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[2`^$'Uw{$\2h!EEA:-FR3Vb3aT#9-=4ac3 In addition, we cannot pay you any retroactive payments if you have one of these unsatisfied felony or arrest warrants. To be eligible for SSI, people must have low incomes, limited assets, and an impaired ability to work at a substantial gainful level as a result of old age or significant disability. Supplemental Security Income (SSI) is a Federal program administered by the Social Security Administration (SSA). SSI-Related Medicaid Resource Eligibility Criteria: 11679302: 7/20/2012 Vol. Life, home, auto, AD&D, LTD, & FSA benefits, Overview of prior authorization (PA), claims & billing, Step-by-step guide for prior authorization (PA), Program benefit packages & scope of services, Community behavioral support (CBHS) services, First Steps (maternity support & infant care), Ground emergency medical transportation (GEMT), Substance use disorder (SUD) consent management guidance, Enroll as a health care professional practicing under a group or facility, Enroll as a billing agent or clearinghouse, Find next steps for new Medicaid providers, Washington Prescription Drug Program (WPDP), Governor's Indian Health Advisory Council, Analytics, research & measurement (ARM) data dashboard suite, Foundational Community Supports provider map, Medicaid maternal & child health measures, Washington State All Payer Claims Database (WA-APCD), Personal injury, casualty recoveries & special needs trusts, Information about novel coronavirus (COVID-19), I help others apply for and access Apple Health, General requirements that apply to all Apple Health programs, https://www.hca.wa.gov/health-care-services-supports/program-standard-income-and-resources, Program standard for income and resources. qhVEZ:b`mC+Ox]A=]u&. Eligibility requirements and services available vary from state to state. WAC 182-512-0010Supplemental Security Income (SSI) standards; SSI-related categorically needy income level (CNIL); and countable resource standards. "Amerasian immigrant" pursuant to P.L. Except for certain students temporarily abroad for study purposes or a child of military parents stationed overseas, an individual is not eligible for SSI benefits for any month during all of which he or she has been outside the U.S.
Medicare Part A and Part B premiums using the start date in WAC, Medicare coinsurance, copayments, and deductibles for Part A, Part B, andPart C, subject to the limitations in WAC. Holocaust survivor reparations do not count as income. If the client is eligible for both SLMB and another medicaid program: The SLMB program pays the Part B premiums using the start date in WAC, The medicaid program pays medicare coinsurance, copayments, and deductibles for Part A, Part B, andPart C subject to the limitations in WAC, If the client is only eligible for SLMB, the SLMB program covers medicare Part B premiums using the start date in WAC, The QI-1 program pays medicare Part B premiums using the start date in WAC, The QDWI program covers medicare Part A premiums using the start date in WAC. hb``f``*c
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Any unborn children of the client, or of the spouse if the spouse lives with the client. unable to engage in substantial gainful activity), receiving a benefit through the Supplemental Security Income program, is automatically eligible for Medicaid in Delaware. F[vXOs[|8 A2ck$+WOZzs-|xz>=}?_>kDtaX7}wy-(^e`h.e{7rwF#FjrYc|y!x#:sX^1u"[1CN[=FjTc.[XY4=$GBU`"Y WAC 182-517-0100Medicare savings programs--Monthly income standards. Benefits of the QMB program include: . All SSI-related programs have an income limit that equals the Federal Benefit Rate (FBR) plus $20 per month. SSI-Related Resources - each program has a specific resource limit, see link below. If you are unable to answer the questions, the use of a Verification Code is an alternative solution for identity verification. !m? Go to www.ssa.gov/compassionateallowances/ for more information on CAL. By incorporating cutting-edge technology, the agency can easily identify potential CAL to quickly make decisions. Many states offer categorical eligibility to individuals who are not receiving SSI but who meet the financial eligibility requirements of the program. Floridas eligibility standards are: Children up to 1 year old: 206% of the federal poverty level Children ages 1-5: 140% of FPL Children ages 6-18: 133% of FPL Pregnant women: 191% of FPL Adults with dependent children: 27% of FPL People who qualify for Supplemental Security Income automatically qualify for Medicaid in Florida. NOTE: Enable your browser's JavaScript for enhanced page display. The