Aged, Blind, or Disabled Cash Assistance (ABD)
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Aged, Blind, or Disabled Cash Assistance (ABD)


Revised June 23, 2014



NOTE:

As a result of implementation of the Affordable Care Act (ACA), transitional modifications have been made to ACES to support the continued issuance of Aged, Blind and Disabled (ABD) cash and classic medical assistance. This temporary system workaround will be in place until the GA cash and medical eligibility separation occurs in July 2014. Active ABD clients, who are eligible for a Modified Adjusted Gross Income (MAGI) medical assistance unit or a classic medical assistance unit, will display with a financial responsibility code of RC – Recipient of Cash only. For more details, see What financial responsibility codes are used for active ABD?  


Aged, Blind or Disabled Cash Assistance (ABD)

 

Program Changes

 

Case Specific Situations

 

Aged, Blind, or Disabled Program Chart

 



AGED, BLIND, or DISABLED CASH ASSISTANCE (ABD)

 

Who is eligible to receive Aged, Blind, or Disabled Cash Assistance?

 

What programs are included under Aged, Blind, or Disabled Cash Assistance?

 

How long is the Aged, Blind, & Disabled Program certification period?

 

How do I screen Aged, Blind, or Disabled Cash Assistance?

 

How do I process Aged, Blind, or Disabled Cash Assistance?

 

What Financial Responsibility codes are used for active Aged, Blind or Disabled clients?

 


Who is eligible to receive Aged, Blind, or Disabled Cash Assistance?

 

·         Adults who are aged, blind, or disabled and meet the criteria in the following EAZ Manual WACS:

 

o    388-400-0060 Who is eligible for aged, blind, or disabled (ABD) cash assistance. 

 

  o    388-449-0001 What are the disability requirements for the Aged, Blind or Disabled (ABD) program?


NOTE:

If the client has dependent children living in the same household, determine eligibility for Temporary Assistance for Needy Families (TANF) before processing Aged, Blind, or Disabled Cash assistance. If an active ABD client is now living with their dependent child (ren), see How do I process a change from ABD Cash (G02) to TANF when a dependent child moves into the home?


What programs are included under Aged, Blind, or Disabled Cash Assistance?

 

·         See Aged, Blind, or Disabled Program – Chart.  

 

How long is the Aged, Blind, or Disabled Cash Assistance certification period?

 

·         Aged, Blind, or Disabled Cash AUs can be certified for up to 12 months.

 

How do I screen Aged, Blind, or Disabled Cash Assistance?

 

·         To screen an Aged, Blind, or Disabled Cash AU, select the program type GA and follow the steps in Screening an Application.

 

How do I process Aged, Blind, or Disabled Cash Assistance?

 

·         To process a pending ABD Cash AU (G02), take the following steps:

 

1.    From the AMEN, select Option O – Interview.

 

2.    On the STAT screen, complete the Finl Resp fields as follows:

 

o    [PN] – Applicant for the HOH.

 

o    [SP] – Ineligible Spouse for the non-applying spouse.

 

o    [NM] – Non Member for all other household members. See Case Specific Situations for married couples both applying.

 

3.    On the DEM1 screen:

 

o    Enter the [appropriate valid value] in the Liv Arng field on the DEM1 screen. See EAZ Manual – WAC 182-513-1315 for additional information on ABD clients receiving Long Term Care services.

 

4.    Complete the interview following the steps in the Interview chapter.


NOTE:

The AU must remain pending until the disability/incapacity determination is received from the Social Worker. See EAZ Manual – WACs 388-449-0001 through 388-449-0100 for more information.


·         To process a pending ABD Cash (G02) AU after receiving the disability/incapacity approval, take the following steps:

 

1.    From the AMEN, select Option O – Interview. 

 

2.    On the DEM2 screen:

 

o    Enter [the appropriate code] in the Dis/Incp/ESRD field. Coding in this field determines the Program Type and Medical Coverage Group.

 

o    Enter [the appropriate code] in the Approv Source field.

 

o    Enter [the approval date] in the Approv Date field.

 

o    Enter [the established date] in the Estab Date field.

 

o    Enter [the date the incapacity approval ends] in the End Date field.

 

    The disability/incapacity end date is established by the Social Worker. For new applications this date must be more than 90 days from the date of application.

