Two of the models for disability are the medical and social models of disability.
Medical Model: The medical model of disability suggests that disability prevents a person from performing certain functions and is a problem that needs to be fixed or cured. This places the responsibility of participation and adaptation on the person. The medical model can be helpful for getting a diagnosis and support.
Social Model: The social model of disability, preferred by many disability rights advocates, views people with disabilities as an oppressed population. Creating an accessible world promotes inclusion and makes the world a better place for everyone. Instead of someone being disabled because they use a wheelchair, they’re disabled by stairs, lack of wide hallways, and unpaved sidewalks. The barrier is in the environment.
Many disability advocates prefer the social model. It also helps us create more inclusive environments where everyone is welcome.
“You have completed State Supplementation! This course is part of a series of trainings for Benefits staff. Once you mark this lesson complete, you will return to the homepage, where you may download your certificate of completion. Please be sure to reach out to your supervisor with any questions you may have.”
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Benefits Duties Defines by Law and Standard Operating Procedures Part 1 (Complete!)
Benefits Duties Defines by Law and Standard Operating Procedures Part 2 (Complete!)
Intake and Intake Follow-up (Complete!)
Veteran Affairs (Complete!)
State Supplementation (Complete!)
Supplemental Nutrition Assistance Program (SNAP)
Medicare Application and Recertification Process
Medicare & Social Security Benefits Application Process
“You have reached the final quiz. You must score at least a minimum of 80% to pass the quiz and complete the course. You may take the quiz as many times as needed.”
” We’ve covered a lot of information. Review the important reminders and additional information below and then select the final quiz to review what you’ve learned.”
Important Reminders:
DO NOT promise a provider that an individual will be eligible for State Supplementation.
If an individual is waiting on a disability determination, please let the provider know that this process can take at least 60 to 90 days. This process is out of the control of Benefits staff.
For Caretaker Services, the individual cannot be taken to the caretaker and if the caretaker lives in the same home, they cannot be a spouse, child, or parent.
State Supplementation payments do not backdate. Payments are issued for the application month and are ongoing. No retroactive payments will be issued.
Individuals must return any State Supplementation payment received for which they are not eligible. Individuals, their Authorized Representative (AR), or any other interested party may return checks to the local DCBS office. Individuals are eligible for the State Supplementation payment for a month in which services were received; however, any checks received in the following month must be returned.
Example: Fred is discharged from the PCH to live with his sister on 12/23/2023. Fred is not eligible for the January 2024 State Supplementation payment. He must return the January check if he receives it.
”Community Integration Supplementation (CIS) is a program that allows individuals with a serious mental illness requiring care and services beyond room and board and at risk of entering a PCH or other institution, a way to maintain residence within the community. In this lesson, we’ll explore some of the requirements individuals must meet to be eligible for CIS.“
“State Supplementation amounts vary for individuals under guardianship based on levels of care and caretaker services that are needed. In this lesson, we’ll review the standard amounts for State Supplementation, payments, and the requirements based on different levels of care.”
Technical Eligibility Requirements for State Supplementation
“State Supplementation recipients must meet all technical eligibility requirements, including enumeration, citizenship, identity, residency, Third Party Liability (TPL), and application for statutory (entitled) benefits. Recipients must also be aged, blind, or disabled and must be a resident of Kentucky.”
Social Security Number Requirements
Everyone applying for or receiving State Supplementation is required to furnish their Social Security Number (SSN) or apply for an SSN if one has not been issued; this is enumeration.
What happens if the individual does not provide their Social Security Number (SSN)?
If an individual refuses to provide an SSN or fails to apply for an SSN and does not meet one of the exemptions below, that individual will be ineligible for State Supplementation:
Religious objections;
Alien status;
Issued an SSN for valid non-work reasons only; or
If a good faith effort is being made to obtain documentation that is necessary for completing form SS-5, Application for a Social Security Card, such as an out-of-state birth record.
Entitled Benefits:
Some entitled benefits include but are not limited to:
Supplemental Security Income (SSI)
Retirement, Survivors, and Disability Income (RSDI)
Veterans Assistance (VA)
Unemployment Insurance Benefits (UIB)
“It’s time for a quick knowledge check to review what we’ve learned so far. Select the knowledge check below to continue.”
“In this lesson, we’ll do a quick review of what State Supplementation is, as well as when and how to apply for State Supplementation for an individual under guardianship. Watch the video below to continue. Note that you must watch the entire video to move on to the next lesson.”
Note: You must watch the entire video to continue through the course.
“Hello and welcome to this Benefits Branch training about State Supplementation. My name is Terry, and I’ve worked for the Benefits Branch for eight years. Today, I’ll be working with you throughout the course to help you understand State Supplementation and the requirements when working to assist individuals under guardianship.
Review the course objectives below to get started.”
Course Objectives:
Define State Supplementation and eligibility requirements for individuals under guardianship.
Describe when and how to apply for State Supplementation.
Examine State Supplementation Standards and how they apply to different levels of care.
Define Community Integrated Services (CIS) and verification requirements.
Step Down Support is a process that is designed to reflect the independence, skills, and natural supports obtained by the individual while employed, by providing extended services in a manner that is specific to the needs of the individual. In IPS it is common to transition supports to the team. As the consumer is in touch with other members of the treatment team, someone else may hear about concerns around employment and contact you. During this time the person may no longer “count” on your case load for purpose of fidelity. Discuss this process with your IPS supervisor.
Supported Employee has been employed for at least 12 months and is currently in Extended Services
The supported employee does not need or want an employment specialist to check in two times each month
You may submit a Step Down Support application to your CRP Consultant. The application indicates how often you will follow up with supported employee
If an individual who has been approved for Step Down Supports experiences issues and needs assistance, you must provide the service immediately and then return to the two times per month follow-up. You may reapply for Step Down Support status once they are stable on the job for 6 months.
Once you believe the supported employee is stable on the job, you send in the final Employment Stability Assessment and the Extended Services Plan. Once the Counselor approves the move into “stable employment,” you transition into Extended Services, and they will send you the authorization for the Day 1 payment of $500.00.
Once they sign/approve the Day 1 Extended Service Plan, you start the “count” of days of stable employment for the purpose of the milestone payments.
Once you believe the supported employee is stable on the job, you send in the final Employment Stability Assessment and the Extended Services Plan. Once the Counselor approves the move into “stable employment,” you transition into Extended Services, and they will send you the authorization for the Day 1 payment of $500.00.
Once they sign/approve the Day 1 Extended Service Plan, you start the “count” of days of stable employment for the purpose of the milestone payments.
“Budget requirements are determined by an individual under guardianship’s current level of care. A budget is not required for every individual. Let’s look at which levels of care require a budget.”
Budgets are required for individuals in the following levels of care:
Community Integrated Services (CIS)
Supports for Community Living (SCL)
Self
Family
Living with Other
Assisted Living
Boarding Home
Group Pay
Private Pay
Other (e.g., Homeless, Respite, Jail, Rehabilitation)
The following levels of care do NOT require a budget. Payments are handled by Fiduciary staff.
