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A Guide To Supplemental Security Income (SSI) For Groups and OrganizationsSSA Publication No. 05-11015, January 2008, ICN 480300 [View .pdf] |
Contacting Social Security |
Our website is a valuable resource for information about all of Social Security’s programs. There are a number of things you can do online. In addition to using our website, you can call us toll-free at 1-800-772-1213. We can answer specific questions from 7 a.m. to 7 p.m., Monday through Friday. We can provide information by automated phone service 24 hours a day. (You can use our automated response system to tell us a new address or request a replacement Medicare card.) If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778. We treat all calls confidentially. We also want to make sure you receive accurate and courteous service. That is why we have a second Social Security representative monitor some telephone calls. |
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A guide to Supplemental Security Income (SSI) for groups and organizations |
More than seven million people currently get monthly payments from the Supplemental Security Income (SSI) program. There are many other people who may qualify, but have not applied. You can help us tell elderly, blind and disabled people who have little income or resources about SSI.
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About This Booklet |
SSI is a federal program that gives monthly payments to people who are age 65 or older or are blind or have a disability and who have low income and few resources (things owned). This booklet explains the SSI program. It is designed to help institutions, groups and organizations that have contact with potential or current SSI recipients. The Social Security Administration runs the SSI program. Social Security decides who is eligible, makes payments and keeps a master record of recipients. Even though Social Security runs the program, SSI is not Social Security. SSI is financed by U.S. Treasury general funds, not the Social Security trust funds. You can find a more general description of the SSI program in Supplemental Security Income (SSI) (Publication No. 05-11000). Social Security also has You May Be Able To Get Supplemental Security Income (SSI) (Publication No. 05-11069). |
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How institutions, groups and organizations can help |
You can help spread the word about SSI to people who might be able to get payments. Sometimes people are afraid of dealing with “the government.” Organizations can help calm these fears by assisting people as they apply and wait for a decision. Organizations can provide transportation to interviews and help people gather information needed to apply or get medical evidence. You also can help them complete part of their SSI disability application online at www.socialsecurity.gov. Help the homelessSSI can help a homeless person get housing by providing monthly payments, but a person does not need a home to get SSI. Social Security can make arrangements to give SSI payments to the homeless. An organization can be a mail drop letting the homeless person pick up checks or other important Social Security information at the organization’s address. Be a representative payeeSome people can get SSI but cannot manage their money, so a representative payee gets their SSI payments on their behalf. Representative payees are responsible for using SSI payments on behalf of the recipients to provide for their care and well-being. Some organizations that serve as payee for five or more beneficiaries are allowed to charge a fee for their payee services if authorized by Social Security to do so. The allowed monthly fee is 10 percent of the monthly benefit or $30, whichever is less. For more information about serving as a payee, ask for A Guide For Representative Payees (Publication No. 05-10076). Pre-release agreementsTo help people make the transition to the community when they are released from a public or private facility, such as a prison or mental institution, people can apply for SSI before being released, and an SSI payment can be made right after release. Institutions and Social Security enter into a pre-release agreement which can help these people receive SSI benefits soon after their release. SSI payments while in an institutionMost people who live in a public institution are not allowed to get a full SSI payment. But, a person may continue to get SSI payments during a stay in an institution under certain conditions. Institutions and organizations can help people continue to get their correct SSI payment amounts by telling Social Security when they enter an institution. Go to "People in institutions" for more information on the rules for receiving SSI while in an institution. Help for low-income Medicare beneficiaries If a person with low income and few resources
is covered by Medicare,
the state may pay the Medicare premiums and other out-of-pocket medical
expenses such as deductibles and coinsurance. Only the state can decide.
To find out, contact the state or local social services office or Medicaid
agency. You can get more information from the publication, If you
need help paying Medicare costs, there are programs that can help save
you money (Publication No. CMS-10126). To get a copy, call the Medicare
toll-free number, 1-800-MEDICARE (1-800-633-4227).