 

o    See Aged, Blind, or Disabled Program Chart for additional coding information.

 

3.    On the VERF screen:

 

o    Enter the [date the client met all of the eligibility requirements] in the Elig Estab Date field.

 

4.    Call DONE and commit the data.

 

5.    Complete processing following the steps in the Process Application Month chapter.

 

6.    Complete finalizing following the steps in the Finalize Application chapter.


NOTE:

For clients aged 64 and 7 months to 65 years old, ACES does not currently support policy found in EAZ Manual – WAC 388-449-0001 What are the disability requirements for the Aged, Blind or Disabled (ABD) program? It is necessary to code the Dis/Incp/ERSD field on the DEM2 screen with [D] – Disabled.

 


What Financial Responsibility codes are used for active Aged, Blind or Disabled clients?

 

·         Starting with benefit month 1/2014, when a client is approved for ABD, the financial responsibility code will be one of the following codes depending upon the client's citizenship status:

 

o    RC – Recipient of Cash only: ACES assigns this code when the client is eligible for classic medical assistance or meets the citizenship and income requirements for Modified Adjusted Gross Income (MAGI) medical assistance.

 

o    RE – Recipient: ACES assigns this code when the client doesn't meet the citizenship requirements for MAGI medical assistance or is not relatable to another Classic medical program. Cash and Medical assistance will be issued.

 

·         The temporary workaround to use these codes will continue until the July 2014 ACES Release. During that release is when programming changes will occur to have the ABD program only issue the cash. The (G01/G02) medical coverage will then be issued on a new program type.



 

Program Changes

 

How do I process a change from ABD Cash (G02) when a client begins receiving SSI (S01)?

 

How do I process a change from ABD Cash (G02) to TANF when a dependent child moves into the home?

 


How do I process a change from ABD Cash (G02) when a client begins receiving SSI (S01)?

 

·         In most situations, information received from the Social Security Administration on the SDX interface will result in the automatic closure of the ABD Cash AU and opening of the S01 AU.

 

·         To manually close the G02 AU and open S01 when the client is approved for SSI, take the following steps:

 

1.    Follow the instructions in the Add a Program chapter in aces.online to add S01 AU.

 

o    Enter the [SSI opening date] as the Application Date.

 

2.    Follow the steps in the Interview, Process Application Month, and Finalize Application chapters to open the S01 AU.

 

o    If the person has Medicare coverage, see the Medicare Savings Program chapter.

 

o    The G02 AU will close during Interview and Processing when the SSI income is entered on the UNER screen.

 

o    The G02 AU will close for client level reason code 203 – Receiving SSI and AU level Reason Code 245 – No Eligible Household Members in the ongoing month.

 

3.    Update the Concurrent Receipt field on the DEM1 screen for any overlapping months client was active on G02 with [O – Previous Benefit was Overpayment].

 

4.    Update the [Dis/Incp/ESRD], [Approval Source], [Approv Date], and [Estab Date] field on the DEM2 screen for each month the client was determined SSI eligible.

 

·         When the G02 AU is closed ACES calculates an overpayment for the overlapping months. Office of Financial Recovery (OFR) establishes and collects this overpayment so enter [IG] – Ignore in the OP Reason Code field on the CAFI screen.

 

How do I process a change from ABD Cash (G02) to TANF when a dependent child moves into the home?

 

·         When a person on ABD Cash (G02) has an eligible child move into the home, take the following steps:

 

1.    Follow the instructions in the Add a Program chapter in aces.online to add TANF AU.

 

2.    Follow the steps in the Interview, Process Application Month, and Finalize Application chapters to open the TANF AU.

 

3.    Enter the [appropriate valid value] in the Concurrent Receipt field on the DEM1 for any month in which the AF AU will be open and the ABD Cash AU was already open.

 

4.    Enter [Reason Code 587 – Already Eligible for Program in a Different AU] in the AU Status Reasons field to close the ABD Cash AU.



 

CASE SPECIFIC SITUATIONS

 

How do I process ABD Cash for a married couple when each is eligible for different programs?

 

How do I process ABD Cash for a married couple when the wife is pregnant and the husband is disabled or incapacitated?

 

When can I process ABD Cash for an unmarried spouse when there are children in the home?

 


How do I process ABD Cash for a married couple when each is eligible for different programs?

