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Wisconsin Supplemental Security Income Exceptional Expense Supplement (SSI-E) State Administration Policy

Revised January 1, 2004

Acrobat version of SSI-E Policy (PDF, 129 KB)

PREFACE

• Purpose
• Background
• Organization

PART ONE: SSI-E FOR PEOPLE IN SUBSTITUTE CARE

• Personal Eligibility
• Qualified Substitute Care Facility
• Community Integrated Setting
• SSI Payment Levels
• Responsible Agencies
• Certification Procedure

• Certification Form

• Effective Date

• Couples and SSI-E

• On-Going Monitoring

• Review of Certification

• Inter-County Moves

• Decertification of Eligibility

• Decertification Date

• SSI Eligibility Review

• Appeals

• Cost-Sharing

PART TWO: SSI-E FOR PEOPLE IN NATURAL RESIDENTIAL SETTINGS

• Personal Eligibility

• Community Integrated Setting

• Not Certified or Licensed

• SSI Payment Levels

• Application and Timeline Process

• Responsible Agencies

• Determining Need for Services

• Assessment Worksheet

• Determining Need When a Person Resides With a Spouse

• Certification Procedure

• Denial of Eligibility

• Effective Date

• Couples and SSI-E

• Review of Certification

• Case Management

• Inter-County Moves

• Decertification of Eligibility

• Recipient Notice of Decertification

• SSI Eligibility Review

• Regional Office Monitoring

• Appeals

• Cost-Sharing

Appendix A - SSI-E Definitions

Appendix B - SSI Payment Rates

Appendix C - Grandfathered Facilities

Appendix D - Instructions: SSI-E Certification Form (DDE-818) (PDF, 11 KB):

• General Instructions
• Instructions for People in Natural Residential Settings

Appendix E - SSI-E and Other Benefits

Appendix F - SSI-E Statutory Language

Appendix G - Appeals or Complaints

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Last Revised: February 12, 2007