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NCDHHS Policies and Manuals  >  Divisional N-Z  >  Social Services  >  Special Assistance

Special Assistance

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Administrative Letter 18-03 Important: Systematic Alien Verification for Entitlements (SAVE) Paperless Verification Processing, , pdf186 KB
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Administrative Letter No. 09-07 – Economic Recovery Payment’s Effect on Special Assistance Adult Care Home (SA/ACH) and Special Assistance In-Home (SA/IH) Eligibility (Economic recovery payments were made only in 2009 and were no longer excluded as a resource after March 1, 2010), pdf16 KB
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Administrative Letter No. 13-07 – Instructions for Special Assistance In-Home Approvals for Individuals with Verified Supported Housing Slots, , pdf101 KB
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Administrative Letter No. 13-11 – Electronic Benefit Issuance, pdf98 KB
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Administrative Letter No. 13-11 – Electronic Benefit Issuance, , pdf98 KB
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Administrative Letter No. 14-02 – Effect of 2014 Social Security Cost of Living Adjustment and New 2014 Federal Poverty Level on SA/IH Cases, , pdf113 KB
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Administrative Letter No. 14-04, Revised Timeframe for Replacement of Special Assistance Checks, pdf25 KB
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Administrative Letter No. 14-11 Addendum , Appropriations Act of 2014: Policy for Resources for SA IH, , pdf24 KB
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Administrative Letter No. 14-11 Addendum, Appropriations Act of 2014: Policy for Resources for SA IH, pdf24 KB
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Administrative Letter No. 14-11, Appropriations Act of 2014: Changes to the Special Assistance Program, pdf20 KB
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Administrative Letter No. 14-13, Social Security Cost-of-Living Adjustment (COLA 2015) and VA Cost-of- Living Adjustment (COLA 2015) for Special Assistance (SA) in a Facility, pdf60 KB
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Administrative Letter No. 15-07, Special Assistance Redeterminations/Recertifications Amended, pdf39 KB
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Administrative Letter No. 17-03, Social Security Cost-of-Living Adjustment (COLA) and VA COLA for Special Assistance In-Home (SA_IH)Beneficiaries, pdf31 KB
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Administrative Letter No. 17-03, Social Security Cost-of-Living Adjustment (COLA)and VA COLA for Special Assistance In-Home (SA-IH) Beneficiaries, , pdf31 KB
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Administrative Letter No. 17-08, Social Security Cost-of-Living Adjustment (COLA 2018) and VA Cost-of-Living Adjustment (COLA 2018) for Special Assistance (SA) in a Facility, pdf288 KB
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Administrative Letter No. 18-02 Social Security Cost-of-Living (COLA 2018) and Veteran’s Assistance (VA) Cost-of-Living Adjustment for Special Assistance In-Home (SA-IH) Beneficiaries, , pdf112 KB
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Administrative Letter No. 18-08, Social Security Cost-of-Living Adjustment (COLA 2019) and VA Cost-of-Living Adjustment (COLA 2019 for Special Assistance (SA) in a Facility., pdf852 KB
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Administrative Letter No. 19-03, Social Security Cost-of-Living Adjustment (COLA 2019) and VA Cost-of-Living Adjustment for Special Assistance In-Home (SA-IH) Beneficiaries., pdf453 KB
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Administrative Letter No. 19-10, Social Security Cost-of-Living Adjustment (COLA 2020) and VA Cost-of-Living Adjustment for Special Assistance In-Home (SA-IH) Beneficiaries, pdf32 KB
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Administrative Letter No. DAAS 16-12 COLA 2017, pdf39 KB
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Administrative Letter No. DAAS-07-10 – Social Security Administration Data Access, pdf24 KB
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Administrative Letter No. DAAS-07-16 РVeteran’s Affairs Match, pdf547 KB
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Administrative Letter No. DAAS-07-20 – Interstate Match, pdf274 KB
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Administrative Letter No. DAAS-08-04 – Economic Stimulus Act Payments (Stimulus payments were received in 2008 only), pdf81 KB
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Administrative Letter No. DAAS-08-15 – Applying the 2009 Social Security Cost of Living Adjustment (COLA) Disregard to Special Assistance In-Home (SA/IH) Cases Only, , pdf49 KB
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Appendix G SAIH Slot Request Form, , pdf15 KB
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CHANGE NO: 01-06, VERIFICATION OF CITIZENSHIP AND IDENTITY FOR SPECIAL ASSISTANCE, pdf48 KB
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CHANGE NO: 01-07, SPECIAL ASSISTANCE ADULT PROGRAM MANUAL UPDATES, pdf48 KB
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CHANGE NO: 02-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATE, pdf23 KB
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CHANGE NO: 02-03, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES, doc34 KB
