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<h1>State Assistance Programs for <abbr class="spell">SSI</abbr> Recipients, January 2007</h1>
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<div class="innards">
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<h1>Kentucky</h1>
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<h2>State Supplementation</h2>
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<h3>Mandatory Minimum Supplementation</h3>
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<p>No recipients.</p>
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<h3>Optional State Supplementation</h3>
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<p><span class="h4">Administration:</span> State Cabinet for Health and Family Services, Department for Community Based Services.</p>
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<p><span class="h4">Effective date:</span> January 1, 1974.</p>
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<p><span class="h4">Statutory basis for payment:</span> Kentucky Revised Statutes 205.245 and budget approval by state legislature.</p>
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<h4>Funding</h4>
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<p><span class="h5">Administration:</span> State funds.</p>
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<p><span class="h5">Assistance:</span> State funds.</p>
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<p><span class="h4">Passalong method:</span> Maintaining payment levels.</p>
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<p><span class="h4">Place of application:</span> Local offices of the state Cabinet for Health and Family Services, Department for Community Based Services.</p>
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<p><span class="h4">Scope of coverage:</span> Optional state supplement provided to every aged, blind, and disabled person who needs care in a personal care facility other than a Medicaid facility or in a family care home licensed under the health licensure act or needs the services of a caretaker in the home and who has insufficient income to obtain this care. Children are eligible for the optional supplement of caretaker services in the home. The minimum age requirement is 16 for a personal care home and 18 for a family care home.</p>
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<p><span class="h4">Resource limitations:</span> Federal <abbr class="spell">SSI</abbr> regulations apply.</p>
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<p><span class="h4">Income exclusions:</span> Federal <abbr class="spell">SSI</abbr> regulations apply.</p>
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<p><span class="h4">Recoveries, liens, and assignments:</span> None.</p>
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<p><span class="h4">Financial responsibility of relatives:</span> Spouse for spouse; parent or stepparent for minor child in the month of admission only.</p>
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<p><span class="h4">Interim assistance:</span> State participates. </p>
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<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>
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<p><span class="h4">Payment levels:</span> See Table 1.</p>
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<div class="table" id="table1">
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<table>
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<caption><span class="tableNumber">Table 1. </span>Optional state supplementation payment levels, January 2007 (in dollars)</caption>
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<colgroup span="1" style="width:20em"></colgroup>
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<colgroup span="2" style="width:6em"></colgroup>
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<colgroup span="2" style="width:6em"></colgroup>
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<thead>
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<tr>
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<th class="stubHeading" rowspan="2" scope="colgroup">Living arrangement</th>
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<th class="spanner" colspan="2" scope="colgroup">Combined federal and state</th>
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<th class="spanner" colspan="2" scope="colgroup">State supplementation</th>
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</tr>
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<tr>
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<th scope="col">Individual</th>
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<th scope="col">Couple</th>
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<th scope="col">Individual</th>
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<th scope="col">Couple</th>
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</tr>
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</thead>
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<tbody>
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<tr>
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<th class="stub0" scope="row">Personal care facility</th>
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<td>1,143.00</td>
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<td>a</td>
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<td>520.00</td>
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<td>a</td>
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</tr>
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<tr>
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<th class="stub0" scope="row">Family care home</th>
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<td>795.00</td>
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<td>a</td>
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<td>172.00</td>
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<td>a</td>
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</tr>
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<tr>
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<th class="stub0" scope="row">Caretaker in home</th>
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<td>685.00</td>
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<td>1,049.00</td>
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<td>62.00</td>
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<td>115.00</td>
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</tr>
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</tbody>
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<tfoot>
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<tr>
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<td class="firstNote" colspan="5">SOURCES: Social Security Administration, Office of Income Security Programs; state information.</td>
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</tr>
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<tr>
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<td class="note" colspan="5">a. Couples are treated as two individuals starting with the month after leaving an independent living arrangement.</td>
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</tr>
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<tr>
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<td class="lastNote" colspan="5">DEFINITIONS:
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<dl>
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<dt>Personal care facility</dt>
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<dd>Includes recipients who are ambulatory or mobile nonambulatory and able to manage most of the activities of daily life. Facilities provide supervision, basic health and health-related services, personal care, and social or recreational activities.</dd>
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<dt>Family care home</dt>
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<dd>Includes recipients in residential accommodations limited to two or three persons who are not related to the licensee. Residents of these homes must be ambulatory or mobile nonambulatory and be able to manage most of the activities of daily life. They cannot have an illness, injury, or disability requiring constant medical care.</dd>
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<dt>Caretaker in home</dt>
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<dd>Includes recipients who are eligible to receive caretaker services in their homes. These services are provided at regular intervals to prevent institutionalization.</dd>
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</dl>
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</td>
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</tr>
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</tfoot>
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</table>
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</div>
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<p><span class="h4">Number of recipients:</span> See Table 2.</p>
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<div class="table" id="table2">
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<table>
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<caption><span class="tableNumber">Table 2. </span>Number of persons receiving optional state supplementation, January 2007</caption>
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<colgroup span="1" style="width:20em"></colgroup>
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<colgroup span="4" style="width:6em"></colgroup>
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<thead>
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<tr>
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<th class="stubHeading" scope="col">Living arrangement</th>
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<th scope="col">Total</th>
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<th scope="col">Aged</th>
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<th scope="col">Blind</th>
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<th scope="col">Disabled</th>
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</tr>
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</thead>
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<tbody>
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<tr>
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<th class="stub1" scope="row">All recipients</th>
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<td>4,330</td>
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<td>1,513</td>
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<td>18</td>
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<td>2,799</td>
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</tr>
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<tr class="topPad1">
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<th class="stub0" scope="row">Personal care facility</th>
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<td>3,358</td>
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<td class="nobr">--</td>
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<td class="nobr">--</td>
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<td class="nobr">--</td>
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</tr>
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<tr>
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<th class="stub0" scope="row">Family care home</th>
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<td>155</td>
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<td class="nobr">--</td>
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<td class="nobr">--</td>
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<td class="nobr">--</td>
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</tr>
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<tr>
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<th class="stub0" scope="row">Caretaker in home</th>
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<td>817</td>
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<td class="nobr">--</td>
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<td class="nobr">--</td>
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<td class="nobr">--</td>
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</tr>
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</tbody>
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<tfoot>
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<tr>
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<td class="firstNote" colspan="5">SOURCE: State information.</td>
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</tr>
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<tr>
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<td class="lastNote" colspan="5">NOTE: <span class="nobr">--</span> = not available.</td>
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</tr>
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</tfoot>
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</table>
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</div>
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<p><span class="h4">Total expenditures:</span> The state reported expenditures of $19,817,848 for calendar year 2006 in state-administered payments to <abbr class="spell">SSI</abbr> recipients.</p>
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<h2>State Assistance for Special Needs</h2>
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<p>State provides assistance for special needs.</p>
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<h2>Medicaid</h2>
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<h3>Eligibility</h3>
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<p><span class="h4">Criteria:</span> <abbr class="spell">SSI</abbr> program guidelines (Title XVI).</p>
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<p><span class="h4">Determined by:</span> Social Security Administration.</p>
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<h3>Medically Needy Program</h3>
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<p>State provides a program for the aged, blind, and disabled medically needy.</p>
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<h3>Unpaid Medical Expenses</h3>
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<p>The Social Security Administration obtains this information.</p>
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</div>
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