MFIP, DWP, SNAP:
No provisions.


MSA:
Follow GA for non-SSI interim assistance.

If the client becomes retroactively eligible for SSI, review the case for retroactive MSA eligibility. Consider the following:

●	Only months that GA has been reimbursed through the DHS/SSI interim assistance reimbursement (IAR) process (or months for which the county received reimbursement directly from the client) are eligible for MSA.
●	Refer to the DHS Financial Operations MAXIS CASE/NOTE for which months have been reimbursed (see GA above).
●	Issue retroactive MSA payment(s) based on the client’s current MSA basic needs grant. Do not include special need items.
●	A GA reimbursement may remain due from the client for a specific month. This typically happens when counties are unable to close GA in time to prevent an additional GA payment after SSI begins. If this occurs, budget the full SSI benefit rate, without any disregard, plus the GA for that month against the appropriate MSA standard. The difference would be either the amount of GA the client continues to owe or the amount of MSA to be issued to the client.

NOTE:

GRH payment months are not eligible for retroactive MSA.

GA:
Require clients to complete an SSI Interim Assistance Authorization (DHS-1795) (PDF) and/or non-SSI Interim Assistance Agreement (Non-SSI) (DHS-1795A) (PDF) if their basis of eligibility is:

●	Permanent illness.
	OR
●	Temporary illness.
	OR
●	Placement in a facility.
	OR
●	Unemployable.
	OR
●	Developmental disability/mental illness.
	OR
●	RSDI/SSI application/appeal pending.
	OR
●	Advanced age.
	OR
●	Learning disabled.
	AND/OR
●	Any time they apply for other maintenance benefits or whenever you expect their benefits to be reinstated after a period of suspension.

Clients who are eligible or potentially eligible for Supplemental Security Income (SSI) must complete the SSI Interim Assistance Authorization (DHS-1795) (PDF).

Clients who are potentially eligible for other maintenance benefits such as RSDI, Workers’ Compensation, or private insurance must complete the non-SSI Interim Assistance Agreement (Non-SSI) (DHS-1795A) (PDF).

Clients who are potentially eligible for both SSI and other benefits including RSDI must sign both a DHS-1795 and a DHS-1795A for the other benefit(s).

Clients who refuse to sign the DHS-1795 or DHS 1795A are ineligible for GA. Date stamp the DHS-1795 when you receive it if that date is different from the signature date.

Clients must sign a new DHS-1795 and/or DHS-1795A at initial application and annually thereafter. Update MAXIS STAT/PBEN and retain a copy of the form(s) in the case record.

The agreement allows the state or county agencies to seek repayment of benefits issued while the application for other maintenance benefits was pending. Unless prohibited by federal or state law, seek repayment when clients receive retroactive payments from other maintenance programs. The amount of the repayment cannot exceed the amount of benefits issued.

People who sign the DHS-1795 for SSI agree to let the Social Security Administration (SSA) reimburse the state for GA and/or GRH received during the period of retroactive SSI eligibility. DHS will mail a notice and explanation to clients and will notify counties via MAXIS CASE/NOTE when clients become eligible for SSI and the state has been reimbursed. Refer any remaining questions regarding SSI interim assistance reimbursements to DHS Financial Operations at 651-431-2427 or 1-888-702-9975.

Notify the DHS Benefit Recovery Section (BRS) of clients who sign a DHS-1795A for Workers' Compensation. BRS will seek recovery of benefits paid during the period covered by the workers' Compensation claim.

For maintenance benefits that clients may receive directly, request repayment directly from the client. If the client does not voluntarily repay the benefits issued, begin action to recover it. See 0025 (Benefit Adjustments and Recovery).

When the client’s only source of income is RSDI and the client has no other resources, the county is limited to asking the client to voluntarily repay the interim assistance he/she received. The county cannot use or threaten to use legal action to recover the interim assistance from the client’s RSDI payments. The DHS-1795A includes a statement informing clients that RSDI payments, both retroactive and current, cannot be garnished, attached, executed upon, or levied upon. The form also explains that, although clients cannot be forced to use their RSDI benefits to repay the interim assistance they received, they can voluntarily use their RSDI benefits to repay their state debt.

Determine MSA eligibility of any client SSA finds eligible for SSI. See MSA provisions.


GRH:
Follow GA, with the following EXCEPTION:

If the client becomes retroactively eligible for SSI, review the case for retroactive GRH eligibility. Consider the following:

●	Do not recalculate the client's GRH budget for months that GRH has been reimbursed through the DHS/SSI Interim Assistance Reimbursement (IAR) process or months for which the county received reimbursement directly from the client.
●	If GRH was not reimbursed through the DHS/SSI Interim Assistance Reimbursement (IAR) process or voluntarily repaid by the client, the GRH budget must be recalculated for the months in which the client received SSI.