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Chapter 4 Eligibility Criteria

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NORTH CAROLINA DIVISION OF SERVICES FOR THE BLIND
PROGRAMS AND FACILITIES SECTION
SPECIAL ASSISTANCE FOR THE BLIND PROGRAM


Section:

Chapter 4

Title:

Eligibility Criteria (Vision, Age, Residency)

Revision History:

Revised 08/02


VISION

I. Visual Criteria for Special Assistance for the Blind

AGE

Special Assistance for the Blind is available to any legally blind person who meets all of the eligibility criteria regardless of age. If the applicant/recipient is a child who needs residential care, this must be provided at one of the specialized community residential centers from birth through the person’s eighteenth year of life. On the nineteenth birthday, the recipient may be eligible for SAB in an adult care home if he/she moves to such a facility.

If the a/r is an adult in an adult care home (domiciliary level of care), his/her statement of age will be accepted without question unless there is a reason to believe that the a/r has not reached his/her eighteenth birthday.

If there should be a need to verify the a/r’s age, the following procedures should be followed:

I. VERIFICATION METHODS

II. VERIFICATION SOURCES

RESIDENCY

This section of Chapter 4 is broken into three distinct parts: U.S. citizenship requirements, N.C. residency requirements, and county residency requirements. An applicant/recipient of SAB must first meet the U.S. citizenship requirements, then the state residency requirements and finally meet the county residency requirements. If the person is a citizen of the U.S. and a resident of N.C., then he/she is obviously a resident of one of the counties of N.C. but a determination must be made as to which county is financially responsible for the county share of the SAB payment. Regulations about residency and special circumstances are detailed later in this chapter.

Children in Specialized Community Residential Centers

It should be noted that a child is always a resident of the State and County which is the legal residence of the parent(s) who have legal custody of the child. If the child is in the custody of a county department of social services, then that county will be the child’s legal residence and thus financially responsible for the child. If the parent(s) with legal custody of the child move out of a county and the child remains in a specialized community residential center, the new county of residence of the parent(s) will be financially responsible for the child the month following a 90-day period of residency of the parent(s) in the new county. The original county of residence will be responsible during this 3 month time and will also continue to be responsible if the parent(s) move back into that original county during the 90-day period.

If the parent(s) who have retained custody of the child in a specialized community residential center move out of state, the parent(s) are given 90 days to make other arrangements for the child. The original county of residence would pay for this 90 day period.

The Age section of Chapter 4, page 14 should be reviewed because a child is eligible to receive SAB in a specialized community residential center only through his/her 18th birthday. When he/she becomes 19, he/she may be eligible for SAB in an adult care home if a move is made to one of these facilities and, of course, if he/she continues to meet all other SAB requirements.

RESIDENCY—CITIZENSHIP

The purpose of this section is to provide instructions for determining U.S. citizenship and immigration status of the Special Assistance for the Blind applicant.

To be eligible for SAB, an individual must be an U.S. citizen or an alien admitted to the United States by Immigration and Naturalization Services (INS) under a specific immigration status.

Regardless of immigration status, each a/r must meet all eligibility requirements for Special Assistance for the Blind.

Do not determine citizenship or immigration status for SAB applicants who receive Supplemental Security Income (SSI) or Medicaid (MA). Verification of citizenship or immigration status is verified prior to receipt of SSI.

It is the applicant’s responsibility to provide verification of citizenship and/or immigration status; however, the caseworker should offer to assist the applicant in obtaining the required verification.

I. U.S. CITIZENSHIP

C. Procedure When No Verification of Citizenship is Provided

II. NON-CITIZENS

DOCUMENTS USED TO VERIFY IMMIGRATION STATUS

IMMIGRATION STATUS

VERIFICATION DOCUMENT

LPR

    • I-551 (referred to as “green card”), or

    • I-94 annotated with a temporary I-155 stamp (for recent arrivals or aliens who have applied for a replacement I-155)

REFUGEE

    • I-94 stamped showing admission under section 207 of the INA and date of entry to the U.S., or

    • I-688B annotated 274a.12(a)(3), or

    • I-766 annotated “A3”, or,

    • I-571

    • (Refugees usually adjust to LPR status after 12 months in the U.S. However, they are still considered refugees for eligibility purposes when they have a I-551 with a code of RE-6, RE-7, RE-8, or RE-9.)

