General Eligibility
$2000.00 for individuals
$3000.00 for couples
Resources
Form that doctor completes to tell us if a client is disabled or not
MED-9
This program provides interim cash assistance to customers age 18 through 59 (unless diagnosed with blindness, then age 0 through 59); who are disabled or blind but have not been approved for Supplemental Security Income (SSI) or Social Security Disability Insurance (SSDI)
OAP
Old Age Pension
Bank accounts, CD's, Mutual Funds, secondary vehicles, RV's, Secondary Properties, cash, bonds, trusts.
Countable Resources
These forms shall be required at initial application, and at each re-examination date for AND-SO
MED-9 and IM-14
Form that needs to be complete at application and every RRR so that the county gets reimbursed for monies paid out to client
IM-14
This program provides financial assistance for low-income adults age 60 or older who meet basic eligibility requirements
OAP Old Age Pension
AND-SO
Aid to the Needy Disabled – State Only is a program that provides interim financial assistance to people who are awaiting approval for SSI
One Vehicle per Household
Primary residence
Irrevocable pre-paid burials
Life Insurance with face value of $1500.00 or less
Income tax refunds
Exempt Resources
Clients must apply for their early retirement to be considered for this program
OAP Old Age Pension
DAILY DOUBLE!!
Form that is completed after a client that was on Medicaid passes away so that they may be eligible to receive benefits that cover funeral expenses
IM-100
Benefits are available for eligible customers to cover reasonable and necessary costs for (funeral, burial and/or cremation) providing the total burial costs do not exceed $2,500
Burial Assistance Program
PNA
The Personal Needs Allowance is a payment to persons who are institutionalized with income under the PNA standard. It allows customers to pay for items which are not covered by the institution such as cell phone bills, newspaper subscriptions, or haircuts
Income deductions allowed for Adult Financial programs
Disregards
Clients must have a pending application for this type of Social Security money in order to receive AND-SO
SSI Supplemental Security Income
ISM worksheet / Formula
This program provides a supplemental payment for customers age 0 to 59 who are receiving SSI due to a disability or blindness, but are receiving an SSI payment that is less than the full SSI grant standard
AND-CS Aid to the Needy Disabled-Colorado Supplement
IM-14
This is the Interim Assistance Agreement form used for AND-SO which allows for recovery of AND-SO payments from the first retroactive SSI payment received by the customer
Maximum Adult Financial grant payment that can be provided to a customer based on each specific Adult Financial program
Grant Standard
Counting income of a non-recipient spouse or parent toward a client
Deeming
This form is used for three (3) purposes: 1) To obtain written, signed proposals of the charges for the disposition of the recipient (decedent); 2) To authorize the State contribution amount; and 3) For the County to authorize the cremation or burial when: a) No written choice of the manner of disposition was made by the decedent; or b) No authorized relative has been located; or c) No authorized relative of the decedent has made a written choice within seven (7) days of the death and the county has determined the most cost-effective option for disposition.
IM-101 Form - Provider Charges, Authorized State Contribution, and County Authorization for Cremation or Burial
DAILY DOUBLE!!
A special cash payment made to a client, five (5) years of age or older for the purpose of securing in-home, personal care services. It is designed to serve customers with the lowest functional abilities and the greatest need for paid care
HCA Home Care Allowance
ISM
In-kind Support and Maintenance is income for certain customers who are not paying their fair share of shelter costs
Interface for Title II benefits: SSA retirement, SSA disability, and SSA Survivors benefits
BENDEX