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CHANGE NO: 02-07, SPECIAL ASSISTANCE ADULT PROGRAM MANUAL UPDATES, pdf26 KB
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CHANGE NO: 03-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES, pdf15 KB
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CHANGE NO: 04-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES, pdf15 KB
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CHANGE NO: 05-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES, pdf11 KB
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CHANGE NO: 06-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES, pdf9 KB
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CHANGE NO: 07-02, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES, pdf10 KB
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CHANGE NO. 01-04, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES, pdf29 KB
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CHANGE NO. 01-08, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES, pdf46 KB
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CHANGE NO. 01-09, SPECIAL ASSISTANCE FOR ADULTS (SA/ACH) PROGRAM MANUAL UPDATES, pdf36 KB
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CHANGE NO. 01-10, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES, pdf46 KB
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CHANGE NO. 01-11, FIGURE CHANGE TO FORM AND CLARIFICATIONS, pdf36 KB
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CHANGE No. 01-12, Federal Poverty Guidelines, , pdf26 KB
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CHANGE NO. 01-13, SSI 2013 FEDERAL BENEFIT RATE (FBR) UPDATES IN THE SPECIAL ASSISTANCE MANUAL, pdf31 KB
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CHANGE NO. 01-15, SA MANUAL, pdf21 KB
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CHANGE NO. 01-2017, SA ELIGIBILITY MANUAL AND FORM REVISIONS, pdf20 KB
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CHANGE No. 02-06, , pdf42 KB
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CHANGE NO. 02-08, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES, pdf29 KB
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CHANGE NO. 02-09, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES – RESOURCES, pdf37 KB
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CHANGE No. 02-10, Special Assistance for Adults In-Home (SA/IH) Program Manual Updates, , pdf27 KB
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CHANGE No. 02-11, Federal Poverty Guidelines, , pdf27 KB
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CHANGE NO. 02-12, CONVERSION OF FIGURES TO FORMS, pdf40 KB
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CHANGE No. 02-13, Federal Poverty Level UPDATE TO SA-IH MANUAL, , doc32 KB
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CHANGE NO. 02-14, SPECIAL ASSISTANCE TO THE CERTAIN DISABLED (SCD), pdf20 KB
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CHANGE No. 02-2017: State/County Special Assistance In-Home (Eligibility), , pdf19 KB
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CHANGE NO. 03-08, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES, pdf54 KB
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CHANGE NO. 03-10, SPECIAL ASSISTANCE FOR ADULTS PROGRAM MANUAL UPDATES, pdf27 KB
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CHANGE No. 03-11 Removal Of SA-5600 and SA-5700, , pdf22 KB
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CHANGE No. 03-12: Changes in the SA/IH PROGRAM, , pdf39 KB
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CHANGE NO. 03-14, RESIDENCY REQUIREMENT CHANGES, pdf53 KB
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CHANGE NO. 03-2017, SA ELIGIBILITY REDETERMINATIONS, pdf86 KB
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CHANGE No. 04-08, Special Assistance In-Home Program Manual Updates, , pdf33 KB
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CHANGE NO. 04-10, SPECIAL ASSISTANCE PROGRAM MANUAL UPDATES, pdf70 KB
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CHANGE NO. 04-11, SA-3110 FIGURES TO FORMS, pdf29 KB
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CHANGE NO. 04-2017, SA APPLICATION PROCESS, pdf127 KB
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CHANGE NO. 05-10, SPECIAL REVIEW CODES AND OVERPAYMENT RECOUPMENT ADJUSTMENT REQUESTS, pdf36 KB
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CHANGE NO. 05-11, SSI 2012 FEDERAL BENEFIT RATE (FBR) UPDATES IN THE SPECIAL ASSISTANCE MANUAL, pdf30 KB
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CHANGE No. 06-10, Special Review Codes, , pdf38 KB
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CHANGE No. 06-11, SSI 2012 Federal Benefit Rate (FBR) Updates in the Special Assistance In-Home Manual, , pdf25 KB
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CHANGE No. 1-14: 2014 FPL and IEM, , pdf24 KB
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DAAS 20201 Special Assistance Second Party Review Form APPLICATIONS, docx34 KB
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DAAS 20202 Special Assistance Second Party Review Form RECERTIFICATIONS, docx32 KB
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DAAS ADMINISTRATIVE LETTER NO: 13-02 DMA ADMINISTRATIVE LETTER NO: 01-13, MEDICAID TERMINATION FOR ALL SPECIAL ASSISTANCE BENEFICIARIES IN AN INSTITUTION FOR MENTAL DISEASE (IMD), pdf230 KB
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DAAS ADMINISTRATIVE LETTER NO. 09-24, CITIZENSHIP DOCUMENTATION, DMA ADMINISTRATIVE LETTER NO. 08-09, ECONOMIC AND FAMILY SERVICES EFS_WF_AL-11-2009, pdf426 KB
