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<h1>State Assistance Programs for <abbr class="spell">SSI</abbr> Recipients, January&nbsp;2004</h1>
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<h1>Massachusetts</h1>
<h2>State Supplementation</h2>
<h3>Mandatory Minimum Supplementation</h3>
<p><span class="h4">Administration:</span> Social Security Administration.</p>
<h3>Optional State Supplementation</h3>
<p><span class="h4">Administration:</span> Social Security Administration.</p>
<p><span class="h4">Effective date:</span> January&nbsp;1, 1974.</p>
<p><span class="h4">Statutory basis for payment:</span> General Laws of the Commonwealth of Massachusetts, chapter&nbsp;118A, section&nbsp;1.</p>
<h4>Funding</h4>
<p><span class="h5">Administration:</span> State funds.</p>
<p><span class="h5">Assistance:</span> State funds. </p>
<p><span class="h4">Passalong method:</span> Maintaining payment levels.</p>
<p><span class="h4">Place of application:</span> Social Security Administration field offices.</p>
<p><span class="h4">Scope of coverage:</span> Optional state supplement provided to every aged, blind, and disabled <abbr class="spell">SSI</abbr> recipient, including children, and recipients in private medical facilities where the Medicaid program provides 50&nbsp;percent or less of the cost of care. </p>
<p><span class="h4">Resource limitations:</span> Federal <abbr class="spell">SSI</abbr> regulations apply.</p>
<p><span class="h4">Income exclusions:</span> Federal <abbr class="spell">SSI</abbr> regulations apply.</p>
<p><span class="h4">Recoveries, liens, and assignments:</span> None.</p>
<p><span class="h4">Financial responsibility of relatives:</span> None.</p>
<p><span class="h4">Interim assistance:</span> State participates.</p>
<p><span class="h4">Payment levels:</span> See Table&nbsp;1.</p>
<div class="table" id="table1">
<table>
<caption><span class="tableNumber">Table&nbsp;1. </span>Optional state supplementation payment levels, January&nbsp;2004 (in dollars)</caption>
<colgroup span="1" style="width:20em"></colgroup>
<colgroup span="1" style="width:6em"></colgroup>
<colgroup span="2" style="width:6em"></colgroup>
<colgroup span="2" style="width:6em"></colgroup>
<thead>
<tr>
<th class="stubHeading" rowspan="2" scope="colgroup">Living arrangement</th>
<th class="center" rowspan="2" scope="colgroup">State<br>code</th>
<th class="spanner" colspan="2" scope="colgroup">Combined federal<br>and state</th>
<th class="spanner" colspan="2" scope="colgroup">State supplementation</th>
</tr>
<tr>
<th scope="col">Individual</th>
<th scope="col">Couple&nbsp;<sup>a</sup></th>
<th scope="col">Individual</th>
<th scope="col">Couple&nbsp;<sup>a</sup></th>
</tr>
</thead>
<tbody>
<tr>
<th class="stub0" scope="rowgroup">Living independently</th>
<td class="center">A</td>
<td colspan="4"></td>
</tr>
<tr>
<th class="stub1" scope="row">Aged</th>
<td class="center"></td>
<td>692.82</td>
<td>1,047.72</td>
<td>128.82</td>
<td>201.72</td>
</tr>
<tr>
<th class="stub1" scope="row">Blind</th>
<td class="center"></td>
<td>713.74</td>
<td>1,427.48</td>
<td>149.74</td>
<td>581.48</td>
</tr>
<tr>
<th class="stub1" scope="row">Disabled</th>
<td class="center"></td>
<td>678.39</td>
<td>1,026.06</td>
<td>114.39</td>
<td>180.06</td>
</tr>
<tr class="topPad1">
<th class="stub0" scope="rowgroup">Shared living expenses</th>
<td class="center">B</td>
<td colspan="4"></td>
</tr>
<tr>
<th class="stub1" scope="row">Aged</th>
<td class="center"></td>
<td>603.26</td>
<td>1,047.72</td>
<td>39.26</td>
<td>201.72</td>
</tr>
<tr>
<th class="stub1" scope="row">Blind</th>
<td class="center"></td>
<td>713.74</td>
<td>1,427.48</td>
<td>149.74</td>
<td>581.48</td>
</tr>
<tr>
<th class="stub1" scope="row">Disabled</th>
<td class="center"></td>
<td>594.40</td>
<td>1,026.06</td>
<td>30.40</td>
<td>180.06</td>
</tr>
<tr class="topPad1">
<th class="stub0" scope="rowgroup">Living in the household of another</th>
<td class="center">C</td>
<td colspan="4"></td>
</tr>
<tr>
<th class="stub1" scope="row">Aged</th>
<td class="center"></td>
<td>480.36</td>
<td>779.80</td>
<td>104.36</td>
<td>215.80</td>
</tr>
<tr>
<th class="stub1" scope="row">Blind</th>
<td class="center"></td>
<td>713.74</td>
