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October 14, 2013

Group Residential Housing (GRH) Sophat jecsi & John petroskas Minnesota department of human services. October 14, 2013. Group Residential Housing (GRH) . Started in 1993 Individual income supplement to purchase “room and board” GRH can pay for services in some cases

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October 14, 2013

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  1. Group Residential Housing(GRH)Sophat jecsi & John petroskasMinnesota department of human services October 14, 2013

  2. Group Residential Housing (GRH) • Started in 1993 • Individual income supplement to purchase “room and board” • GRH can pay for services in some cases • Goal is to prevent or reduce institutional residence or homelessness

  3. Finances • GRH is entirely state-funded • GRH is administered by counties or tribal nations • The total cost of GRH in FY2012 was $122,000,000 • Average GRH payment is approximately $545/month

  4. demographics • Nearly 21,000 people receive GRH each month • Around 17% are seniors • Average age: 48 years • 58% male (72% eligible as Over 65 were women) • 15% report earned income, averaging $221/month • Nearly 70% had mental health diagnosis in last three years • One third had chemical dependency diagnosis in last three years

  5. Types of GRH Housing Statewide • Adult Foster Care (4104) • Board and Lodge (235) • Board and Lodge w/ Special Services (282) • Supervised Living Facility (56) • Non-Certified Boarding Care (16) • Housing w/ Services Establishment (520) • Housing w/ Services Establishment: Homeless (372) • Metro Demo (15) • Tribe Certified (0)

  6. Characteristics • Nearly half of all people receiving GRH live in Adult Foster Care • 17% live in Board & Lodge with Special Services • 12% live in Housing with Services Establishments • 20% live in other settings

  7. Group Residential Housing (GRH) • Definitions • GRH client: individual receiving GRH income supplement • Vendor: entity receiving GRH payment • Service Provider: • GRH Housing service provider: administers room and board (handles rent, utilities, food, household needs) • GRH Supplemental service provider: provides supportive services and/or health-related services • Waiver service provider: provides services eligible under an MA waiver

  8. Individual Eligibility • Eligibility for GRH Housing Rate • Meet a Basis of Eligibility for SSI or • Meet a Basis of Eligibility for GA

  9. SSI Basis of Eligibility • Individuals who are: • Over 65 • Blind • Have a disability as determined by Social Security Administration • Do NOT need to actually receive SSI

  10. GA Basis of Eligibility • Permanent or Temporary Illness (medical opinion) • Requires Services in Residence (service plan) • Unemployable(vocational assessment) • Developmental Disability or Mental Illness (qualified professional) • Advanced Age (55 or older & limited work ability) • Drug/Alcohol Addiction (medically certified as material factor in disability) • RSDI/SSI Application or Appeal Pending

  11. Individual INCOME Eligibility • Eligibility for GRH Housing Rate • Countable Income: Less than maximum benefit (see GRH Agreement) • Assets: • SSI Basis of Eligibility: $2,000 • GA Basis of Eligibility: $1,000 (can be additional $2,000 if Earned Income Savings program, effective October 2012)

  12. GRH Housing Requirements • GRH Housing Requirements • Must be Licensed or Registered • MN Department of Health, or • MN Department of Human Services, or • Tribal Government • Must have GRH Agreement w/ County

  13. GRH Housing Rate • GRH Housing Rate (Room and Board, Rate 1, Base Rate, MSA Equivalent Rate) • $877, effective 7/1/13 • Rent, Utilities, Food, Household Supplies • Anything left: Other things necessary to provide room and board • NOT services, clothing, medical costs

  14. Services • Examples of service funding include: • Waivers (57%) • DD (28%) • CADI (16%) • EW (11%) • BI (2%) • GRH Supplemental Service Rate (27%) • Difficulty of Care (DOC) (4%)

  15. GRH Supplemental Service Rate • Also known as: (Service Rate, Rate 2) • $482.84, effective 7/1/13(or higher if Legislature authorized exception) • Supportive Services (required) • Assistance with transportation • Arranging meetings and appointments • Arranging medical and social services • Medication reminders • Up to 24-hour supervision

  16. GRH Supplemental Service Rate • Health Supervision (optional) • Assistance in preparation and administration of medications other than injectables • Provision of therapeutic diets • Taking vital signs • Providing assistance in dressing, grooming, bathing, or with walking devices • Requires licensed nurse on site 4 hours per week

  17. Individual Eligibility • Eligibility for GRH Service Rate • Only if waiver or PCA services not available • Must have illness or incapacity which prevents from living independently in the community and require services in the residence • Must have county-approved service plan • Must reside in eligible housing type andreceive GRH Housing Rate

  18. GRH Supplemental Service Rate • Board and Lodge only and Adult Foster Care settings are not eligible • Moratorium on new service rate beds, unless… • Banked Beds • Legislative exception • Individuals relocating out of certain shelters to Housing with Services (Homeless) setting

  19. GRH Application • Combined Application Form (CAF) or applies online at www.applymn.org with required verifications (income, assets, shelter verification form, etc.) • Phone interview is okay, an in-person interview is not required

  20. Application/recertification • Required to apply for other programs for which they appear eligible (SSI, MA, etc.) • Interim Assistance Agreement • Counties recertify eligibility at least once every 12 months. • Individuals report changes during the year (10 days to report changes that affect eligibility)

  21. GRH Payments • Pre-Pay • Issued at the beginning of an eligibility month • Post-Pay • Issued after the end of an eligibility month • Required when: • Residence is expected to last 30 days or less • Clients are monthly reporters (earn more than $100/month)

  22. GRH Payments • Absent Days • GRH payment continues for up to 18 days per absence, not to exceed 60 days per calendar year • County approval required for non-medical • No county approval required when crisis, illness, or injury

  23. Client obligation • GRH Client Obligation (Countable Income)

  24. GRH Payment • GRH Payment Client Pays State Pays

  25. GRH Payments • In Congregate Settings: Personal Needs Allowance $94 Client Client $616 Vendor Food $200 $261 $677 State (DHS) Facility Operations and Household Needs = $877 = $877

  26. GRH Payments • In Community-Based Settings: Personal Needs Allowance $94 Client Client Utilities, Household Needs, or Gift Cards Up to $200 SNAP $616 $141 Vendor $261 $736 Rent State (DHS) = $877 = $877

  27. Other GRH-related contacts: • DHS Vendor Helpline 651-431-4153 • DHS Financial Operations 651-431-3752 • DHS Ombudsman for Long-Term Care 651-431-2555 or 1-800-657-3591 • MN Ombudsman for Mental Health and DD 651-757-1800or 1-800-657-3506

  28. Questions? MN Department of Human Services John Petroskas 651-431-5644 Sophat Jecsi 651-431-4983 Sophat.Jecsi@state.mn.usJohn.Petroskas@state.mn.us dhs.adultincomesupport@state.mn.us

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