State Assistance Programs for SSI Recipients, January 2008

North Carolina

State Supplementation

Mandatory Minimum Supplementation

Administration: State Department of Health and Human Services, Division of Aging and Adult Services and Division of Services for the Blind (state-supervised and county-administered).

Optional State Supplementation

Administration: State Department of Health and Human Services, Division of Aging and Adult Services and Division of Services for the Blind (state-supervised and county-administered). Payments are made under the State/County Special Assistance for Adults program.

Effective date: Adult care homes, January 1, 1974, and Special Assistance In-home program, July 1, 1999.

Statutory basis for payment: General Statutes of North Carolina 108A.40 through 108A.47 and chapter 111 and chapter 143B-139.5; Session Law 1999-237; and Session Law 2005-0276, section 10.39(a).


Administration: 100 percent county funds.

Assistance: 50 percent state funds; 50 percent county funds.

Passalong method: Maintaining payment levels.

Place of application: County Department of Social Services.

Scope of coverage: Optional state supplement provided to all aged, blind, and disabled adults living in adult care homes. Children under age 18 are not eligible for optional supplementation.

Resource limitations: Federal SSI regulations apply.

Income exclusions

All categories: A $20 exemption applies to any income, including SSI, with the exception of income received as a Veterans Administration (VA) pension payment or a VA compensation payment to the surviving parent of a veteran.

Aged and disabled: Federal SSI regulations apply.

Blind: For earned income, exclude the first $85 plus one-half of the remainder.

Recoveries, liens, and assignments: None.

Financial responsibility of relatives: None.

Interim assistance: State participates.

Payment calculation method: A standard applies that is established by the state for the total SSI payment. The federal SSI payment and any countable income are deducted from the state standard. The remainder is the state supplementation.

Payment levels: See Table 1.

Table 1. Optional state supplementation payment levels, January 2008 (in dollars)
Living arrangement Combined federal and state State supplementation
Individual Couple Individual Couple
Adult care home
Basic (aged, blind, and disabled) a 1,208.00 b 571.00 b
Disenfranchised (aged and disabled) 1,311.00 b 674.00 b
Special care unit (aged, blind, and disabled) 1,575.00 b 938.00 b
In home (aged, blind, and disabled) c 914.00 b 277.00 b
Blind, pending SSI eligibility d
Not paying shelter and utilities 97.00  e 194.00
Paying shelter and utilities 146.00  f 243.00
SOURCES: Social Security Administration, Office of Income Security Programs; state information.
NOTE: … = not applicable.
a. An additional $20 income exclusion is allowed. In addition, a $46 personal needs allowance is included in the optional supplementation.
b. Couples residing in these living arrangements are treated as individuals.
c. Payment after subtracting the federal poverty level ($851) from basic rate times 75 percent.
d. This is a temporary supplement paid until SSI eligibility is determined. This is for people who are currently in a private living arrangement.
e. If only one member of the couple is blind, payment level is $146.
f. If only one member of the couple is blind, payment level is $219.
Adult care home.
Includes recipients residing in an assisted living residence in which the housing management provides 24-hour scheduled and unscheduled personal care services to two or more residents either directly or, for scheduled needs, through formal written agreement with licensed home care or hospice agencies. Recipients residing in a special care unit for Alzheimer's in an adult care home are eligible for a higher payment amount. Recipients residing in their own home may be eligible for some of these personal care services.

Number of recipients: See Table 2.

Table 2. Number of persons receiving optional state supplementation, January 2008
Living arrangement Total Aged Blind Disabled
All recipients 23,919 11,881 81 11,957
Adult care home
Basic 22,945 11,000 50 11,895
Disenfranchised 0 0 0 0
Special care unit 974 881 31 62
In home (aged, blind, and disabled) 0 0 0 0
SOURCE: State information.
NOTES: Includes some non-SSI recipients who meet state eligibility criteria, but do not meet federal SSI eligibility guidelines.

Total expenditures: The state reported expenditures of $84,446,495 for calendar year 2007 in state-administered payments to SSI recipients.

State Assistance for Special Needs

State does not provide assistance for special needs.



Criteria: SSI program guidelines (Title XVI).

Determined by: Social Security Administration.

Medically Needy Program

State provides a program for the aged, blind, and disabled medically needy.

Unpaid Medical Expenses

The Social Security Administration does not obtain this information.