4300 - Assistance Planning for the Medical Programs

 

This section sets forth the assistance planning guidelines regarding persons who are in independent living arrangements. Persons in independent living are those who live in their own homes (renting, living with friends or relatives, homeless, etc.) or who live in room and board situations or specialized living arrangements. It does not apply to persons in the home-and community-based services (HCBS) program.

 

Specialized living arrangements are defined as non-medical living arrangements which are publicly funded or funded by not-for-profit agencies and/or organizations which provide living arrangements for individuals or families having an identified physical, mental, or social condition that requires an element of care or supervision. This would include but is not limited to alcohol or drug abuse facilities licensed or certified by ADAS, living arrangements sponsored by community mental health centers or similar agencies, shelters for battered persons, temporary shelters for the homeless, and other non-medical residential care facilities.

 

4310 Assistance Planning - Assistance planning relates to the consideration of certain individuals living together as a family group. A family group is defined as the client and all individuals living together in which there is a legal and/or a caretaker relationship. The assistance plan shall consist of those persons in the family group for whom assistance is requested and any excluded legally responsible person.

For MediKan, the mandatory filing unit shall consist of either a single adult or a husband and wife residing in the same household. There is no eligibility for MediKan coverage if there are minor children in the household.