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SSI payments and state services |
SSI payment ratesIn 2008, the highest federal SSI payment is $637 a month for a person and $956 a month for a couple. States may add money to the federal SSI payments. States can let the federal government manage the state supplement; the state pays the costs. One application covers both the federal and state payments. States may change the payment amounts based on where and with whom people live. Also, the state may ignore additional amounts of income. Go to the chart below for a list of the maximum payment rates in states where the federal government manages the state supplements. Some states manage their own supplement. In those states, people must apply for the supplement with the state agency. States that manage their own supplement are Alabama, Alaska, Arizona, Colorado, Connecticut, Florida, Idaho, Illinois, Indiana, Kentucky, Louisiana, Maine, Maryland, Minnesota, Missouri, Nebraska, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Texas, Virginia, Washington, Wisconsin and Wyoming.
How we figure payment amountsBefore we begin paying someone SSI, we will send him or her a letter that tells when payments start and how much he or she will get. The first SSI payment will be made for the first full month after the person applied or became eligible for SSI. The amount may not be the same every month. The amount depends on other income and living arrangements. We will tell the person in advance whenever we change the amount of the payment. The SSI amount usually is based on the person’s income from two
months before. For example, a woman living in California gets a $500
Social Security widow’s payment and a $325 SSI payment. The federal SSI payment will increase each year to keep up with the cost of living. These increases usually will be in the January payment, which is received at the end of December. When a person becomes eligible again after being ineligible, a person’s payment sometimes is prorated from the date the person becomes eligible through the end of the month. For example, a person who becomes eligible on the 10th day of the month will get an SSI payment based on the number of days from the 10th through the end of the month. The payment amount is figured according to the person’s income and where and with whom he or she lives and is then prorated. The base SSI payment is reduced by one-third if a person or couple is living in another person’s home and getting food, shelter or other types of support from that person. This reduction takes the place of setting the exact dollar value for the help. Support is any food, clothing or shelter that is given to someone, or is received because someone else pays for it. State servicesIn addition to the supplemental payments, the states provide people who get SSI with Medicaid and other services. Interim paymentsSome states and local subdivisions make “interim assistance payments” to people while they wait for a decision on whether they can get SSI. The state or local government is reimbursed from the person’s first SSI payment. MedicaidIn most states, people who get SSI get Medicaid, which pays health care expenses. In some states, Medicaid is available to a disabled child age 18 or younger who receives home care that costs the government less than institutional care. If someone gives away or sells personal items for less than what they are worth or the person is a beneficiary of a trust, it may affect Medicaid coverage. For more information about Medicaid, contact the state or local social services office or Medicaid agency. Social servicesPeople who get SSI sometimes can get social services from the state, city or county. Depending on where the person lives, these may include homemaker services and arrangements for meals or transportation. More information is available at the local public assistance office or social services department. Food stampsPeople who get SSI might be able to get food stamps. If a person lives in a home where everyone is applying for or getting SSI, the person can apply for food stamps at a Social Security office. |
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Who is eligible for SSI? |
Who can get SSI?People with low income and few resources (things owned) who are age 65 or older or are blind or have a disability may be able to get SSI. Other requirements are described below in "Other rules." A person age 18 or older is considered disabled if a physical or mental condition (or combination of conditions) keeps the person from working and is expected to last at least 12 months or result in death. A child under age 18 may be considered disabled if the child has a physical or mental condition (or combination of conditions) that results in “marked and severe functional limitations” and is expected to last at least 12 months or result in death. For more information about benefits for children, ask for Benefits For Children With Disabilities (Publication No. 05-10026). A person is considered blind if he or she has vision no better than 20/200 or a limited visual field of 20 degrees or less in the better eye with the use of eyeglasses. A person whose sight is not poor enough to be considered blind may still qualify as disabled. What is income?SSI considers “income” anything a person gets that can be used for food, clothing or shelter. It includes cash, checks and “gift” items received, such as food and shelter. SSI divides income into two categories—earned and unearned. Earned income includes wages, net earnings from self-employment, certain royalties and money from sheltered workshops. Unearned income includes Social Security benefits, workers’ or veteran’s compensation, pensions, support and maintenance in kind, annuities, rent, interest and other income not earned. In 2008, a person must have less than $657 a month in unearned income to receive SSI benefits. A couple can get SSI if they have unearned income of less than $976 a month. Because a larger portion of earned income is disregarded, a person who receives SSI can earn up to $1,359 a month ($1,997 for a couple) and still continue receiving SSI. While we encourage people who already receive SSI benefits to work, people who work while applying for SSI benefits based on disability cannot make as much in earned income. That’s because their ability to work affects our disability decision. A person who is just now applying for SSI disability benefits and earns more than $940 a month probably will not be able to get SSI benefits. People who live in a state that adds money to the federal payment can get SSI even if they have more income (see the Maximum payment amount chart above). Income lowers the amount of an SSI payment. But not everything a person gets is income, and some things that are income do not count. What does not count as income?
