FAA3.D Nonfinancial Eligibility Factors : 05 Residents of Institutions for NA
Residents of Institutions for NA
Information on this page refers to the Nutrition Assistance program
This subject outlines policy about when a participant is eligible for NA benefits while living in an institution.
Policy
Residents of an institution(g) are eligible for NA only when the institution meets specific program requirements. See each of the following for program requirements:
A facility is considered an institution when the facility meets both of the following requirements:
Provides the majority of the resident’s meals (over 50% of three meals daily) as part of the institution's standard services.
Is not authorized to accept NA benefits.
Incarcerated participants are considered to be residing in an institution. FAA denies the applications for incarcerated participants or stops NA benefits with a Notice of Adverse Action(g).
NOTE FAA accepts NA applications from incarcerated participants in the Re-entry Program with the Division of Employment and Rehabilitation Services (DERS). (See Inmate Pre-Release NA application for program requirements.)
Temporary Homeless Shelters and Meal Providers
Temporary homeless shelters and homeless meal providers are either public or private nonprofit establishments that provide meals for persons who are homeless(g).
Participants who are homeless can use NA benefits to purchase prepared meals at homeless shelters and kitchens authorized by Food and Nutrition Service(g). These establishments include, and are not limited to, any of the following:
Soup kitchens
Temporary homeless shelters
Other public or private nonprofit establishments that provide meals for persons who are homeless
Shelters and kitchens interested in accepting NA benefits need to complete and submit a Request for Verification of Meal Provision to the Homeless (FAA-0127A) form to the FAA Policy Support Team (PST).
NOTE When a site receives donated food items from the U.S. Department of Agriculture, the site also needs to purchase and serve other food to qualify.
See How Do I Apply to Accept Benefits for complete details on Food and Nutrition Service (FNS) authorization to accept NA benefits.
Domestic Violence Shelters
Shelters meet the NA definition of a domestic violence shelter when both of the following apply:
The shelter is a public or private nonprofit residential facility that serves women and children who are victims of domestic violence.
When the shelter serves other residents, a portion of the shelter is set aside long-term, only helping victims of domestic violence who are women and children.
FNS authorizes shelters meeting the NA definition of a domestic violence shelter to redeem NA benefits at wholesalers. Participants of these shelters are potentially eligible for NA benefits.
NOTE Participants residing in a shelter for people fleeing domestic violence are not eligible for NA benefits unless the shelter meets the NA definition of a domestic violence shelter.
When moving into a domestic violence shelter, a participant may be eligible to receive NA benefits twice in the same month when all of the following apply:
The participant received NA benefits with the person who abused them.
The participant no longer resides with the abusive person.
The participant applies for NA benefits without the abusive person.
All the financial eligibility factors apply to participants residing in a domestic violence shelter, with both of the following exceptions:
Only income received by the participant after entering a shelter is countable.
Resources are inaccessible when any of the following apply:
Jointly owned by a participant from the former budgetary unit or the abusive person.
Access to the resource depends upon the agreement of a joint owner who either still resides in the form budgetary unit, the household, or is the abusive person. (See Inaccessible Resources for resources with cash value that are not available to the participant.)
Each resident’s family is a separate budgetary unit from other domestic violence shelter residents.
Residents may choose to have a shelter employee as an NA authorized representative. See NA Authorized Representatives for the requirements to be a designated NA authorized representative.
Drug and Alcohol Treatment Centers
When participants reside in a residential drug and alcohol treatment center, the treatment center may be eligible to receive NA benefits for the residents when it receives funding under Title XIX, Part B of the Public Health Service Act, and meets one of the following criteria:
Certified under Title XIX as a drug and alcohol treatment center by one of the following:
Arizona Department of Health Services (ADHS) Office of Behavioral Health Licensure (OBHL)
Indian Health Service (IHS)
Bureau of Indian Affairs (BIA), when on federal land
Certified by the FNS as a retailer that provides residential treatment for drug and alcohol abuse and redeems its NA benefits through a wholesale vendor
A private, nonprofit organization
Publicly operated community mental health center
NA eligibility for budgetary units living in drug and alcohol treatment centers is the same criteria as other NA budgetary units, except for all of the following:
The treatment center resident NA budgetary unit is limited to one person unless the participant’s children live in the treatment center. Any other mandatory NA budgetary unit members are not included. (See Mandatory NA Participants for a complete list of mandatory participants.)
The center receives and spends the benefits for food prepared by, or served to, the NA participants.
An authorized representative(g) for a treatment center meets all of the following requirements:
Is an employee of the center that administers the treatment program.
Is designated as the NA authorized representative by a responsible center official.
Completes all other NA authorized representative requirements. See NA Authorized Representative for a complete list of requirements.
