Mandatory Minimum Supplementation
Administration: State Department of Health and Human Services, Division of Aging and Adult Services and Division of Services for the Blind (state-supervised and county-administered).
Optional State Supplementation
Administration: State Department of Health and Human Services, Division of Aging and Adult Services and Division of Services for the Blind (state-supervised and county-administered). Payments are made under the State/County Special Assistance for Adults program.
Effective date: Adult care homes, January 1, 1974; Special Assistance In-home program, July 1, 1999.
Statutory basis for payment: General Statutes of North Carolina 108A.40 through 108A.47 and chapter 111 and chapter 143B-139.5; Session Law 1999-237; and Session Law 2005-0276, section 10.39(a).
Administration: 100 percent county funds.
Assistance: 50 percent state funds; 50 percent county funds.
Passalong method: Maintaining payment levels.
Place of application: County Department of Social Services.
Scope of coverage: Optional state supplement provided to all aged, blind, and disabled adults living in adult care homes. A separate optional state supplement is provided for those in private living arrangements who are at risk for going into an adult care home; the supplement enables them to remain safely at home. Children under age 18 are not eligible for optional supplementation.
Resource limitations: Federal SSI regulations apply.
All categories: A $20 exemption applies to any income, including SSI, with the exception of income received as a Veterans Administration (VA) pension payment or a VA compensation payment to the surviving parent of a veteran.
Aged and disabled: Federal SSI regulations apply.
Blind: For earned income, exclude the first $85 plus one-half of the remainder.
Recoveries, liens, and assignments: None.
Financial responsibility of relatives: None.
Interim assistance: State participates.
Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation for those in adult care homes. For recipients in the Special Assistance In-home program, a maximum state supplement is 75 percent of the supplement paid for a recipient in an adult care home.
Payment levels: See Table 1.
|Living arrangement||Combined federal and state||State supplementation|
|Adult care home|
|Basic (aged, blind, and disabled) a||1,194.00||b||571.00||b|
|Disenfranchised (aged and disabled)||1,297.00||b||674.00||b|
|Special care unit (aged, blind, and disabled)||1,561.00||b||938.00||b|
|In home (aged, blind, and disabled) c||1,108.00||b||277.00||b|
|Blind, pending SSI eligibility d|
|Not paying shelter and utilities||. . .||. . .||97.00||194.00 e|
|Paying shelter and utilities||. . .||. . .||146.00||243.00 f|
|SOURCES: Social Security Administration, Office of Income Security Programs; state information.|
|NOTE: . . . = not applicable.|
|a. An additional $20 income exclusion is allowed. In addition, a $46 personal needs allowance is included in the optional supplementation.|
|b. Couples residing in these living arrangements are treated as individuals.|
|c. Payment after subtracting the federal poverty level ($851) from basic rate times 75 percent.|
|d. This is a temporary supplement paid until SSI eligibility is determined. This is for people who are currently in a private living arrangement.|
|e. If only one member of the couple is blind, payment level is $146.|
|f. If only one member of the couple is blind, payment level is $219.|
Number of recipients: See Table 2.
|Adult care home|
|Special care unit||666||633||0||33|
|In home (aged, blind, and disabled)||1,090||632||0||458|
|SOURCE: State information.|
Total expenditures: The state reported expenditures of $135,027,291 in calendar year 2006 in state-administered payments to SSI recipients.
State Assistance for Special Needs
State does not provide assistance for special needs.
Criteria: SSI program guidelines (Title XVI).
Determined by: Social Security Administration.
Medically Needy Program
State provides a program for the aged, blind, and disabled medically needy.
Unpaid Medical Expenses
The Social Security Administration does not obtain this information.