Other income rulesIf only one member of a couple qualifies for SSI, part of the ineligible member’s income may be considered the eligible spouse’s as well. If an eligible couple separates, each person is treated as an individual starting with the first month after they separate. If an unmarried child under age 18 is living at home, some of the parents’ income may be considered the child’s income. Allowances are made for the parents and for other children living in the home. The remaining parental income is included with the child’s to decide if the child can get SSI. Monthly wage reporting If an SSI recipient works, or somebody in the household whose income may affect the recipient works ("Other income rules”), we strongly encourage monthly wage reporting as a way to make sure SSI payments are accurate and on time. Because it is the responsibility of the beneficiary or payee to report wages, not reporting them on time may result in the SSI recipient owing money to Social Security. Submitting pay stubs on time every month will ensure accurate and timely SSI payments. Temporary Assistance for Needy Families (TANF)The SSI program allows a person to get both SSI and TANF payments, but TANF is considered income for SSI purposes. However, most states will not pay TANF to SSI recipients. Check with the TANF agency in your state. Resources (things owned)For a person to get SSI, the resources, or things a person owns, must be worth no more than $2,000; a couple’s resources can be worth up to $3,000. The higher limit applies to a couple even if only one member can get SSI. The couple’s resources are counted as if both members were eligible. If an eligible couple separates, each person will be treated as an individual starting with the first month after they separate. If an unmarried child under age 18 is living at home and the parents’ resources exceed $3,000 ($2,000 if only one parent), the excess may be considered the child’s. Money, whether in cash or an account, is considered a resource in the month after it is received, in most cases. Sometimes money does not count as a resource for a limited period of time but then becomes a countable resource if it is not spent within the given time limit. In some cases, a person may receive money that does not count as income when received but does count as a resource after received. The next section gives some examples. What resources do not count?We do not count everything a person owns when we decide whether a person can get SSI. We do not count the following:
Other rules about resourcesA person who owns more than is allowed because of property that cannot be sold quickly may still be able to get SSI payments by signing an agreement to sell the excess resources. If a person gives away or sells a resource for less than it is worth, there may be a period of ineligibility for SSI. The gift or sale also may make him or her ineligible for Medicaid coverage of nursing home services. Shared resources and income The federal law does not require support by relatives. But, in deciding whether someone can get SSI, we consider a husband and wife who live together to be sharing their income and resources, and a child to be sharing their parents’ income and resources. Other rulesIn addition to being age 65 or older, blind or disabled and meeting the limits on income and resources, a person must meet other requirements to qualify for SSI. Generally, you need to be a U.S. citizen to receive SSI, but there are some exceptions. Residence and citizenshipTo get SSI, a person must live in the U.S. or the Northern Mariana Islands (except for children of military personnel and students temporarily abroad). U.S. citizens and nationals can get SSI, and sometimes noncitizens who are U.S. residents. For more information, ask for Supplemental Security Income (SSI) For Noncitizens (Publication No. 05-11051). Sponsored noncitizensWhether a sponsored noncitizen can get SSI depends on the income and resources of the sponsor, the sponsor’s spouse and on the noncitizen’s own resources and income. The resources and income of the sponsor (and the sponsor’s spouse) are considered to be the noncitizen’s and are counted when deciding whether the noncitizen can get SSI and the amount of payment. For noncitizens whose sponsors signed legally enforceable affidavits of support on December 19, 1997, or later, the sponsor’s income and resources may be counted until the noncitizen becomes a U.S. citizen or works 10 years. Contact us for more information about sponsor income. Leaving the United StatesIf someone leaves the 50 states, the District of Columbia or the Northern Mariana Islands for an entire calendar month, no payment can be made for that month. For SSI, Puerto Rico is considered to be outside the United States and people who move to Puerto Rico cannot get SSI. Also, once a person has been outside the country for 30 or more