 

·         Each person in a married couple household may be eligible for ABD cash, but under different program types.  For example:  If one person is over age 65, the program type would be GA-A (aged); if the other person is under age 65 and disabled, the program type would be GA-D (disabled).  See the Aged Blind or Disabled Program Chart for the list of ABD Program Types.

 

·         When each person in a married couple household is eligible for a different ABD Cash program, take the following steps:

 

1.    Screen in ABD Cash (G02) AU with spouse 1 as HOH. Follow the instructions in Screening an Application.

 

2.    Screen in a separate ABD Cash (G02) AU with spouse 2 as HOH. Follow the instructions in Screening an Application.

 

3.    On the AMEN screen, select Option O – Interview.

 

4.    On the STAT screen, complete the Finl Resp field as follows:

 

o    [PN] – Applicant for the HOH.

 

o    [NM] Not Related and Not Financially Responsible to the Applicant in the Finl Resp field for the spouse on each AU.

 

5.    On the DEM1 screen:

 

o    Enter the [appropriate valid value based on the client’s situation] in the Liv Arng field.

 

o    Enter the [appropriate valid value] in the Marital Status field.

 

6.    On the DEM2 screen for each client:

 

o    Enter the [Disability/Incapacity Type] in the Dis/Incp/ESRD field.

 

o    Enter the [approval source] in the Approv Source field.

 

o    Enter the [approval date] in the Approv Date field.

 

o    Enter the [establish date] in the Estab Date field.

 

o    Enter the [incapacity end date] in the End Date field.

 

7.    On the UNER screen for each client:

 

o    Enter income code [OA] in the Srce field.

 

o    Enter [AM] in the Inc Mthd field.

 

o    Enter [$73.00] in the Amt 1 field if the household has shelter expenses. If the household has NO shelter costs, enter [$44.00].

 

o    Enter [OT] in the V field.

 

8.    On the SHEL screen for each client, enter a portion of the shelter costs.


NOTE:

These steps result in each AU being issued a grant based on one-half of the two-person GA payment standard.


9.    On the VERF screen for each client:

 

o    Enter the [approval date] in the Elig Est Date field.

 

10.    Complete the cases following the steps in Processing Application Month and Finalize Application.

 

How do I process ABD Cash for a married couple when the wife is pregnant and the husband is disabled or incapacitated?

 

·         To process a pregnant woman eligible for TANF, living with her disabled/incapacitated husband, and both are applying for cash, take the following steps:

 

1.    Screen in TANFAU with the pregnant wife as HOH. Follow the instructions in the Screening an Application.


NOTE:

As of 10/01/13 the pregnant wife would apply for medical coverage through the healthplanfinder.


2.    Screen in ABD Cash AU (G02) for the disabled/incapacitated husband as HOH. Follow the instructions in the Screening an Application.

 

3.    On the AMEN screen, select Option O – Interview.

 

4.    On the STAT screen, complete the Finl Resp field as follows:

 

o    [PN] – Applicant for the HOH.

 

o    [SP] Ineligible Spouse for the spouse on each AU.

 

5.    On the DEM1 screen for the wife:

 

o    Enter the [appropriate valid value based on the client’s situation] in the Liv Arng field.

 

o    Enter the [appropriate valid value] in the Marital Status field.

 

o    Enter the [pregnancy due date] in the Due Date field.

 

o    Enter the [appropriate verification valid value] in the Verification field.

 

o    Enter the [appropriate number] in the Num Expected field. 

 

6.    On the DEM2screen for the husband:

o     Enter the [Disability/Incapacity Type] in the Dis/Incp ESRD field.

 

o    Enter the [approval source] in the Approv Source field.

 

o    Enter the [approval date] in the Approv Date field.

 

o    Enter the [establish date] in the Estab Date field.

 

o    Enter the [incapacity end date] in the End Date field.

 

7.    On the UNER screen for the husband:

 

o    Enter [OA] – Other Countable CA/MA Only in the Srce field.

 

o    Enter [AM] – Anticipated Monthly in the Inc Mthd field.

 

o    Enter [MO] – Monthly in the Amt field.

 

o    Enter [the amount of the wife’s TANF grant] in the Amt field.

 

    Coding this income on the husband’s UNER screen will issue the correct amount of benefits based on EAZ Manual – WAC 388-450.