countable resource standards for SSI and SSI-related CN medical programs are: One person $2,000. SSI Federal Benefit Benefit Rate (FBR) SSI Resource Standard Income Cap Limit (300%) Earned Income Break Even Point . If you are in one of the seven "qualified alien" categories listed above, or have been determined to be a deemed qualified alien because you have been subjected to battery or extreme cruelty, you may be eligible for SSI benefits if you have limited income and resources and are aged, blind, or disabled and also meet one of the following conditions: Refugee admitted to the United States (U.S.) under section 207 of the Immigration and Nationality Act (INA); Asylee admitted to the U.S. under section 208 of the INA; Alien whose deportation was withheld under section 243(h) of the INA or whose removal is withheld under section 241(b)(3)of the INA; Admitted as a "Cuban or Haitian entrant"- as defined under section 501(e) of the Refugee Education Assistance Act of 1980 or in a status that is to be treated as a "Cuban/Haitian entrant" for SSI purposes; or. Please see our pamphlet, What Prisoners Need to Know or view it online at www.ssa.gov/pubs/EN-05-10133.pdf if you want more information about how being in jail or prison affects your SSI benefits. The agency counts the annual Social Security cost-of-living increase beginning April 1st each year. With SSI, citizens who need help with basic needs like clothing, food, shelter, and transportation receive cash benefits. The CAL initiative helps reduce waiting time to reach a disability determination for individuals with the most serious disabilities. Share/Save: Click the button or link at left to select your favorite bookmark service and add this page.var addthis_pub = 'workworld'; This is one topic from the thousands available in the WorkWORLD software Help/Information System. Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. Title: 2019 Spousal Impoverishment Standards Draft Author: SSI-related Medicaid programs are for people who no longer receive Supplemental Security Income (SSI) payments, but have their Medicaid benefits protected under certain laws. However, if that individual has $10,000 in savings, they are over the QMB asset limit of $8,400. Because Delaware covers all SSI beneficiaries, it is known as a "1634" state. hXk7W[Zi5%6I^{
ijt=;0H7/KNHa%mqBY`SHCa\,l*1ZYmoTvd]7O?c/ :12Tavz9Q&L()%9%E_;tB\6$lmE{r^cu.]A$z7thvNt1M7)o!KLUiuVnuvE{v@_>c$O-FC9#Lu(9U;F:-D}09D1Fd!=A!9n#EA^'_hW+'>1\%IGe
?cG}--%d&$W'c/C&;blKq>>LW3D9sO.cWC=9g1_Qx^_ H[Eda~@6pQ"_dxyr\/,1>!)CdY/*:U ;Qpdy=Ur;^-@8@V^wv+.z 58~Ia!L Copyright 1996, 1997, 1998, 1999, 2000, 2001, 2002, 2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010, 2011, 2012, VirginiaCommonwealthUniversity. The latest such increase, 8.7 percent, becomes effective January 2023. has lasted or can be expected to last for a continuous period of not less than 12months. For general information about these payments, refer to the SSP Payment FAQs; SSP Payment FAQs Spanish.For any additional questions, please contact: 1 (866) 312-3100. hlA@7*g5+"Q:):K&2t{pHjVa&} fq(1H I]BxYK('X!ECg$zz~]V 56m6hb~FN8Rke?H H
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Some examples of who is not eligible for SSI include, but are not limited to: You are ineligible to receive SSI benefits for any month during which you have an unsatisfied felony OR arrest warrant for: flight to avoid prosecution or confinement; or. #9v6tTg=b=ZU=,kjtJdD;z>>>>d]Sig5e )Ohgo.n^\o/_?{xohK.O?~OK6//^5iErucUG&^,_R;R7Joo@=No/Vslm*tU.sX |5{;_6F|^0yr36KQ-\um*BKv+1^ |1NKo'|%/>`=@}@~C/
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For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. 0
QI-1 and QDWI clients who begin receiving medicaid are no longer eligible for QI-1 or QDWI benefits, but may be eligible for the state-funded medicare buy-in program under WAC, Right to request administrative hearing. 324 0 obj
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SSI-Related Programs & Coverage Groups- Financial Eligibility Standards: January 1, 2020 INCOM PROGRAMS & TYPES OF COVERAGE EASSET SMAINTENANC N EDS STANDARD / OTHER Individual Couple Individual Couple Disregards: Standard Disregard$2, = $20 Earned Income Disregard = $65 +( 1/2(Student Earned Income Disregard = $1,900 monthly, maximum $7,670 for ?lrI#Fi3qB^3,b$Bb+1ojs<1]=$Bb+1J~%G)3w^b-D_vuXDHE[zz_DHLesT]DHLO:kO"kx]DHh'1JreF~e%xxZwz[4%\|$f;Dws4y}j!.\vo,^/wW[ [
Countable resource standards for the noninstitutional MN program are: For each additional family member add $50. This condition may also apply if you are the spouse, widow(er), or dependent child of certain U.S. military personnel.