Only the authorized representative submits applications for NA benefits for the treatment center applicants.
The NA authorized representative is present at the interview and signs the application.
The NA authorized representative needs to be familiar with the participant's circumstances. The center needs to carefully review a resident’s circumstances with the applicant before applying. The center is responsible for all of the following:
Misrepresentation or fraud in the eligibility determination process may cause an overpayment(g).
NOTE FAA establishes a claim for any overpayments that occur.
Lost or misused benefits while being held on behalf of a participant.
When participants leave the treatment center, report to the FAA Policy Support Team (PST) using the Treatment Center Change Report (FAA-0620A) form.
On the fifth day of each month, provide a client roster to PST.
NOTE When the fifth day is on a weekend or a holiday, the roster is due on the following workday(g).
When a participant leaves the treatment center, the center can no longer act as the participant's NA authorized representative. In this situation, the center completes all of the following:
Notifies FAA that the participant left the treatment center using the FAA-0620A form.
When participants leave, the center advises the participants to report all changes to FAA within 10 calendar days(g) and provides the participant with a Change Report (FAA-0412A) form.
When the center possesses the participant’s Electronic Benefit Transfer (EBT) card, the center returns the EBT card to the participant.
The center provides the participant with the necessary information to use the EBT card, such as the balance information, and see the EBT Help Desk Phone Number for the EBT Customer Service 24-hour Hotline
Returns to FAA, by the end of the month, all EBT cards left at the center by participants.
When a participant leaves the center, the center returns the participant’s EBT card with one of the following adjustments:
Returns the full monthly benefits when benefits have not been spent on behalf of the participant
Returns one-half of the monthly NA benefit amount when the participant leaves the center before the 16th day of the month
Treatment center participants leaving on or after the 16th of the month are not eligible to receive any benefits for the benefit month.
When a participant leaves before the 16th without notice, the center needs to complete one of the following:
Attempt to contact the participant and return the EBT card with the appropriate amount of benefits.
When attempts to contact the participant are unsuccessful, return the EBT card and benefits to FAA in the same month the participant left.
See Special Participant EBT Situations for facilities that meet the definition to be FNS certified and can deduct or refund NA benefits from a resident’s EBT card.
Federally Subsidized Housing Facilities for the Elderly
The U.S. Department of Housing and Urban Development (HUD) funds private, nonprofit facilities to develop affordable housing with supportive services for the elderly under the Section 202 Program.
Participants in such facilities are not considered residents of an institution and are potentially eligible to participate in the NA program.
Group Living Arrangement Facilities
A Group Living Arrangement (GLA) is a certified public or private nonprofit residential setting that serves no more than 16 residents with a disability or who are blind.
GLA residents are potentially eligible for NA benefits when the GLA meets the NA GLA requirements. For the GLA requirements, see each of the following:
GLA NA Requirements for Eligibility
To be eligible, a GLA facility has to meet one of the following criteria:
Certified by the appropriate State agency under section 1616(e) of the Social Security Act. Each of the following agencies certifies such facilities:
Arizona Department of Health Services (ADHS)
Department of Economic Security (DES) Division of Developmental Disabilities (DDD)
Authorized by FNS to accept NA
GLAs may handle meals in any of the following ways:
Have meals prepared and served at the facility to the group residents.
Have meals prepared at the facility and delivered to the residents at the facility.
Have meals individually prepared by the resident and eaten by the resident.
Have meals prepared by a group of residents to be eaten by that group.
NOTE A GLA can use a participant’s NA benefits to prepare personalized meals for the participant. The GLA ensures the NA benefits and meals are for the correct participant.
GLA Residents Eligibility Determinations
Only GLA residents who meet the definition of having a disability or are blind are potentially eligible for NA benefits. (See Elderly or Have a Disability - NA Special Considerations for information about who meets these criteria.)
FAA determines eligibility for participants of GLAs using the same eligibility criteria as other NA budgetary units. A participant in a GLA has the same responsibilities as other NA participants, which include all of the following
Report changes
NA Mid Approval Contacts (MAC)
Liable for overpayments
The GLA determines when a resident may apply on behalf of themself. When making this decision, the GLA considers all of the following:
The physical and mental competence of the applicant.
The applicant's ability to understand and be responsible for the application and interview process.
When applying for benefits, the GLA resident can apply for benefits in one of the following ways:
Applies for benefits for themself.
Appoints an NA authorized representative employed by the GLA to apply for benefits on their behalf.
Appoints an NA authorized representative not employed by the GLA to apply for benefits on their behalf.
When the resident applies through the GLA’s NA authorized representative, all of the following apply:
The resident applies as a one-person budgetary unit.
The GLA receives the benefits.
The GLA spends NA benefits for food prepared by or served to the participants.