days in a row, payments cannot start again until the person has been back in the United States, the District of Columbia or the Northern Mariana Islands for 30 days in a row. If a person is out of the country for less than a month, there is no change in the SSI payment. There are special rules for dependent children of military personnel who leave the U.S. They may be able to get or apply for SSI while overseas. There are also exceptions for students studying abroad. Applying for other benefitsPeople who get or apply for SSI must apply for any other cash benefits they might be able to get. People who get SSI might be able to get Social Security, too. People in institutionsPeople who live in city or county rest homes, halfway houses, prisons or other public institutions usually cannot get SSI. But there are some exceptions.
We must have evidence of the above by the 90th day after the person enters the institution or by the date of discharge, whichever is earlier.
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Information for people who get or apply for SSI |
Applying for SSIPeople can apply for SSI by visiting a Social Security office or calling us for an appointment. Additionally, it is possible to complete a large part of an application for SSI disability benefits online at www.socialsecurity.gov. Parents or guardians usually can apply for a child under age 18. It is helpful to have the following information before applying:
People should apply even if they do not have all the things listed. We can help them get what is needed. How we handle SSI applicationsThe Social Security office takes applications and evaluates evidence of identity, income and resources. The office determines if a representative payee is needed and, if so, appoints one. If the person applying seems to meet all the requirements and needs money right away due to an emergency, the Social Security office may issue an emergency advance payment. Usually we collect the amount of the advance payment from the SSI backpay or the first six SSI payments. If, however, the person is not eligible for benefits, the advance payment may have to be repaid. For a person age 65 or older, the Social Security office decides if he or she will get SSI. For a disabled or blind claimant getting Social Security disability benefits, the Social Security office may make the SSI decision without a formal medical decision. For a disabled or blind claimant not getting Social Security disability benefits, a formal medical decision is needed. It is made by the state disability determination service. The state agency reviews all medical evidence submitted and requests additional evidence if needed. A person applying for SSI who has a very severe disability can be called “presumptively disabled” or “presumptively blind” and can get payments for up to six months while the state agency determines if the person is disabled or blind. These payments will not have to be paid back if the claimant is found not to be disabled or blind. What to reportA person who gets SSI (or his or her representative payee) must report all changes that might affect eligibility or payment. A change must be reported within 10 days after the month in which it occurs. NOTE: If people do not report changes to us in a timely way, they can be penalized. With a penalty, they can lose money from their check. This amount is from $25 up to $100. If we find out that people gave us false information or withheld important information on purpose, we can stop their benefits from six to 24 months. People who get SSI must report:
Married people who get SSI must report changes in their spouse’s income and resources. If the person getting SSI is a child younger than age 18 living with his or her parents, any change in the parents’ income and the resources must be reported. People getting SSI who are blind or have a disability must let Social Security know if they go to work, become self-employed or their condition improves. Students between ages 18 and 22 must report if they start or stop going to school. The income of children who do not get SSI may affect the amount of SSI payable to their parents or to a sibling getting SSI. Recipients must report changes in the income of children who live in their household. They must also report changes in the school attendance of children ages 20-24 and tell us when a child in the household reaches age 18 (or age 22 if a student). If a noncitizen has a sponsor , the SSI recipient must report changes in the income and resources of the sponsor and the sponsor’s spouse. Someone should notify us if a person who gets SSI cannot manage money or dies. Reports can be made by phone, mail or in person at any Social Security office. Social Security gives detailed reporting responsibilities to people who get or apply for SSI. Right to appealA person has the right to appeal a decision made about his