194.
e. If only one member of the couple is blind, payment level is $219.
DEFINITION:
Adult care home.
Includes recipients residing in an assisted living residence in which the housing management provides 24-hour scheduled and unscheduled personal care services to two or more residents either directly or, for scheduled needs, through formal written agreement with licensed home care or hospice agencies. Recipients residing in a special care unit for Alzheimer's in an adult care home are eligible for a higher payment amount. Recipients residing in their own home may be eligible for some of these personal care services.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2010
Living arrangement Total Aged Blind Disabled
All recipients 23,418 11,575 74 11,769
Adult care home
Basic 21,480 9,774 73 11,633
Special care unit 1,938 1,801 1 136
SOURCE: State information.
NOTE: Includes some non-SSI recipients who meet state eligibility criteria, but do not meet federal SSI eligibility guidelines.

Total expenditures: The state reported expenditures of $81,891,912 for calendar year 2009 in state-administered payments to SSI recipients.

State Assistance for Special Needs

State does not provide assistance for special needs.

Medicaid

Eligibility

Criteria: SSI program guidelines (Title XVI).

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.