ASYLEE

    • I-94 stamped showing admission under section 208 and date of entry, or

    • A grant letter from the Asylum Office of the INS, or

    • I-688B annotated “274a.12(a)(5)”, or

    • I-766 annotated “A5”, or

    • Court order of an immigration judge showing asylum granted under section 208.

DEPORTATION WITHHELD

    • Order of an immigration judge showing deportation withheld under section 243(h) and date of grant, or

    • I-688 annotated 274a.12(a)(10), or

    • I-766 annotated “A 10”.

PAROLEE

    • I-94 annotated with stamps showing grant of parole under 212(d)(5) and a date showing granting of parole for at least 1 year.

CONDITIONAL ENTRANT

    • I-94 with a stamp showing admission under 203(a)(7), refugee-conditional entry, or

    • I-688B annotated 274a.12(a)(3), orI-766 annotated “A3”.

Figure 1

IMMIGRATION STATUS

VERIFICATION DOCUMENT

ACTIVE DUTY MILITARY

    • Green Form DD-2 marked “ACTIVE”, or

    • Current orders showing the individual is on full-time duty in the US Army, Navy, Air Force, Marine Corps, or Coast Guard. (Reserves are not considered active duty.)

U.S. VETERAN

    • DD-214 indicating honorable discharge, or

    • Discharge papers indicating honorable discharge*

*Cannot be discharged due to alien status

Figure 1

SAVE AUTHORIZATION ACCESS CODES OF MEDICAID-ONLY CASES

COUNTY

ACCESS CODE

COUNTY

ACCESS CODE

Alamance

*42*61*62*230001

Franklin

*42*61*62*230035

Alexander

*42*61*62*230002

Gaston

*42*61*62*230036

Alleghany

*42*61*62*230003

Gates

*42*61*62*230037

Anson

*42*61*62*230004

Graham

*42*61*62*230038

Ashe

*42*61*62*230005

Granville

*42*61*62*230039

Avery

*42*61*62*230006

Greene

*42*61*62*230040

Beaufort

*42*61*62*230007

Guilford

*42*61*62*230041

Bertie

*42*61*62*230008

Halifax

*42*61*62*230042

Bladen

*42*61*62*230009

Harnett

*42*61*62*230043

Brunswick

*42*61*62*230010

Haywood

*42*61*62*230044

Buncombe

*42*61*62*230011

Henderson

*42*61*62*230045

Burke

*42*61*62*230012

Hertford

*42*61*62*230046

Cabarrus

*42*61*62*230013

Hoke

*42*61*62*230047

Caldwell

*42*61*62*230014

Hyde

*42*61*62*230048

Camden

*42*61*62*230015

Iredell

*42*61*62*230049

Carteret

*42*61*62*230016

Jackson

*42*61*62*230050

Caswell

*42*61*62*230017

Johnston

42*61*62*230051

Catawba

*42*61*62*230018

Jones

42*61*62*230052

Chatham

*42*61*62*230019

Lee

42*61*62*230053

Cherokee

*42*61*62*230020

Lenoir

42*61*62*230054

Chowan

*42*61*62*230021

Lincoln

42*61*62*230055

Clay

*42*61*62*230022

Macon

42*61*62*230056

Cleveland

*42*61*62*230023

Madison

42*61*62*230057

Columbus

*42*61*62*230024

Martin

42*61*62*230058

Craven

*42*61*62*230025

McDowell

42*61*62*230059

Cumberland

*42*61*62*230026

Mecklenburg

42*61*62*230060

Currituck

*42*61*62*230027

Mitchell

42*61*62*230061

Dare

*42*61*62*230028

Montgomery

42*61*62*230062

Davidson

*42*61*62*230029

Moore

42*61*62*230063

Davie

*42*61*62*230030

Nash

42*61*62*230064

Duplin

*42*61*62*230031

New Hanover

42*61*62*230065

Durham

*42*61*62*230032

Northampton

42*61*62*230066

Edgecombe

*42*61*62*230033

Onslow

42*61*62*230067

Forsyth

*42*61*62*230034

Orange

42*61*62*230068

Figure 2

SAVE AUTHORIZATION ACCESS CODES OF MEDICAID-ONLY CASES

COUNTY

ACCESS CODE

COUNTY

ACCESS CODE

Pamlico

42*61*62*230069

Stokes

