B Special Considerations for NA Participants who are Elderly or have a Disability
NA participants who are elderly or have a disability receive special considerations when budgeting and determining eligibility for their NA case.
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Special considerations do not apply to participants who are Elderly or have a disability and they are disqualified from participation for any reason.
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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:
●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)
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)
●Elderly participants may be eligible to receive NA under a group living arrangement when living in federally
subsidized housing(g) for the elderly.
NOTE An approval period of 24 months is assigned when all participants in the budgetary unit meet the elderly or NA disability criteria.
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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:
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●FD (Felony Drug Conviction)
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●FF (Fleeing Felon)
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●IP (IPV)
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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.
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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