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<h1>State Assistance Programs for SSI Recipients, January 2011</h1>
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<div id="breadcrumbs" itemscope itemtype="http://schema.org/BreadcrumbList">You are here: <span itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"><a href="/" itemprop="item"><span itemprop="name">Social Security Administration</span></a><meta itemprop="position" content="1" /></span> > <span itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"><a href="/policy/index.html" itemprop="item"><span itemprop="name">Research, Statistics & Policy Analysis</span></a><meta itemprop="position" content="2" /></span> > <span itemprop="itemListElement" itemscope itemtype="http://schema.org/ListItem"><a href="index.html" itemprop="item"><span itemprop="name">State Assistance Programs for <abbr class="spell">SSI</abbr> Recipients, January 2011</span></a><meta itemprop="position" content="3" /></span></div>
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<div class="innards">
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<h1>North Carolina</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> State Department of Health and Human Services, Division of Aging and Adult Services. Payments are made under the State/County Special Assistance program.</p>
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<h3>Optional State Supplementation</h3>
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<p><span class="h4">Administration:</span> State Department of Health and Human Services, Division of Aging and Adult Services. Payments are made under the State/County Special Assistance program.</p>
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<p><span class="h4">Effective date:</span> Adult care homes, January 1, 1974.</p>
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<p><span class="h4">Statutory basis for payment:</span> General Statutes of North Carolina 108A.40 through 108A.47 and chapter <span class="nobr">143B-139.5.</span></p>
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<h4>Funding</h4>
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<p><span class="h5">Administration:</span><span class="h4"> </span>100 percent county funds.</p>
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<p><span class="h5">Assistance:</span> 50 percent state funds; 50 percent county 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> County Department of Social Services.</p>
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<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 who are legally blind may be eligible for optional supplementation.</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 (2 counties). </p>
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<p><span class="h4">Payment calculation method:</span> The federal <abbr class="spell">SSI</abbr> payment and any countable income are deducted from a
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standard amount set by the North Carolina General Assembly. 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 2011 (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="rowgroup">Adult care home</th>
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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">Basic (aged, blind, and disabled) <sup>a</sup></th>
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<td>1,228.00</td>
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<td>b</td>
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<td>554.00</td>
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<td>b</td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Special care unit (aged, blind, and disabled)</th>
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<td>1,561.00</td>
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<td>b</td>
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<td>887.00</td>
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<td>b</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. An additional $20 income exclusion is allowed. In addition, a $46 personal needs allowance is included in the optional supplementation.</td>
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</tr>
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<tr>
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<td class="note" colspan="5">b. Couples residing in these living arrangements are treated as individuals.</td>
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</tr>
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<tr>
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<td class="lastNote" colspan="5">DEFINITION:
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<dl>
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<dt>Adult care home.</dt>
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<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. Recipients residing in their own home may be eligible for some of these personal care services.</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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<thead>
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<tr>
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<th class="stubHeading" scope="colgroup">Living arrangement</th>
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<th scope="colgroup">Total</th>
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<th scope="colgroup">Aged</th>
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<th scope="colgroup">Blind</th>
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<th scope="colgroup">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="stub2" scope="rowgroup">All recipients</th>
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<td>23,671</td>
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<td>11,687</td>
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<td>. . .</td>
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<td>11,984</td>
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</tr>
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<tr class="topPad1">
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<th class="stub0" scope="rowgroup">Adult care home</th>
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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">Basic</th>
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<td>21,378</td>
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<td>9,553</td>
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<td>. . .</td>
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<td>11,825</td>
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</tr>
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<tr>
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<th class="stub1" scope="row">Special care unit</th>
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<td>2,293</td>
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<td>2,134</td>
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<td>. . .</td>
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<td>159</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="note" colspan="5">NOTES: Includes some non-<abbr class="spell">SSI</abbr> recipients who meet state eligibility criteria, but do not meet federal <abbr class="spell">SSI</abbr> eligibility guidelines.</td>
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</tr>
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<tr>
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<td class="lastNote" colspan="5">. . . = not applicable.</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 $79,107,294.04 for calendar year 2010 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 does not provide 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 <abbr title="sixteen">XVI</abbr>).</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 does not obtain this information.</p>
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</div>
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</article>
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