42*61*62*230085

Pasquotank

42*61*62*230070

Surry

42*61*62*230086

Pender

42*61*62*230071

Swain

42*61*62*230087

Perquimans

42*61*62*230072

Transylvania

42*61*62*230088

Person

42*61*62*230073

Tyrrell

42*61*62*230089

Pitt

42*61*62*230074

Union

42*61*62*230090

Polk

42*61*62*230075

Vance

42*61*62*230091

Randolph

42*61*62*230076

Wake

42*61*62*230092

Richmond

42*61*62*230077

Warren

42*61*62*230093

Robeson

42*61*62*230078

Washington

42*61*62*230094

Rockingham

42*61*62*230079

Watauga

42*61*62*230095

Rowan

42*61*62*230080

Wayne

42*61*62*230096

Rutherford

42*61*62*230081

Wilkes

42*61*62*230097

Sampson

42*61*62*230082

Wilson

42*61*62*230098

Scotland

42*61*62*230083

Yadkin

42*61*62*230099

Stanley

42*61*62*230084

Yancey

42*61*62*230100

Figure 2

SAVE – ASVI VERIFICATION FORM

PRESS 1 TO REPEAT THIS INFORMATION
PRESS 2 FOR ANOTHER QUERY
PRESS 3 TO END THIS CALL

 

Information Appearing

on INS
Document #

ASVI Verification—Match of INS Document or Discrepancy

   

Match

Discrepancy

THE ALIEN REGISTRATION # IS:

     

THE VERIFICATION * IS:

     

THE LAST NAME IS SPELLED:

     

THE FIRST NAME IS SPELLED:

     

THE BIRTHDATE IS:

     

THE STATUS CODE IS:

     

THE EMPLOYMENT ELIGIBILITY IS:

     

THE COUNTRY OF BIRTH CODE IS:

     

THE ALTERNATE ID # IS:

     

THE DATE OF ENTRY IS:

     

Attach copy of INS Document
File in SAB Case Record

Figure 3

RESIDENCY—NORTH CAROLINA

A person is a resident of North Carolina if he/she is living in the State voluntarily with the intention of making his/her home in the State and not only for a temporary purpose.

An individual visiting in the State without a stated intent to remain is not considered a North Carolina resident. The individual is not eligible for SAB until the a/r has lived in the State for 90 days, with the intent to remain.

I. MOVING INTO OR VISITING NORTH CAROLINA

II. Moving Out of North Carolina

A. Permanent Move From N.C.

1. The recipient must be given written notice of the date of the last SAB check he/she will receive from N.C.

2. An applicant must be notified that his/her application is being denied because he/she has moved to another State.

B. Temporary Absence

1. A recipient of SAB will remain eligible for assistance if he/she will be absent from the State temporarily.

2. Temporary absence with subsequent return or intent to return when the purposes for the absence have been accomplished does not interrupt residence.

3. If the recipient’s temporary absence from the State exceeds 3 months, the case shall be terminated and eligibility will have to be re-established when he/she returns to the State.

RESIDENCY—COUNTY

An individual has residence in the county in which he/she resides. However, if the a/r is in a hospital, mental institution, intermediate care facility, skilled nursing home, boarding home, adult care home, confinement center or similar facility, the county in which the facility is located is not necessarily his/her legal residence. The county of legal residence would be the county in which the individual maintained or intended to establish private living arrangement prior to entering a facility.

I. Exceptions to County Residence Rule

II. Effects of Moving on County Residency Rule

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