The State/County Special Assistance In-Home Program for Adults (SA/IH) provides a cash supplement to help low-income individuals who are at risk of entering an Adult Care Home, and would like to remain at home. SA/IH provides an alternative to placement in an Adult Care Home (ACH) for individuals who could live at home safely with additional support services and income.

Eligibility for Medicaid for the Special Assistance In-Home Program is not automatic as it is for Special Assistance in adult care homes. Recipients in private living arrangements must be determined eligible for Medicaid separately. If an applicant for the SA In-Home Program is not already receiving Medicaid, they must apply for it and be found eligible.

The SA In-Home Program helps with living expenses such as food, shelter, clothing and other daily necessities. The checks are sent monthly to eligible individuals living in a private living arrangement. The amount of the check is based on income and need in conjunction with a comprehensive services assessment.

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