When the GLA determines that a resident may apply for themself, the resident may apply without the assistance of an NA representative as a one-person budgetary unit.
The GLA decides when a group of residents may apply as one NA budgetary unit. A group of residents within a GLA may be a budgetary unit when they meet NA budgetary unit requirements. (See NA Case Participation for NA budgetary unit requirements)
When FAA approves GLA residents for NA benefits, any of the following may occur:
The participant may turn over the NA benefits to the GLA to purchase food for meals these participants consume together or individually.
The participants may use the benefits to purchase meals supplied by the GLA.
Participants may also buy food with the NA benefits to prepare meals by themselves.
GLA Resident Special Deductions
A GLA may bill a participant a residential fee. FAA allows the residential fee as a shelter expense.
GLAs participants may have other expenses besides a residential fee. When itemized on the residential bill, other allowable expenses could include any of the allowable expenses:
Medical expenses
Utility expenses
Telephone expense
(See Expenses for more information about how allowable expenses are treated as deductions from income.)
GLA Responsibilities
Each GLA provides the Policy Support Team (PST) with a list of currently participating residents. The list includes a statement signed by a responsible GLA official. The statement attests to the validity of the list. The GLA provides the list semi-annually.
When a participant leaves the GLA, the GLA can no longer act as the participant's NA authorized representative. In this situation, the GLA completes all of the following:
Notifies FAA using the Treatment Center Change Report (FAA-0620A) form that the participant left the GLA.
Advises the participants to report all changes to FAA within 10 calendar days and provides the participant with a Change Report (FAA-0412A) form.
When the GLA possesses the participant’s Electronic Benefit Transfer (EBT) card, returns the EBT card to the participant, and adjusts the NA benefits on the participant’s EBT card by completing one of the following:
When the GLA has not spent benefits on behalf of the participant, the GLA returns the full monthly benefits to the participant.
When a budgetary unit leaves the GLA before the 16th day of the month, the GLA ensures the budgetary unit has one-half of its monthly NA benefit allotment remaining on the budgetary unit’s EBT card.
When a participant leaves before the 16th day of the month without prior notice, the GLA completes one of the following:
Attempt to contact the participant and return the EBT card with the NA benefits.
When the attempt is unsuccessful, the GLA returns the EBT card with the NA benefits to FAA by the end of the calendar month in which the participant left.
The GLA provides the participant with the necessary information to use the EBT card, such as the balance information and the EBT Help Desk Phone Number for the EBT Customer Service 24-hour Hotline.
GLA participants leaving on or after the 16th of the month are not eligible to receive any benefits for the benefit month.
See Special Participant EBT Situations for facilities that meet the definition of FNS certified and can deduct or refund NA benefits from a participant’s EBT card.
Disqualification of an Institution
An institution may be penalized or disqualified when any of the following is discovered:
NA benefits are misappropriated administratively or judicially.
Benefits are used for purchases that do not contribute to a participant's meals.
An institution fails to provide the required monthly roster.
NOTE A GLA is not required to report monthly.
An institution fails to provide the Treatment Center Change Report (FAA-0620A) form that identifies the proper use of benefits
FAA reviews reports of suspected misappropriation of participant benefits. When further investigation is needed, FAA requests an official investigation. (See Office of Special Investigation for information about welfare fraud investigations.)
FAA promptly notifies FNS when an authorized institution, temporary homeless shelter, or meal provider has misused benefits in its possession.
FAA requires FNS approval to impose penalties or disqualification on an institution.
When the FNS disqualifies an institution, the institution’s NA authorized representative status is suspended for the same period.
When FNS disqualifies a drug and alcohol treatment center, both of the following applies
The residents are ineligible to participate in the NA program during the period of disqualification.
FAA stops NA benefits for the first month possible without notification.
When a GLA loses certification from ADHS or DDD, each of the following applies:
Residents of the GLA are ineligible to receive NA during the period of disqualification.
FAA stops NA benefits for the following month without notice.
When FNS disqualifies a GLA, residents may apply on their own behalf. In this situation, consider all of the following:
The participants have to meet the definition of an NA budgetary unit(g).
The participant may not turn NA benefits over to the GLA to purchase food or meals.
Verification
When a participant resides in an ineligible institution, the participant is not eligible for benefits, and verification is not required.
When a participant resides in an eligible institution, verification that the participant is a resident includes any of the following:
When an NA authorized representative for a domestic violence shelter, drug and alcohol treatment center, or group living arrangement applies for the participant.
A written statement from the institution in which the participant resides.
FAA completes a collateral contact to the institution to verify residence.
An eligible resident of an institution is required to provide the same eligibility verification as all NA participants. (See the Eligibility Factors Table PDF for eligibility factors and verification methods.)
Legal Authorities
last revised 06/27/2022