A medicare beneficiary whose income is at least 120 percent of the Federal Poverty Level (FPL) but less than the 135 percent of the FPL and whose resources are no more than twice the SSI resource standard.  Such an individual is eligible for Medicare Part B premium only.  QI-1s are not eligible for retroactive coverage, and there are no spend-down provisions for them.  (Note that effective July 1, 2005, there are no QI-1 eligible customers, since the QM and SLMB income limits have been increased to include these customers.)

 

A disabled, employed individual who lost access to free Medicaid Part A benefits due to their return to work whose income does not exceed 200 percent of the Federal Poverty Level (FPL) and whose resources are no more than twice the SSI resource standard.  Medicaid pays the Medicare Part A premiums only for these individuals.

 

 

The scheduled redetermination of MA or FS eligibility.  If eligibility for MA or FS is not recertified prior to the end of the certification period, benefits are terminated.  Benefits may not be terminated if the group was not given an opportunity to recertify eligibility.

 

An individual who receives benefits.

 

A person determined by the Immigration and Naturalization Service (INS) to be unable to return to their country of origin because of fear of persecution.

 

A program that provides case assistance to certain immigrants ineligible for TANF and SSI.

 

 

A restricted TANF benefit paid directly to a landlord.  A TANF recipient can request such an arrangement or can be required to enter into such an arrangement.

 

When an adult fails to comply with TANF requirements, s/he is disqualified from the unit and his/her "needs" are removed when determining continued eligibility  and benefit level.  That is, the individual's income and resources are counted, but the individual is not counted when determining the household size and maximum benefit level.

 

A person or organization selected by the Social Security Administration to receive benefits on behalf of Old Age Survivors Disability Insurance (OASDI) or Supplemental Security Income (SSI) recipient and obligated to use those benefits for their personal care and well-being.

 

The three consecutive months immediately preceding the month of application for  Medicaid.  Applicants can apply for "retroactive" Medicaid coverage of incurred medical expenses for the three-month period prior to application either under the standard Medicaid or under spend-down provisions.

 

Term used to describe the redetermination of a group's eligibility for TANF benefits.

 

A person to whom the group furnishes lodging, but not meals, for compensation.

 

A court order that governs the District of Columbia processing of Medicaid applications filed on behalf of groups who are neither categorically eligible nor applying based on disability.

 

Actions taken against applicants/recipients who fail to comply with program requirements and do not have a good cause reason for failing to comply.

 

Social Service
Representative
(SSR)  

 A beneficiary whose income is at least 100 percent of the  Federal Poverty Level (FPL) but less than 150 percent of the FPL and whose resources do not exceed twice the Supplemental Security Income (SSI)  resource standard.  Benefits for SLIMBs are limited to payment of the Medicare Part B premium only.  SLIMBs are eligible for the three-month retroactive eligibility determination.  However, eligibility cannot be effective prior to January 1, 1993.  There are no spend-down provisions for SLIMBs.  (Note that effective July 1, 2005, SLIMB eligibility applies only to the month of application and the three months prior to the month of application, since the QMB income limit has been increased to include these customers for the period beginning with the month following the month of application.)

 

The period of consecutive months over which total countable income and allowable medical expenses are reviewed to determine whether a group that is over-income for MA has incurred sufficient medical expenses to qualify for MA for part or all of either a three-month retroactive period or a six-month prospective period.  Those timeframes are measured from the month of application.

 

 

The amount of income in excess of MNIL.  This represents the level of medical expenses the group must incur in order to establish eligibility for Medical Assistance.

 

A person or organization who has signed an affidavit of support or other statement of agreement to support an alien as a condition of the alien's entry into the United States.

 

A type of FS income deduction available to units that incur expenses for heating and/or cooling.  The allowance covers heating, cooling, electricity, water, sewage, garbage, and phone expenses.

 

An individual who is not the child's natural or adoptive parent, but who is the spouse of the child's natural or adoptive parent by ceremony or common-law marriage.

 

The time standards within which the Department must take a required case action.

 

Cash payments made by a state and the District to certain recipients of Supplemental Security Income (SSI).

 

A person who has agreed, in cooperation with others, to stop work.  Special eligibility conditions are imposed on strikers in the Food Stamp program.

 

 

 

 

An individual who is attending a school, college, or university or a course of vocational or technical training designed to fit him/her for gainful employment and includes a participant in the Job Corps Program under the Workforce Investment Act (WIA) of 1998, the replacement legislation for the Job Training Partnership Act (JTPA). 

 

 

 

'TANF' program

 

Federally-provided benefits for people whose employment was adversely affected by the importations of goods.

 

Monetary or in-kind compensation that is not received as the direct result of an individual's own labor or services.

 

Proof that statements made by the applicant/recipient are true.

 

An individual who deliberately reduces income without good cause; this is a
sanctionable action under both TANF and FS.

 

The federally mandated percentage of TANF recipients who must be engaged in specified work activities for a minimum number of hours each month.