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MSA
Special Needs
Eligibility: __________________________________________________________
Link
MSA:
A participant's living arrangement does not affect eligibility for
special needs
payments for representative payee services. See §0023.21 (Representative
Payee
Services). However, participants living in group residential housing
(GRH), nursing
homes, or regional treatment centers are not eligible for any other
special needs
payments.
Clients
may have a special needs payment for certain items added to their
assistance
standard. See §0020.21 (MSA Assistance Standards), §0023.12
(Special Diets),
§0023.15 (Guardian or Conservator Fees), §0023.18 (Restaurant
Meals), §0023.21
(Representative Payee Services), §0023.24 (Shelter-Needy Allowance),
Temp
Manual TE02.08.035 (How to Issue Special Needs Payments).
Clients
may be eligible for a separate special need payment for home repairs,
or for
furniture and appliances. See §0023.06 (Home Repair), §0023.09
(Household
Furnishings and Appliances). Usually, the county agency must approve
these
payments before the client incurs the cost. However, a client incurring
an expense
outside of working hours because of an emergency may contact the
agency on the
next working day to request help. County agencies must have written
procedures for
making special need payments. They must keep a record of requests
for assistance
and the disposition of each request. Clients must request special
need payments in
writing. County agencies may require clients to verify the need
for an item. If a
client is on vendor or protective payee status, pay the vendor directly.
See §0024.09
(Protective and Vendor Payments). In other cases, issue the payment
directly to the
client or as a vendor payment.
Also
see Emergency MSA provisions in §0004 (Emergencies).
MDHS COMBINED MANUAL ML
130 07/2004
HOUSEHOLD FURNISHINGS AND APPLIANCES 0023.09
MSA: Limit payment for an item to once in a 3-year period. The limit
does not apply if the
request is for repair or replacement due to damage, loss, normal
wear and tear, or
theft.
If the cost of an item exceeds the special need allowance, clients
must verify they
can pay the difference. Credit arrangements that allow immediate
possession of an
item satisfy this requirement; layaway agreements do not.
Covered items and maximum payment amounts are:
Bed:
- Complete twin size, $72.
- Complete full size, $116.
- Twin mattress or box spring, $27 each.
- Full mattress or box spring, $49 each.
- Frame, either size, $18.
Bedding (blanket, pillow and case, sheets), $20.
Chest of drawers, $26.
Child's car seat, $35.
Clothes dryer, $93.
Cooking stove or range, $80.
Couch, $74.
Crib and mattress, $49.
High chair, $16.
Kitchen chair, $10.
Kitchen table, $24.
Lamp, $13.
Layette, $35.
Living room chair, $24.
Living room table, $10.
Refrigerator, $93.
Washing machine, $93.
Water heater, $186.
_____________________________________________________________________
MDHS
COMBINED MANUAL ML
135 10/2005
SPECIAL DIETS 0023.12
Also see TEMP Manual TE02.08.035 (How to Issue Special Needs Payments).
MSA: A special need allowance for a special diet may be paid to
MSA clients who are not
residents of a nursing home, regional treatment center, or group
residential housing
facility.
Add
an amount for special diet requirements to the monthly assistance
standard.
Determine the amount using a percentage of the 1-person allotment
from the Food
Stamp Thrifty Food Plan (TFP) in §0022.12.01
(How to Calculate Benefit Level -
FS/MSA/GRH).
A
licensed physician must prescribe the special diet(s). Verify the
need at each
recertification or more often if warranted. Do not require a unit
to verify actual
food expenditures. Another funding source must not be available
to pay the diet
costs.
The
eligible diets and amounts are:
- Anti-dumping
diet, 15% of TFP $22.80
- Controlled
protein diet (40-60 grams and requires special products), 100%
of TFP $152.00
- Controlled
protein diet (less than 40 grams and requires special products),
125% of TFP $190.00
- Gluten
free diet, 25% of TFP $38.00
- High
protein diet (minimum 80 grams/day), 25% of TFP $38.00
- High
residue diet, 20% of TFP $30.40
- Hypoglycemic
diet, 15% of TFP $22.80
- Ketogenic
diet, 25% of TFP $38.00
- Lactose
free diet, 25% of TFP $38.00
- Low
cholesterol diet, 25% of TFP $38.00
- Pregnancy
and lactation diet, 35% of TFP $53.20
When
a client requests a payment for more than 1 diet, use the following
guidelines
to determine payment.
If the recommended diets overlap one another with respect to their
dietary
components, allow the amounts indicated for the more costly of the
diets.
If there is no overlap in the recommended dietary components of
the prescribed
diets, allow the total for all the prescribed diets.
If a doctor prescribed diets which are mutually exclusive, do NOT
allow either
until adequate clarification has been received from the doctor who
prescribed
both diets.
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