Current through Register Vol. 46, No. 39, September 25, 2024
(a) Definitions.
(1) Interim assistance means payments for
basic needs made exclusively from State and/or local funds and furnished to or
on behalf of:
(i) an applicant for SSI during
the period in which the application is pending, beginning with the date on
which the recipient became eligible for SSI and ending with the month in which
the initial SSI payment is received or the following month if delivery of such
payment for basic needs cannot be stopped during the month the individual's SSI
payment begins; or
(ii) a recipient
or former recipient of SSI for any period for which the recipient's SSI payment
is reinstated after a period of suspension or termination, such period ending
with the month in which the SSI payment is reinstated or the following month if
delivery of such payment for basic needs cannot be stopped during the month the
individual's SSI payment resumes.
(2) Payments for basic needs made exclusively
from State and/or local funds include but are not limited to costs incurred
for:
(i) safety net assistance;
(ii) veteran assistance;
(iii) predetermination grants under Part 382
of this Title;
(iv) institutional
care for adults under Part 371 of this Title;
(v) shelter care;
(vi) child care at public expense;
and
(vii) for any period in which
Federal funds have not been used, family assistance.
(3) Initial payment means the total amount of
SSI benefits payable to an eligible individual (including retroactive amounts,
if any) at the time the first payments of SSI benefits are made or at the time
SSI benefits are first reinstated following a period of suspension or
termination, but does not include any emergency advance payments or presumptive
disability or blindness payments authorized by the Social Security
Administration (SSA).
(4) SSI
benefits means supplemental security income payments made under title XVI of
the Social Security Act and any State payments made under article 5, title 6 of
the Social Services Law and agreements executed pursuant thereto.
(5) Repayment of interim assistance
authorization or interim assistance authorization form means an instrument
signed by an applicant for or recipient of interim assistance or his or her
representative, authorizing SSA to make the initial payment of SSI benefits to
the social services district, and authorizing the social services district to
deduct therefrom the amount of interim assistance provided to the recipient. An
authorization remains valid until SSA has made a final determination on the SSI
applicant's or recipient's application. A signed authorization applies to any
interim assistance received by the individual, without regard to whether
execution of such authorization is a condition of eligibility under subdivision
(b) of this section.
(6) Grants or
payments furnished to or on behalf of an applicant for SSI means the amount of
assistance for basic needs given to an individual applicant for SSI or the
incremental amount of assistance for basic needs given to such an individual
above the amount given to a family with which the individual resides, including
amounts paid to vendors for such individual and amounts expended directly on
behalf of the individual. In the case of child care at public expense, such
term refers to payments made for the support and maintenance of a child
applying for SSI.
(b)
Eligibility requirements. As a condition of eligibility for public assistance,
applicants for or recipients of such assistance must sign a repayment of
interim assistance authorization. If an applicant for or recipient of any form
of interim assistance is, or reasonably appears to be, legally blind or
disabled, or has become or will become 65 years of age before the end of the
following calendar month, the social services district must promptly notify him
or her that, as additional conditions of eligibility or of continued
eligibility, he or she or his or her authorized representative must:
(1) if a recipient, provide verification
within the next 30 days that he or she has applied for SSI benefits;
(2) if an applicant, provide verification
that he or she has applied for SSI benefits;
(3) cooperate with the SSI eligibility
determination process; and
(4)
appeal any denial of his or her SSI application and exhaust the available
administrative remedies.
(c) Administrative responsibilities and
procedures.
(1) If the applicant is
determined to be eligible for interim assistance, the social services district
must issue interim assistance for so long as eligibility continues.
(2) If a social services district which does
not have an operating automated interim assistance referral procedure requires
an applicant for or recipient of interim assistance to apply for SSI benefits
or discovers that a recipient has applied for SSI benefits, the social services
district must send within five working days of the date that an applicant is
found to be eligible for interim assistance or within five working days of the
date that the social services district learns that a recipient has applied for
SSI benefits, a copy of the signed, valid repayment of interim assistance
authorization and respective identifying information to the appropriate SSA
district office. In no event may an interim assistance authorization be sent
until an application for interim assistance has been approved.
(3) Upon receipt of any check or checks
comprising an initial payment, the social services district must deduct
therefrom the amount of interim assistance. Recovery of interim assistance
cannot be made from subsequent SSI payments.
(4) Within 10 working days after receipt of a
check or checks comprising an initial payment, the social services district
must send the balance of the initial payment, if any, to the recipient. The
social services district must notify the recipient of the following:
(i) the initial date of eligibility for
SSI;
(ii) the amount of the initial
payment received by the social services district;
(iii) the period of time during which interim
assistance was provided, the total amount of interim assistance provided and a
monthly accounting of interim assistance benefits;
(iv) the amount deducted as reimbursement of
interim assistance; and
(v) the
recipient's right to a fair hearing if he or she objects to the amount deducted
in accordance with subparagraph (iv) of this paragraph.
(5) Social services districts must keep
accurate records concerning each recipient covered by this section. These
records must include the following information:
(i) the amount of the initial payment
received from SSA;
(ii) the amount
of interim assistance paid to the individual;
(iii) the amount of the initial payment
retained;
(iv) the amount of the
initial payment forwarded to the individual;
(v) the amount of the initial payment
returned to SSA;
(vi) the date the
initial payment was received from SSA;
(vii) the date the respective individual
accounting form was received from SSA; and
(viii) the date the initial payment, or any
portion thereof, was forwarded to the individual.
These records must be available for inspection by the
department and by SSA.
(6) Reports concerning the payment and
recovery of interim assistance and consequent reduction adjustments under Part
608 and section
621.2
of this Title must be submitted to the department as the department may
require.
(7) Administrative costs
incurred by a social services district in implementing this section must be
borne by the district, subject to the standard reimbursement provisions of the
Social Services Law and this Title.