Earlier this year you received DSS Administrative Letter No
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1. the Net Earned Income if any Enter the total in the TOT COUNTABLE MO INC field Subtract the Total Countable Monthly Income and Grant Recoupment Amount from the Maintenance Amount to get the Payment Amount b For cases receiving only SSI 1 2 3 4 Enter the new SSI amount 552 in the SSI Amount field Add the new SSI amount to the Total Unearned Income plus the Net Earned Income if any Enter the total in the TOT COUNTABLE MO INC field Subtract the Total Countable Monthly Income and Grant Recoupment Amount from the Maintenance Amount to get the Payment Amount C For cases receiving both RSDI and SSI 1 2 3 O o1 x x gt Multiply the current RSDI amount by 1 014 and round down to the nearest dollar Enter this amount in the RSDI field Subtract the 20 General Income Exclusion from the new RSDI amount Then subtract the result from the maximum SSI benefit of 552 Enter the new SSI amount in the SSI Amount field Add the new RSDI and SSI amounts to the Total Unearned Income plus the Net Earned Income if any Enter the total in the TOT COUNTABLE MoO INC field Subtract the Total Countable Monthly Income and Grant Recoupment Amount from the Maintenance Amount to get the Payment Amount 3 Key a DSS 8125 no later than the December Data processing Production Schedule deadline or before December 17 2002 if the Ambulation Capacity code must be changed to reflect the corre2. who have a Total Countable Monthly Income of 1 266 51 or greater should be terminated Disenfranchised recipients currently paying the Basic SA Adult Care Home Rate whose Total Countable Monthly Income is now between 1 126 51 and 1 266 50 should not be terminated As long as a Disenfranchised recipient s Total Countable Monthly Income does not exceed 1 266 50 and he she meets all other eligibility requirements SA eligibility continues Refer to Appendix D of the SA Manual for the eligibility requirements for Disenfranchised recipients Some Disenfranchised recipients may have at some point since October 1 1995 met the income limit for Basic SA due to either a decrease in income or an increase in the Basic Adult Care Home rate If so these individuals could have been switched to the Basic group This would allow the recipient to pay the Basic rate and allow the Adult Care Home to receive Medicaid reimbursement for Personal Care Services provided to the resident When manually updating these cases the following special instructions apply a Review the case carefully to confirm that the recipient was originally Disenfranchised Verify the Ambulation Capacity indicated on the latest FL 2 Recalculate the budget using the appropriate Adult Care Home rate 1 231 for A or S and the Maintenance Amount 1 267 for A or S A window will be open in EIS from November 25 2002 until December 17 2002 wh
3. DSS Administrative Letter No 05 02 Adult and Family Services COLA 2003 Obsolete Date November 12 2002 Subject Social Security Cost of Living Adjustment COLA 2003 Distribution County Directors Special Assistance Supervisors SOCIAL SECURITY CHANGES DUE TO COLA ADJUSTMENT A RSDI SSI Effective January 1 2003 recipients of RSDI and or SSI will receive a 1 4 cost of living increase in their monthly benefits B SSI Federal Benefit Rate FBR Effective 1 1 2003 the SSI FBR for an individual will increase to 552 Il RECIPIENT NOTICE OF COLA All SA recipients who are authorized as of the November regular run November 20 will be sent the following notice with the January 2003 SA check This notice satisfies the notice requirements in SA 3330 NOTICE TO SPECIAL ASSISTANCE SA RECIPIENTS If you receive a Social Security check and or Supplemental Security Income SSI check your check went up effective January 1 2003 This increase in your Social Security SSI check will have an affect on your SA check because Social Security and SSI benefits are counted in determining the amount of your SA check If your Social Security or SSI check increased your SA check was reduced You have 60 days from the date you receive this notice to appeal this decision ONGOING CASES AUTOMATICALLY UPDATED IN EIS EIS will automatically calculate the January 2003 Special Assistance payments to reflect the 1 4 COLA increase in RSDI SSI ben
4. ct payment or termination 4 Send the appropriate notice following procedures in SA 3340 5 Verify the new benefits from SOLQ If the amounts are different from the amounts you calculated revise the payment amount as soon as the action can be taken IV APPLICATIONS AND REAPPLICATIONS APPROVED AFTER NOVEMBER 22 2002 A Payments Effective Prior to January 1 2003 Use the previous RSDI and SSI amounts and the 20 General Income Exclusion Key the DSS 8125 and or DMA 5022 to approve the case and issue benefits Payment Effective January 1 2003 Use the revised RSDI and SSI amounts and the 20 General Income Exclusion to determine eligibility and payment amounts from January 1 2003 forward Zero Pay Cases It is important when manually updating these cases to record the actual Total Countable Monthly Income in the case record for future budgeting purposes Enter the ACTUAL payment amount 1 00 2 00 3 00 or 4 00 in the Monthly Payment Amount field Enter a payment effective date of 01 03 If you have any questions regarding this information please contact your Adult Programs Representative or Jackie Franklin SA Program Consultant at 919 733 3677 Attachment Sincerely John T Tanner Chief Adult amp Family Services Section Admin Letter 05 02
