FAA2.L Social Security Number, Date of Birth and Sex (SSDO) : 06 Elderly or Disabled NA Participants : B Special Considerations for NA Participants who are Elderly or have a Disability
B Special Considerations for NA Participants who are Elderly or have a Disability
(01/01/19 - 12/31/19)
NA participants who are elderly or have a disability receive special considerations when budgeting and determining eligibility for their NA case.
Special considerations do not apply to participants who are Elderly or have a disability and they are disqualified from participation for any reason.
Cases including a participant who is elderly or has a disability are identified by AZTECS as a special case in the following ways:
AZTECS recognizes an elderly participant by their date of birth.
AZTECS recognizes a participant with a disability when a Y is keyed in the DS FS field on SSDO.
A special case displays SP (special) in the FS TYPE field on CAP2 in AZTECS. This ensures that AZTECS applies special rules for the case, such as calculating the budget and setting the NA approval period. Elderly participants may participate as a separate NA case when they have a disability that prevents them from purchasing and preparing food separately from other participants in their home. (See Separate NA Case Status)
Participants who are either elderly or have a disability, or both receive the following considerations:
An NA case including an elderly or disabled participant has a special NA resource limit.
A deduction for medical expenses when their medical expenses are more than $35 per month. (See Medical Deduction)
NOTE When the NA case includes multiple participants who are elderly or have a disability, the $35 deduction is for the NA case, not each participant. Average recurring medical expenses. (See Medical Deduction)
A deduction for the entire amount of their excess shelter expenses. Their NA case has no maximum shelter limit. (See Shelter and Utility Allowance)
They are not subject to the Gross Income Standard.
NOTE Separate NA budgetary units, who live with participants that are elderly with a disability and are unable to buy and cook food alone, are subject to the Elderly or Disabled Gross Income Standard at 165% of Poverty Level. (See Optional NA Participants)
They are exempt from work registration. (See NA Work Requirement Exemptions)
Elderly participants may be eligible to receive NA under a group living arrangement when living in federally subsidized housing(g) for the elderly.
Participants with a disability may be eligible when living under a group living arrangement (GLA).
NOTE An approval period of 24 months is assigned when all participants in the budgetary unit meet the elderly or NA disability criteria.
The following Participant Disqualification Alert Code types must be keyed in the third alert type field on PRAP next to the disqualified participant, regardless of the number of other person alerts:
FD (Felony Drug Conviction)
FF (Fleeing Felon)
NOTE Keying these alert types in the first or second alert type field on PRAP next to the disqualified elderly participant or person with a disability will incorrectly allow the household special considerations.
When documenting excess medical expenses, include enough detail so that a reviewer can determine the reasonability and accuracy of the calculated expenses. Documentation includes the following examples:
Participant who is entitled to the medical expense
Verification and source
Reason expense is not allowable (incomplete, inaccurate, inconsistent, or outdated)
Treatment of reimbursements
Time period when expense is averaged
Non-receipt of any requested verification
Date and type of verification requested