Supported Community Living COA 32-329, SCL-5 Beds COA 63-329 & Client Participation rent and utilities only (no deposits) COA 33-340 and 33-345- If the individual does not have a Social Security disability determination they must apply for Social Security Benefits, sign an Interim Assistance Reimbursement with a county or SEIL. Must have Medicaid, have applied for Medicaid or submitted a medical exemption for Medicaid if they only have Iowa Health Link.

Diagnostic category 1: The individual must have a serious mental illness, which is a mental, behavioral, or emotional disorder a history of multiple suicide attempts, a mental health diagnosis of (Schizophrenia, Psychotic Disorders, Bipolar, Major Depression, Personality Disorders; along with serious impairments of functioning with an inability to identify and utilize coping skills, no personal support system, no housing options and includes excessive use of emergency settings, inpatient hospitalizations, 23-hour observation or residential crisis services.

Diagnostic category 2: The individual must have an Intellectual Disability resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities, along with serious impairments of functioning with an inability to identify and utilize coping skills, no personal support system, and no housing options.

Time limits of funding: An applicant who has an initial SSI claim in process at the time of application for SEIL Funding will be funded until Social Security makes a determination on the claim, if the claim is denied support will continue through the first appeal. If the appeal is denied support will continue through the 2nd appeal if a disability benefits attorney is involved. If the 2nd appeal is denied funding will terminate the month following funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who had an initial SSI claim denied, appealed this denial, and received an unfavorable appeal decision, has appealed that decision and disability benefits attorney is involved at the time of application for SEIL funding will be funded until Social Security makes a determination on the appeal. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who has an SSI claim in appeal and is awaiting an administrative law judge hearing at the time of application for SEIL funding will be funded until the administrative law judge makes a decision on the case. If the administrative law judge upholds the Social Security determination funding will terminate the month following the notice of denial of benefits.

If an applicant has been provided support from SEIL during an SSI claim and was supported through the denial of the initial claim and/or during two appeals the individual is ineligible for SEIL funding for 12 months. If it has been 12 months since SEIL ended and the applicant is filing a new claim with new information to support the claim SEIL may consider authorizing funding during the claim process. An applicant is no longer eligible for SEIL funding if support was provided through two separate attempts to be awarded SSI.

Supported Housing COA 32-396- Must have an integrated health home provider or managed care organization service coordinator.

Supported Housing is only for the benefit of the individual and not their household, spouse, significant other, or family.

The individual must have a serious mental illness, which is a mental, behavioral, or emotional disorder resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities. For the purpose of eligibility for the Supported Housing program, this is a complexity of mental health diagnosis (Schizophrenia, Psychotic Disorders, Bipolar, Major Depression, Personality Disorders; along with serious impairments of functioning with an inability to identify and utilize coping skills, no personal support system, no housing options and includes excessive use of emergency settings, inpatient hospitalizations, 23-hour observation or residential crisis services.

Time limits of funding: An applicant who has an initial SSI claim in process at the time of application for SEIL Funding will be funded until Social Security makes a determination on the claim, if the claim is denied support will continue through the first appeal. If the appeal is denied support will continue through the 2nd appeal if a disability benefits attorney is involved. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who had an initial SSI claim denied and appealed the denial at the time of application for SEIL funding will be funded until Social Security makes a determination on the appeal, if the appeal is denied support will continue through the 2nd appeal if a disability benefits attorney is involved. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who had an initial SSI claim denied, appealed this denial, and received an unfavorable appeal decision, has appealed that decision and disability benefits attorney is involved at the time of application for SEIL funding will be funded until Social Security makes a determination on the appeal. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who has an SSI claim in appeal and is awaiting an administrative law judge hearing at the time of application for SEIL funding will be funded until the administrative law judge makes a decision on the case. If the administrative law judge upholds the Social Security determination funding will terminate the month following the notice of denial of benefits.

If an applicant has been provided support from SEIL during an SSI claim and was supported through the denial of the initial claim and/or during two appeals the individual is ineligible for SEIL funding for 12 months. If it has been 12 months since SEIL ended and the applicant is filing a new claim with new information to support the claim SEIL may consider authorizing funding during the claim process. An applicant is no longer eligible for SEIL funding if support was provided through two separate attempts to be awarded SSI.

Rent Payments (time-limited) COA 33-340 and Ongoing Rent Subsidy COA 33-345- SEIL does not pay deposits for client participation when services are provided in a site home. Time limits of funding: An applicant who has an initial SSI claim in process at the time of application for SEIL Funding will be funded until Social Security makes a determination on the claim, if the claim is denied support will continue through the first appeal. If the appeal is denied support will continue through the 2nd appeal if a disability benefits attorney is involved. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who had an initial SSI claim denied and appealed the denial at the time of application for SEIL funding will be funded until Social Security makes a determination on the appeal, if the appeal is denied support will continue through the 2nd appeal if a disability benefits attorney is involved. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who had an initial SSI claim denied, appealed this denial, and received an unfavorable appeal decision, has appealed that decision and disability benefits attorney is involved at the time of application for SEIL funding will be funded until Social Security makes a determination on the appeal. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who has an SSI claim in appeal and is awaiting an administrative law judge hearing at the time of application for SEIL funding will be funded until the administrative law judge makes a decision on the case. If the administrative law judge upholds the Social Security determination funding will terminate the month following the notice of denial of benefits.

