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<h1>State Assistance Programs for <abbr class="spell">SSI</abbr> Recipients, January&nbsp;2006</h1>
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<h1>North Carolina</h1>
<h2>State Supplementation</h2>
<h3>Mandatory Minimum Supplementation</h3>
<p><span class="h4">Administration:</span> 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).</p>
<h3>Optional State Supplementation</h3>
<p><span class="h4">Administration:</span> 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.</p>
<p><span class="h4">Effective date:</span> January&nbsp;1, 1974.</p>
<p><span class="h4">Statutory basis for payment:</span> General Statutes of North Carolina 108A.40 through 108A.47 and chapter&nbsp;111 and chapter&nbsp;<span class="nobr">143B-139.5</span>.</p>
<h4>Funding</h4>
<p><span class="h5">Administration:</span> 100 percent county funds.</p>
<p><span class="h5">Assistance:</span> 50&nbsp;percent state funds; 50&nbsp;percent county funds.</p>
<p><span class="h4">Passalong method:</span> Maintaining payment levels.</p>
<p><span class="h4">Place of application:</span> County Department of Social Services.</p>
<p><span class="h4">Scope of coverage:</span> Optional state supplement provided to all aged, blind, and disabled adults living in adult care homes. Children under age&nbsp;18 are not eligible for optional supplementation.</p>
<p><span class="h4">Resource limitations:</span> Federal <abbr class="spell">SSI</abbr> regulations apply.</p>
<h4>Income exclusions</h4>
<p><span class="h5">All categories:</span> A $20 exemption applies to any income, including <abbr class="spell">SSI</abbr>, with the exception of income received as a Veterans Administration&nbsp;(<abbr class="spell">VA</abbr>) pension payment or a <abbr class="spell">VA</abbr> compensation payment to the surviving parent of a veteran.</p>
<p><span class="h5">Aged and disabled:</span> Federal <abbr class="spell">SSI</abbr> regulations apply.</p>
<p><span class="h5">Blind:</span> For earned income, exclude the first $85 plus one-half of the remainder.</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 calculation method:</span> A standard applies that is established by the state for the total <abbr class="spell">SSI</abbr> payment. The federal <abbr class="spell">SSI</abbr> payment and any countable income are deducted from the state standard. The remainder is the state supplementation.</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;2006 (in dollars)</caption>
<colgroup span="1" style="width:20em"></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="spanner" colspan="2" scope="colgroup">Combined federal and state</th>
<th class="spanner" colspan="2" scope="colgroup">State supplementation</th>
</tr>
<tr>
<th scope="col">Individual</th>
<th scope="col">Couple</th>
<th scope="col">Individual</th>
<th scope="col">Couple</th>
</tr>
</thead>
<tbody>
<tr>
<th class="stub0" scope="rowgroup">Adult care home</th>
<td colspan="4"></td>
</tr>
<tr>
<th class="stub1" scope="row">Basic (aged, blind, and disabled)&nbsp;<sup>a</sup></th>
<td>1,164.00</td>
<td>b</td>
<td>561.00</td>
<td>b</td>
</tr>
<tr>
<th class="stub1" scope="row">Disenfranchised (aged and disabled)</th>
<td>1,277.00</td>
<td>b</td>
<td>674.00</td>
<td>b</td>
</tr>
<tr>
<th class="stub1" scope="row">Special care unit (aged, blind, and disabled)</th>
<td>1,561.00</td>
<td>b</td>
<td>958.00</td>
<td>b</td>
</tr>
<tr class="topPad1">
<th class="stub0" scope="rowgroup">Blind, pending <abbr class="spell">SSI</abbr> eligibility&nbsp;<sup>c</sup></th>
<td colspan="4"></td>
</tr>
<tr>
<th class="stub1" scope="row">Not paying shelter and utilities</th>
<td>.&nbsp;.&nbsp;.</td>
<td>.&nbsp;.&nbsp;.</td>
<td>97.00</td>
<td>194.00&nbsp;<sup>d</sup></td>
</tr>
<tr>
<th class="stub1" scope="row">Paying shelter and utilities</th>
<td>.&nbsp;.&nbsp;.</td>
<td>.&nbsp;.&nbsp;.</td>
<td>146.00</td>
<td>243.00&nbsp;<sup>e</sup></td>
</tr>
</tbody>
<tfoot>
<tr>
<td class="firstNote" colspan="5">SOURCES: Social Security Administration, Office of Income Security Programs; state information.</td>
</tr>
<tr>
<td class="note" colspan="5">NOTE: .&nbsp;.&nbsp;.&nbsp;= not applicable.</td>
</tr>
<tr>
<td class="note" colspan="5">a. An additional $20 income exclusion is allowed. In addition, a $46 personal needs allowance is included in the optional supplementation.</td>
</tr>
<tr>
<td class="note" colspan="5">b. Couples residing in these living arrangements are treated as individuals.</td>
</tr>
<tr>
<td class="note" colspan="5">c. This is a temporary supplement paid until <abbr class="spell">SSI</abbr> eligibility is determined. This is for people who are currently in a private living arrangement.</td>
</tr>
<tr>
<td class="note" colspan="5">d. If only one member of the couple is blind, payment level is $146.</td>
</tr>
<tr>
<td class="note" colspan="5">e. If only one member of the couple is blind, payment level is $219.</td>
</tr>
<tr>
<td class="lastNote" colspan="5">DEFINITION:
<dl>
<dt>Adult care home</dt>
<dd>Includes recipients residing in an assisted living residence in which the housing management provides <span class="nobr">24-hour</span> 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.</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;2006</caption>
<colgroup span="1" style="width:20em"></colgroup>
<colgroup span="4" style="width:6em"></colgroup>
<thead>
<tr>
<th class="stubHeading" scope="col">Living arrangement</th>
<th scope="col">Total</th>
<th scope="col">Aged</th>
<th scope="col">Blind</th>
<th scope="col">Disabled</th>
</tr>
</thead>
<tbody>
<tr>
<th class="stub2" scope="row">All recipients</th>
<td>23,823</td>
<td>12,048</td>
<td>99</td>
<td>11,676</td>
</tr>
<tr class="topPad1">
<th class="stub0" scope="rowgroup">Adult care home</th>
<td colspan="4"></td>
</tr>
<tr>
<th class="stub1" scope="row">Basic</th>
<td>23,488</td>
<td>11,742</td>
<td>99</td>
<td>11,647</td>
</tr>
<tr>
<th class="stub1" scope="row">Disenfranchised</th>
<td>5</td>
<td>3</td>
<td>0</td>
<td>2</td>
</tr>
<tr>
<th class="stub1" scope="row">Special care unit</th>
<td>330</td>
<td>303</td>
<td>0</td>
<td>27</td>
</tr>
</tbody>
<tfoot>
<tr>
<td class="firstNote" colspan="5">SOURCE: State information.</td>
</tr>
<tr>
<td class="lastNote" colspan="5">NOTE: Includes certain grandfathered, non-<span class="nobr">SSI</span> recipients who meet state eligibility criteria.</td>
</tr>
</tfoot>
</table>
</div>
<h2>State Assistance for Special Needs</h2>
<p>State does not provide assistance for special needs.</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 does not obtain this information.</p>
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