DEFINITIONS:
- A: Living alone.
- Includes recipients living alone, with foster children, with an authorized homemaker, or in a family care home placed by an authorized agency. Also includes recipients living with others but either paying a flat fee for both room and board or preparing their meals separately.
- B: Living with others.
- Includes recipients who reside in a dwelling with others and:
- Prepare food in common with at least one other person in the dwelling,
- Are members of a religious community,
- Are children who have not been included in state living arrangement C or D, or
- Whose federal benefit rate has been reduced by one-third because of the federal determination that the recipient is both living in someone else's household and receiving some amount of free or subsidized food and shelter.
- C: Congregate care facility, Level 1.
- Includes recipients in family-type homes and family care homes. These homes serve persons who are unable to function completely independently. Family-type homes are facilities certified by New York State, supervised by local departments of social services, and operated for the purpose of providing long-term residential care for adults. Family care homes are private households that provide care for mentally disabled persons. Eligibility for care in these homes is based on certification of placement by the local Department of Social Services or an office of the state Department of Mental Hygiene.
- D: Congregate care facility, Level 2.
- Includes recipients in residential facilities who are aged or have mental or physical disabilities. Facilities at this level provide residential care for adults (and some children) and are certified by the New York State Department of Health.
- E: Congregate care facility, Level 3.
- Includes recipients in nonmedical privately operated, state-certified, residential facilities that are operated for the purpose of providing treatment, training, and education for mentally retarded or developmentally disabled individuals.
- F: Living in the household of another.
- Includes recipients residing in a federal Code B living arrangement and for New York State purposes is considered part of the living-with-others living arrangement.
- Z: Medical facility, publicly operated residential facility, and public emergency shelter.
- Includes recipients in publicly operated residential facilities and public emergency shelters. This arrangement applies:
- When an SSI recipient is residing in a medical facility and is not expected to return home within 90 days and Medicaid is paying for at least 50 percent of the cost of care;
- When an SSI recipient is residing in a private medical facility and Medicaid is paying for less than 50 percent of the cost of care;
- When a recipient resides in a publicly operated residential facility serving 76 or fewer residents; or
- While a recipient resides in a public emergency shelter for 6 calendar months during a 9-month period.
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