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M=52ReXFX'B Position Summary:Provides guidance and assistance to patients, various internal UMass Memorial staff, physician offices and third party vendors regarding financial assistance programs. It provides a comprehensive overview and summary of assistance programs for people who are aged, blind and disabled as well as office location and contact information for DCF district program specialists. The number of individuals that count for family size include: The client's spouse who lives with the client; The client's dependents who live with the client; The spouse's dependents who live with the spouse, if the spouse lives with the client; and. (eff 01/01/2021) PERSONAL NEEDS ALLOWANCE SSI Individual $30 only in NH = $100 (SPS) Individual Work done by your spouse or parent(s) may also count toward the 40 quarters of earnings, but only for getting SSI. %PDF-1.7
The resource limit for the QDWI program is $4,000 for a single person and $6,000 for a married couple. *Supplemental Security Income (SSI) Social Security Administration Program $ 603 $ 904 $ 2000 $ 3000 *MEDS-AD $ 731 $ 980 $ 5000 $ 6000 *QMB 100% of FPL $ 831 $ . 1902(a)(10)(A)(ii)(I) of the Social Security Act ("the Act"). In general, monthly amounts for the next year are determined by increasing the . 0
v-"TVGE>!S`Ss# 7O_ Dj6*F !$,uD)b2Q=;"_a'$FYC'>E>|2#pf|7OO DcSvG|ca|`+D>Z#_a)|n2. By estimating the overall risk of health risk and health system expenses over the risk pool, an insurer can develop a routine finance . Each year, the federal government publishes new federal poverty level (FPL) income standards in the Federal Register found at. January of the next year. On September 30, 2021, Congress passed the Afghanistan Supplemental Appropriations Act, 2022 (Public Law 117-43) and Section 2502 of this legislation provides that Afghan humanitarian parolees, known as Non-Special Immigrant Parolees, may qualify for SSI until March 31, 2023, or until the end of their parole period, whichever is later. If there are previous versions of this rule, they can be found using the Legislative Search page. 38/29 : Change 65A-1.712 SSI-Related Medicaid Resource Eligibility Criteria: 11531959: 5/25/2012 Vol. the "special income level" institutional eligibility category authorized under s ection SSI-related program (S02): This program provides CN coverage to individuals who meet the SSI income and resource limits as well as one of the following requirements: 65 years old or older (aged), or Blind (as defined by the Social Security Administration and determined by DSHS), or %PDF-1.4 The "effective" MNIL is the one-person federal benefit rate (FBR) established by SSA each year, or the MNIL listed below, whichever amount is higher. meet a condition that allows qualified aliens to get SSI benefits. If aclient's countable income is over one hundred percent of the FPL, but does not exceed one hundred twenty percent of the FPL, the client is income eligible for the SLMB program. The SSI-Related Medicaid Financial Eligibility Standards chart is located at: zlLvd44rT)]'a6qMA)sI5
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+U=Y\3pH\ ,}sh&f=) PROOF OF EMPLOYMENT TERMINATION * notification . Faculty Job Code Table; HOP 2. Eligibility for Medicaid Services. It's an opportunity to do something meaningful, each and every day. Certain categories of noncitizens may be eligible for SSI and are not subject to the August22,1996, law. 3 0 obj
The medicaid agency offers eligible clients the following medicare savings programs (MSPs): The qualified Medicare beneficiary (QMB) program; The specified low-income medicare beneficiary (SLMB) program; The qualified individual (QI-1) program; and. The installed WorkWORLD software does not contain advertisements of any kind. If you have questions about your health care benefits or need help finding a doctor, call ForwardHealth Member Services at 800-362-3002, Monday through Friday, from 8 a.m. to 6 p.m. Performs a variety of duties to ensure that reimbursement is obtained for medical services provided to the uninsured and underinsured patient population. 100-202, with a class of admission AM-1 through AM-8; Refugee admitted to the U.S. under Section207 of the INA; Granted asylum under Section208 of the INA; Deportation is being withheld under Section, A Cuban or Haitian entrant under Section. and the resulting amounts are rounded down to the next lower multiple of $1.