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DHHS-AS-0011 Adult and Family Service Plan HW, , , docx44 KB
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adult-protective-services adult-services guardianship special-assistance-in-home-case-management social-services special-assistanceform
DHHS-AS-0011_Adult_and_Family_Service_Plan _Elec, , , docx48 KB
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DHHS-AS-0016 Consent for Release of Information HW, , , docx38 KB
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DHHS-AS-6222 Adult Service Contact Activity Log HW 2024, , , , docx17 KB
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DHHS-AS-6222 Adult Services Contact Activity Log Elec 2024, , , , docx26 KB
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DHHS-AS-6223 Interim or Quarterly Review Elec 2024, , , pdf110 KB
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DHHS-AS-6223 Interim or Quarterly Review HW 2024, , , docx26 KB
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DHHS-AS-6225: SAIH Program Assessment Electronic, docx140 KB
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DHHS-AS-6226 Case Closing Summary Elec 3.2024, , , , docx26 KB
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DHHS-AS-6226 Case Closing Summary HW 3 2024, , , , docx21 KB
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DMA ADMINISTRATIVE LETTER NO: 03-10, DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-02-10, DAAS ADMINISTRATIVE LETTER NO: 10-07, pdf32 KB
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DMA ADMINISTRATIVE LETTER NO: 07-10, DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-07-10, DAAS ADMINISTRATIVE LETTER NO: 10-14, AUTHORIZED REPRESENTATIVE SCREEN, pdf9 MB
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DMA ADMINISTRATIVE LETTER NO. 08-09, DAAS ADMINISTRATIVE LETTER NO. 09-24 ECONOMIC AND FAMILY SERVICES EFS_WF_AL-11-2009 ADDENDUM 1, (CITIZENSHIP DOCUMENTATION), pdf46 KB
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DSS ADMINISTRATIVE LETTER PERFORMANCE MANAGEMENT/REPORTING AND EVALUATION MANAGEMENT PM-REM-AL-06-10, DMA ADMINISTRATIVE LETTER NO: 05-10, DAAS ADMINISTRATIVE LETTER NO: 10-11, pdf223 KB
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DSS_5027_SIS_Client_Entry_Form, , , , pdf1,014 KB
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DSS-0031 SAIH Program Interagency Referral Form, pdf230 KB
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DSS-0033: Appendix E, Supplement 1, pdf133 KB
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DSS-0034: Appendix E, Supplement 2, pdf107 KB
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DSS-20221: SA Recertification Budget Sheet, pdf321 KB
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DSS-3000 Appointment Follow-up Letter Regarding SA Assistance Request, pdf56 KB
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DSS-3001: Notice of County of Residence Reassignment/Transfer, pdf30 KB
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DSS-3001sp Notificación sobre reasignación o transferencia, , pdf32 KB
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DSS-3002 Agreement to Sell, pdf73 KB
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DSS-3002sp Compromiso de venta, , pdf75 KB
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DSS-3003 Important Information About Your Special Assistance and Your Resources, pdf22 KB
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DSS-3004 Referral to SSA for Waiver or Reduction of Overpayment Recoupment, pdf57 KB
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DSS-3005 Documentation Regarding Continuation of Special Assistance When the LOC Is Upgraded, But No Bed Is Available, pdf53 KB
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DSS-3006 Medical Care Special / Medical Expense Form, pdf57 KB
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DSS-8190 SSI/Non-SSI Application Workbook, pdf800 KB
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DSS-8190A SSI/Non-SSI Application Workbook Appendix A, pdf118 KB
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DSS-8191 Special Assistance Re-enrollment Information Notice, pdf554 KB
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EIS 1061 XPTR Report Distribution System, , pdf148 KB
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EIS 1105 State Data Exchange (SDX), , pdf293 KB
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EIS 4000 Appendix D – Special Assistance Codes, , pdf93 KB
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Performance Management/Reporting and Evaluation Management, PM-REM AL-02-2013, DMA ADMINISTRATIVE LETTER NO: 03-2013, DAAS ADMINISTRATIVE LETTER NO: 2013-05, DSS ECONOMIC AND FAMILY SERVICES ADMINISTRATIVE LETTER NO: 03-2013, DCDEE ADMINISTRATIVE LETTER NO: 01-2013, ONLINE VERIFICATION (OLV) ENHANCEMENTS, pdf291 KB
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SAIH CASE MANAGEMENT MANUAL CHANGE NOTICE, pdf253 KB
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Special Assistance Administrative Letter No. 17-08 Social Security Cost-of-Living Adjustment (COLA 2018) and VA Cost-of-Living Adjustment (COLA 2018) for Special Assistance (SA) in a Facility, , pdf288 KB
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Special Assistance In Home Program Manual, , pdf626 KB
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Special Assistance Manual, , pdf3 MB
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State/County Special Assistance In-Home Case Management Manual, , pdf1 MB
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