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<h1>State Assistance Programs for SSI Recipients, January 2011</h1>
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<h1>Massachusetts</h1>
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<h2>State Supplementation</h2>
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<h3>Mandatory Minimum Supplementation</h3>
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<p><span class="h4">Administration:</span> Social Security Administration.</p>
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<h3>Optional State Supplementation</h3>
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<p><span class="h4">Administration:</span> Social Security Administration.</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> General Laws of the Commonwealth of Massachusetts, chapter 118A, section 1.</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> Social Security Administration field offices.</p>
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<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 percent or less of the cost of care. </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> None.</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> The state supplementation is added to the federal payment. Countable income is deducted first from the federal payment. Any income that remains to be counted after the federal payment has been reduced to zero is then deducted from the state supplementary payment.</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 2011 (in dollars)</caption>
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<colgroup span="1" style="width:20em"></colgroup>
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<colgroup span="1" style="width:6em"></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 rowspan="2" scope="colgroup">State code</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 <sup>a</sup></th>
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<th scope="col">Individual</th>
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<th scope="col">Couple <sup>a</sup></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="rowgroup">Living independently</th>
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<td>A</td>
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<td colspan="4"> </td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Aged</th>
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<td> </td>
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<td>802.82</td>
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<td>1,212.72</td>
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<td>128.82</td>
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<td>201.72</td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Blind</th>
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<td> </td>
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<td>823.74</td>
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<td>1,647.48</td>
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<td>149.74</td>
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<td>636.48</td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Disabled</th>
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<td> </td>
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<td>788.39</td>
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<td>1,191.06</td>
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<td>114.39</td>
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<td>180.06</td>
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</tr>
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<tr class="topPad1">
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<th class="stub0" scope="rowgroup">Shared living expenses</th>
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<td>B</td>
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<td colspan="4"> </td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Aged</th>
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<td> </td>
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<td>713.26</td>
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<td>1,212.72</td>
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<td>39.26</td>
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<td>201.72</td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Blind</th>
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<td> </td>
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<td>823.74</td>
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<td>1,647.48</td>
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<td>149.74</td>
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<td>636.48</td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Disabled</th>
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<td> </td>
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<td>704.40</td>
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<td>1,191.06</td>
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<td>30.40</td>
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<td>180.06</td>
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</tr>
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<tr class="topPad1">
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<th class="stub0" scope="rowgroup">Living in the household of another</th>
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<td>C</td>
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<td colspan="4"> </td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Aged</th>
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<td> </td>
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<td>553.70</td>
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<td>889.80</td>
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<td>104.36</td>
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<td>215.80</td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Blind</th>
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<td> </td>
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<td>823.74</td>
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<td>1,647.49</td>
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<td>374.40</td>
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<td>973.48</td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Disabled</th>
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<td> </td>
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<td>536.92</td>
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<td>868.18</td>
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<td>87.58</td>
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<td>194.18</td>
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</tr>
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<tr class="topPad1">
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<th class="stub0" scope="rowgroup">Licensed rest home</th>
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<td>E</td>
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<td colspan="4"> </td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Aged and disabled</th>
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<td> </td>
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<td>967.00</td>
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<td>1,934.00</td>
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<td>293.00</td>
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<td>923.00</td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Blind</th>
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<td> </td>
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<td>823.74</td>
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<td>1,647.48</td>
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<td>149.74</td>
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<td>636.48</td>
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</tr>
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<tr class="topPad1">
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<th class="stub0" scope="rowgroup">Medicaid facility</th>
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<td>F</td>
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<td>72.80</td>
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<td>145.60</td>
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<td>42.80</td>