NOTE:

If the TANF grant amount changes prior to the birth of the baby, the husband’s UNER amount should be updated with the TANF amount to issue the correct ABD cash benefits.


8.    Complete the interview following the steps in the Interview chapter.

 

9.    On the VERF screen for each client:

 

o    Enter the [approval date] in the Elig Est Date field.

 

10.    Complete the cases following the steps in Processing Application Month and Finalize Application.


NOTE:

These steps result in each AU being issued a one-person grant based on each separate cash assistance AU. See EAZ Manual – WAC 388-412-0005 General information about your cash benefits for additional information.


When can I process ABD Cash for an unmarried spouse when there are children in the home?

 

·         When one of the unmarried parents is eligible for ABD Cash and the other parent is ineligible for TANF due to the other parent’s earnings and they have a child in common, take the following steps to process the ABD Cash AU:

 

1.    Screen in ABD Cash (G02) for the disabled/incapacitated parent following the instructions in Screening an Application.

 

2.    From the AMEN, select Option O – Interview. 

 

3.    On the STAT screen, complete the Finl Resp field as follows:

 

o    [PN] – Applicant for the HOH.

 

o    [NM] – Not Related and Not Financially Responsible to the Applicant in the Finl Resp field for the other parent.

 

o    [SC] – SSI Child/Child of SSI Related Parents/Child used to determine Family Size for the child in common.                                                    

 

4.    On the DEM2 screen:

 

o    Enter [the appropriate code] in the Dis/Incp/ESRD field.

 

o    Enter [the appropriate code] in the Approv Source field.

 

o    Enter [the approval date] in the Approv Date field.

 

o    Enter [the established date] in the Estab Date field.

 

o    Enter [the date the incapacity approval ends] in the End Date field.

 

    The disability/incapacity end date is established by the Social Worker. For new applications this date must be more than 90 days from the date of application.

 

o    See Aged, Blind, or Disabled Program Chart for additional coding information.

 

5.    On the VERF screen:

 

o    Enter the [date the client met all of the eligibility requirements] in the Elig Estab Date field.

 

6.    Call DONE  and commit the data.

 

7.    Complete processing following the steps in the Process Application Month chapter.

 

8.    Complete finalizing following the steps in the Finalize Application chapter.


EXAMPLE

A disabled/ incapacitated client applies for TANF for herself and her daughter. The daughter gets a monthly SSA death benefit of $475. This income makes the AU ineligible for TANF. Since the client is disabled/incapacitated and ineligible for TANF, workers can look at ABD Cash eligibility. The daughter is not in the ABD AU and the death benefit is not allocated to the ABD AU.


·         See EAZ Manual – WAC 388-408-0060 Who is in my assistance unit for Aged, Blind, or Disabled cash assistance? for additional information.

 


Aged, Blind, or Disabled Program Chart

 

Aged, Blind, Disabled Cash – Chart

Program Type

State/Fed Funding

Citizenship

Approv Source

Med Cvrg Grp

GA-A Aged

State

Non-Federally Qualified and Non-Qualified Aliens

Not Required

G01

GA-A Aged

Federal

Citizen

Not Required

G02

GA-B Blind

State

Non-Federally Qualified and Non-Qualified Aliens

[PB]

G01

GA-B Blind

Federal

Citizen

[PB]

G02

GA-B Blind

Federal

Citizen

[PB]

N05

GA-B Blind

Federal

Citizen

[PB]

* Other Classic medical

GA-D Disabled

State

Non-Federally Qualified and Non-Qualified Aliens.

[DD],[OD], [OP],[PX] or [SA]

G01

GA-D Disabled

Federal

Citizen

[DD],[OD], [OP] or [SA]

G02

GA-D Disabled

Federal

Citizen

[DD],[OD], [OP] or [SA]

N05

GA-D Disabled

Federal

Citizen

[DD],[OD], [OP] or [SA]

* Other Classic medical

GA-X Pending SSI

Federal

Citizen or Federally Qualified Alien

[PX]

N05

GA-X Pending SSI

Federal

Citizen or Federally Qualified Alien

[PX]

* Other Classic medical

* Other Classic medical:Workers will need to review the clients eligibility for Other Classic medical, Medicare or LTC. 

Modification Date: June 23, 2014