\"Grandfathered\" State-Only SSI Recipient
An individual who, in November 1995, was not receiving federal SSI cash benefits, but was receiving SSI supplementary payments in Wisconsin. Approximately 17,500 individuals were granted continued eligibility for state cash benefits and Medicaid. In 2006, approximately 7,500 \"grandfathered\" state-only SSI recipients remain. Since January 1, 1996, non-grandfathered persons must be eligible for federal SSI cash benefits in order to receive state SSI cash benefits.
A provision of the federal Social Security Act, section 1619(b) allows continued Medicaid coverage for recipients of SSI who have earnings from work. Generally, a person whose income is not high enough to replace the SSI, Medicaid coverage and any publicly funded attendant care that he or she is receiving will be allowed to keep his or her Medicaid.
An additional amount of monthly cash benefit provided to certain SSI recipients in Wisconsin who reside with their dependent children. Wisconsin funds this benefit with a combination of state dollars and its federal Temporary Assistance for Needy Families (TANF) grant.
Chronic alcoholic or other drug abuser
A person with a diagnosis of alcoholism or other drug abuse in which uncontrolled consumption of alcohol and/or psychoactive chemical substances produces physical complications. Such persons show little motivation to change a lifestyle centered around alcohol or other drugs which has led to dysfunction in major social roles and the inability to care for oneself.
Chronically mentally ill
A person with a long history of severe mental illness which causes a substantially diminished level of functioning in the primary aspects of daily living and an inability to cope with the ordinary demands of life, and which may lead to an inability to maintain stable adjustment and independent functioning without long-term treatment and support. It also includes younger persons whose history and clinical picture suggest a similar prognosis.
community support program
A coordinated care and treatment program which provides a range of treatment, rehabilitation, and support services through an identified treatment program and staff to ensure: 1) ongoing therapeutic involvement 2) individualized treatment 3) rehabilitation 4) support services in the community for persons with chronic mental illness or chronic alcohol or other drug abuse. Services include, but are not limited to: Outreach. Screening. Assessment and treatment planning. Crisis intervention services. Supportive psychotherapy/counseling. Symptom management. Medication prescription, administration, monitoring and documentation. Psychiatric and psychological services. Rehabilitation services such as employment-related services. Social and recreational skill training. Activities of daily living services provided in community-based settings. Assistance to obtain adequate physical health or dental services. Transportation services. Financial benefits. Living accommodations. Case management activities including coordination of treatment and referrals. Monitoring symptom status. Advocacy. Education. Support and consultation to clients’ families and other major supports.
Continuing Disability Review (CDR)
The process of obtaining, reviewing and re-establishing a finding of disability, based on medical evidence and work activity, to determine whether SSI benefits should continue. In Wisconsin, all initial and continuing disability determinations for federal and state SSI are performed by the Disability Determination Bureau (DDB) within the Department of Health Services (DHS).
The provision of services to persons whose health or well-being is at risk of deteriorating or for whom development is delayed due to inadequate knowledge or skills in routine daily living tasks. Services are intended to improve a client’s or caretaker’s ability to perform routine daily living tasks and utilize community resources, are educationally focused and are not primarily designed to provide substitute task performance. Services include, but are not limited to: Education and training. Assessment and diagnosis. Case planning, monitoring, and review. Teaching of child rearing skills. Training on the preparation and management of household budget. Maintenance and care of the home and preparation of food. Services provided primarily in natural settings such as those performed by a home trainer for children age birth through 3. Skill training for clients of all ages living in natural settings.
Direct Deposit, Electronic Funds Transfer (EFT)
Payment of SSI or Social Security cash benefits by automatic deposit into a recipient’s savings, checking or check cashing account. In Wisconsin, recipients of federal SSI who elect direct deposit must have their state SSI supplemental payments directed to the same account.
Work done outside the home for wages or other compensation and includes education and training to prepare for paid work.
Exceptional Expense Supplement
An additional amount of monthly cash benefit provided to certain SSI state supplement recipients. Eligibility is based on assessment and certification by county human or social services agencies. Eligible persons need ongoing supportive services or care.
A program that helps people who have limited money buy the food they need for good health. The Wisconsin Department of Health Services administers the State's FoodShare Wisconsin program. Eligibility for the program is determined and benefits issued by county/tribal human or social service agencies (local agency). The US Department of Agriculture is responsible for setting the basic program rules so they are the same everywhere in the country.