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<td>85.60</td>
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</tr>
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<tr class="topPad1">
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<th class="stub0" scope="rowgroup">Assisted living facility</th>
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<td>G</td>
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<td>1,128.00</td>
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<td>1,692.00</td>
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<td>454.00</td>
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<td>681.00</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="6">SOURCE: Social Security Administration, Office of Income Security Programs.</td>
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</tr>
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<tr>
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<td class="note" colspan="6">NOTE: Blind individuals aged 65 or older are entitled to the highest payment category for which they qualify.</td>
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</tr>
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<tr>
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<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>
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</tr>
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<tr>
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<td class="lastNote" colspan="6">DEFINITIONS:
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<dl>
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<dt>A: Living independently.</dt>
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<dd>Includes recipients who live:
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<ul>
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<li>Alone;</li>
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<li>Only with an eligible spouse;</li>
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<li>With an eligible spouse and with ineligible children who do not receive income maintenance payments; or</li>
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<li>With an ineligible spouse or ineligible children, none of whom receive income maintenance payments. Also includes recipients residing in a federal Code 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 A or C living arrangement and pay at least <span class="nobr">two-thirds</span> of the household expenses. Recipients living in public congregate housing developments are also included.</li>
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</ul>
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</dd>
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<dt>B: Shared living expenses.</dt>
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<dd>Includes recipients who reside in a federal Code 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 percent or less of the cost of care, foster homes, commercial boarding homes, or other facilities that do not meet the criteria for state living arrangement A or E. It also includes:
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<ul>
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<li>Recipients who reside in households where they do not pay at least <span class="nobr">two-thirds</span> of the household expenses and one or more household members receive an income maintenance payment; and</li>
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<li>Transients, the homeless, and residents of public emergency shelters.</li>
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</ul>
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</dd>
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<dt>C: Living in the household of another.</dt>
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<dd>Includes recipients residing in a federal Code B living arrangement.</dd>
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<dt>E: Licensed rest home.</dt>
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<dd>Includes recipients residing in a licensed rest home that has a provider agreement with the state.</dd>
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<dt>F: Medicaid facility.</dt>
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<dd>Includes recipients residing in a federal Code D living arrangement.</dd>
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<dt>G: Assisted living facility.</dt>
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<dd>Includes recipients residing in nonpublic subsidized assisted living facilities that have been registered with the state.</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 2011</caption>
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<colgroup span="1" style="width:20em"></colgroup>
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<colgroup span="1" style="width:6em"></colgroup>
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|
<colgroup span="1" style="width:6em"></colgroup>
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<colgroup span="1" style="width:6em"></colgroup>
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<colgroup span="1" 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 rowspan="2" scope="colgroup">State code</th>
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<th rowspan="2" scope="colgroup">Total</th>
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<th rowspan="2" scope="colgroup">Aged</th>
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<th rowspan="2" scope="colgroup">Blind</th>
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<th class="spanner" colspan="2" scope="colgroup">Disabled</th>
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</tr>
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<tr>
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<th scope="col">Adults</th>
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<th scope="col">Children</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> </td>
|
|
<td>193,725</td>
|
|
<td>47,107</td>
|
|
<td>3,640</td>
|
|
<td>108,978</td>
|
|
<td>34,000</td>
|
|
</tr>
|
|
<tr class="topPad1">
|
|
<th class="stub0" scope="row">Living independently</th>
|
|
<td>A</td>
|
|
<td>83,525</td>
|
|
<td>27,314</td>
|
|
<td>1,166</td>
|
|
<td>46,523</td>
|
|
<td>8,522</td>
|
|
</tr>
|
|
<tr>
|
|
<th class="stub0" scope="row">Shared living expenses</th>
|
|
<td>B</td>
|
|
<td>89,367</td>
|
|
<td>13,202</td>
|
|
<td>1,741</td>
|
|
<td>51,845</td>
|
|
<td>22,579</td>
|
|
</tr>
|
|
<tr>
|
|
<th class="stub0" scope="row">Living in the household of another</th>
|
|
<td>C</td>
|
|
<td>15,530</td>
|
|
<td>3,740</td>
|
|
<td>622</td>
|
|
<td>8,684</td>
|
|
<td>2,484</td>
|
|
</tr>
|
|
<tr>
|
|
<th class="stub0" scope="row">Licensed rest home</th>
|
|
<td>E</td>
|
|
<td>1,428</td>
|
|
<td>796</td>
|
|
<td>10</td>
|
|
<td>619</td>
|
|
<td>3</td>
|
|
</tr>
|
|
<tr>
|
|
<th class="stub0" scope="row">Medicaid facility</th>
|
|
<td>F + Z</td>
|
|
<td>2,718</td>
|
|
<td>1,078</td>
|
|
<td>87</td>
|
|
<td>1,141</td>
|
|
<td>412</td>
|
|
</tr>
|
|
<tr>
|
|
<th class="stub0" scope="row">Assisted living facility</th>
|
|
<td>G</td>
|
|
<td>1,157</td>
|
|
<td>977</td>
|
|
<td>14</td>
|
|
<td>166</td>
|
|
<td>0</td>
|
|
</tr>
|
|
</tbody>
|
|
<tfoot>
|
|
<tr>
|
|
<td class="onlyNote" colspan="7">SOURCE: State information.</td>
|
|
</tr>
|
|
</tfoot>
|
|
</table>
|
|
</div>
|
|
<p><span class="h4">Total expenditures:</span> The Social Security Administration reported expenditures of $185,492,373 for calendar year 2010 in federally administered payments to <abbr class="spell">SSI</abbr> recipients.</p>
|
|
<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> The department may pay up to $1,000 to a funeral establishment for burial expenses if the <abbr class="spell">SSI</abbr> recipient had insufficient resources to cover the cost. The Commonwealth can be reimbursed from whatever resources the recipient may have in their estate.</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 60 or older. The Massachusetts Rehabilitation Commission provides these services for recipients under age 60.</p>
|
|
<h2>Medicaid</h2>
|
|
<h3>Eligibility</h3>
|
|
<p><span class="h4">Criteria:</span> <abbr class="spell">SSI</abbr> program guidelines (Title <abbr title="sixteen">XVI</abbr>).</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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