Can SSI benefits continue for a person who is in a long-term facility?

Sometimes medical issues can require a person to be placed in a hospital, nursing home or rehabilitation center. If they are receiving Supplemental Security Income, this can affect their payments of SSI and whether said benefits will continue. The Social Security Administration has certain requirements for this scenario and it is important to understand the law so as not to have a problem with Social Security.

If a person needs to be placed in a nursing home, hospital or medical facility and Medicaid pays for greater than half of the cost of the care, their SSI benefits will be limited to $30 every month. Those who are 18 or older and reside in a public medical institution in which Medicaid does not pay more than half of the costs will not be able to get any SSI benefits. If a person under 18 goes into a facility in which Medicaid or private insurance individually or combined pays more than half the cost, the child’s SSI will be capped at $30 per month. If a child under 18 is in an institution in which neither Medicaid nor private insurance are paying for more than half of the costs, there can be no SSI benefits.

There is a special rule for those who are in the facility for 90 days or less. If the SSA is provided with certain information, it might be possible to continue receiving SSI benefits for as much as three months. The SSA must receive a medical statement from a doctor that says the person will be in the facility for 90 consecutive days or less. In addition, there must be a statement from the person or someone who is aware of the person’s situation saying that the SSI benefits are needed to continue the living arrangements during the time he or she is in the facility. These must be provided before the person leaves the facility or by the 90th day of their residence, whichever comes first.

Getting SSI benefits through the Social Security disability program has certain rules that must be adhered to so the recipient is in full compliance. Being placed in a facility does not automatically mean that a person will not continue to get SSI benefits.

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