Mandatory Minimum Supplementation
Administration: Social Security Administration.
Optional State Supplementation
Administration: State Department of Human Services administers supplemental payments for persons receiving residential or in-home health-related care, and persons who are eligible for the supplement for Medicare and Medicaid eligible. Social Security Administration administers all other supplemental payments.
Effective date: January 1, 1974 (blind); May 1, 1974 (aged and disabled); October 1, 2003 (eligible for supplement for Medicare and Medicaid eligible).
Statutory basis for payment: Code of Iowa, chapter 249.
Administration: State funds.
Assistance: State funds.
Passalong method: Maintaining payment levels.
Place of application: Social Security Administration field offices for federally administered payments; local offices of state Department of Human Services for state-administered payments.
Scope of coverage: Optional state supplement provided to all aged, blind, and disabled persons residing in the specified living arrangements. Supplementation is not provided to residents of emergency shelters or medical facilities. Blind children are eligible for optional supplementation if living in their own household or with a dependent relative; disabled children are eligible for optional supplementation if living with a dependent relative.
Resource limitations: Federal SSI regulations apply.
Income exclusions: Federal SSI regulations apply.
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.
Payment levels: See Table 1.
|Living arrangement||State code||Combined federal and state||State supplementation|
|Living independently (blind)||A||696.00||a 1,055.00||22.00||a 44.00|
|Living in the household of another (blind)||B||471.34||a 718.00||22.00||a 44.00|
|Living with a dependent person||C|
|Aged and disabled||1,018.00||1,355.00||344.00||344.00|
|Family life or boarding home||D|
|Aged and disabled||816.00||1,652.00||142.00||641.00|
|Living with a dependent person in the household of another||H|
|Aged and disabled||793.34||1,018.00||344.00||344.00|
|Family life or boarding home (one-third reduction in federal benefit rate applies)||I|
|Aged and disabled||591.34||1,315.00||142.00||641.00|
|Residential care||. . .||966.34||. . .||b 292.34||. . .|
|In-home health care||. . .||1,154.55||c 1,972.10||d 480.55||c 961.10|
|SOURCE: Social Security Administration, Office of Income Security Programs.|
|NOTE: . . . = not applicable.|
|a. Payment level when both members of a couple are blind; when only one member is blind, payment is reduced by $22.|
|b. Amount based on allowable costs of residential care ($17.86 to $26.95 per day), plus a personal needs allowance of $91.00 per month, minus the federal SSI payment. State administers payments.|
|c. Payment is based on both members of a couple needing in-home health-related care. When one member needs care, payment is reduced by $480.55. State administers payments.|
|d. Payment is based on actual cost of in-home health-related care up to a maximum of $480.55, plus basic federal benefit. State administers payments.|
Number of recipients: See Table 2.
|Living arrangement||State code||Total||Aged||Blind||Disabled|
|Living independently (blind)||A||556||2||426||16||112|
|Living in the household of another (blind)||B||8||0||6||0||2|
|Living with a dependent person||C||1,294||110||22||1,041||121|
|Family life or boarding home||D and I||7||0||0||7||0|
|Living with a dependent person in the household of another||H||0||0||0||0||0|
|Residential care||. . .||1,858||343||0||1,496||19|
|In-home health care||. . .||1,604||209||0||1,365||30|
|Medicaid facility||. . .||--||--||--||--||--|
|SOURCE: Social Security Administration, Supplemental Security Record, 100 percent data.|
|NOTE: -- = not available; . . . = not applicable.|
Total expenditures: The state reported expenditures of $12,525,667 for calendar year 2008 in state-administered payments and $4,778,827 in federally 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 obtains this information.