<td>1,427.48</td>
<td>337.74</td>
<td>863.48</td>
</tr>
<tr>
<th class="stub1" scope="row">Disabled</th>
<td class="center"></td>
<td>463.58</td>
<td>758.18</td>
<td>87.58</td>
<td>194.18</td>
</tr>
<tr class="topPad1">
<th class="stub0" scope="rowgroup">Licensed rest home</th>
<td class="center">E</td>
<td colspan="4"></td>
</tr>
<tr>
<th class="stub1" scope="row">Aged and disabled</th>
<td class="center"></td>
<td>857.00</td>
<td>1,714.00</td>
<td>293.00</td>
<td>868.00</td>
</tr>
<tr>
<th class="stub1" scope="row">Blind</th>
<td class="center"></td>
<td>713.74</td>
<td>1,427.48</td>
<td>149.74</td>
<td>581.48</td>
</tr>
<tr class="topPad1">
<th class="stub0" scope="row">Medicaid facility</th>
<td class="center">F</td>
<td>65.00</td>
<td>130.00</td>
<td>35.00</td>
<td>70.00</td>
</tr>
<tr class="topPad1">
<th class="stub0" scope="row">Assisted living facility</th>
<td class="center">G</td>
<td>1,018.00</td>
<td>1,527.00</td>
<td>454.00</td>
<td>681.00</td>
</tr>
</tbody>
<tfoot>
<tr>
<td class="firstNote" colspan="6">NOTE: Blind individuals aged&nbsp;65 or older are entitled to the highest payment category for which they qualify.</td>
</tr>
<tr>
<td class="note" colspan="6">a. The amounts given apply when both members of a couple belong to the same eligibility category. When members belong to different eligibility categories, the two respective individual benefits are added to obtain the couple's benefit.</td>
</tr>
<tr>
<td class="lastNote" colspan="6">DEFINITIONS:
<dl>
<dt>A: Living independently</dt>
<dd>Includes recipients who live:
<ul>
<li>Alone;</li>
<li>Only with an eligible spouse;</li>
<li>With an eligible spouse and with ineligible children who do not receive income maintenance payments; or</li>
<li>With an ineligible spouse or ineligible children none of whom receive income maintenance payments. Also includes recipients residing in a federal Code&nbsp;C living arrangement who do not live with any persons receiving income maintenance payments. Persons not meeting these criteria may be included if they are residing in a federal Code&nbsp;A or C living arrangement and pay at least two-thirds of the household expenses. Recipients living in public congregate housing developments are also included.</li>
</ul>
</dd>
<dt>B: Shared living expenses</dt>
<dd>Includes recipients who reside in a federal Code&nbsp;A or C living arrangement and do not meet the criteria for state living arrangement A or E. It therefore includes recipients who reside in group care facilities such as halfway houses, private medical facilities where Medicaid is paying 50&nbsp;percent or less of the cost of care, foster homes, commercial boarding homes, or in other facilities that do not meet the criteria for state living arrangement A or E. It also includes:
<ul>
<li>Recipients who reside in households where they do not pay at least two-thirds of the household expenses and one or more household members receive an income maintenance payment; and</li>
<li>Transients, the homeless, and residents of public emergency shelters.</li>
</ul>
</dd>
<dt>C: Living in the household of another</dt>
<dd>Includes recipients residing in a federal Code&nbsp;B living arrangement.</dd>
<dt>E: Licensed rest home</dt>
<dd>Includes recipients residing in a licensed rest home that has a provider agreement with the state.</dd>
<dt>F: Medicaid facility</dt>
<dd>Includes recipients residing in a federal Code&nbsp;D living arrangement.</dd>
<dt>G: Assisted living facility</dt>
<dd>Includes recipients residing in nonpublic subsidized assisted living facilities that have been registered with the state.</dd>
</dl>
</td>
</tr>
</tfoot>
</table>
</div>
<p><span class="h4">Number of recipients:</span> See Table&nbsp;2.</p>
<div class="table" id="table2">
<table>
<caption><span class="tableNumber">Table&nbsp;2. </span>Number of persons receiving optional state supplementation, January&nbsp;2004</caption>
<colgroup span="1" style="width:20em"></colgroup>
<colgroup span="1" style="width:6em"></colgroup>
<colgroup span="1" style="width:6em"></colgroup>
<colgroup span="1" style="width:6em"></colgroup>
<colgroup span="1" style="width:6em"></colgroup>
<colgroup span="2" style="width:6em"></colgroup>
