| |
DESCRIPTION
The initial interview
is the participant's first contact with the SSI Advocate. The purpose
of the interview is to determine if the participant has already applied
for SSI, and if not, initiate the steps necessary to apply.
KEY POINTS
- The participant's success in the SSI process is in large part dependent on the SSI Advocate's role in securing the participant's trust and cooperation. The first opportunity to do this is during the initial interview.
- The initial appointment sets the tone for
the participant's success in the SSI process. During the initial
appointment, the SSI Advocate:
- Explains the SSI Advocate's role as liaison
between Social Security Administration (SSA) and the participant,
acting on behalf of the participant.
- Stresses the importance of cooperating with
SSI program requirements and the benefits of achieving self-sufficiency
with SSI approval.
- Explains the supportive
services that are available to the General Relief (GR) participant, including transportation funds to all medical and SSI-related appointments, and encourages individuals to seek and follow a treatment plan for their disabilities.
- The SSI process
is explained and the participant's SSI status, if any, is determined.
- Participants already in the process
(i.e., have an SSI
application, request
for reconsideration, or SSI
hearing pending)
are encouraged to allow the SSI Advocate to become the participant's
authorized representative (allowing the SSI Advocate to act on
the
participant's behalf) or to refer them to the County's contracted
hearing representative for hearing representation.
- Participants who have another representative are
not required to have the SSI Advocate be their authorized representative;
however, they are required to periodically report the status of
their applications.
- Participants are screened for basic SSI eligibility
requirements (i.e., the technical requirements outside the disability
requirements, such as residence and immigration status requirements),
using the ABPSSI 15, SSIAP Screening Form.
- There is no retroactivity for SSI benefits. Participants are eligible for SSI payments on the first of the month following the SSI application date. To prevent loss of SSI benefits payable, every effort is made to protect the SSI application date. Protected application dates are recorded on the ABPSSI 15, the SSIAP Screening Form.
- An SSI
application is completed for individuals
screened as SSI eligible and who have not had a disability evaluation
in the last 90 days.
- When a disability evaluation was completed within
the last 90 days:
If an SSI application
was denied
|
| a. |
In the last 60 days,
then a request
for reconsideration is done; or
|
| b. |
More than 60 days
ago, then a request for reconsideration with good cause is done.
(Good cause criteria are outlined in the Resource Guide).
|
If a request
for reconsideration was denied:
|
| a. |
In the last 60 days, SSI hearing is
requested; or
|
| b. |
More than 60 days
ago, then an SSI
application is completed. |
- SSI applications are not completed by SSI Advocates
for individuals age 65 or older. As these persons can qualify for
SSI based on their age (instead of disability), SSA requires them
to apply on their own.
- SSI applications are not completed for individuals
not meeting SSI technical requirements (e.g., residence/immigration
requirements).
SSI ADVOCATE DUTIES
- Upon initial contact with the participant,
explains SSIAP, its requirements, and the SSI Advocate's role.
- Determines if the participant is already
in the SSI process, and if so, encourages the participant to accept
SSI advocacy. If the individual‘s reconsideration has been denied,
encourages the participant to accept a referral to the contracted
hearing representative.
- If the participant is not already in the SSI
process, screens for basic SSI eligibility requirements using
the ABPSSI 15.
- Completes an SSI
application, request
for reconsideration, or refers for SSI
hearing, as appropriate.
- Assesses any supportive
services needs, making any appropriate
referrals (e.g., General Relief Health Care Program or Department
of Mental Health) and/or authorizing any needed transportation funds.
- Records all participant contacts and SSIAP
case activity on the ABPSSI 16, SSIAP Activity Record.
- Updates LEADER with new or changed information,
including Case Comments.
RESULTS
Upon conclusion of the initial appointment, the outcomes
should include:
- The participant was thanked for coming to the
appointment, motivated to continue the SSI process, and encouraged
to become self-sufficient.
- If the participant was in the SSI process,
he/she was encouraged to allow the SSI Advocate to become his/her
authorized representative or to refer him/her to the County's contracted
hearing representative, when appropriate.
- If the participant was not in
the SSI process but was potentially SSI-eligible, an SSI
application or request
for reconsideration was filed. If the application appointment
was rescheduled for any reason, a protected SSI application
date was recorded on the ABPSSI 15 to prevent a loss of SSI.
- If the participant was age 65 or older, he/she
understood he/she must apply for SSI independently.
- The participant understood his/her reporting
responsibilities.
- Any needed supportive
services referrals were made or transportation
funds were issued.
- The participant left the office with the SSI
Advocate's name and telephone number.
- The ABPSSI 16 and LEADER Case Comments were
updated.
|