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Cheapest Health Insurance Plan By County. unrounded annual amounts for the current year by the COLA effective for However, if the spouse's income is deemed to the client, or if both spouses are applying, the household's net countable income is compared to the two-person standard. How do I notify SEBB that my loved one has passed away? Ek\19c(=>BKo50Jc;'^}?4T 7a7TyZb,egt. SSI-Related Programs -- INCOME PROGRAMS & TYPES OF COVERAGE Individual PROGRAMS MANAGED BY SOCIAL SECURITY Financial Eligibili ASSETS Standards: July 1, 2017 MAINTENANCE NEEDS STANDARDS OTHER Disregards: .Standard Disregard $20 .Earned Income Disregard = $65 + 1/2 Student Earned Income Disregard = $1 ,790 monthly, maximum $7,200 for calendar year If you give away a resource or sell it for less than it is worth in order to reduce your resources below the SSI resource limit, you may be ineligible for SSI for up to 36 months. The program is sometimes called Title XVI (Title 16) benefits.. an adult meets the financial limits for SSI. The new unrounded amounts are then each divided by 12 SSI is a government program that pays disability benefits to children and adults who are disabled and have low income and few resources. :8GeKRO~r& \!dIuv$P>8@$whUw|4:f$(z91=T3d9MpY@N..J;d wv~rv M|} y^=tp!f6R;qPf(fbio6\3c(0 You are a Lawfully Admitted for Permanent Residence (LAPR) with 40 qualifying quarters of earnings. Hi}kc8)[cf6vSX1X6jmk`yn
,eK`X^[kkWLQ3[yi_!03 These categories include: American Indians born in Canada who were admitted to the United States under Section289 of the INA; or.
Note: Additional information and criteria are provided in this document by program. WorkWORLD Help/Information System
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Ucsf Salaries By Job CodeUniversity Of California San Francisco Salaries. SSI related individuals must meet all appropriate Medicaid nonfinancial eligibility requirements. %%EOF
st;(Ph31lpSVifpQv) j In addition, we cannot pay any retroactive payments for benefits due before you were incarcerated. You are age 65 or older. 4 0 obj
To be eligible for SSI, an individual must: Be 65 or older OR blind OR disabled Hold U.S. citizenship or legal residency Meet income and resource limits Apply for any other available cash benefits, including Social Security SSI benefits are not restricted to adults. Some %%EOF
And, who: has limited income; has limited resources; is a U.S. citizen or national, or in one of certain categories of aliens; In general, an alien who is subject to an active warrant for deportation or removal does not meet the citizenship/alien requirement. The SSI program provides cash assistance to individuals who have limited income and resources and are either age 65 or older, or blind or disabled, including children. (=MC99~wN74C0}
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E1?2H8iDO"GDz+H/|T#71dU .KH^xDxP5=RV. The first phase extended from program implementation in 1974 to 1990. The Resident Services Coordinator also supports behavioral changes which reduces mental health symptoms and improve daily function. What is Supplemental Security Income (SSI)? If the MSP applicant is eligible for QMB coverage under (a)(i) of this subsection, the agency approves the coverage. Many states offer, for example, categorical eligibility to individuals who are not receiving SSI but who meet the financial eligibility requirements of the program, as authorized by 1902(a)(10)(A)(ii)(I) of the Social Security Act ("the Act"). To be eligible for QDWI, a clientmust be under age sixty-five. 5 0 obj Readers are cautioned to verify all information obtained from these advertisements prior to taking any actions based upon them. Floridas eligibility standards are: Children up to 1 year old: 206% of the federal poverty level Children ages 1-5: 140% of FPL Children ages 6-18: 133% of FPL Pregnant women: 191% of FPL Adults with dependent children: 27% of FPL People who qualify for Supplemental Security Income automatically qualify for Medicaid in Florida. SSI but who meet the financial eligibility requirements of the program, as authorized by section . oMedicaid services are managed by the Agency for Health Care Administration (AHCA). You are legally blind. If the MSP applicant is not eligible for QMB coverage, the agency determines if the applicant is eligible under (a)(ii) of this subsection.
