SSI State Supplement Federal Payment Codes

A

Includes eligible persons who:

1) live in their own household whether or not receiving in-kind support and maintenance (ISM);

2) live in a foster or family care situation;

3) have no permanent living arrangement (for example, a transient);

4) live in an institution (excludes inmates of public institutions) for all or part of a month provided that Medicaid does not pay more than 50% of the cost of their care; or

5) live alone or with a child, spouse, or persons whose income may be deemed to them

Also includes eligible persons for whom Federal Payment Codes B, C, and D do not apply.

B

Includes eligible persons who:

1) live in a household other than their own throughout a month with at least one other person who is not their child, their spouse, or an ineligible person whose income is deemed to them; and

2) receive food and shelter from within that household.

Code A payment standard is reduced by one-third.

C

Includes eligible children under age 18 who live in the same household as their parents (i.e., parental deeming applies). Payment Standard is the same as in code A.

D

Includes eligible persons who live in a public or private medical institution throughout a month and Medicaid is paying more than 50% of the cost of their care; and eligible children under age 18, who live in a public or private medical treatment facility throughout a month and Medicaid, or a combination of Medicaid and private insurance is paying more than 50 percent of the cost of care.