or her SSI (except some state decisions). If a person disagrees with the decision, he or she has 60 days to appeal. For more information, ask for Your Right To Question A Decision Made On Your Supplemental Security Income (SSI) Claim (Publication No. 05-11008). NOTE: People who first file a claim on or after August 1, 2006, in Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island and Vermont should ask for "Your Right To Question A Decision Made on Your Supplemental Security Income (SSI) Claim” (Publication No. 05-11508). SSI reviewsThe law requires that we regularly review the case of each person getting SSI. This review is called a “redetermination.” We will ask the person getting SSI to provide information about income, resources, bank accounts and where and with whom he or she lives. It is a good idea to keep bank account statements because they may be needed for the redetermination. In some cases, the redetermination can be done by mail or telephone. In other cases, we will ask the person to visit the Social Security office for an interview. Local Social Security offices notify the person when it is time for his or her redetermination. Medical reviewsWe review disability cases to be sure the person is still disabled. We may ask for new medical evidence and ask the person to have special exams or tests. The frequency of these medical reviews depends on how severe the impairment is and whether medical improvement is expected. A person whose medical condition is expected to improve usually has his or her case reviewed six to 18 months after payments start.
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Helping people who get SSI go back to work |
There are a variety of rules to encourage people who are blind or who have a disability to work. For more detailed information, get a copy of Working While Disabled—How We Can Help (Publication No. 05-10095). Ticket to WorkMost people who get SSI because they are disabled or blind can get a “ticket” for vocational rehabilitation and other employment support services from an approved provider of their choice. A person using a ticket generally will not need to have a regularly scheduled medical review. For more information, ask for Your Ticket To Work (Publication No. 05-10061). Deductions for work expensesIn deciding whether a person who is disabled can get SSI and in figuring the SSI payment amount, some impairment-related work expenses can be deducted from earned income. Social Security must approve each deduction and the amount. The following work expenses usually are deductible:
Blind people who get SSI are allowed deductions from their earned income for work expenses in addition to those mentioned above. Examples are federal, state and Social Security taxes; guide dog expenses; routine transportation costs to and from work; and union dues. These work expenses will be deducted before figuring a blind recipient’s SSI eligibility or payment amount. Continuation of payments and Medicaid SSI payments may be paid to disabled persons even if they work. As earnings increase, the amount of the SSI payment is reduced. Even if a person’s cash payments stop because of wages, the person may be able to keep Medicaid coverage. Plan for achieving self-supportUnder a plan for achieving self-support, a person who is disabled or blind can set aside income and resources for a work goal. The funds must be used to pay for things needed to reach the goal, such as vocational training, education, purchasing work-related equipment or starting a business. The funds set aside will not count in deciding whether a person can get SSI or how much he or she can receive. The person must have a realistic work goal, a specific savings or spending plan, and must account for the money that is set aside. The person must follow the plan, but can negotiate revisions if needed. A vocational counselor, social worker, employer, Social Security representative or anyone else may help a person develop this plan. Social Security will evaluate the plan and decide if it is acceptable. It is important to remember that a person who currently does not have a plan may set realistic goals to become self-supporting. He or she may create a plan for achieving self-support to move toward those goals. Quick benefit restart A person who returns to work but finds within five years that he or she cannot continue to work because of a disability can have benefits restarted without filing a new application. A person can get up to six months of provisional payments while we verify a disability still exists. If we find that the person is still disabled, regular SSI payments will start if all other requirements are met. If the person is not found to be disabled, these provisional payments usually do not need to be paid back . |
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Last reviewed or modified Wednesday Jun 04, 2008 |