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NC Division of Aging and Adult Services Special Assistance Income Program Updated 0615 Special Assistance Income Program Economic Assessment Worksheet Appendix I SA/IH CM Manual Assess the clients

How to fill out special assistance in-home program

How to fill out special assistance in-home program:

1. Gather the necessary documents: Before starting the application process, make sure you have all the required documents. This may include identification, proof of income, medical records, and any other relevant paperwork.
2. Contact the program administrator: Reach out to the program administrator to inquire about the application process and any specific requirements. They will be able to guide you through the process and answer any questions you may have.
3. Obtain and complete the application form: Ask the program administrator for the application form or download it from their website, if available. Fill out the form accurately and completely, providing all the requested information.
4. Attach supporting documents: Attach any required supporting documents to your application form. This may include income verification, medical reports, and any other relevant paperwork.
5. Review and proofread: Before submitting your application, review it thoroughly to ensure all information is accurate and complete. Double-check that you have attached all the necessary documents.
6. Submit the application: Once you are confident that your application is complete, submit it to the program administrator. Follow their instructions on how to submit the application, whether it is through mail, email, or in person.

Who needs special assistance in-home program:

1. Individuals with disabilities: The special assistance in-home program is designed to provide support and assistance to individuals with disabilities who may require help with daily activities, personal care, and household tasks.
2. Seniors: Elderly individuals who may have difficulty performing daily tasks independently, such as bathing, dressing, meal preparation, and light housekeeping, may also be eligible for the special assistance in-home program.
3. Those with medical conditions: Individuals with chronic illnesses, physical limitations, or medical conditions that affect their ability to live independently may benefit from the special assistance in-home program. This program can provide the necessary support to allow them to remain in their own homes.

In conclusion, filling out the special assistance in-home program involves gathering the required documents, contacting the program administrator, completing the application form, attaching supporting documents, and submitting the application. The program is beneficial for individuals with disabilities, seniors, and those with medical conditions who require assistance with daily activities and wish to continue living in their own homes.

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What is special assistance in-home program?

Special Assistance In-Home Program (SAI) provides financial assistance to Medicaid-eligible individuals who are at risk of entering a nursing home but wish to remain living in their own homes.

Who is required to file special assistance in-home program?

Individuals who are Medicaid-eligible and at risk of entering a nursing home but wish to remain living in their own homes are required to file special assistance in-home program.

How to fill out special assistance in-home program?

Special assistance in-home program can be filled out by contacting the local Medicaid office and completing the necessary forms with the required information.

What is the purpose of special assistance in-home program?

The purpose of special assistance in-home program is to provide financial assistance to individuals who are Medicaid-eligible and at risk of entering a nursing home but wish to remain living in their own homes.

What information must be reported on special assistance in-home program?

The special assistance in-home program requires information regarding the individual's Medicaid eligibility, living situation, financial status, and need for assistance with daily activities.