WAC 182-505-0100 Medical programs-- Monthly income standards based on the federal poverty level (FPL). If you have a visual impairment, but are not blind according to our rules as defined above, you may still be eligible for SSI benefits on the basis of disability. Medicaid eligibility may affect MSP eligibility: QMB and SLMB clients may receive medicaid and still be eligible to receive QMB or SLMB benefits. See the definitions of disability for children and adults below. accordance with changes in the SSI federal benefit rate (FBR) and the Consumer Price Index (CPI). . If you are receiving SSI as a non-citizen and you lose your status as an eligible alien, you are not eligible to receive SSI. hbbd```b``z";`Dr\K@$"H`1 R7"AEd+ l{dtfH4 j=`sDg`R{` y
Compassionate Allowances (CAL) are a way to quickly identify diseases and other medical conditions that, by definition, meet Social Securitys standards for disability benefits. Website feedback: Tell us how were doing, Copyright 2022 Washington Health Care Authority, I help others apply for & access Apple Health, Apple Health for Workers with Disabilities (HWD), Medically Intensive Children's Program (MICP), Behavioral health services for prenatal, children & young adults, Wraparound with Intensive Services (WISe), Behavioral health services for American Indians & Alaska Natives (AI/AN), Substance use disorder prevention & mental health promotion, Introduction overview for general eligibility, General eligibility requirements that apply to all Apple Health programs, Modified Adjusted Gross Income (MAGI) based programs manual, Long-term services & supports (LTSS) manual, Medical plans & benefits (including vision), Life, home, auto, AD&D, LTD, FSA, & DCAP benefits. 458 0 obj
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When calculating incomeunder this section: The agency subtracts client participation from a long-term care client's countable income under WAC. Some coverage groups require additional technical criteria specifically for that coverage. The maximum. Please Note: Due to new guidance issued by the federal government, this payment will not be counted toward the SSI/SSP resource limit of $2,000 for an individual and $3,000 for a couple. To be eligible for an MSP, a client must: Meet the general eligibility requirements under WAC. endstream
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Deemed income from and allocated income to a nonapplying spouse and dependents. The monthly maximum Federal amounts for 2023 are $914 for an eligible individual, $1,371 for an eligible individual with an eligible spouse, and $458 for an essential person. A person who disagrees with agency action under this section may request an administrative hearing under chapter 182-526 WAC.. @VHry
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d,t*eLR#(-i;SJZB7}r@^hCclY[6hJX/_$Kf|V( 1I The latest such increase, 8.7 percent, becomes effective January 2023. To qualify for SSI payments, a person must satisfy the program criteria for age, blindness, or disability. MSP eligibility. stream If you expect to leave the institution, you may use the prerelease procedure described in the SSI spotlight on the Prerelease Procedure. Payment reduction The SSI payment standards, also known as the federal benefit rate (FBR), change each January 1st. A-9 SSI-Related Financial Eligibilty Standards - April 2020 SSI-Related Programs & Coverage Groups - Financial Eligibility Standards: January 2023. . The following figures are used to determine eligibility for certain MassHealth applicants and members aged 65 and older or those of any age who are in or are entering a long-term-care facility and their . 24.1 SSI Related Medicaid Introduction. Couple $3,000, a citizen or national of the United States; or. endobj
