State Assistance Programs for SSI Recipients, January 2004

Wisconsin

State Supplementation

Mandatory Minimum Supplementation

Administration: State Department of Health and Family Services.

Optional State Supplementation

Administration: State Department of Health and Family Services and Division of Disability and Elder Services.

Effective date: January 1, 1974.

Statutory basis for payment: Wisconsin Statutes 49.77 and 49.775.

Funding

Administration: State funds.

Assistance: State funds.

Passalong method: Maintaining total expenditures.

Place of application: Social Security Administration field offices.

Scope of coverage: Optional state supplement provided to all eligible persons residing in the specified living arrangements (see Table 1). Residents of emergency shelters or patients in medical facilities where Medicaid pays more than 50 percent of the cost of care are not eligible for supplementation. Blind and disabled children are eligible for optional supplementation.

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 levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2004 (in dollars)
Living arrangement Combined federal
and state		 State supplementation
Individual Couple Individual Couple
Living independently 647.78 978.05 83.78 132.05
Living in the household of another 459.78 696.05 83.78 132.05
Living independently with an ineligible spouse 694.43 . . . 130.43 . . .
Living in the household of another with an ineligible spouse 511.05 . . . 135.05 . . .
Private nonmedical group home or natural residential setting 743.77 1,323.41 179.77 477.41
NOTES: A caretaker supplement is provided for children: $250 for first child; $150 for each additional child.
. . . = not applicable.
DEFINITIONS:
Living independently
Includes recipients living in their own households, in private medical treatment facilities and receiving 50 percent or less of the cost of their care from Medicaid, or in nonmedical institutions. Also includes persons in medical facilities who are residing in a federal Code A living arrangement on the basis of their eligibility under section 1611(e)(1)(E) of the Social Security Act.
Living in the household of another
Includes recipients residing in a federal Code B living arrangement.
Living independently with an ineligible spouse
Includes recipients living in their own household with an ineligible spouse.
Living in the household of another with an ineligible spouse
Includes recipients residing in a federal Code B living arrangement who have an ineligible spouse.
Private nonmedical group home or natural residential setting
Restricted to recipients who require a supportive living arrangement and reside in private nonmedical group homes or in a natural residential setting with support. Eligibility is based on certification, on an individual basis, by the state.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2004
Living arrangement Total Aged Blind Disabled
Adults Children
All recipients 94,296 10,366 986 62,560 20,384
Living independently 63,306 7,200 548 37,768 17,790
Living in the household of another 4,263 333 84 3,150 696
Living independently with an ineligible spouse 6,066 788 62 5,211 5
Living in the household of another with an ineligible spouse 65 11 0 54 0
Private nonmedical group home or natural residential setting 20,596 2,034 292 16,377 1,893
 

State Assistance for Special Needs

Administration

State Department of Health and Family Services, Division of Disability and Elder Services.

Special Needs Circumstances

State administers special needs supplementary payments to cover care in nonmedical facilities and natural residential settings. Recipients with dependent children are eligible for a higher level of supplementation.

Medicaid

Eligibility

Criteria: SSI program guidelines (Title XVI), Wisconsin Statute 49.77.

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.