<thead>
<tr>
<th class="stubHeading" rowspan="2" scope="colgroup">Living arrangement</th>
<th class="center" rowspan="2" scope="colgroup">State<br>code</th>
<th rowspan="2" scope="colgroup">Total</th>
<th rowspan="2" scope="colgroup">Aged</th>
<th rowspan="2" scope="colgroup">Blind</th>
<th class="spanner" colspan="2" scope="colgroup">Disabled</th>
</tr>
<tr>
<th scope="col">Adults</th>
<th scope="col">Children</th>
</tr>
</thead>
<tbody>
<tr>
<th class="stub1" scope="row">All recipients</th>
<td class="center"></td>
<td>168,042</td>
<td>44,648</td>
<td>4,019</td>
<td>96,875</td>
<td>22,500</td>
</tr>
<tr class="topPad1">
<th class="stub0" scope="row">Living independently</th>
<td class="center">A</td>
<td>77,748</td>
<td>26,387</td>
<td>1,446</td>
<td>43,890</td>
<td>6,025</td>
</tr>
<tr>
<th class="stub0" scope="row">Shared living expenses</th>
<td class="center">B</td>
<td>73,022</td>
<td>11,991</td>
<td>1,887</td>
<td>44,363</td>
<td>14,781</td>
</tr>
<tr>
<th class="stub0" scope="row">Living in the household of another</th>
<td class="center">C</td>
<td>11,222</td>
<td>2,950</td>
<td>529</td>
<td>6,397</td>
<td>1,346</td>
</tr>
<tr>
<th class="stub0" scope="row">Licensed rest home</th>
<td class="center">E</td>
<td>1,890</td>
<td>1,120</td>
<td>18</td>
<td>751</td>
<td>1</td>
</tr>
<tr>
<th class="stub0" scope="row">Medicaid facility</th>
<td class="center">F</td>
<td>2,906</td>
<td>1,197</td>
<td>10</td>
<td>1,352</td>
<td>347</td>
</tr>
<tr>
<th class="stub0" scope="row">Assisted living facility</th>
<td class="center">G</td>
<td>1,254</td>
<td>1,003</td>
<td>129</td>
<td>122</td>
<td>0</td>
</tr>
</tbody>
<tfoot>
<tr>
<td class="noNotes" colspan="7">&nbsp;</td>
</tr>
</tfoot>
</table>
</div>
<h2>State Assistance for Special Needs</h2>
<h3>Administration</h3>
<p>State Department of Transitional Assistance and Commission for the Blind.</p>
<h3>Special Needs Circumstances</h3>
<p>Vendor payments in lieu of cash payments.</p>
<p><span class="h4">Disaster benefits:</span> Replacement of specific items of furniture, household equipment, supplies, food, and clothing for <abbr class="spell">SSI</abbr> recipients when these items were lost because of a natural disaster or fire. (Amounts exempted in determining <abbr class="spell">SSI</abbr> eligibility.)</p>
<p><span class="h4">Burial expenses:</span> Payment of funeral and burial expenses for <abbr class="spell">SSI</abbr> recipients shall not exceed $1,100, and the total expense shall not exceed $1,500. When a resource exists, it is deductible from the total expense (maximum $1,500), and the payment by the department must not exceed $1,100 of the balance.</p>
<p><span class="h4">Rest home subsidies:</span> When cost exceeds the total available income, excluding personal needs allowance, the state will pay difference up to established maximum rates.</p>
<p><span class="h4">Moving expenses:</span> The cost of moving within the state for <abbr class="spell">SSI</abbr> recipients may be paid once in a <span class="nobr">12-month</span> period if:</p>
<ul>
<li>Present living quarters have been certified as substandard,</li>
<li>Moving to new quarters is necessary because of health problems or lack of safety in old neighborhood,</li>
<li>Recipient is moving into federal or state subsidized housing, or</li>
<li>Recipient is forced to move for other reasons.</li>
</ul>
<p>Total payment not to exceed $150.</p>
<p><span class="h4">Homemaker and housekeeper services:</span> The Department of Elder Affairs performs homemaker and housekeeping services for recipients aged&nbsp;60 or older. The Department of Transitional Assistance provides these services for recipients under age&nbsp;60.</p>
<h2>Medicaid</h2>
<h3>Eligibility</h3>
<p><span class="h4">Criteria:</span> <abbr class="spell">SSI</abbr> program guidelines (Title&nbsp;XVI).</p>
<p><span class="h4">Determined by:</span> Social Security Administration.</p>
<h3>Medically Needy Program</h3>
<p>State provides a program for the aged, blind, and disabled medically needy.</p>
<h3>Unpaid Medical Expenses</h3>
<p>The Social Security Administration obtains this information.</p>
</div>
</article>
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