The Florida Department of Children and Families prepares a Supplemental Security Income (SSI) Related Programs Fact Sheet annually. September 2018 SSI-Related Medicaid Fact Sheet 2 . Florida's eligibility standards are: Children up to 1 year old: 206% of the federal poverty level (FPL) Children ages 1-5: 140% of FPL Children ages 6-18: 133% of FPL Pregnant women: 191% of FPL Adults with dependent children: 27% of FPL People who qualify for Supplemental Security Income (SSI) automatically qualify for Medicaid in Florida. SSI-Related Medicaid Coverage Groups Financial Eligibility Standards: April 1, 2021 TYPES OF COVERAGE GROUPS (eff 01/01/21) INCOME LIMIT ASSET LIMIT ICP/HCBS/HOSPICE-Individual (I)-300% Federal Benefit Rate (FBR) . 38/21 : Hearing 65A-1.712 SSI-Related Medicaid Resource Eligibility Criteria: 11359881: 4/6/2012 Vol. hbbd``b`k%`r@QHpGGL, u>`
Beginning August 22, 1996, most noncitizens must meet two requirements to be eligible for SSI: the noncitizen must be in a qualified alien category, and. individual, $1,371 for an eligible individual with an eligible spouse, and You may qualify for monthly SSI payments if: you are 65 or older, blind or disabled; you are a U.S. citizen or lawful resident; and you have very limited income and . SSI-Related Programs - Financial Eligibility Standards: January 2006 Income Assets Personal / Maintenance . If you are a qualified alien but you no longer meet one of the conditions that allow SSI eligibility for qualified aliens, then your SSI benefits will stop. If you are age 18 or older, the adult definition of disability explained below applies. $458 for an essential person. As we mentioned above, Silver plans are where we advise the average consumer to begin their shopping process. "l=Z}C4BK"8;a1?fiv=bk%=G|?v(4a+ff3iDK"8=6(IgEk.jq1(" DfO "4ExM#ZNs WF The monofocal lens improves vision at one distance only and is less expensive than the multifocal lens that helps you see both near and far. The information below provides basic eligibility criteria. Maximum Federal Supplemental Security Income (SSI) payment amounts increase with In addition, the role of the Resident Services . Recipient eligibility for Medicaid is determined by the: Department of Children and Families, Office of Economic Self Sufficiency - The Department of Children and Families determines eligibility for low-income children and family programs and the institutional care program. r5q12>V$$e&e&e&e&e&e&e&e&eEbYXvva'z'zg`g-_+|eeNC>kr-\:|kwr{zTY`,8 b`TYsASQ7ShC;: >}dy n9LOS&((8]UWV|x Career Tracks: Job Templates & Standards. SSI and Spousal Impoverishment Standards . Contact information. 38/14 : Hearing 65A-1.712 SSI-Related Medicaid Resource . The SSI-Related Medicaid Programs Fact Sheets provides only brief information. .,^j1\9y;9o>o_7
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Adult disability determinations for SSI are largely based on whether a person is capable of work. income. Similarly, most states have adopted . YL_Hh)\' ]
SSI-Related Programs & Coverage Groups-Attachment 4 Financial Eligibility Standards: July1, 2020. . Most states have adopted the "special income level" institutional eligibility category of the Social Security Act, the maximum income standard for which is 300% of the SSI FBR. endstream
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Iraqi/Afghan Special Immigrants: You may also qualify for SSI for a period of seven years if you are an Iraqi or Afghani special immigrant admitted to the United States. endobj
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Benefits.gov provides information on eligibility requirements for government benefits and can help you learn more about SSI. a noncitizen who meets the alien eligibility criteria under the 1996 legislation and its amendments.
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