SSI Income is: Earned Income: Money received from wages, including from a sheltered workshop or work activity center, self-employment earnings, and some royalties and honoraria. Unearned Income: Money received from all other sources, e.g., gifts, interest, Social Security, Veteran’s benefits or pensions. Unearned income also includes \"in-kind\" income (free food, shelter, or clothing) and \"deemed\" income (some of the income of a spouse, parent or sponsor of an alien.)
Institution
A facility required to be regulated as a hospital, nursing home, child caring institution, or a community based residential facility or other board and care facility of 16 or more beds.
A department of social services under s.46.215 or s.46.22, a department of human services under s.46.23, a county aging unit under s.46.82 which is an agency of county government, a department of community programs under 51.42 or a department of developmental disabilities services under 51.437 [all citations via Wisconsin Statutes (exit DHFS)].
Health care coverage authorized by Title XIX of the federal Social Security Act and provided to all recipients of SSI in Wisconsin. Also known as Title 19, Title XIX, T-19, Medical Assistance.
Medical Assistance
Health care coverage authorized by Title XIX of the federal Social Security Act and provided to all recipients of SSI in Wisconsin. Also known as Title 19, Title XIX, T-19.
Medicare
Health care coverage available to disabled, blind, or retired beneficiaries of Social Security and their qualified dependents.
A neighborhood where non-elderly and nondisabled people also reside, where the person has access to services and community resources typical of the community, and where there are regular and informal opportunities for social integration and interaction with non-elderly and nondisabled people. A \"natural residential setting\" does not include any residence which is part of, or on the grounds of, an institution.
A living unit, such as a house or apartment, with its own lockable door, and separate rent, lease or individual ownership. \"Own home\" for purposes of this policy does not include an adult family home or any facility which requires licensure under chapters 48 or 50 [via Wisconsin Statutes.
Plan for Achieving Self-Support (PASS)
Under an approved PASS, recipients of federal SSI may set aside income and/or resources over a period of time to reach a goal to become financially self supporting. The income and resources set aside may later be used to obtain occupational training or education, purchase occupational equipment, establish a business, etc. The income and resources set aside under a PASS are not counted when determining federal SSI eligibility or payment amount.
Primary long-term support services
The standard program categories of (104) supportive home care, (110) daily living skills training, and (509) community support programs.
Individual appointed by the Social Security Administration (SSA) to manage the cash benefits of a recipient of SSI or Social Security benefits, or both.
Resources
Anything an SSI recipient owns, such as a bank account, stocks, business assets, real property or personal property that can be used for support and maintenance. Certain resources are not counted when SSI eligibility is determined. Generally, a single individual is restricted to $2,000 in resources; a married couple, $3,000.
Social Security and Social Security Disability Insurance (SSDI)
Monthly cash benefit administered by the federal Social Security Administration (SSA) to retired or disabled workers and their qualified dependents. Beneficiaries must be 62 years of age or older, or disabled, and have enough work \"credits\" to be qualified. Recipients of SSI may be eligible for Social Security benefits, also, based on their own work records or because they are qualified as a dependent of another Social Security beneficiary.
SSI State Supplement
A cash benefit authorized by Ch. 49.77 and 49.775, Wis. Stats. This benefit is intended to supplement the federal SSI benefit payment. Eligibility is based on current receipt of federal SSI benefits or special \"grandfathered\" status as a recipient of the state supplement only.
SSI-E exceptional expense
The term used to describe SSI supplementary payment amounts in Wisconsin which recognize the higher expenses involved for SSI recipients who have substantial long-term support needs
State-Only 1619(b)
A procedural provision within Wisconsin’s program of SSI state supplementation that permits grandfathered state-only recipients of SSI to retain Medicaid when they have earnings from work. Generally, a person whose income is not high enough to replace the SSI, Medicaid coverage and any publicly funded attendant care that he or she is receiving will be allowed to keep his or her Medicaid.
Supplemental Security Income (SSI)
A cash benefit authorized by Title 16 of the federal Social Security Act. Eligibility and benefits are administered by the federal Social Security Administration at field offices throughout each state. Eligibility is based on age (65+) or disability and financial need. Eligibility is not based on prior work history or a family member’s prior work history.
supportive home care
The provision of services, except nursing care, that are intended to maintain persons in independent or supervised living in their own home or the home of their friends or relatives, which help them meet their daily living needs, address their needs for social contact, ensure their well-being and reduce the likelihood that the person will have to move to a nursing home or other alternate living arrangement. Services may include, but are not limited to: Household care. Personal care. Supervision.
Health care coverage authorized by Title XIX of the federal Social Security Act and provided to all recipients of SSI in Wisconsin. Also known as Title 19, T-19, Medical Assistance.