5. efits SA cases in EIS with correct information will be updated on the night of November 22 2002 The payment effective date will be January 1 2003 The SA CASE UPDATED AUDIT RPT is a list of all updated cases and will be available in XPTR on November 25 2002 No paper copies will be generated This report will show the recipient s name listed in alphabetical order by district number the county case number the case ID number the old and new SA payment amounts the old and new RSDI SSI amounts and the adult care home rates The 20 General Income Exclusion will be included in the new payment calculation for these cases A case profile for each updated case listed on the Audit Report will be mailed to the county No BENDEX or SDX will be issued for the COLA update A Cases Updated in EIS Within 30 days of receipt of the case profile verify the new RSDI amount through SOLQ If the amount is different from that on the SA CASE UPDATED AUDIT RPT revise the payment amount as soon as the action can be taken and the appropriate notice can be sent B Cases Updated in EIS But Changes Occur After November 22 2002 That Affect the Payment 1 Recompute the SA payment amount When computing the new payment use the case profile printed on the night of November 22 2002 to determine the revised RSDI SSI amounts These cases will have the 20 General Income Exclusion given automatically do not give another 20 exclusion 2 Send the appr
6. ich will allow you to update the ambulation Capacity code from B to A or S as appropriate You will not be able to update this field after December 17 2002 If the SA Payment Amount after rebudgeting is 1 00 2 00 3 00 or 4 00 the case will become Zero Pay Key the DSS 8125 by December 17 2002 so that you can change the ambulation capacity code SA In Home Recipients These are SAA and SAD Demo cases with an Ambulation Capacity Code H If you are one of the 22 SA Demo pilot counties you must manually update these cases Since SA Demo recipients have a case manager and a service plan you will need to coordinate with the case managers to ensure that they are aware of changes and can alter service plans as necessary SA Demo cases with a Total Monthly Countable Income greater than 739 00 should be terminated To determine Medicaid income eligibility do not round income Use the actual countable income to compare to the income limit Procedures for Manually Updating Ongoing Cases Not Updated By EIS Use the information on the most recent case profile to manually compute the new January SA payment to reflect COLA increase 2 To calculate the new payment amount a For cases receiving only RSDI 1 2 3 4 5 Multiply the current RSDI amount by 1 014 and round down to the nearest dollar Enter this amount in the RSDI field Add the new RSDI amount to the Total Unearned Income plus
7. ncome and case level net earned income does not equal the Total Countable Monthly Income amount plus 20 f SSI NOT 552 The SSI amount which is present in EIS is not 552 and there is no RSDI amount present g SSI IND Y NO SSI The SSI indicator is Y and no SSI amount is entered h RSDI amp SSI AMOUNT INVALID The total of the RSDI and SSI amounts exceeds allowable limit i TOT UNEARN IS lt RSDI amp SSI The total unearned income is less than RSDI and or SSI SA Potential Terminated Cases These are cases in which the Monthly Payment Amount is less than 1 00 as a result of the increased RSDI SSI These recipients potentially have income that exceeds the allowable income limit based on their ambulation capacity and the cases may require termination SA Potential Zero Pay Cases These are cases whose Monthly Payment Amount is 1 00 2 00 3 00 or 4 00 as a result of the increased RSDI SSI increase It is important when manually updating these cases to record the actual Total Countable Monthly Income in the case record for future budgeting purposes Enter the ACTUAL payment amount 1 00 2 00 3 00 or 4 00 in the Monthly Payment Amount field Enter a payment effective date of 01 03 Disenfranchised Cases This is a list of all Disenfranchised cases before and after the update All SAA and SAD recipients with ambulation capacity code A or S must be manually updated Disenfranchised recipients
8. opriate notice as required in SA 3330 Notice 3 Key the DSS 8125 no later than the December Data Processing Production Schedule deadline Follow instructions in the EIS User s Manual 4 Verify the new benefits through SOLQ with those shown on the SA CASE UPDATED AUDIT RPT If the amounts are different revise the payment amount as soon as the action can be taken and the appropriate notice can be sent IV ONGOING CASES NOT UPDATED IN EIS A Reports of Cases Not Updated The following reports identify cases that were not automatically updated by EIS You must manually update all cases listed on these reports following instructions in B below These reports will be available in XPTR on November 25 2002 No paper copies will be generated 1 SA Error Report Cases Not Updated These cases could not be automatically updated by EIS due to errors in the case data in EIS The error messages include a MAINT NOT 1 127 or 1 267 Cases with the Maintenance Amounts that are not equal to 1 127 or 1 267 b PAYMT NOT EQUAL DIFF The Maintenance Amount minus the Total Countable Monthly Income minus the Grant Recoupment Amount does not equal the Monthly Payment Amount C SSI AND RSDI ZERO There are no entries for SSI and RSDI in EIS d UNEARN INC ZERO Either the Net Unearned Income amount or the Total Countable Monthly Income amount is zero e TOT MO INC NOT BAL If the total of the RSDI SSI plus other unearned i
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