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Earl Johnson Public Affairs Specialist Tidewater Area 5850 Lake Herbert Dr Norfolk, VA 23502 (866) 888-9932 X21158. How Much Will I Get?. SUPPLEMENTAL SECURITY INCOME. SSI - Eligibility Factors. AGED or BLIND or DISABLED and US citizen or lawfully admitted non-citizen and
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Earl Johnson Public Affairs Specialist Tidewater Area 5850 Lake Herbert Dr Norfolk, VA 23502 (866) 888-9932 X21158
SSI - Eligibility Factors • AGED or BLIND or DISABLED and • US citizen or lawfully admitted non-citizen and • must live in the US and • limited income and • limited resources
HOW TO FILE FOR BENEFITS • ONLINE • CONVENIENT • 1-800-772-1213 • LOCAL OFFICE • SocialSecurity.GOV
NEEDS BASED PROGRAM • INCOME : SGA APPRX ($980 / $1640 per month, if Blind) • RESOURCES: (IND $2000 / COU $3000)
Supplemental Security Initial Interview Both Programs Eligibility Reviewed • Title II (SSA Program) / Title XVI (SSI) Insured Status Needs Based • Technical Review (Citizenship/DOB/Living Arrangement/Income/ Resources/Etc) • Medical Disability Determination Station • Quick Disability Decision / Presumptive
DISABILITY DETERMINATION SERVICES • REVIEW WORK HISTORY • DATE DISABLED • MEDICAL CONSULTS • MAKE MEDICAL DETERMINATION
Are you working? Is your condition "severe"? Is your condition found in the list of disabling conditions? Can you do any other type of work? Can you do the work you did previously? DDS Located VA BEACH MAKE MEDICAL DECISION ESTABLISH DATE OF DISABILITY DETERMINE IF TEMPORARY OR PERMANENT HOW DDS DECIDES IF YOU ARE DISABLED
DISABILITY CATEGORIES • TEMPORARY (3 YEAR REVIEW) • PERMANENT (7 YEAR REVIEW) • ADMINISTRATIVE LAW JUDGE
2007 SSI Payment Amounts $ 674.00 - Individual $ 1011.00 - Couple
SSI - Section 1619B • Automatic eligibility for Medicaid in Virginia • Allows an SSI recipient to continue MEDICAID Eligibility even if earnings are too high to allow a cash benefit.
$2,000 Limit individual cash bank account stocks bonds $3,000 Limit couple house automobile life insurance other assets Resources
Four Living Arrangements • A - In own place, house, apartment, trailer • B - In someone else's household’ • C - Child under 18 in parent’s household • D - Institution (Hospital vs. Jail)
Types of Income • 1 – Unearned:Social Security, Pensions, Unemployment • 2 - Earned Income: Wages/Self employment • 3 - Deemed Income: Parents Income, Child under 18 living in same H/H, Spouses Income, Sponsors Income • 4 - In-kind Support and Maintenance Income: Free Room and Board
SSI - UNEarned Income $ 500.00 unearned income per month - 20.00 general unearned income exclusion $ 480.00 countable income $637.00 - 480.00 = $157.00SSI payment (FLA B $212.33 -$157.00 = Ineligible Due to Excess Income by $55.33)
SSI Earned Income Calculations $500.00 Wages -$20.00 General Exclusion $480.00 - $65.00 Earned Inc Exclusion $415.00 (divided by 2 ) = $207.50 Countable Income $637.00 - $207.50 = $429.50
DEEMING of INCOME • Government sets deeming for family of four @ $400 - Deem $200 to Worker - Deem $100 to Spouse - Deem $50 to a Child (Two Children = $100) No one eligible as enough money to deem to all • If family has another Child Now Family of five - Deem $200 to Worker - Deem $100 to Spouse - Deem $50 to Child (only two receive 50) - Third Child is eligible as no money to DEEM
FOSTER CARE PAYMENTS • Income based on need counted as income dollar for dollar, unless excluded by statute • Foster Care Payments: Paid by agency or individual • Title IV-E Funds. Children eligible to receive TANF • Federally funded income based on need (IBON) • Receipt of SSI and Title IV-E is permitted • Technical denial for EXCESS Title IV-E income • Section 477 Title IV-E are cash assistance For Social Services and NOT income • F/C Title IV-B or Title XX are not income • All Other F/C Payments- subject to general income rule In-Kind income, not cash
CHILD UNDER AGE 18 • STAYING WITH PARENT • DEEMING VS RENT @ AGE 18 • DEDICATED ACCOUNT • AGE 18 CONTINUING DISABILITY REVIEW (CDR) • REPRESENTATIVE PAYEE
SCHEDULED REVIEWS • REDETERMINATIONS • REVIEW OF INFORMATION ON RECORD • REPORT CHANGES IN 10 DAYS • LIMITED ISSUES • RESOURCE ALERTS • FILE FOR OTHER BENEFITS
APPEALS / REASONS • RECONSIDERATION (DDS) • ADMINISTRATIVE LAW JUDGE (ALJ) • DENIAL OF APPLICATION • OVERPAYMENTS • ANY DISAGREEMENTS
Funded through FICA taxes Earnings tested (Insured Status) Benefits based on earnings Funded through General Fund Means tested (Income / Resources) Benefits based on need Social Security Disability vs. SSI
Social Security Disability vs. SSI Family benefit Medicare Five month waiting period Payment cycling SSI recipient only Medicaid Paid first full month of eligibility Paid first of month
Earl Johnson Public Affairs Specialist Tidewater Area 5850 Lake Herbert Dr Norfolk, VA 23502 (866) 888-9932 X21158