Optional State supplement category D became effective October 1, 1990. From 10/1/90 through 9/30/98, this living arrangement was called “Shelter Care.”

This optional State supplement category, which is used in conjunction with Federal living arrangement A, applies to adult individuals only. Members of a couple are not eligible for this optional State supplement category.

Beginning December 1, 1998, any individual living in a State licensed residential care/assisted living facility can be in either optional State supplement category A or D. Individuals are determined to be in optional supplement category D if they meet one of the following:

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  The individual was paid at the optional State supplement category D rate in October 1998 or November 1998 (SSA considers these individuals to be “grandfathered”), or

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  The individual is certified by the Rhode Island Department of Elder Affairs (DEA) as eligible for an optional State supplement category D payment.

Anyone living in a State licensed residential care/assisted living facility who does not meet one of the above criteria is determined to be in optional State supplement category A.

A list of the residential care/assisted living residences is available on the intranet.

The Rhode Island Department of Human Services (DHS) is responsible for notifying SSA of individuals in residential care/assisted living facilities who have been certified as eligible for the living arrangement D payment level (providing all other SSI eligibility criteria are met). The Rhode Island Department of Elder Affairs (DEA) is the DHS's designated agent for certification.

All individuals who received a category D payment in October 1998 or November 1998 will be forever exempt from the screening, assessment, and certification process.

Exhibit 1 is a facsimile of the form that is used to verify the individual is eligible for optional State supplement category D. This form is required for all new individuals entering this category.

Upon receipt of the residence verification form, query the SSN to determine whether the resident is a current SSI recipient. If so, the form serves as verification of eligibility for the D payment level and notice to initiate living arrangement development. If no current SSI eligibility exists, the notice of eligibility should be addressed as a lead per SI 00601.035.

Residents certified for optional State supplement category D, or a relative/representative, will be advised by the DEA to contact SSA to file for SSI; therefore, expression of interest to file an application may be made prior to receipt of the residence verification form. Normal protective filing rules apply; i.e., protective filing will be established by contact from the proper applicant or receipt of the verification form, whichever comes first. An application may be initiated before the form is received; however, under no circumstances should the SSR be updated to reflect the optional State supplement category D until a residence verification form is received in the SSA field office.

Exhibit 1

SSI ASSISTED LIVING ARRANGEMENT - CATEGORY D VERIFICATION

This optional State supplement category, which is used in conjunction with Federal living arrangement A, applies to adult individuals only. Members of a couple are not eligible for this optional State supplement category.

Beginning January 1, 2016, state supplement “F” applies to recipients living in a licensed adult community supportive living residence and receiving advanced care as certified by the Rhode Island Executive Office of Health and Human Services

The Rhode Island Department of Human Services (DHS), Executive Office of Health and Human Services (EOHHS) is responsible for notifying SSA of individuals in adult support community residence receiving advanced care who have been certified as eligible for the living arrangement F payment level (providing all other SSI eligibility criteria are met). The Rhode Island Office of Medical Review (OMR) is DHS's designated agent for certification.

A pdf version of the certification form is included at the end of this section. This form is used to certify the individual is eligible for optional State supplement category F. This verification is required for all individuals entering this category.

Upon receipt of the certification form, query the SSN to determine whether the resident is a current SSI recipient. If so, the form serves as certification of eligibility for the F payment level and notice to initiate living arrangement development. If no current SSI eligibility exists, the notice of eligibility should be addressed as a lead per SI 00601.035.

Residents certified for optional State supplement category F, or a relative/representative will be advised by the DHS to contact SSA to file for SSI; therefore, expression of interest to file an application may be made prior to receipt of the certification form. Normal protective filing rules apply; i.e., protective filing will be established by contact from the proper applicant or receipt of the verification form, whichever comes first. An application may be initiated before the form is received; however, under no circumstances should the SSR be updated to reflect the optional State supplement category F until a certification form is received in the SSA field office.

   

SSI ASSISTED LIVING ARRANGEMENT - CATEGORY F CERTIFICATION