Mandatory NA Participants
(01/01/18 - 12/31/18)
Certain persons living with an NA participant must be included in the NA budgetary unit when determining eligibility. Key the IN Participation Code in the PT field on SEPA for mandatory NA participants.
A mandatory participant may be disqualified. When this occurs, see Disqualified NA Participants for the applicable Participation Code to key in the PT field on SEPA.
Consider the following as mandatory NA participants:
A participant living alone.
A participant and their spouse(g), when living together. The marriage may be legal or recognized as common law.
Consider any of the following participants married for the NA program:
Those who present themselves as husband and wife, or present themselves as married to their friends, neighbors, and the community.
Participants who use the same name, or sign a contract (e.g., a lease or rental agreement) as husband and wife.
Same-sex spouses when the marriage is legally recognized.
When participants are legally married, key the POS SPOUSE field on SEPA.
Brothers and sisters (full or half) who live together, and do not live with their parents. This only applies when all of the siblings are under age 18.
A participant under age 18 in the parental control(g) of a nonparent adult. This also applies when the participant has a child of their own living in the home.
A foster care child or adult is not a mandatory NA participant. The PI has the option of including the foster child or adult in their budgetary unit. This applies even when the foster care child is related to the NA participant. (See Boarders when the PI chooses not to include the foster child or adult in the NA budgetary unit.)
NOTE When the foster care participant is included, foster care payments are countable.
Parents and their children under age 22 when living together.
This includes any of the following:
Natural Parents.
The relationship between a natural parent and a child is severed when an adoption is finalized. When the child is adopted by a stepparent (spouse of the child's natural parent), the relationship of the child to that parent is unchanged.
Adoptive Parents.
Stepparents. The stepparent relationship continues even when the natural or adoptive parent is absent for any reason (e.g., deceased, divorced).
Consider the child a mandatory NA participant through the month of their 22nd birthday when living with their parent regardless of the child’s marital status.
NOTE When a child is married, the child’s spouse and their children are also mandatory NA participants.
Do not deny a participant under age 22 who lives with their parent and applies for NA. Give the participant the opportunity to apply for all mandatory NA participants. Request all necessary information from the participant. When the child under age 22 chooses not to include the parent(s), deny the application using the SH Denial Closure Reason Code.
Participants who normally purchase and prepare their food together regardless of their relationship. (See Residents of Institutions-NA and Budgetary Unit Participants Who are Away Temporarily or Reside Away from Home)
The following participants may purchase and prepare food with others and be a separate NA budgetary unit:
Disabled participants who are 60 or over and their spouse, when they meet the requirements in Optional elderly participants.
Disabled participants under 60 who live with a live-in attendant who is not a mandatory NA participant.
Participants who live in the home and receive more than half of their meals in the home.
Children who attend a boarding school.
NOTE These children do not need to receive more than half of their meals in the home to be considered mandatory NA participants.
Key the IN Participation Code in the PT field on SEPA for the following persons when participation is requested by the NA budgetary unit:
Individuals who are paying for lodging and meals. (See Boarders)
Foster Care(g) participants when the NA budgetary unit chooses to include the foster child or adult in the NA budgetary unit.
NOTE Persons meeting either condition are not eligible to receive NA as separate budgetary units.
When participation is not requested, key OU in the PT field.