If an applicant has been provided support from SEIL during an SSI claim and was supported through the denial of the initial claim and/or during two appeals the individual is ineligible for SEIL funding for 12 months. If it has been 12 months since SEIL ended and the applicant is filing a new claim with new information to support the claim SEIL may consider authorizing funding during the claim process. An applicant is no longer eligible for SEIL funding if support was provided through two separate attempts to be awarded SSI.

RCF 1-5 Beds Client Participation for COA’s 63-314, 63-315 & 63-316- The individual must have a serious mental illness, which is a mental, behavioral, or emotional disorder a history of multiple suicide attempts, a mental health diagnosis of (Schizophrenia, Psychotic Disorders, Bipolar, Major Depression, Personality Disorders; along with serious impairments of functioning with an inability to identify and utilize coping skills, no personal support system, no housing options and includes excessive use of emergency settings, inpatient hospitalizations, 23-hour observation or residential crisis services. The individual must have an intellectual disability resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities, along with serious impairments of functioning with an inability to identify and utilize coping skills, no personal support system, and no housing options.

SEIL follows State Supplementary Assistance rules for payment of maintenance fees for reserve bed days not to exceed 20 per calendar month for hospitalization and not to exceed 30 days per year for a visit or vacation. If an individual is discharged from the RCF while hospitalized the maintenance payment ends effectively the same date as the discharge. SEIL does not pay the service fee when an individual is not in the RCF to receive services unless this is specifically identified in a host county contract or management plan.

Time limits of funding: An applicant who has an initial SSI claim in process at the time of application for SEIL funding will be funded until Social Security makes a determination on the claim, if the claim is denied support will continue through the first appeal. If the appeal is denied support will continue through the 2nd appeal if a disability benefits attorney is involved. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who had an initial SSI claim denied and is an appeal of the denial at the time of application for SEIL funding will be funded until Social Security makes a determination on the appeal, if the appeal is denied support will continue through the 2nd appeal if a disability benefits attorney is involved. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who had an initial SSI claim denied, appealed this denial, and received an unfavorable appeal decision, has appealed that decision and disability benefits attorney is involved at the time of application for SEIL funding will be funded until Social Security makes a determination on the appeal. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who has an SSI claim in appeal and is awaiting an administrative law judge hearing at the time of application for SEIL funding will be funded until the administrative law judge makes a decision on the case. If the administrative law judge upholds the Social Security determination funding will terminate the month following the notice of denial of benefits.

If an applicant has been provided support from SEIL during an SSI claim and was supported through the denial of the initial claim and/or during two appeals the individual is ineligible for SEIL funding for 12 months. If it has been 12 months since SEIL ended and the applicant is filing a new claim with new information to support the claim SEIL may consider authorizing funding during the claim process. An applicant is no longer eligible for SEIL funding if support was provided through two separate attempts to be awarded SSI.

RCF 6 and Over Beds Client Participation 64-314, 64-315 & 64-316- The individual must have a serious mental illness, which is a mental, behavioral, or emotional disorder a history of multiple suicide attempts, a mental health diagnosis of (Schizophrenia, Psychotic Disorders, Bipolar, Major Depression, Personality Disorders; along with serious impairments of functioning with an inability to identify and utilize coping skills, no personal support system, no housing options and includes excessive use of emergency settings, inpatient hospitalizations, 23-hour observation or residential crisis services. The individual must have an intellectual disability resulting in serious functional impairment, which substantially interferes with or limits one or more major life activities, along with serious impairments of functioning with an inability to identify and utilize coping skills, no personal support system, and no housing options.

SEIL follows State Supplementary Assistance rules for payment of maintenance fees for reserve bed days not to exceed 20 per calendar month for hospitalization and not to exceed 30 days per year for a visit or vacation. If an individual is discharged from the RCF while hospitalized the maintenance payment ends effectively the same date as the discharge. SEIL does not pay the service fee when an individual is not in the RCF to receive services unless this is specifically identified in a host county contract or management plan.

An applicant who had an initial SSI claim denied and is an appeal of the denial at the time of application for SEIL funding will be funded until Social Security makes a determination on the appeal, if the appeal is denied support will continue through the 2nd appeal if a disability benefits attorney is involved. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who had an initial SSI claim denied, appealed this denial, and received an unfavorable appeal decision, has appealed that decision and disability benefits attorney is involved at the time of application for SEIL funding will be funded until Social Security makes a determination on the appeal. If the 2nd appeal is denied funding will terminate the month following the Social Security notice of denial of benefits.

An applicant who has an SSI claim in appeal and is awaiting an administrative law judge hearing at the time of application for SEIL funding will be funded until the administrative law judge makes a decision on the case. If the administrative law judge upholds the Social Security determination funding will terminate the month following the notice of denial of benefits.

If an applicant has been provided support from SEIL during an SSI claim and was supported through the denial of the initial claim and/or during two appeals the individual is ineligible for SEIL funding for 12 months. If it has been 12 months since SEIL ended and the applicant is filing a new claim with new information to support the claim SEIL may consider authorizing funding during the claim process. An applicant is no longer eligible for SEIL funding if support was provided through two separate attempts to be awarded SSI.