Current through Vol. 42, No. 1, September 16, 2024
(a)
Definition of elderly or
disabled. Per 271.2 of Title 7 of the Code of Federal Regulations
(7
C.F.R. §
271.2) , an elderly or disabled
household member is defined as a person who:
(1) is 60 years of age and older;
(2) receives Supplemental Security Income
(SSI) under Title XVI of the Social Security Act or disability or blindness
paymentsunder Titles I, II, XIV, or XVI of the Social Security Act;
(3) receives federal- or state-administered
supplemental benefits under Section 1616(a) of the Social Security Act based
upon the disability or blindness criteria used under Title XVI of the Social
Security Act;
(4) receives federal-
or state-administered supplemental benefits under Section 212(a) of Public Law
93-66;
(5) receives disability
retirement benefits from a government agency because of a disability considered
permanent under Section 221(i) of the Social Security Act;
(6) is a veteran with a service-connected or
non-service- connected disability rated by the United States Department of
Veteran's Affairs (VA) as total or paid as total by the VA under Title 38 of
the United States Code. Benefits may be considered compensation or pension;
(7) is a veteran considered by the
VA to be in need of regular aid and attendance or permanently housebound under
Title 38 of the United States Code;
(8) is a surviving spouse of a veteran who VA
considers in need of regular aid and attendance or permanently housebound or is
a surviving child of a veteran and considered by the VA to be permanently
incapable of self-support under Title 38 of the United States Code (U.S.C.);
(9) is a surviving spouse or
surviving child of a veteran and VA considers to be entitled to compensation
for a service-connected death or pension benefits for a non-service-connected
death under Title 38 of the U.S.C and has a disability considered permanent
under Section 221(i) of the Social Security Act. "Entitled" as used in this
definition refers to those veterans' surviving spouses and children who are
receiving VA compensation or pension benefits, or who were approved for the
payments but are not receiving them yet;
(10) receives an annuity payment under
Section 2(a)(1)(iv) of the Railroad Retirement Act of 1974 and, is determined
to be eligible to receive Medicare by the Railroad Retirement Board or Section
2(a)(1)(v) of the Railroad Retirement Act of 1974, and is determined to be
disabled based upon the criteria under Title XVI of the Social Security Act;
or
(11) receives interim assistance
benefits pending the receipt of SSI or is a recipient of disability related
medical assistance under Title XIX of the Social Security Act, provided that
the eligibility to receive these benefits is based upon disability or blindness
criteria that are at least as stringent as those used under Title XVI of the
Social Security Act, as set forth at 20 C.F.R. Part 416 , Subpart I,
Determining Disability and Blindness as defined in Title XVI.
(b)
Required
verification. Per
7 C.F.R. §
273.2(f)(1) (viii), the
household must verify that the household member meets one of the disability
definitions, per (a)(2) through (11) of this Section before certifying the
person as disabled when it affects the eligibility determination. For a
household member to meet the disability definition, per:
(1) (a)(2) through (a)(4) of this Section,
the household must provide proof that the household member receives benefits
under Titles I, II, X, XIV, or XVI of the Social Security Act;
(2) (a)(6) of this Section, the household
must provide a statement from the VA that clearly indicates the disabled
household member receives VA disability benefits for a service-connected or
non-service-connected disability and that the disability is rated as total or
paid at the total rate by VA;
(3)
(a)(7) and (8) of this Section, proof that the household member receives VA
disability benefits is sufficient verification of disability;
(4) (a)(5) and (9) of this Section, the
household member must have a condition(s) that keeps him or her from pursuing a
substantial, gainful activity for 12 months despite adherence to prescribed
treatment. Refer to the Social Security Administration's (SSA) current list of
disabilities considered permanent, per
20
C.F.R. §
416.925 and 20 C.F.R. Appendix
1 to Subpart P of Part 404. When it is:
(A)
obvious to the worker that the person has one of the listed disabilities, the
household is considered to have verified the household member's disability;
or
(B) not obvious to the worker,
the household must provide a statement from a physician or licensed or
certified psychologist certifying that person has one of the nonobvious
disabilities listed;
(5)
(a)(10) of this Section, the household must provide proof the household member
receives a Railroad Retirement disability annuity from the Railroad Retirement
Board and was determined to qualify for Medicare; or
(6) (a)(11) of this Section, the household
must provide proof that the individual receives interim assistance benefits
pending SSI receipt or SoonerCare (Medicaid) benefits based on categorical
relationship to disability.
(c)
Disability related to purchasing
and preparing meals. A household member who is 60 years of age and older
and his or her spouse may be considered a separate household, per
§273.1(b)(2) and Oklahoma Administrative Code
340:50-5-1
when the person suffers from a disability considered permanent by SSA, per
20
C.F.R. §
416.925 and 20 C.F.R. Appendix
1 to Subpart P of Part 404, or a non-disease-related, severe, permanent
disability and is unable to purchase and prepare meals. When it is:
(1) obvious that the person is unable to
purchase and prepare meals because he or she suffers from a severe physical or
mental disability, the person is considered disabled for this provision even
when the disability is not listed on the SSA list; or
(2) not obvious, the household must provide a
statement from a physician or licensed or certified psychologist certifying
that the person is unable to purchase and prepare meals because he or she
suffers from one of the nonobvious disabilities mentioned in the SSA list or
some other severe, permanent physical or mental disease or non-disease-related
disability.
Amended at 11 Ok Reg
4587, eff 9-1-94 (emergency); Amended at 12 Ok Reg 1723, eff
6-12-95