None.

Effective June 1983 and Continuing

(1) Certification

The State approves and licenses facilities. FOs are not responsible for determining the need for residency in these homes. The Montana Department of Family Services offices make placement and complete State form CSD- 108/109 certification. Mr. Don Sekora, (406-444-5900) is the State agency contact.

The local DFS social worker completes the forms and sends them to the servicing FO for input. No optional supplementation input should be made without prior approval.

(2) Income and Resource Exclusions

SSI criteria apply to the State's supplementation payments.

(3) Applications

No applications are necessry for current SSI recipients. An application for SSI is also an application for State optional supplementation. The State form contains a protective filing statement.

(4) Requests for Certification or Verification of Continuing Eligibility

If an FO is informed that an individual is residing in a group home and may be eligible for an optional supplement, request certification from the local Department of Family Services office on State form CSD-108. After taking its action, the county will forward the form to the FO. If a change address is reported for an individual who has been receiving a supplementary payment, request that the local Department of Family Services office verify the individual's continuing eligibility on a State form CSD- 108. After taking its action, the county will forward this request to the FO.

(5) County Requests for Optional Supplementary Termination

When the local DFS office wishes to terminate the optional supplementary payment for an indidvidual, they will notify the FO by form CSD-108.

(6) State Optional Supplementation Codes

The county welfare office makes the final determination on the optional supplementation payment level and reflects the determination in item 2 on form CSD-108.

The optional supplementation category codes for forms SSA-450S or SSA-1719b are to be determined as follows:

(a) State certified personal care is code "G".

(b) State certified residence in a group home for the mentally disabled is code "H".

(c) State certified residence in community home for the developmentally or physically disabled is Code "I".

(d) State certified residence for child and adult foster care is Code "J".

(e) State certified transitional living services for the developmentally disabled is Code "K".

(7) Field Office Input Consideration

In many cases the systems generated notice is inappropriate and should be suppressed.

SCHEDULE OF PAYMENTS (STATE SUPPLEMENTARY PAYMENT LEVELS)

Effective January 1, 1989 through 1995

THE STATE OF MONTANA

1/ The terms used in this column all have the following meanings:

1. 1. 

   "Aged" - an aged eligible individual;

2. 2. 

   "Blind" - a blind eligible individual;

3. 3. 

   "Disabled" - a disabled eligible individual;

4. 4. 

   "Aged and Aged Spouse" - an aged eligible individual and such individual's aged eligible spouse;

5. 5. 

   "Blind and Blind Spouse" - a blind eligible individual and such individual's blind eligible spouse;

6. 6. 

   "Disabled and Disabled Spouse" - a disabled eligible individual and such individual's disabled eligible spouse;

7. 7. 

   "Aged and Blind Spouse" - an aged eligible individual and such individual's blind eligible spouse;

8. 8. 

   "Aged and Disabled Spouse" - an aged eligible individual and such individual's disabled eligible spouse;

9. 9. 

   "Blind and Disabled Spouse" - a blind eligible individual and such individual's disabled eligible spouse.