2.4: growing resources: connecting families to benefits and services
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2.4: Growing Resources: Connecting Families to Benefits and ServicesPresentation by Yvonne Perret.TRANSCRIPT
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Yvonne M. Perret, MA, MSW, LCSW-CNAEH National Conference on Ending
Family HomelessnessFebruary 10,2011
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People who have the least resources must navigate our most complex systems
Benefits and resources, rather than being centralized, are disparate
Complexity of eligibility Constant changes of requirements Receiving one may affect eligibility for
another
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SSA Survivors Benefits Supplemental Security Income (SSI): For
adults and children with disabilities Social Security Disability Insurance (SSDI):
For eligible adults; includes dependent children benefits
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Disabled widow or widower at age 50 Widow or widower: Reduced benefits at
age 60 or full benefits at full retirement age Any age widow or widower caring for
dependent child under 16 or child over 16 who is disabled
Unmarried children under 18 or under 19 if full time student in school
Deceased worker’s former spouse at age 60 or above if married 10 years or more
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SSI (Supplemental Security Income)◦ Eligibility:
For families: Earned and unearned income of adult is “deemed” to child
SSA has formula for deeming Must have a disability or blindness Living arrangement affects benefit amount Resource limits: $2000 (individual); $3000 (couple) Above resource limits, portion is “deemed” to child Cannot currently be done on-line In TANF, if parent receives SSI, children still get TANF
benefit Individual benefit only
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SSDI (Social Security Disability Insurance)◦ Eligibility:
Must have a disability or blindness Amount of benefit dependent on amount contributed
through FICA (Federal Insurance Contributions Act) No restrictions on resources Includes benefit for spouse, dependent children
generally to age 18 Application can be done on-line Provides Medicare after a 2-year wait
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Non-medical criteria: Income, resources◦ Determined by SSA
Once meet non-medical criteria, claim goes to…
Disability Determination Services: A state agency that makes medical decision
Medical determination sent back to SSA SSA notifies claimant
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ADULT Definition of Disability (age 18 and over)
Unable to do significant and gainful work because of a “medically determinable impairment” (diagnosis)
That affects (impairs) ability to function, and Has lasted or is expected to last 12 months
or more or result in death All or nothing—no partial disability
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CHILD Definition of Disability (under age 18) Medically determinable impairment that Results in “marked and severe functional
limitations” And can be expected to result in death; or
has lasted or can be expected to last for a continuous period of not less than 12 months
When turn 18, re-evaluated under adult rules All or nothing—no partial disability
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Medicaid: Provided automatically in most states with
SSI Federal/state funded Comprehensive coverage Varies from state to state depending on
state Medicaid plan Families receiving TANF receive Medicaid Disability requirement will end in 2014 with
Affordable Care Act; 133% of FPL
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SOAR: SSI/SSDI Outreach, Access and Recovery ◦ SAMHSA funded◦ Based on successful Baltimore project; expedites benefits◦ Staff as agents of hope◦ Three-pronged approach:
Collaboration planning among agencies and partners Train-the-Trainer using adult-based Stepping Stones to
Recovery curriculum Ongoing technical assistance
◦ Operates in 47 states◦ Close collaboration with SSA and DDS◦ Uses access to benefits as tool in recovery
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Working to partner on writing comparable curriculum for children and SSI
Working on inclusion of veterans and their families in SOAR effort
Working on policy recommendations to SSA that would further assist individuals and families
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Yvonne M. Perret, MA, MSW, LCSW-CExecutive Director
Advocacy and Training CenterCumberland, MD
301-777-7987 (work)301-268-2389 (cell)
[email protected] website: www.prainc.com/soar